TITLE

TRENDS IN MORTALITY FROM LIVER DISEASE IN WALES

AUTHOR(S)
Ahmed, Z.; Ahmed, S.; Hawkes, N.D.
PUB. DATE
April 2003
SOURCE
Gut;Apr2003 Supplement 1, Vol. 52, pA108
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Aims: To assess changes in mortality from liver disease across the Principality of Wales over the past decade, and to relate these changes to published figures on alcohol consumption by region. Methods: Deaths from liver disease were identified from public health mortality files supplied by the Office for National Statistics, searching lCD-9 reference codes 570-573 for regions throughout Wales between 1991-2000. Population data for the corresponding regions during this time period were also provided. Data on alcohol consumption by region were obtained from the Welsh Health Survey (1995 and 1998). Data are presented for the quinquennio, 1991-5 and 1996-2000. Results: In all regions mortality from liver disease has increased in the second quinquennium (see Table). There is a significant correlation between liver mortality rates and published data on the proportion of the respective populations consuming alcohol above recommended levels Spearman's test, r = 0.484, p= 0.022). Conclusions: All regions of Wales have seen a modest increase in mortality from liver disease over the past 5 years—not to the extent of that reported from the West Midlands (threefold increase). Increased mortality rates were seen in areas of high alcohol consumption. Anecdotally alcoholic liver disease remains the major cause ordeath from liver disease in Wales, the contribution of genetic and racial background and chronic HCV infection require further examination.
ACCESSION #
9748029

 

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