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A profile of alcohol and health in Wales

A profile of alcohol and health in Wales. Andrea Gartner, Health Information and Intelligence Analyst, Wales Centre for Health, Cardiff. Overview. Introduction Use of survey data Alcohol-related and alcohol-attributable indicators Socio-economic patterns Dissemination/feedback.

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A profile of alcohol and health in Wales

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  1. A profile of alcohol and health in Wales Andrea Gartner, Health Information and Intelligence Analyst, Wales Centre for Health, Cardiff

  2. Overview • Introduction • Use of survey data • Alcohol-related and alcohol-attributable indicators • Socio-economic patterns • Dissemination/feedback

  3. Introduction • Joint WCfH/NPHS health intelligence publication • Provides information on consumption patterns and harm relating to alcohol • Target audience: public health professionals and interested public • Origin: WCfH project, NPHS data requests (HNA update) • Investigation into available data/new methods

  4. Authors/contributors • Main author: Andrea Gartner • Contributing authors: Hugo Cosh, Rhys Gibbon, Nathan Lester • NWPHO colleagues • Communications team colleagues for dissemination/media • Su Mably and many other colleagues

  5. Use of survey data • From self-reported surveys • Binge drinking (>8 units males, >6 females on heaviest drinking day in past week) • Above guidelines (>4 males, >3 females) • Results differ (GHS 2006 binge 22% males, WHS 2007 28%, females similar)

  6. Weekly UK sales versus weekly consumption from surveys, 1996-2007 Source: BBPA, GHS, WHS

  7. Survey data: Percentage who reported binge drinking in the past week in Wales, 2007 Source: WHS 2007

  8. ‘Alcohol-related’ or ‘alcohol-attributable’ indicators of harm? • ‘Alcohol-related’ indicators • ONS definition of disease groups most directly linked to alcohol • ‘Alcohol-attributable’ indicators • Method of estimating outcomes both entirely and in part attributable to alcohol • Using alcohol-attributable fractions (AAFs) • ‘Alcohol-specific’ indicators • entirely attributable to alcohol (AAF=1)

  9. Alcohol-attributable fractions • NWPHO/Liverpool University (commissioned by Department of Health) • Calculated for conditions with evidence in literature on causal relationship • Applicable to mortality and hospital admissions • Fractions for 49 disease groups by sex and age band

  10. Average annual deaths in Wales Source: ONS ADDE average 2002-2006

  11. Average annual hospital admissions (episodes) in Wales Source: PEDW 2002-2006, rounded

  12. Trend in alcohol-attributable hospital admissions for Wales, 1999-2006 Source: PEDW, ONS MYE 1999-2006

  13. Socio-economic patterns Alcohol-related mortality by WIMD, persons, 2002-06 Percentage of reported binge drinking or drinking above guidelines by WIMD, persons, 2007 Source: ONS ADDE, MYE, 2002-2006 Source: WHS 2007

  14. Key findings • Alcohol is major preventable cause of death and illness in Wales • Consumption amongst children of concern • Survey data likely to underestimate consumption • Trend in alcohol-related and alcohol-attributable mortality rates levelling out, hospital admissions upward • Socio-economic inequalities

  15. Dissemination/Feedback • Published 6th April 2009 on WCfH and NPHS websites (Profile and supporting data files) • 270 printed copies sent out • Press release and media coverage • Positive informal feedback from stakeholders • Request from WAG for update • Alcohol-attributable indicators to be used in new lifestyle profile

  16. Media coverage • Radio Wales interview • BBC website: “1000 die from alcohol in Wales” • Western Mail front page + full page article: “Quarter of 13-year-olds in Wales have been drunk more than once” • Daily Post articles: “Booze binge obsession risks health time bomb” and “The statistics are as clear as the bottom of a vodka glass”

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