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The European Journal of Public Health 2003 13(3):275-277; doi:10.1093/eurpub/13.3.275
© 2003 by European Journal of Public Health
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Tobacco and Alcohol

Tobacco- and alcohol-attributable mortality and years of potential life lost in Germany

Ulrich John1,* and Monika Hanke1

1 Ernst-Moritz-Arndt-University Greifswald, Medical Faculty, Institute of Epidemiology and Social Medicine, Germany

Aim: To compare the ages of death caused by tobacco smoking and alcohol risk drinking. Methods: Smoking rates from the largest population survey, alcohol drinking data from the National Health Survey and data from the vital statistics from Germany are used and attributable fractions computed. Results: Alcohol-attributable deaths occurred at the youngest age, followed by tobacco- plus alcohol-attributable cases, whereas death cases attributable to tobacco smoking only occur latest. Conclusion: The overlap in the two substance-use behaviours has to be taken into account when considering attributable mortality data.

Keywords: alcohol, mortality, smoking, tobacco

Received 17 January 2001. Accepted 27 May 2002.

* Correspondence: Prof. Dr. Ulrich John, Director of the Institute of Epidemiology and Social Medicine, Ernst-Moritz-Arndt-University, Walther-Rathenau-Str. 48, D-17487 Greifswald, Germany, tel. +49 3834 867700, fax +49 3834 867701, e-mail: ujohn{at}uni-greifswald.de, internet: http://medizin.uni-greifswald.de/epidem


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