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Az alkoholfogyasztas okozta magyarorszagi egeszsegvesztesegek mennyisegi vizsgalata #MMPMID41353671
Vitrai J
Orv Hetil 2025[Dec]; 166 (49): 1949-1955 PMID41353671show ga
INTRODUCTION: Alcohol consumption poses a significant global public health and economic burden. In Hungary, it has long been a major contributor to health losses and health inequalities. OBJECTIVE: The objective is to quantify alcohol-related health losses in Hungary using various indicators and social cost estimates, and to present these findings within an international context. METHOD: We utilized data from the WHO Global Health Estimates for the period 2000-2019, stratified by sex and age. Hungarian data were compared with the average for Central and Western Europe. Social costs were estimated for the 30-64 years age group based on unit costs from our previous studies, with subsequent correction applied to estimate the cost for the total population. RESULTS: Alcohol consumption in Hungary decreased during the study period, stabilizing below the Central European average after 2011. Concurrently, health losses diminished: mortality losses by over 40%, years of life lost by half, and years lived with disability by 20%. Nevertheless, approximately 300,000 disability-adjusted life years were attributable to alcohol in 2019. The main causes of loss of mortality were malignant neoplasms and cirrhosis, while the causes of disability were primarily injuries and mental disorders. The estimated total social cost in 2019 was approximately 800 billion HUF, equivalent to 1.68% of the GDP. DISCUSSION: Despite the reduction in health losses, data for Hungary and Central Europe remain significantly higher (mortality losses are half the magnitude) than Western European values. The magnitude of the estimated 800 billion HUF social cost, compared to the estimated 250 billion HUF in state revenue from alcohol sales, clearly demonstrates the economic imbalance associated with alcohol distribution. CONCLUSION: The observed decrease in consumption indicates the effectiveness of current interventions. However, due to the high health and social burden, continued restrictive policies and improved treatment success rates for alcohol-related diseases (especially neoplasms and digestive diseases) are warranted. Orv Hetil. 2025; 166(49): 1949-1955.