Browse > Article

Estimating the Burden of Diseases due to High Alcohol Consumption in Korea:  

Kim, Yong-Ik (Department of Health Policy and Management, Seoul National University College of Medicine)
Yoon, Seok-Jun (Department of Preventive Medicine, Korea University College of Medicine)
Lee, Jin-Yong (Department of Health Policy and Management, Seoul National University College of Medicine)
Lee, Hee-Young (Department of Preventive Medicine, Korea University College of Medicine)
Park, Jong-Hyock (Department of Health Policy and Management, Seoul National University College of Medicine)
Shin, Young-Soo (Department of Health Policy and Management, Seoul National University College of Medicine)
Lee, Jung-Kyu (Ministry of Health and Welfare)
Publication Information
Journal of Preventive Medicine and Public Health / v.38, no.2, 2005 , pp. 175-181 More about this Journal
Abstract
Objectives: This study estimated the burden of disease due to high alcohol consumption using DALY, a composite indicator recently developed by the Global Burden of Disease study group. The results were analyzed by age and sex. Methods: Firstly, high alcohol consumption-related diseases, and their relative risk (RR), were selected. Secondly, population attributable fractions (PAFs) were computed using formulae, including the relative risk (RR) and prevalence of exposure (Pe). Thirdly, the DALYs of high alcohol consumption-related diseases were estimated. Lastly, the attributable burdens of diseases due to high alcohol consumption wereconcluded as being the sum of the products that multiplied the DALYs of high alcohol consumption-related diseases by their population attributable fraction (PAF). Results : The burden of high alcohol consumption in Korea was 2992.3 person years (PYs) per 100,000 persons in men, and 1426.6 in women. For men, the high alcohol consumption-induced diseases with the five biggest burdens were liver cirrhosis, hypertensive disease, liver cancer, cerebral infarction and intracerebral hemorrhage. For women, these were cerebral infarction, intracerebral hemorrhage, hypertensive disease, liver cirrhosis and liver cancer. Conclusion: This study highlighted the attributable fraction of diseases due to exposure to high alcohol consumption, by quantifying the results of exposure to risk factors. Therefore, it is now possible to assess interventions for risk factors in quantifiable terms in each population. Finally, measuring the risk factor burdens was expected to contribute to priority setting and effective resource allocation in public health policy.
Keywords
Alcohol; Risk factors; disability adjusted Life year (DALY);
Citations & Related Records
연도 인용수 순위
  • Reference
1 Murray CJ, Salomon JA, Mathers CD, Lopez AD. Summary Measures of population health : Concepts, ethics, measurement and applications. WHO. 2002
2 Yoon SJ, Ha BM, Kim CY. Measuring the burden of hypertension using DALY in Korea. Korean J Health Policy & Admin 2001: 11(3): 89-101 (Korean)
3 Yoon SJ, Ha BM, Kang JW, Chang HJ. Estimation of attributable burden due to premature death from smoking in Korea. Korean J Prev Med 2001; 34(3): 191-199 (Korean)
4 Lee SG, Nam CM, Yi SW, Ohrr HS. Cigarette smoking, alcohol and cancer mortality in men: The Kangwha cohort study. Korean J Prev Med 2002; 35(2): 123-128 (Korean)
5 Rho IC, Seo MH, Kim YR. The socioeco-nomic costs due to alcohol consumption and policy issue. Korea Institute for Health and Social Affairs. 1997
6 Jeong BG, Moon OR, Kim NS, Kang JH, Yoon TH, Lee SI, Lee SJ. Socioeconomic costs of obesity for Korean adults. Korean J Prev Med 2002;35(1): 1-12 (Korean)   DOI   ScienceOn
7 World Health Organization. The world health report 2002 : Reducing risks, promoting health life. Geneva. 2002
8 Lee JK, Yoon SJ, Do YK, Kwon YH, Kim CY, Park KD, Kim YI, Shin YS. Dosability weights tor diseases in Korea. Korean J Prev Med 2003; 36(2): 163-170 (Korean)
9 Murray CJ, Lopez AD. eds. The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries and risk facrors in 1990 and projecied to 2020 Cambridge: Harvard University Press. 1996
10 Park JK, Lee GS. The economic losses of smoking. Koean J Prev Med 1989, 22(4): 528-541 (Korean)
11 Yoon SI, Kwon YD, Kim BY. Esiimating the disability weight of major cancers in Korea using delphi method. Korean J Prev Med 2000; 33(4): 409-414 (Korean)
12 Brown ML, Lipscomb J, Snyder C. The burden of illness of cancer: economic cost and qulaity of life. An Rev Public Health 2001; 22: 91-113   DOI   ScienceOn
13 Holman CDJ, English DR, Milne E, Winter MG. Meta-analysis of alcohol and all-cause mortality: a validation of NHMRC recommen-dations. Med J Aust 1996; 164: 141-145   PUBMED
14 Yoon SJ, Kim YI, Kim CY, Chang Hl Measuring the burden of major cancers due to premanue death in Korea, Korean J Prev Med 2000; 33(2): 231-238 (Korean)
15 Ministry of Health and Welafare. National health survey 1998 Korea. 1999
16 English DR, Holmnan CDJ, Milne E, Hulse G, Winter MG. The quantification of morbidity and mortality caused by substance abuse prepared for the second international symposium on the social and economic costs of substance abuse. 2-5 October 1995
17 Hong YC, Park CY, Lee WC, Lee KS. Case-control study on effects of alcohol intake and smoking to gastritis of Korean adult men. Korean J Prev Med 1992; 25(3): 238-246 (Korean)
18 Kim HJ, Park TK, Jee SH, Kang HY, Nam JM. Analysis of socioeconomic cost of smoking in Korea. Korean J Prev Med 2001; 34(3): 183-190 (Korean)