Dynamics of registered alcohol-attributable mortality in Krasnodar Krai

Aim . Description of current dynamics of registered alcohol-attributable mortality in Krasnodar Krai. Materials and methods . The study was conducted using ofcial statistics reports and published materials of the Federal State Statistics Service. The survey covers 1,398,636 cases in Krasnodar Krai from 2000 to 2018, including 42,612 deaths from alcohol-related causes. Intensive (IM), extensive (EM) and standardised mortality (SM) rates were estimated according to the European Population Standard. Statistical analyses were performed with Microsoft Ofce software. Results . Krasnodar Krai displays a positive trend of alcohol-attributable mortality (AAM), with a reduction rate 3.5 times above the similar total mortality (TMR) values (74.4 vs. 21.5%). The decline is more pronounced in both men and women compared to the country average. Thus, AAM in men and in women was 2.9 and 3.7 times lower, respectively, in Krasnodar Krai in 2018. At the same time, TMR values were similar, 1,245.2 against 1,200.6 per 100,000 population in the Russian Federation and Krasnodar Krai, respectively ( p <0.05). Alcoholic cardiomyopathy, alcoholic liver disease and poisoning prevailed as causes of AAM for almost the entire period analysed, with their total cumulative contribution varying from 55.6 to 91.7%. We demonstrate a steady growth of AAM incidents subject to state registration in Form C-51 (from 4 in 2000 to 17 in 2018), which hampers a retrospective analysis of AAM dynamics in terms of individual nosologies’ contribution. Conclusion . The trends revealed objectively illustrate a positive AAM dynamics in Krasnodar Krai. However, overall contribution of alcohol-attributed causes to the current total mortality prole of the population is underestimated. Recommendations in national healthcare are needed for step-wise improvement and strict supervision of statistical indicator reporting, particularly, of death causes associated with alcohol intake.