Abstract
Tobacco- and alcohol-attributable morbidity and mortality represent a significant economical burden to society and the healthcare system. Socio-economic status, including gender and age, is one of the many factors influencing a person's substance use.
The aim of this study is to examine age-standardized tobacco-and alcohol-attributable mortality in a productive population (1564 years) stratified by gender and age in the Czech Republic. Data were extracted from the Death Certificate System of the Institute of Health Information and Statistics of the Czech Republic (IHIS CR).
Data from 1994 to 2017 time-period were analyzed. Mortality attributable to smoking and drinking was calculated using attributable fractions.
There is a decrease in tobacco- and alcoholattributable deaths in both men and women over the examined period. Tobacco-attributable deaths are more frequent than alcohol- attributable deaths.
Mortality attributable to smoking and drinking was higher in men than women. Alcohol drinking caused more deaths in the younger population (15-54 years), deaths due to tobacco smoking were higher in the older population (55-64 years).
The median proportions of tobacco- and alcohol-attributable deaths increased with age. Introducing and strengthening evidence-based prevention interventions could decrease tobacco- and alcoholrelated morbidity and mortality.