@article{ref1,
title="Population-based studies on alcohol-related harm in Spain",
journal="Revista española de salud pública",
year="2014",
author="Pulido, Jose and Indave-Ruiz, B. Iciar and Colell-Ortega, Esther and Ruiz-García, Mónica and Bartroli, Montserrat and Barrio, Gregorio",
volume="88",
number="4",
pages="493-513",
abstract="Based on the review of scientific papers and institutional reports on the subject and analysis of some secondary data, we assess the alcohol-related harm in Spain between 1990 and 2011. In 2011 they could be attributable to alcohol, 10% of the total mortality of the population aged 15-64, and about 30% of deaths due to traffic accidents. Among the population aged 15-64 years at least 0.8% had alcohol use disorders, an additional 5% could have harmful alcohol consumption that would need clinical evaluation, and about 20% had had some acute alcohol intoxication (AAI) in the last year. The AAI accounted for approximately 0.5-1.1 % of hospital emergency visits. Social costs of alcohol could represent 1% of gross domestic product. The prevalence of alcohol-related harm was significantly higher in men than women, with a male/female ratio greater than three for alcohol-related mortality and serious injuries, and this situation has hardly changed in the last 20 years. Alcohol-related harm has followed a downward trend, except for AAI. In 1990-2011 the standardized mortality rates related to alcohol decreased by half. Large gaps in knowledge and uncertainties on alcohol-related harm in Spanish population, clearly justify the institutional support for the research in this field and the implementation of a comprehensive monitoring system.<p/> <p>Language: es</p>",
language="es",
issn="1135-5727",
doi="10.4321/S1135-57272014000400005",
url="http://dx.doi.org/10.4321/S1135-57272014000400005"
}