估算 2019 年按州分层的巴西统一卫生系统 (SUS) 因饮酒造成的非传染性疾病 (NCD) 的健康和经济负担。观察性、描述性和生态研究。我们使用人口归因分数 (PAF)全球疾病负担研究中饮酒导致的非传染性疾病。我们将 PAF 应用于 SUS 为每种结果支付的中等至高度复杂性的住院和门诊费用，这些费用是从官方数据库中获得的。我们还计算了与酒精相关的非传染性疾病导致的伤残调整生命年 (DALY) 和死亡率。我们使用 2019 年购买平价将成本转换为国际元 (Int$)。与酒精相关的非传染性疾病占男性死亡人数的 8.48% 和伤残调整生命年的 7.0%，占女性死亡人数的 1.33% 和伤残调整生命年的 1.6%。主要疾病是药物滥用、消化系统疾病和肿瘤疾病。 SUS 在与酒精相关的非传染性疾病上花费了 2.02 亿美元，其中大部分用于住院治疗。东北地区各州的健康负担最高，南部各州的医疗费用最高。负担和成本值因性别、年龄组和州而异。研究表明，饮酒对巴西人口的发病率和死亡率以及 SUS 支出有显着影响，尤其是男性。这些结果可以支持国家以下各级预防和控制酒精消费和健康促进的政策，优先考虑更适合当地实际情况的策略。版权所有 © 2024 英国皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。

To estimate the health and economic burden of non-communicable diseases (NCDs) attributed to alcohol consumption in 2019 for the Brazilian Unified Health System (SUS) stratified by states.Observational, descriptive, and ecological study.We used population attributable fractions (PAFs) of NCDs due to alcohol consumption from the Global Burden of Disease study. We applied the PAFs to the costs of hospitalizations and outpatient procedures of medium to high complexity paid by SUS for each outcome, obtained from official databases. We also calculated the disability-adjusted life years (DALYs) and mortality caused by alcohol-related NCDs. We converted the costs into international dollars (Int$) using the purchasing parity power in 2019.Alcohol-related NCDs accounted for 8.48% of deaths and 7.0% of DALYs among men, and 1.33% of deaths and 1.6% of DALYs among women. The main diseases were substance use, digestive, and neoplastic diseases. The SUS spent Int$202.0 million on alcohol-related NCDs, mostly on hospitalizations. The highest health burden was observed in the states of the Northeast region, and the highest expenses in the states from the South. The burden and cost values varied by sex, age group, and state.The study showed that alcohol consumption has a significant impact on Brazilian population morbidity and mortality and SUS expenditures, especially among men. These results can support policies for the prevention and control of alcohol consumption and health promotion at the subnational level, prioritizing strategies that are more appropriate to local realities.Copyright © 2024 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.