Alcohol-related mortality was defined as those causes of death which are wholly attributable to alcohol using the standard Office for National Statistics (ONS) definition (Table 1 ) [3 ]. Data were directly age- and sex-standardised to the 1976 European standard population.
For England and Wales, national and regional alcohol-related mortality data for 2010 and 2011 combined were provided by ONS. An output area to postcode district lookup file was used to aggregate population and mortality data to postcode district level. Data were then aggregated to a regional level based on the postcode districts included in the Nielsen/CGA definition. Population denominator data were drawn from the 2011 census [15 ].
For Scotland, alcohol-related mortality data and population estimates for 2010 and 2011 combined were available from National Records of Scotland [16 ]. Data were obtained at ‘data zone’ level (the smallest administrative geography for which required mortality and population denominator data were available, consisting of between 500 and 1,000 household residents) [17 ] to enable aggregation to postcode district and further to the Central Scotland region. The geographies were not coterminous meaning that a small number of data zones overlapped postcode districts that were on the boundary of Central Scotland. Analyses of population data showed that the net effect of these overlapping data zones was negligible and an acceptable ‘best-fit’ geography was achieved. A ‘Rest of Scotland’ geography was defined as those datazones not included in Central Scotland.
ICD-10 code | Text |
---|---|
F10 | Mental and behavioural disorders due to use of alcohol |
G31.2 | Degeneration of nervous system due to alcohol |
G62.1 | Alcoholic polyneuropathy |
I42.6 | Alcoholic cardiomyopathy |
K29.2 | Alcoholic gastritis |
K70 | Alcoholic liver disease |
K73 | Chronic hepatitis, not elsewhere classified |
K74 | Fibrosis and cirrhosis of liver (excluding K74.3-K74.5) |
K86.0 | Alcohol induced chronic pancreatitis |
X45 | Accidental poisoning by and exposure to alcohol |
X65 | Intentional self-poisoning by and exposure to alcohol |
Y15 | Poisoning by and exposure to alcohol, undetermined intent |
For Scotland, alcohol-related mortality data and population estimates for 2010 and 2011 combined were available from National Records of Scotland [16 ]. Data were obtained at ‘data zone’ level (the smallest administrative geography for which required mortality and population denominator data were available, consisting of between 500 and 1,000 household residents) [17 ] to enable aggregation to postcode district and further to the Central Scotland region. The geographies were not coterminous meaning that a small number of data zones overlapped postcode districts that were on the boundary of Central Scotland. Analyses of population data showed that the net effect of these overlapping data zones was negligible and an acceptable ‘best-fit’ geography was achieved. A ‘Rest of Scotland’ geography was defined as those datazones not included in Central Scotland.
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