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Journal of Public Health Advance Access originally published online on June 3, 2009
Journal of Public Health 2009 31(3):366-373; doi:10.1093/pubmed/fdp051
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© The Author 2009, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

The burden of alcohol-related ill health in the United Kingdom



Ravikumar Balakrishnan, Specialist Registrar

Steven Allender, Senior Researcher

Peter Scarborough, Researcher

Premila Webster, Honorary Senior Lecturer

Mike Rayner, Director
British Heart Foundation Health Promotion Research Group, Department of Public Health, University of Oxford, Old Road, Headington, Oxford OX3 7LF, UK

Address correspondence to Steven Allender, E-mail: steven.allender{at}dphpc.ox.ac.uk


  Abstract

Background Although moderate alcohol consumption has been shown to confer a protective effect for specific diseases, current societal patterns of alcohol use impose a huge health and economic burden on modern society. This study presents a method for estimating the health and economic burden of alcohol consumption to the UK National Health Service (NHS).

Methods Previous estimates of NHS costs attributable to alcohol consumption were identified by systematic literature review. The mortality and morbidity due to alcohol consumption was calculated using information from the World Health Organization Global Burden of Disease Project and routinely collected mortality data. Direct health-care costs were derived using information on population attributable fractions for conditions related to alcohol consumption and NHS cost data.

Results We estimate that alcohol consumption was responsible for 31 000 deaths in the UK in 2005 and that alcohol consumption cost the UK NHS £3.0 billion in 2005–06. Alcohol consumption was responsible for 10% of all disability adjusted life years in 2002 (male: 15%; female: 4%) in the UK.

Conclusions Alcohol consumption is a considerable public health burden in the UK. The comparison of the health and economic burden of various lifestyle factors is essential in prioritizing and resourcing public health action.

Keywords: alcohol, burden of disease, economic costs


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