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. 2023 Mar;42(3):633-640.
doi: 10.1111/dar.13573. Epub 2022 Nov 9.

Increased alcohol-specific mortality in Germany during COVID-19: State-level trends from 2010 to 2020

Carolin Kilian  1   2 , Sinclair Carr  3 , Bernd Schulte  3 , Jakob Manthey  1   3   4
Affiliations

Increased alcohol-specific mortality in Germany during COVID-19: State-level trends from 2010 to 2020

Carolin Kilian et al. Drug Alcohol Rev. 2023 Mar.

Abstract

Introduction: The COVID-19 pandemic may have led to an increase in the alcohol-specific mortality. Against this backdrop, the aim of this report is to explore alcohol-specific mortality trends in Germany of the years 2010 to 2020.

Method: Alcohol-specific mortality data aggregated by sex, 5-year age groups and state were collected from the annual cause-of-death statistics and analysed descriptively by visual inspection.

Results: The overall alcohol-specific mortality rate (age-standardised) has mainly decreased between 2010 and 2020. However, increased alcohol-specific mortality rates for the year 2020 compared to 2019 were found for both, women (+4.8%) and men (+5.5%), particularly in age groups between 40 and 69 years. Changes in alcohol-specific mortality rates differed between federated states, with steeper increases in East Germany.

Discussion and conclusions: Different mechanisms related to the increase in alcohol consumption, particularly among high-risk drinkers, and reduced resources in health care may have led to an increase in alcohol-specific mortality in Germany in 2020. Despite the recent decline in the alcohol-specific mortality in Germany, an increase in the death toll was observed in 2020.

Keywords: COVID-19; Germany; alcohol; alcohol-specific mortality; pandemic.

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Conflict of interest statement

None to declare.

Figures

FIGURE 1
FIGURE 1
Relative change in the number of alcohol‐specific deaths to the preceding year among women and men in Germany between 2011 and 2020.
FIGURE 2
FIGURE 2
Mortality rates between 2016 and 2020 among German women and men by age group. Green bars indicate the years 2016 to 2019 and the yellow bar indicates the year 2020.
FIGURE 3
FIGURE 3
Age‐standardised mortality rates between 2010 and 2020 among women and men by German federated state. Green bars indicate the years 2010 to 2019 and the yellow bar indicates the year 2020.
See this image and copyright information in PMC

References

    1. Rehm J, Gmel GE, Gmel G, et al. The relationship between different dimensions of alcohol use and the burden of disease ‐ an update. Addiction. 2017;112:968–1001. - PMC - PubMed
    1. Pruckner N, Hinterbuchinger B, Fellinger M, König D, Waldhoer T, Lesch OM, et al. Alcohol‐related mortality in the WHO European region: sex‐specific trends and predictions. Alcohol Alcohol. 2019;54:593–8. - PubMed
    1. World Health Organization . WHO global information system on alcohol and health (GISAH). World Health Organization: Geneva, Switzerland; 2022. Available from: https://apps.who.int/gho/data/node.gisah.GISAHhome?showonly=GISAH. Accessed 5 April 2022
    1. Kraus L, Room R, Livingston M, Pennay A, Holmes J, Törrönen J. Long waves of consumption or a unique social generation? Exploring recent declines in youth drinking. Addict Res Theory. 2019;28:183–93.
    1. Kraus L, Seitz N‐N, Piontek D, Molinaro S, Siciliano V, Guttormsson U, et al. ‘Are the times a‐changin’? Trends in adolescent substance use in Europe: adolescent substance use trends. Addiction. 2018;113:1317–32. - PubMed

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