IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0181622.html
   My bibliography  Save this article

Individual- and area-level characteristics associated with alcohol-related mortality among adult Lithuanian males: A multilevel analysis based on census-linked data

Author

Listed:
  • Pavel Grigoriev
  • Domantas Jasilionis
  • Daumantas Stumbrys
  • Vladislava Stankūnienė
  • Vladimir M Shkolnikov

Abstract

Background: Although excessive alcohol-related mortality in the post-Soviet countries remains the major public health threat, determinants of this phenomenon are still poorly understood. Aims: We assess simultaneously individual- and area-level factors associated with an elevated risk of alcohol-related mortality among Lithuanian males aged 30–64. Methods: Our analysis is based on a census-linked dataset containing information on individual- and area-level characteristics and death events which occurred between March 1st, 2011 and December 31st, 2013. We limit the analysis to a few causes of death which are directly linked to excessive alcohol consumption: accidental poisonings by alcohol (X45) and liver cirrhosis (K70 and K74). Multilevel Poisson regression models with random intercepts are applied to estimate mortality rate ratios (MRR). Results: The selected individual-level characteristics are important predictors of alcohol-related mortality, whereas area-level variables show much less pronounced or insignificant effects. Compared to married men, never married (MRR = 1.9, CI:1.6–2.2), divorced (MRR = 2.6, CI:2.3–2.9), and widowed (MRR = 2.4, CI: 1.8–3.1) men are disadvantaged groups. Men who have the lowest level of educational attainment have the highest mortality risk (MRR = 1.7 CI:1.4–2.1). Being unemployed is associated with a five-fold risk of alcohol-related death (MRR = 5.1, CI: 4.4–5.9), even after adjusting for all other individual variables. Lithuanian males have an advantage over Russian (MRR = 1.3, CI:1.1–1.6) and Polish (MRR = 1.8, CI: 1.5–2.2) males. After adjusting for all individual characteristics, only two out of seven area-level variables—i.e., the share of ethnic minorities in the population and the election turnout—have statistically significant direct associations. These variables contribute to a higher risk of alcohol-related mortality at the individual level. Conclusions: The huge and increasing socio-economic disparities in alcohol-related mortality indicate that recently implemented anti-alcohol measures in Lithuania should be reinforced by specific measures targeting the most disadvantaged population groups and geographical areas.

Suggested Citation

  • Pavel Grigoriev & Domantas Jasilionis & Daumantas Stumbrys & Vladislava Stankūnienė & Vladimir M Shkolnikov, 2017. "Individual- and area-level characteristics associated with alcohol-related mortality among adult Lithuanian males: A multilevel analysis based on census-linked data," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-14, July.
    • Handle: RePEc:plo:pone00:0181622
    DOI: 10.1371/journal.pone.0181622
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0181622
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0181622&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0181622?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Elizabeth Brainerd & David M. Cutler, 2005. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," Journal of Economic Perspectives, American Economic Association, vol. 19(1), pages 107-130, Winter.
    2. Shkolnikov, Vladimir M. & Jasilionis, Domantas & Andreev, Evgeny M. & Jdanov, Dmitri A. & Stankuniene, Vladislava & Ambrozaitiene, Dalia, 2007. "Linked versus unlinked estimates of mortality and length of life by education and marital status: Evidence from the first record linkage study in Lithuania," Social Science & Medicine, Elsevier, vol. 64(7), pages 1392-1406, April.
    3. Mackenbach, Johan P. & Kulhánová, Ivana & Bopp, Matthias & Deboosere, Patrick & Eikemo, Terje A. & Hoffmann, Rasmus & Kulik, Margarete C. & Leinsalu, Mall & Martikainen, Pekka & Menvielle, Gwenn & Reg, 2015. "Variations in the relation between education and cause-specific mortality in 19 European populations: A test of the “fundamental causes” theory of social inequalities in health," Social Science & Medicine, Elsevier, vol. 127(C), pages 51-62.
    4. Voss, M. & Nylén, L. & Floderus, B. & Diderichsen, F. & Terry, P.D., 2004. "Unemployment and early cause-specific mortality: A study based on the Swedish twin registry," American Journal of Public Health, American Public Health Association, vol. 94(12), pages 2155-2161.
    5. Michael Rendall & Margaret Weden & Melissa Favreault & Hilary Waldron, 2011. "The Protective Effect of Marriage for Survival: A Review and Update," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 481-506, May.
    6. Blomgren, Jenni & Martikainen, Pekka & Mäkelä, Pia & Valkonen, Tapani, 2004. "The effects of regional characteristics on alcohol-related mortality--a register-based multilevel analysis of 1.1 million men," Social Science & Medicine, Elsevier, vol. 58(12), pages 2523-2535, June.
    7. repec:cai:poeine:pope_704_0597 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Olga Navickienė & Asta Valackienė & Renata Činčikaitė & Ieva Meidute-Kavaliauskiene, 2023. "A Theoretical Model of the Development of Public Citizenship in a Sustainable Environment: Case of Lithuania," Sustainability, MDPI, vol. 15(4), pages 1-15, February.
    2. Renata Činčikaitė & Ieva Meidute-Kavaliauskiene, 2021. "Assessment of Social Environment Competitiveness in Terms of Security in the Baltic Capitals," Sustainability, MDPI, vol. 13(12), pages 1-19, June.
    3. Olga Navickienė & Ieva Meidutė-Kavaliauskienė & Renata Činčikaitė & Mangirdas Morkūnas & Asta Valackienė, 2023. "Modernisation of a Country in the Context of Social Environmental Sustainability: Example of Lithuania," Sustainability, MDPI, vol. 15(4), pages 1-18, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ojalehto, Elsa & Finkel, Deborah & Russ, Tom C. & Karlsson, Ida K. & Ericsson, Malin, 2023. "Influences of genetically predicted and attained education on geographic mobility and their association with mortality," Social Science & Medicine, Elsevier, vol. 324(C).
    2. Shor, Eran & Roelfs, David J. & Bugyi, Paul & Schwartz, Joseph E., 2012. "Meta-analysis of marital dissolution and mortality: Reevaluating the intersection of gender and age," Social Science & Medicine, Elsevier, vol. 75(1), pages 46-59.
    3. Elizabeth Brainerd, 2010. "Human Development in Eastern Europe and the CIS Since 1990," Human Development Research Papers (2009 to present) HDRP-2010-16, Human Development Report Office (HDRO), United Nations Development Programme (UNDP).
    4. Petter Lundborg & Carl Hampus Lyttkens & Paul Nystedt, 2016. "The Effect of Schooling on Mortality: New Evidence From 50,000 Swedish Twins," Demography, Springer;Population Association of America (PAA), vol. 53(4), pages 1135-1168, August.
    5. Lawrence King & Patrick Hamm, 2005. "Privatization and State Capacity in Postcommunist Society," William Davidson Institute Working Papers Series wp806, William Davidson Institute at the University of Michigan.
    6. Alaimo, Leonardo Salvatore & Ivaldi, Enrico & Landi, Stefano & Maggino, Filomena, 2022. "Measuring and evaluating socio-economic inequality in small areas: An application to the urban units of the Municipality of Genoa," Socio-Economic Planning Sciences, Elsevier, vol. 83(C).
    7. María Elena Martínez & Jonathan T Unkart & Li Tao & Candyce H Kroenke & Richard Schwab & Ian Komenaka & Scarlett Lin Gomez, 2017. "Prognostic significance of marital status in breast cancer survival: A population-based study," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-14, May.
    8. Hannelore Grande & Patrick Deboosere & Hadewijch Vandenheede, 2013. "Evolution of educational inequalities in mortality among young adults in an urban setting," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 825-835, December.
    9. Sergei Guriev & Ekaterina Zhuravskaya, 2009. "(Un)happiness in Transition," Journal of Economic Perspectives, American Economic Association, vol. 23(2), pages 143-168, Spring.
    10. Bal??zs ??gert & Lubo?? Kom??rek, 2000. "Official Foreign Exchange Interventions in the Czech Republic: Did They Matter?," William Davidson Institute Working Papers Series wp760, William Davidson Institute at the University of Michigan.
    11. Lorenz Kueng & Evgeny Yakovlev, 2016. "Long-Run Effects of Public Policies: Endogenous Alcohol Preferences and Life Expectancy in Russia," Working Papers w0219, New Economic School (NES).
    12. repec:zbw:bofitp:2022_012 is not listed on IDEAS
    13. Patrick Hamm & David Stuckler & Lawrence King, 2006. "Mass Privatization and the Postcommunist Mortality Crisis," Working Papers wp118, Political Economy Research Institute, University of Massachusetts at Amherst.
    14. Jean-Paul Azam & Elodie Djemai, 2019. "Matching, Cooperation and HIV in the Couple," Working Papers DT/2019/02, DIAL (Développement, Institutions et Mondialisation).
    15. Bruce Headey & Jongsay Yong, 2019. "Happiness and Longevity: Unhappy People Die Young, Otherwise Happiness Probably Makes No Difference," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(2), pages 713-732, April.
    16. Natkhov, Timur & Pyle, William, 2023. "Revealed in transition: The political effect of planning's legacy," European Economic Review, Elsevier, vol. 159(C).
    17. Terje A Eikemo & Rasmus Hoffmann & Margarete C Kulik & Ivana Kulhánová & Marlen Toch-Marquardt & Gwenn Menvielle & Caspar Looman & Domantas Jasilionis & Pekka Martikainen & Olle Lundberg & Johan P Mac, 2014. "How Can Inequalities in Mortality Be Reduced? A Quantitative Analysis of 6 Risk Factors in 21 European Populations," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-1, November.
    18. Mathilde Sengoelge & Merel Leithaus & Matthias Braubach & Lucie Laflamme, 2019. "Are There Changes in Inequalities in Injuries? A Review of Evidence in the WHO European Region," IJERPH, MDPI, vol. 16(4), pages 1-22, February.
    19. Huffman, Sonya K. & Rizov, Marian, 2007. "Determinants of obesity in transition economies: The case of Russia," Economics & Human Biology, Elsevier, vol. 5(3), pages 379-391, December.
    20. Filip Novokmet & Thomas Piketty & Gabriel Zucman, 2018. "From Soviets to oligarchs: inequality and property in Russia 1905-2016," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 16(2), pages 189-223, June.
    21. Elizabeth Brainerd & David M. Cutler, 2005. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," Journal of Economic Perspectives, American Economic Association, vol. 19(1), pages 107-130, Winter.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0181622. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.