ArticleDrug and alcohol review2025
Changes in socio-economic inequality in alcohol-attributable mortality in periods of increasing and decreasing alcohol affordability.
Article in Drug and alcohol review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Targeting alcohol use in high-risk population groups: a US microsimulation study of beverage-specific pricing policies.The Lancet. Public health · 2025Article
- Changes in socio-economic inequality in alcohol-attributable mortality in periods of increasing and decreasing alcohol affordability.Drug and alcohol review · 2025Article
- Secondary cross-sectional analysis of smoking and drinking factors among older Korean men: A 13-year national survey.Tobacco induced diseases · 2025Article
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Authors and funding
2 authors.
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Abstract
introductionReducing alcohol affordability reduces alcohol-related harm but its impact on socio-economic inequalities requires further study. We examine changes in alcohol-attributable mortality inequalities in Finland during periods of sharply rising (2000-2007) and falling (2008-2017) alcohol affordability.
methodsLinking individual-level register data on causes of death and socio-demographics for the Finnish population aged ≥25 in 2000-2017 (68 million person-years), we analysed age-standardised monthly alcohol-attributable mortality rates by sex and income quintile (n = 32,699 alcohol-attributable deaths). Regression models were used to analyse mortality trends in the two periods, contrasting high- and low-income groups.
resultsInequalities in alcohol-attributable mortality between low- and high-income groups were large throughout the study period. During the period of rising alcohol affordability, mortality increased among high-income men with an average monthly increase of 0.17% (p = 0.046). This rate was even higher among low-income men, increasing by 0.55% per month, that is, +0.38 percentage points more than the rate for high-income men (p = 0.002). Among women, mortality increased at similar rates in both income groups. During the period of falling alcohol affordability, mortality decreased among high-income men with an average monthly decrease of -0.21% (p < 0.001), and it decreased even more among low-income men (-0.40%, i.e., -0.19 percentage points more, p = 0.030). Among women, the decreases were not statistically significant. DISCUSSION AND
conclusionsThe results indicate that increased alcohol affordability was associated with widening socio-economic inequalities while reduced affordability was linked with narrowing inequalities among men. Reducing alcohol affordability is thus a recommendable policy for reducing socio-economic inequality in alcohol-related harm.
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