Explaining trends in alcohol-related harms in Scotland, 1991-2011 (I): the role of incomes, effects of socio-economic and political adversity and demographic change
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Alcohol-related mortality in Scotland has increased then decreased since the 1980s.

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To evaluate the impact of alcohol policy we need to understand the causes of these trends.

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Income trends and alcohol affordability explain part of the rise and fall.

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Adults aged 40–70 years during the 1990s and 2000s experienced the greatest change.

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Lagged effects from historical change remain plausible from the available data.

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