Problems in Social Medicine Related to Alcohol and Deaths: Autopsy Cases in the Southern Part of Osaka City.
alcohol
forensic autopsy
medical issue
pharmacological issue
socioenvironmental issue
Journal
Substance abuse and rehabilitation
ISSN: 1179-8467
Titre abrégé: Subst Abuse Rehabil
Pays: New Zealand
ID NLM: 101558476
Informations de publication
Date de publication:
2021
2021
Historique:
received:
22
06
2021
accepted:
13
10
2021
entrez:
5
11
2021
pubmed:
6
11
2021
medline:
6
11
2021
Statut:
epublish
Résumé
The purpose of this study was to examine the social and medical background of alcohol dependence and to prevent the abuse of alcohol. Alcohol and deaths were retrospectively investigated based on the forensic postmortem data of 1694 decedents ≥20 years of age in 2008-2017. Of these, the 999 cases that could be tested for alcohol within 48 h of death were examined. The alcohol-positive and alcohol-negative groups included 179 (17.9%) and 820 (82.1%) cases, respectively. In terms of medical issues, compared with the alcohol-negative group, men in the positive group were mostly in their 40s to 60s, whereas women's age peaked in the 70s. The causes of death included many blunt injuries in men, though there was no difference in women. Underlying diseases were more frequent in men than women, with many of them having heart or liver disease, and the percentage of cases with mental disorders was 16.8% in the alcohol-positive group. In 15 cases of the alcohol-positive group, phenothiazine and barbituric acids were detected in 53.3% and 46.7% of cases, respectively. The incidence of traffic accidents and homicides was higher in the alcohol-positive group than in the alcohol-negative group. Measures to address social issues based on risk factors for alcohol and deaths are required.
Identifiants
pubmed: 34737668
doi: 10.2147/SAR.S326020
pii: 326020
pmc: PMC8558042
doi:
Types de publication
Journal Article
Langues
eng
Pagination
89-103Informations de copyright
© 2021 Tani et al.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest associated with this paper.
Références
JOP. 2009 Jul 06;10(4):387-92
pubmed: 19581740
Neuropsychol Rev. 2007 Sep;17(3):239-57
pubmed: 17874302
Compr Physiol. 2015 Apr;5(2):791-802
pubmed: 25880513
Lancet Oncol. 2006 Feb;7(2):149-56
pubmed: 16455479
J Stud Alcohol. 1993 Sep;54(5):618-25
pubmed: 8412152
Forensic Sci Int. 2006 Sep 12;161(2-3):141-3
pubmed: 16842951
Am J Clin Pathol. 1980 Nov;74(5):747-50
pubmed: 7446484
Alcohol Res Health. 2003;27(3):209-19
pubmed: 15535449
J Epidemiol. 2018 Mar 5;28(3):140-148
pubmed: 29129895
Forensic Sci Int. 2007 Jan 5;165(1):10-29
pubmed: 16782292
Atherosclerosis. 1983 Mar;46(3):275-86
pubmed: 6405757
Lancet. 1992 Jun 20;339(8808):1523-6
pubmed: 1351198
N Engl J Med. 1977 May 26;296(21):1194-200
pubmed: 854058
NIDA Res Monogr. 1986;68:73-88
pubmed: 3095658
Lancet. 1981 Mar 14;1(8220 Pt 1):580-3
pubmed: 6110820
Br Med J (Clin Res Ed). 1985 Feb 9;290(6466):428-32
pubmed: 3918615
Am J Emerg Med. 2019 Sep;37(9):1809.e1-1809.e3
pubmed: 31257124
Subst Abuse Rehabil. 2018 Sep 24;9:79-90
pubmed: 30310350
N Engl J Med. 1993 Dec 16;329(25):1829-34
pubmed: 8247033
J Forensic Leg Med. 2008 Oct;15(7):469-70
pubmed: 18761318
JAMA. 1994 Sep 28;272(12):929-33
pubmed: 7794308
Life Sci. 2003 Aug 8;73(12):1557-66
pubmed: 12865095
J Epidemiol. 2009;19(3):107-15
pubmed: 19398849
Alcohol Res. 2016;38(1):35-45
pubmed: 27159810
Addiction. 2011 May;106(5):906-14
pubmed: 21382111
BMJ. 1988 Jul 30;297(6644):319-28
pubmed: 3416162
Br J Addict. 1984 Dec;79(4):365-72
pubmed: 6598960
JAMA. 1983 Aug 12;250(6):772-6
pubmed: 6683764
Seishin Shinkeigaku Zasshi. 2009;111(10):1191-202
pubmed: 20058674
Addict Biol. 2019 Mar;24(2):157-169
pubmed: 29280252
Forensic Sci Int. 2001 Nov 1;122(2-3):107-23
pubmed: 11672964
J Anal Toxicol. 2016 Jun;40(5):367-73
pubmed: 27185819