Living Alone and Alcohol-Related Mortality: A Population-Based Cohort Study from Finland
2011

Living Alone and Alcohol-Related Mortality in Finland

Sample size: 18200 publication 10 minutes Evidence: high

Author Information

Author(s): Kimmo Herttua, Pekka Martikainen, Jussi Vahtera, Mika Kivimäki

Primary Institution: Finnish Institute of Occupational Health, Helsinki, Finland

Hypothesis

Is living alone associated with an increased risk of alcohol-related mortality?

Conclusion

Living alone significantly increases the risk of alcohol-related mortality, especially after a reduction in alcohol prices in Finland.

Supporting Evidence

  • Living alone was associated with a 3.7 times higher risk of liver disease mortality in men before the price reduction.
  • After the price reduction, the risk ratio for liver disease mortality in men living alone increased to 4.9.
  • Women living alone had a risk ratio of 1.7 for liver disease mortality before the price reduction, increasing to 2.4 after.

Takeaway

People who live alone are more likely to die from alcohol-related issues, especially when alcohol becomes cheaper.

Methodology

A population-based natural experimental study using national registers to analyze alcohol-related mortality before and after a price reduction in alcohol.

Potential Biases

Potential coding artefacts in death certificates were assessed and found unlikely to bias results.

Limitations

The study cannot determine if living alone is a cause or consequence of alcohol abuse.

Participant Demographics

Finnish population aged 15-79, with a focus on those living alone versus married or cohabiting.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 3.3, 4.1

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pmed.1001094

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