Americans today are expected to live shorter lives than just a few years ago, in contrast with trends seen in other developed nations, and rising deaths from alcohol-related liver disease may be partly to blame, researchers say.
Analyzing data from the Centers for Disease Control and Prevention, they found that U.S. deaths from alcohol-related liver disease (ALD) are at their highest levels since 1999 and have risen every year since 2006 in nearly every racial, ethnic and age group.
The researchers analyzed causes of death for people aged 25 and older in the two decades since 1997, and found that 2017 had the highest rates of death from ALD, at 13.1 per 100,000 deaths in men and 5.6 per 100,000 in women. That compares to 1999 ALD mortality rates of 10.6 per 100,000 in men and 3.3 per 100,000 in women.
Mortality rates and recent increases in ALD diagnoses were particularly pronounced among middle-aged adults, Native Americans and non-Hispanic whites, the researchers report in the American Journal of Gastroenterology.
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Related » CBC News » U.S. life expectancy being driven down by middle-aged deaths, study suggests
Alcohol is linked to more than 200 health conditions, including liver cirrhosis and some cancers.
Alcohol kills three million people worldwide each year — more than AIDS, violence and road accidents combined, the World Health Organization said Friday, adding that men are particularly at risk.
The UN health agency’s latest report on alcohol and health pointed out that alcohol causes more than one in 20 deaths globally each year, including drink driving, alcohol-induced violence and abuse and a multitude of diseases and disorders.
Men account for more than three quarters of alcohol-related deaths, the nearly 500-page report found.
More at AFP via Yahoo
Selection bias, that is chosing who is to be studied, has a lot to do with research outcomes.
An analysis from 2007 by an international group of alcohol epidemiologists and addiction researchers, published in Annals of Epidemiology, notes that “as people progress into late middle and old age, their consumption of alcohol declines in tandem with ill health, frailty, dementia, and/or use of medications.” That decline means that, as people become less well—even if they’re not elderly—they will also tend to stop drinking. So when they enroll in a study on drinking and get lumped into the group of non-drinkers, they’ll artificially inflate the mortality risk—even though their deaths have nothing to do with alcohol abstention. It’s not that teetotaling made them more likely to die during the course of the study; it’s that being closer to death made them more likely to quit alcohol. And people who drink, but are able to keep their drinking at a reasonable level, are likely to have the kind of health and social advantages associated with living longer.
“People who in their teens or twenties begin to drink, don’t die or become alcoholics, and are able to maintain drinking at low levels—that’s a select group of drinkers,” says Naimi. And that means when epidemiologists go looking at people who are still moderate drinkers in middle age, they’re missing some key people. “If you look at people in midlife who are stable, moderate drinkers, that means they didn’t die from their drinking and they didn’t quit drinking.” That sounds obvious, but let’s take a second to think about it: Alcohol is an addictive substance. People who have had a healthy relationship with it their entire lives are probably people who also have a bunch of other advantageous qualities.
There is still a chance that one or two drinks a day has some benefit for your heart. If it does exist, researchers like Naimi think it’s probably pretty small, and that matters because there are a lot of other diseases that we know alcohol increases your risk of contracting. These include liver cancer, breast cancer, colon cancer, oral cancer, tuberculosis, pancreatitis, cirrhosis and related liver diseases, and a whole host of others.
Americans are increasingly trying to relieve themselves of their emotional pain by self medicating with alcohol and drugs.
Since 2009, a growing number of Americans have died from liver disease and liver cancer.
The increase among 25- to 34-year-olds is especially troubling because the deaths are due to cirrhosis, a disease caused by excessive drinking, the authors of a new study said. The researchers suspect the economic downturn in 2008 prompted people to comfort themselves with alcohol.
“These are deaths of despair,” said lead researcher Dr. Elliot Tapper, an assistant professor of gastroenterology at the University of Michigan.