Cause-specific Mortality in Patients Treated for Alcohol Use Disorders in State-Run Services in Novosibirsk, Russia

  • Yaroslav Shamsutdinov Novosibirsk State Regional Narcological Dispensary
  • Maria Neufeld Universitat Dresden
  • Jürgen Rehm Centre for Addiction and Mental Health
Keywords: Russia, alcohol use disorders, cause of death, injuries, cardiovascular disease

Abstract

Aims: To analyze disparities in age at death and cause-specific mortality in a sample of patients registered with alcohol use disorders (AUDs) in state-run addiction treatment centers in Novosibirsk, Russia.
Methods: Database: 92,269 deaths recorded by medical facilities in Novosibirsk between 2000 and 2010, comprising cause of death (per ICD-10), sex, and date of birth and death. Average age at death and proportion of cause-specific deaths were compared between patients (n =1,762) treated for AUDs as a primary diagnosis and the general population, the latter derived from deaths recorded by all medical facilities.
Results: The average age at death was significantly lower (p < .001) in patients compared with the general population; men lived, on average, 8.4 years fewer; for women, this difference was 19.7 years. The pronounced gender gap in age at death in the general population (12.7 years) disappeared in the patient sample. They incurred proportionally more deaths because of infectious diseases, injuries, poisonings, diseases of the digestive system, and certain cardiovascular diseases such as cardiomyopathies. They incurred proportionally fewer deaths due to chronic ischemic heart disease, myocardial infarction, cerebrovascular diseases, and neoplasms.
Conclusions: Compared to the general population, cause-specific mortality in AUD patients was high in categories largely contributing to a premature death. Specific measures including screenings for alcohol problems in primary health care and early interventions to reduce level of drinking should be a priority.

Author Biographies

Yaroslav Shamsutdinov, Novosibirsk State Regional Narcological Dispensary
Medical Statistics Department, Novosibirsk State Regional Narcological Dispensary, Novosibirsk, Russia

Maria Neufeld, Universitat Dresden
Institute of Clinical Psychology and Psychotherapy, Technische Universitat Dresden, Dresden, Germany
Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada
Jürgen Rehm, Centre for Addiction and Mental Health
Centre for Addiction and Mental Health, Toronto, Canada
Institute of Clinical Psychology and Psychotherapy, Technische Universitat Dresden, Dresden, Germany
Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada
Published
2018-11-27
How to Cite
Shamsutdinov, Y., Neufeld, M., & Rehm, J. (2018). Cause-specific Mortality in Patients Treated for Alcohol Use Disorders in State-Run Services in Novosibirsk, Russia. The International Journal of Alcohol and Drug Research, 7(2), 23-29. https://doi.org/10.7895/ijadr.252
Section
Papers