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The impact of alcohol abuse on General morbidity of the population

Somatic consequences of alcoholism dedicated many works of domestic and foreign authors, first of all clinicians. According to J. Moser (1974), among enrolled in therapeutic hospitals patients with alcoholism are in France 30-53%, Australia-10%, in Sweden -4,8%; among admitted to psychiatric hospitals in these countries they make up 45, 25 and 7.6%, respectively. In Japan 39% of alcoholics suffer from somatic diseases.
On the relationship of chronic alcoholism with diseases of internal organs indicate, A. Ghukasyan (1968), V. M. bath attendants (1970), A. K. Kachaev (1970), A. A. Portnov and I. N. Pyatnitskaya (1971), S. 3. Pashenkov (1972), I. Century Strelchuk (1973), I. N. Pyatnitskaya, B. A. Charles, B. L. Elkonin (1977) and others have been isolated attempts to link the incidence of certain population groups with a frequency of alcohol. The authors of these papers have linked the incidence mainly with the frequency of use of alcohol, in most cases without revealing the concept of "frequently use", "excessive use", "drinkers", "non-drinking". However, the special works on the study of General morbidity among urban or rural people who abuse alcohol, virtually none. The lack of such studies is connected with organizational and methodological difficulties.
The initiatives we study the overall incidence of alcohol abusers, and comparison of these data with the relevant indicators of overall morbidity of the adult male population of Moscow has allowed to reveal a number of features in the level and structure of General morbidity of men who abuse alcohol.


Fig. 4. General morbidity (sampling) of the male population and men who abuse alcohol for 1969-1971 (average data per 1000 male adults).
1 - adult male population; 2 - men who abuse alcohol; 3 - contingent registered and psychoneurological institutions; 4 - contingent registered in the sobering-up station; 5 - contingent, who rendered first aid.

Morbidity was studied by individual groups (patients with an alcoholism, consisting on the account in a psychoneurological dispensaries; persons taken to the sobering-up station and served by ambulance), and in the total contingent abuse alcohol by class and individual groups of diseases.
The overall incidence in men who abuse alcohol, 1.2 times the rate of the adult male population (Fig. 4). The highest incidence is reported among the contingent of patients with alcohol, consisting on the account in a psychoneurological dispensaries, 1.5 times higher than among the adult male population. There is also a relatively high incidence in the contingent of medical sobering-up stations and ambulance.


Fig. 5. The age-specific rates overall incidence of men who abuse alcohol, and the male population of Moscow for 1969-1971 (average data per 1000 men of a corresponding age). 1 - the male population; 2 - consisting on the account; 3 - contingent of medical sobering-up stations and ambulance.

Some differences are revealed in the analysis of age-specific indicators (Fig. 5). The level of morbidity of the adult male population increases with age, the maximum falls on 60 years and older. The highest incidence of men who abuse alcohol, have the age group of 50-59 years.
The incidence of alcoholism in all age groups is much higher incidence of the male population of Moscow; especially significant differences in the age groups up to 40 years. The incidence of persons imported in the sobering-up station, as well as receiving an ambulance in a state of intoxication, in all age groups are significantly lower incidence of alcoholism, except for the age groups 15-19, where the figures are not significant differences. Compared with the sickness rate of the male population of Moscow incidence in the age of 40 among the drunkards (contingent of medical sobering-up stations and ambulance) above, particularly the significant differences in the age groups 15-19 and 20-29 years. Over 40 years, the incidence, on the contrary, is higher among the male population. Thus, for 40 years the incidence rate of the male population and drunkards approaches is their intersection; after 40 years has increased the overall incidence of all men, including at drunkards, but its level in the last considerably lower.
This trend, it can apparently be explained by the fact that up to 40 years compared groups of men more homogenous in relation to health status, so in this age clearly manifest the influence of alcohol on the human body. After 40 years there is a certain "accumulation" of chronic diseases, resulting from the influence of many factors that largely determine the level of General morbidity. In addition, it can be assumed that some of the men who abused alcohol at a young age, ceased to abuse after the age of 40 due to ill health. At the age of 40 years and older, according to our observations, abuse alcohol mainly persons (contingent of medical sobering-up stations), who consider themselves healthy, i.e., have not yet manifested chronic diseases. That young age (till 30 years) are most vulnerable to alcohol intoxication, and the data indicate literature.