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Burden of alcohol-attributable mortality in the WHO European Region, 1990–2014<br />

factors along with the use of alcohol, with alcohol also playing a role in the mortality. It should also be noted that the<br />

methodology used for comparative risk assessment did not adequately control for other risk factors.<br />

Fig. 26. Trends in age-st<strong>and</strong>ardized adult mortality due to alcohol-attributable liver cirrhosis Armenia,<br />

Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan, Tajikistan, Turkey, Turkmenistan <strong>and</strong> Uzbekistan, 1990–2014<br />

Rate per million<br />

350<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

Armenia<br />

Azerbaijan<br />

Georgia<br />

Kazakhstan<br />

Kyrgyzstan<br />

Tajikistan<br />

Turkey<br />

Turkmenistan<br />

Uzbekistan<br />

WHO<br />

European Region<br />

0<br />

1990<br />

1992<br />

1994<br />

1996<br />

1998<br />

2000<br />

2002<br />

2004<br />

2006<br />

2008<br />

2010<br />

2012<br />

2014<br />

burden of mortality WHO Euro due to Alcohol-attributable<br />

Turkmenistan<br />

cancer<br />

Tajikistan<br />

Kazakhstan<br />

Fig. 27–35 show the age-st<strong>and</strong>ardized Uzbekistan mortality rates for alcohol-attributable cancer for the various clusters of countries.<br />

Azerbaijan<br />

As indicated above, the overall variability in cancer mortality rates, both within <strong>and</strong> between countries, is much lower<br />

than for other cause-of-death categories; Turkey<br />

Kyrgyzstan<br />

thus, the variation in mortality due to alcohol-attributable cancer is mainly<br />

Armenia<br />

based on differences in the level of overall alcohol exposure (as expressed in adult per capita consumption of alcohol;<br />

see above). As a result, despite the overall limited variation, the following regional tendencies can be distinguished: most<br />

Mediterranean, Nordic, central-western EU <strong>and</strong> south-eastern WHO European Region countries were below the WHO<br />

European Region average, whereas most of the central-eastern EU <strong>and</strong> eastern European countries including the Russian<br />

Federation were above the EU average.<br />

Georgia<br />

27

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