The Regional Differences in Mortality Attributable to Alcohol in the Czech Republic in 2017.

INTRODUCTION: Public authorities daily deal with the negative consequences of drinking alcohol. Alcohol consumption results in morbidity and mortality, that economically presents lost productivity. Mortality and morbidity related to alcohol differs in regions and in populations. AIMS: This study aims to find out which regions of the Czech Republic are similar in mortality attributable to alcohol. There are many diagnoses specified by the International Classification of Diseases, that relate to alcohol wholly or partially, therefore this study estimates which diagnoses mostly relate to alcoholic death. As there are differences in alcohol attributable fractions, this study provides an insight into the examined issues separately for males and females. METHODS: The mortality attributable to alcohol was calculated based on attributable fractions. To identify similar regions in mortality attributable to alcohol, the cluster analysis was conducted. SAMPLE: The sample consisted of 111 443 deaths (out of which 50.65% deaths attributable to men, 49.35% deaths attributable to women) that occurred in the Czech Republic in 2017. RESULTS: Five clusters were identified as optimal in regard to alcohol mortality not only for men but also for women. The analysis shows differences in mortality related to alcohol between men and women. Diseases of liver and malignant neoplasms of digestive organs were mostly related to alcohol mortality in 2017. CONCLUSIONS: Based on the results it might be conclude that differences in mortality related to alcohol does not reflect the differences in economic development of the Czech regions. [ABSTRACT FROM AUTHOR]