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dc.contributor.authorPulido, Jose 
dc.contributor.authorVallejo-Ruiz de Leon, Fernando 
dc.contributor.authorAlonso-López, Ignacio
dc.contributor.authorVillar Alvarez, Fernando 
dc.contributor.authorFuente, Luis de la 
dc.contributor.authorDomingo-Salvany, Antonia
dc.contributor.authorBarrio, Gregorio 
dc.contributor.authorRegidor, Enrique
dc.date.accessioned2020-05-14T07:29:56Z
dc.date.available2020-05-14T07:29:56Z
dc.date.issued2017
dc.identifier.citationDrug Alcohol Depend. 2017 Nov 1;180:93-102.es_ES
dc.identifier.issn0376-8716es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/10103
dc.description.abstractAIMS: To assess disparities in directly alcohol-attributable (DAA) mortality by industry/occupation in Spain during 2002-2011 and the contribution of different socio-demographic factors, including socioeconomic position, to explain such disparity. METHODS: Nationwide cohort study covering 16 million economically active people living in Spain in 2001. Deaths at age 25-64 were analyzed. Subjects were classified by employment status, industry and occupation at baseline. Poisson regression models were built, calculating rate ratios (RRs) compared to all employees or those in the education sector. RESULTS: DAA mortality was much higher in the unemployed than in employees (Crude RR: 2.4; 95% CI: 2.3-2.6) and varied widely across industries/occupations. Crude RRs>3.0 (p<0.05) compared to teachers were found in employees in extractive industries/fishing, agriculture/livestock, construction, catering/accommodation and protective services. Socio-demographic factors, especially age, gender and educational attainment contributed more to explain risk disparities than other factors or potential selection bias. However, after exhaustive sociodemographic adjustment, including education attainment and material wealth, a RR>1.33 (p<0.05) remained in unemployed, catering/accommodation employees and unskilled construction workers. RRs were significantly larger in women than men (p<0.05) among mineworkers/fishworkers/sailors (RR=8.6 vs. 1.2) and drivers (RR=3.7 vs. 1.0). CONCLUSIONS: The results could be extrapolated to all alcohol-attributable mortality since disparities for other strongly alcohol-related deaths, although smaller, were in the same direction. Given the wide occupational disparities in alcohol-attributable mortality, implementation of special measures to reduce this mortality in the highest risk groups is fully justified. Future research should better characterize the explanatory factors of disparities and their role in the causal chain.es_ES
dc.description.sponsorshipThis work was supported by the Spanish Health Research and Development Strategy [PI15CIII/00022] and National Plan on Drugs [2015I040]. Writing the paper was also partially supported by the ISCIII Network on Addictive Disorders (Networks for Cooperative Research in the Carlos III Health Institute) [Grant numbers RD16/0017/0013 and RD12/0028/0018] and “Ayudas Juan de la Cierva-Incorporación" (Grant number IJCI-2015- 23261).es_ES
dc.language.isoenges_ES
dc.publisherElsevier es_ES
dc.type.hasVersionSMURes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAlcohol-attributable mortalityes_ES
dc.subjectIndustryes_ES
dc.subjectOccupationes_ES
dc.subjectPopulation cohortes_ES
dc.subjectSociodemographic factorses_ES
dc.subject.meshAlcohol-Related Disorders es_ES
dc.subject.meshDemography es_ES
dc.subject.meshEmployment es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMilitary Personnel es_ES
dc.subject.meshOccupations es_ES
dc.subject.meshResearch es_ES
dc.subject.meshRisk es_ES
dc.subject.meshRisk Factors es_ES
dc.subject.meshSpain es_ES
dc.titleDirectly alcohol-attributable mortality by industry and occupation in a Spanish Census cohort of economically active populationes_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.identifier.pubmedID28886397es_ES
dc.format.volume180es_ES
dc.format.page93-102es_ES
dc.identifier.doi10.1016/j.drugalcdep.2017.07.028es_ES
dc.contributor.funderPlan Nacional de Drogas (España) 
dc.contributor.funderRETICS-Transtornos Adictivos (RTA-ISCIII) (España) 
dc.contributor.funderInstituto de Salud Carlos III 
dc.identifier.e-issn1879-0046es_ES
dc.relation.publisherversionhttps://doi.org/10.1016/j.drugalcdep.2017.07.028es_ES
dc.identifier.journalDrug and alcohol dependencees_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.institucionISCIIIes_ES
dc.relation.projectIDinfo:eu_repo/grantAgreement/ES/PI15CIII/00022es_ES
dc.relation.projectIDinfo:eu_repo/grantAgreement/ES/RD16/0017/0013es_ES
dc.relation.projectIDinfo:eu_repo/grantAgreement/ES/RD12/0028/0018es_ES
dc.relation.projectIDinfo:eu_repo/grantAgreement/ES/ IJCI-2015- 23261es_ES
dc.rights.accessRightsopen accesses_ES


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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 Internacional