Increasing alcohol consumption correlated with hospital admission rates.
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Biomedical subjects
Publications and source records attributed to K Poikolainen.
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1 Social stress has been emphasised as one of the major aetiologic factors in childhood poisonings. The clinical records of 188 children treated for acute poisoning in Helsinki during a six month period in 1980 were investigated. 2 The ratios of the observed number of poisonings to the expected ones calculated on the basis of the social group distribution in Helsinki were as follows: (I) 1.9, (II) 0.7, (III) 0.8, and (IV) 1.2. With respect to the poisonings classified as severe, the corresponding ratios were 0.7, 0.6, 1.4 and 1.4. 3 There were more accidental and less serious poisonings in the highest social group than in the other social groups, and they were relatively more often caused by plants or tobacco. The delay from the poisoning to the treatment was the shortest among the children of the highest social group. The differences in poisoning incidence rates among various social groups could partly be explained by different patterns of health service utilization.
At a reinterview after 18 years, 67 men overestimated their past alcohol consumption by an average of 76%. The original consumption was the best regressor of the recalled consumption, but the magnitude and direction of error in remembering the original consumption varied considerably.
Marital status and social class were significant predictors of alcohol-related hospital admission and their effects seemed to be additive.
The associations between mortality and changes in the frequency of intoxicating drinking were studied among 2050 males interviewed in 1953 about their drinking in 1949 and 1952. When age, marital status, social class and the frequency of intoxication in 1949 were controlled for, Weibull survival models indicated that, over a 12-year follow-up period, change in the frequency of intoxication from 1949 to 1952 was associated with mortality from diseases of the digestive system (p = 0.05), and over a 23-year follow-up period with mortality from injuries (p = 0.06).
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Of 2,076 Finnish males, 35% reported at interview as having one or more blackouts during the previous 12 months. Age-adjusted mean frequencies of blackouts showed an almost linear increase with the frequency of intoxication. Because of the skewness of the drinking variables, logarithmic transformations were used in multiple regression analysis. This indicated that the frequency of blackouts was significantly associated with age, social class and the frequency of intoxicating drinking, but not with marital status or the frequency of non-intoxicating drinking. Together, the regressors accounted for 21% of the total variance of blackouts.
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Poisoning mortality rates have increased considerably in Denmark and Sweden, slightly in Norway, and remained essentially the same in Finland, during the period 1961 to 1973. In the present study, fatal poisoning included cases of intoxication by solid or liquid substances classified as suicidal, accidental (alcohol poisonings excepted) or of undetermined intent. From 1961 to 1973 poisoning mortality rates increased in Sweden by about 200%, in Denmark by about 100%, and in Norway by about 50%. In males, the age-standardized mortality rates were: in Denmark and Sweden, about 130; in Finland, about 70, and in Norway, about 30 cases per one million of population in1972. The corresponding figures for females were 125, 75, 40 and 20. Despite this overall rise, rates of suicidal poisoning mortality and mortality from accidental poisoning have decreased in Sweden since 1969. From this year onwards, the classification category "undetermined poisoning" has been used and the decreases in other categories are compensated by an increase in this group. On the basis of the scanty data available, the substances most frequently responsible for fatal poisoning are drugs (in particular barbiturates), other soporifics, and tranquilizers. There is some evidence that poisoning mortality is correlated with the prevalence of drug use and could consequently be reduced by drug control.
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