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Gender divide in Scotland’s alcohol-related deaths

23 February 2009

More than twice as many men die every year in Scotland from alcohol misuse than women, a study by the Medical Research Council (MRC) and the University of Glasgow has revealed.

The findings show that men’s death rate from alcohol is 38 deaths per 100,000, while women’s rate is 16 per 100,000. On average, the study found that 999 Scottish men and 448 women die from the health consequences of alcohol-abuse each year.

The study comes as the Scottish Government prepares to publish its new strategic approach to tacking alcohol misuse, which was put out to consultation last year. Scotland has one of the highest rates of mortality due to cirrhosis of the liver in Western Europe.

The university report, which consolidates existing data showing that alcohol-related fatalities in both genders have doubled over the past 10 years, also found that death rates within Scotland vary considerably. Most alcohol-related deaths occur in the Greater Glasgow area, though the authors identified areas with high rates in all regions of the country. However, researchers say the findings go against the prevailing public perception that alcohol abuse is more prevalent among young women.

The report was carried out by Dr Carol Emslie of the MRC’s Social and Public Health Sciences Unit and Dr Richard Mitchell, of the University of Glasgow’s Public Health department and published online at www.biomedcentral.com.

Dr Carol Emslie, of the MRC Social and Public Health Sciences Unit, said the aim of the study was to establish a clearer picture of the gender and geographical divide in alcohol-related deaths in Scotland.

“We wanted to find out whether environment influenced the rate of alcohol-related deaths in both men and women across Scotland. In doing this, we looked at three main questions - which areas have the highest rates of alcohol-related death in Scotland; are these areas the same for men and women; and are there areas in Scotland where the gap between men and women’s alcohol-related death rates is unusually large or small?” said Dr Emslie.
Dr Richard Mitchell added: “Scotland is facing a huge public health problem which will require strong and radical action by the Scottish government. What is interesting is that although the study shows remarkable differences from place to place in alcohol-related deaths, the areas in which alcohol-related deaths are a particular problem for men are largely the same for women.
“The results suggest to us that both men and women are vulnerable to the social, economic and cultural pressures which can make people drink too much.”
In carrying out their research Dr Mitchell and Dr Emslie divided Scotland into 144 areas based on the last population census. “These areas were about half a parliamentary constituency in size with a typical population 35,000 people,” explained Dr Mitchell.

It is the first time such a detailed scale has been used in a study of this kind. The researchers obtained records of alcohol-related deaths between 2000 and 2005 for each of these areas from the General Register Office for Scotland.

“We used the National Statistics definition of ‘alcohol-related deaths’ which includes chronic liver disease and cirrhosis. We calculated rates of alcohol-related death separately for men and women. Our method took account of any differences in the population size of each of our 144 areas and the rates can be compared from area to area. We also looked for areas in which women’s alcohol-related mortality rates were unusually small or unusually large, compared to the men’s rate for that area,” continued Dr Mitchell.

Most of the areas with very high alcohol-related death rates are found in Greater Glasgow. However, rural areas in the Highlands also featured in the 25 areas with the highest rates for men and women; Inverness West and Eilean Siar (Western Isles) for example.

“In the vast majority of areas, 136 out of 144, the gap between men’s and women’s alcohol-related death rate was as expected; areas with high rates for men tended to have high rates for women. Similarly, areas with low rates of alcohol-related death for men tended to have low rates for women. There was no clear pattern to the eight unusual areas in which the gap between men’s and women’s alcohol-related death rate was either smaller or larger than expected,” said Dr Mitchell.

Press contact: 020 7637 6011
press.office@headoffice.mrc.ac.uk

Notes:

Table 1: Age-standardised alcohol-related mortality rates in Scotland per 100,000 population, by gender (2000-2005)

Sorted by rates for men

 

Sorted by rates for women

Area Name

Men

Women

 

Area Name

Men

Women

Glasgow Ibrox

176.0

58.9

 

Glasgow Ibrox

176.0

58.9

Glasgow Calton

166.1

40.0

 

Glasgow Cowlairs

152.1

55.0

Glasgow Cowlairs

152.1

55.0

 

Edinburgh Holyrood

99.7

42.4

Linwood

131.8

25.3

 

Glasgow Blairdardie

86.3

42.0

Glasgow West End

116.9

40.1

 

Glasgow West End

116.9

40.1

Glasgow Easterhouse

111.5

29.7

 

Glasgow Calton

166.1

40.0

Greenock North

104.8

24.1

 

Glasgow Milton

102.1

39.3

Glasgow Milton

102.1

39.3

 

Glasgow Maryhill

83.5

35.0

Edinburgh Holyrood

99.7

42.4

 

Dundee North-West

49.0

34.9

Glasgow Parkhead

94.6

34.7

 

Glasgow Parkhead

94.6

34.7

Glasgow Blairdardie

86.3

42.0

 

Rutherglen West

49.7

31.7

Johnstone

83.8

24.9

 

Saltcoats and Arran

31.3

30.0

Glasgow Maryhill

83.5

35.0

 

Glasgow Easterhouse

111.5

29.7

Dundee South-East

80.7

27.6

 

Inverness West

61.9

28.9

Glasgow Nitshill

79.4

25.4

 

Edinburgh East

57.4

28.9

Glasgow Robroyston

76.7

25.7

 

Dundee South-East

80.7

27.6

Glasgow Cardonald

74.8

26.2

 

Glasgow Cardonald

74.8

26.2

Glasgow Partick

72.5

17.8

 

Glasgow Robroyston

76.7

25.7

Clydebank

71.9

19.7

 

Glasgow Nitshill

79.4

25.4

Old Aberdeen

63.6

18.2

 

Linwood

131.8

25.3

Stirling Urban

61.9

17.5

 

Johnstone

83.8

24.9

Paisley Blackhall

61.9

16.3

 

Greenock North

104.8

24.1

Inverness West

61.9

28.9

 

Falkirk Central

52.8

23.4

Glasgow Castlemilk

61.8

20.2

 

Eilean Siar Rural

44.3

23.2

Glasgow Knightswood

60.6

20.9

 

Kirkintilloch North

27.3

23.0

Leith

58.9

22.6

 

Blantyre

46.3

22.6

Dumbarton Central

58.5

19.9

 

Leith

58.9

22.6

Ayr Central

58.4

18.9

 

Wishaw

52.7

22.1

Edinburgh East

57.4

28.9

 

Hamilton North

44.0

21.4

Motherwell

56.3

19.0

 

Glasgow Pollokshields

45.6

21.0

Wick

55.6

11.0

 

Paisley Gallowhill

37.7

20.9

Barrhead

55.1

12.0

 

Glasgow Knightswood

60.6

20.9

Port Glasgow

54.9

18.4

 

Glasgow Castlemilk

61.8

20.2

Greenock South

54.0

11.8

 

Dumbarton Central

58.5

19.9

Falkirk Central

52.8

23.4

 

Clydebank

71.9

19.7

Wishaw

52.7

22.1

 

Motherwell

56.3

19.0

Edinburgh North

52.3

13.9

 

Ayr Central

58.4

18.9

Aberdeen Nigg Bay

51.6

15.0

 

Mallaig

46.7

18.4

Shotts

50.0

16.8

 

Port Glasgow

54.9

18.4

Rutherglen West

49.7

31.7

 

Rutherglen East

48.4

18.4

Dundee North-West

49.0

34.9

 

Bridge of Allan

31.9

18.3

Rutherglen East

48.4

18.4

 

Old Aberdeen

63.6

18.2

Perth Central

47.5

15.5

 

Livingston Central

24.0

18.0

Leven

47.1

16.3

 

Glasgow Partick

72.5

17.8

Edinburgh Murrayfield

46.7

15.4

 

Musselburgh

25.0

17.5

Orkney

46.7

6.9

 

Stirling Urban

61.9

17.5

Mallaig

46.7

18.4

 

Cumbernauld

35.1

17.4

Coatbridge

46.5

16.4

 

Belshill

43.7

17.3

Blantyre

46.3

22.6

 

Midlothian South-East

30.7

17.2

Glasgow Pollokshields

45.6

21.0

 

Bute

28.7

17.1

Eilean Siar Rural

44.3

23.2

 

Linlithgow South

40.4

17.0

Hamilton North

44.0

21.4

 

Sidlaw and Carnoustie

32.2

16.8

Belshill

43.7

17.3

 

Shotts

50.0

16.8

Kilwinning

41.7

15.4

 

Kilmarnock Central

25.0

16.6

Dundee North-East

41.0

15.6

 

Edinburgh Corstorphine

38.4

16.5

Linlithgow South

40.4

17.0

 

Forfar

19.8

16.5

Elgin

38.9

9.3

 

Kilmarnock Rural

27.0

16.5

Edinburgh Corstorphine

38.4

16.5

 

Coatbridge

46.5

16.4

Stornoway

37.8

13.9

 

Paisley Blackhall

61.9

16.3

Paisley Gallowhill

37.7

20.9

 

Leven

47.1

16.3

Glasgow Baillieston

37.5

15.0

 

Denny

18.4

15.9

Dundee South-West

36.8

9.8

 

Dundee North-East

41.0

15.6

Edinburgh Sighthill

36.3

15.1

 

Perth Central

47.5

15.5

Chryston

36.2

11.5

 

Kilwinning

41.7

15.4

Montrose and Arbroath

36.1

9.9

 

Edinburgh Murrayfield

46.7

15.4

Larkhall

35.7

12.6

 

Edinburgh Sighthill

36.3

15.1

Largs and Cumbrae

35.5

13.3

 

Aberdeen Nigg Bay

51.6

15.0

Cumnock & Doon Valley

35.4

14.9

 

Glasgow Baillieston

37.5

15.0

Cumbernauld

35.1

17.4

 

Cumnock & Doon Valley

35.4

14.9

East Kilbride North

34.3

7.5

 

Kirkcaldy North

26.9

14.6

Airdrie

33.4

13.7

 

Caithness

19.3

14.1

Edinburgh Kaimes

33.3

12.4

 

Lanark

21.7

14.1

Sidlaw and Carnoustie

32.2

16.8

 

Irvine

30.0

14.0

Prestonpans

32.1

10.6

 

Stornoway

37.8

13.9

Livingston Rural

32.0

13.7

 

Edinburgh North

52.3

13.9

Bridge of Allan

31.9

18.3

 

Ettrick and Lauderdale

14.4

13.8

Falkirk Laurieston

31.5

12.0

 

Dumfries Central

20.7

13.8

Saltcoats and Arran

31.3

30.0

 

Airdrie

33.4

13.7

Midlothian South-East

30.7

17.2

 

Livingston Rural

32.0

13.7

Irvine

30.0

14.0

 

Inverness East

25.1

13.7

East Kilbride South

29.5

12.5

 

Helensburgh

21.1

13.6

Bridge of Weir

29.1

9.2

 

Dunfermline Central

25.5

13.5

Glasgow Newlands

29.1

11.2

 

Largs and Cumbrae

35.5

13.3

Bute

28.7

17.1

 

Dingwall and Skye

28.5

13.0

Dingwall and Skye

28.5

13.0

 

Midlothian North-West

26.5

12.7

Forres

28.4

12.5

 

Larkhall

35.7

12.6

Lorn

27.8

10.1

 

Aberdeen West

23.3

12.6

Linlithgow North

27.6

11.6

 

Nithsdale

21.3

12.5

Cowdenbeath

27.5

10.9

 

East Kilbride South

29.5

12.5

Hamilton Cadzow

27.4

12.1

 

Forres

28.4

12.5

Prestwick and Troon

27.4

8.8

 

Edinburgh Kaimes

33.3

12.4

Kirkintilloch North

27.3

23.0

 

Dunfermline North-East

24.2

12.2

Kilmarnock Rural

27.0

16.5

 

Hamilton Cadzow

27.4

12.1

Kirkcaldy North

26.9

14.6

 

Falkirk Laurieston

31.5

12.0

Kirkcaldy South

26.5

7.7

 

Newburgh

12.7

12.0

Midlothian North-West

26.5

12.7

 

Barrhead

55.1

12.0

Shetland

25.9

6.1

 

Glenrothes

20.4

11.9

Dunfermline Central

25.5

13.5

 

Kilsyth

23.0

11.9

Inverness East

25.1

13.7

 

Dunfermline South-West

24.8

11.8

Kilmarnock Central

25.0

16.6

 

Greenock South

54.0

11.8

Musselburgh

25.0

17.5

 

Linlithgow North

27.6

11.6

Dunfermline South-West

24.8

11.8

 

Chryston

36.2

11.5

Buchan

24.3

9.7

 

Alloa

23.0

11.2

Dunfermline North-East

24.2

12.2

 

Glasgow Newlands

29.1

11.2

Livingston Central

24.0

18.0

 

Wick

55.6

11.0

Edinburgh Morningside

23.5

9.8

 

Stirling Rural

11.4

11.0

Crieff

23.5

8.9

 

Cowdenbeath

27.5

10.9

Aberdeen West

23.3

12.6

 

Haddington

19.3

10.9

Alloa

23.0

11.2

 

Prestonpans

32.1

10.6

Kilsyth

23.0

11.9

 

Lorn

27.8

10.1

Grangemouth

22.9

9.6

 

Montrose and Arbroath

36.1

9.9

Banff

22.3

8.1

 

Edinburgh Morningside

23.5

9.8

Lanark

21.7

14.1

 

Dundee South-West

36.8

9.8

Nithsdale

21.3

12.5

 

Buchan

24.3

9.7

Helensburgh

21.1

13.6

 

Grangemouth

22.9

9.6

Dumfries Central

20.7

13.8

 

Aberdeen South-West

18.6

9.4

Glenrothes

20.4

11.9

 

Elgin

38.9

9.3

Stranraer

20.1

8.2

 

Bridge of Weir

29.1

9.2

Forfar

19.8

16.5

 

Coupar Angus

10.0

9.2

Bearsden and Kirkintilloch S

19.7

7.6

 

Turriff

17.2

9.0

Tweeddale

19.3

5.1

 

Crieff

23.5

8.9

Caithness

19.3

14.1

 

Prestwick and Troon

27.4

8.8

Haddington

19.3

10.9

 

Milngavie

10.6

8.3

St Andrews

19.2

8.2

 

Carrick

18.7

8.2

Carrick

18.7

8.2

 

St Andrews

19.2

8.2

Aberdeen South-West

18.6

9.4

 

Stranraer

20.1

8.2

Denny

18.4

15.9

 

Berwickshire

12.9

8.1

Turriff

17.2

9.0

 

Banff

22.3

8.1

Aberdeen Queens Cross

17.0

5.3

 

Kirkcaldy South

26.5

7.7

Giffnock

14.5

7.4

 

Queensferry

13.0

7.7

Ettrick and Lauderdale

14.4

13.8

 

Bearsden and Kirkintilloch S

19.7

7.6

Dyce

13.8

2.9

 

East Kilbride North

34.3

7.5

Roxburgh

13.2

7.5

 

Roxburgh

13.2

7.5

Queensferry

13.0

7.7

 

Giffnock

14.5

7.4

Berwickshire

12.9

8.1

 

Inverurie

8.6

7.2

Newburgh

12.7

12.0

 

Banchory

9.1

6.9

Dumfries East

11.6

4.4

 

Orkney

46.7

6.9

Stirling Rural

11.4

11.0

 

Balerno

4.2

6.9

Milngavie

10.6

8.3

 

Shetland

25.9

6.1

Coupar Angus

10.0

9.2

 

Aberdeen Queens Cross

17.0

5.3

Banchory

9.1

6.9

 

Tweeddale

19.3

5.1

Inverurie

8.6

7.2

 

Dumfries East

11.6

4.4

Stonehaven

7.5

3.5

 

Stonehaven

7.5

3.5

Balerno

4.2

6.9

 

Dyce

13.8

2.9

SCOTLAND

38.0

15.5

 

SCOTLAND

38.0

15.5

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