University of Groningen
Country differences in past trends in alcohol-attributable mortality in Europe
Trias Llimós, Sergi; Janssen, Fanny
Published in:
European Journal of Public Health
DOI:
10.1093/eurpub/ckx189.147
IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from
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Publication date:
2017
Link to publication in University of Groningen/UMCG research database
Citation for published version (APA):
Trias Llimós, S., & Janssen, F. (2017). Country differences in past trends in alcohol-attributable mortality in
Europe. European Journal of Public Health, 27(suppl. 3), 359-359.
https://doi.org/10.1093/eurpub/ckx189.147
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Methods
A thematic analysis of relevant advertising materials produced between 1989 and 2000 available in Polish media archives, collections of anti-tobacco advocacy groups, and tobacco industry websites, was conducted.
Preliminary results
After the collapse of communism both tobacco and anti-tobacco messaging in Poland focused around four major themes – the appeal of smoking to children, the use of historical and patriotic motifs, employing shock tactics, and the struggle over which lifestyle embodies ‘western’ values. Many of the anti-tobacco images were designed by Poland’s leading poster artists and were characterised by high artistic value.
Conclusions
Polish anti-tobacco advocates successfully reclaimed many of the themes and values used by the TTCs in promoting smoking. They challenged the industry’s attempts to portray smoking as a ‘western’ habit, employed patriotic tropes and shock tactics, and steered the debate towards the health effects of tobacco use.
Key messages:
Anti-tobacco advocates must actively counteract the tobacco industry’s advertising efforts in order not to allow it to monopolise certain promotional messages.
Health advocates must ensure the high production and artistic values of anti-tobacco visual communication in order to successfully compete with promotional efforts of the cigarette industry.
Effectiveness of program Unplugged for drug use prevention among Slovak schoolchildren
Olga Orosova M Kulanova´, O Orosova´
Pavol Jozef Sˇafa´rik University in Kosˇice, Faculty of Arts, Kosˇice, Slovakia Contact: olga.orosova@upjs.sk
Background
Given that schoolchildren are exposed to considerable peer pressure, strengthening of refusal skills plays an important role in the prevention of drug use.
Objective
The aim of this study was to examine the effectiveness of the school-based drug use prevention program Unplugged. The exploration was focused on the refusal of smoking among schoolchildren right after the program implementation as well as after 3 and 18 months. The moderation effect of the gender was also explored.
Methods
The program Unplugged is part of the project Eu-DAP (European Drug Abuse Prevention). The curriculum consisted of 12 lessons managed by trained lecturers. It is an interactive program, based on the comprehensive social influence model. In the school year 2013/2014 the program Unplugged was implemented in the Slovak Republic and its effectiveness is under the process of evaluation. The sample consisted of 678 schoolchildren (M = 13.09; 43.7% boys). In the experimental group 289 schoolchildren participated while the control group included 389 schoolchildren. The refusal of smoking was measured by a single item measure: Have you ever had the possibility to try smoking cigarettes without trying it? Binary logistic regression was applied, adjusted for gender and the refusal of smoking prior to the program implementation. Results
The findings indicate that participating in a drug prevention program is a significant predictor of refusing to smoke right after the program implementation (OR 0.704; 95%CI 0.503-0.968) as well as 3 months (OR 0.696; 95%CI 0.510-0.949) and 18 months after program implementation (OR 0.684; 95%CI 0.490-0.955). The moderation effect of the gender was not confirmed.
Conclusions
The results show that participation in the Unplugged program increases the probability of refusal skills regarding smoking and this effect is demonstrated also after a year and a half. Key messages:
Participating in a drug prevention program Unplugged is a significant predictor of refusing to smoke.
The short and long-term effectiveness of the drug preven-tion program Unplugged regarding refusal skills was confirmed regardless of gender.
Country differences in past trends in alcohol-attributable mortality in Europe
Sergi Trias-Llimo´s S Trias-Llimo´s, F Janssen
Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen & The Hague, Netherlands
Contact: s.trias.llimos@rug.nl
Background
Both levels and trends in alcohol-attributable mortality have been heterogeneous across European countries, but detailed studies are lacking. We study country differences in past alcohol-attributable mortality trends in Europe by period and cohort, and assess whether differences become smaller (convergence) or bigger (divergence).
Methods
Age-standardized liver cirrhosis (from 1950 onward for 8 selected countries) and alcohol-attributable mortality (from 2000 onward for 20 European countries) were estimated using population level cause-of-death data. We assessed convergence by applying various dispersion measures and applied age-period-cohort analysis to examine country differences in cohort effects and cohort patterns.
Results
Levels and trends of alcohol-attributable mortality clearly differed across European countries and between sexes, especially for men. Western European countries had lower and more stable alcohol-attributable mortality rates, whereas countries from Central and Eastern Europe showed higher rates and more dissimilar trends across the countries. Birth cohorts made significant contributions to liver cirrhosis mortality (P < 0.001), but the patterns were different between most of the country pairs (P < 0.001). Birth cohorts at higher risk of liver cirrhosis mortality were the older cohorts in Nordic countries, as compared to the younger cohorts in Eastern and Southern countries. Divergence in alcohol-attributable mortality rates showed up until 2007 and conver-gence thereafter, for both men and women.
Conclusions
Clear differences between European countries in levels, time trends, and cohort patterns of alcohol-related mortality exist. Due to declines in alcohol-related mortality in Central and Eastern European countries, alcohol-related mortality is converging since 2007 in Europe.
Key messages:
Alcohol-attributable mortality in Europe is recently turning from divergence to convergence.
Birth cohort effects are crucial to understand alcohol-related mortality trends.
Barriers experienced by professionals in
conversations with addicted parents about their child Margreet van der Meer
M van der Meer
Addiction Care Center North Netherlands, Groningen, Netherlands Contact: M.vanderMeer-Jansma@vnn.nl
Background
Children of substance abusing parents are vulnerable. It is very important to detect in an early stage which consequences or 10th European Public Health Conference: Poster walks 359
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