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August 23, 2018The LancetOpen Access

Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

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Authors

MGMax GriswoldNFNancy FullmanCHCaitlin Hawley

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Overview

Systematic analysis reveals that zero alcohol consumption minimises overall health loss globally, indicating that public health policies must focus on reducing total population intake.

Key Points

  • To quantify global levels of alcohol consumption, alcohol-attributable deaths, and disability-adjusted life-years across 195 locations from 1990 to 2016, and to identify the consumption level that minimises total health loss.
  • Synthesised data from 694 individual- and population-level consumption sources and 592 prospective and retrospective studies evaluating alcohol-related health risks.
  • Adjusted alcohol sales estimates for tourist and unrecorded consumption, meta-analysed relative risks for 23 health outcomes, and calculated the consumption level that minimises overall health loss.
  • In 2016, alcohol use was the seventh leading risk factor globally, accounting for 2.2% (95% UI 1.5–3.0) of age-standardised female deaths and 6.8% (95% UI 5.8–8.0) of age-standardised male deaths.
  • Among individuals aged 15–49 years, alcohol was the leading risk factor globally, causing 3.8% (95% UI 3.2–4.3) of female deaths, 12.2% (95% UI 10.8–13.6) of male deaths, 2.3% (95% UI 2.0–2.6) of female DALYs, and 8.9% (95% UI 7.8–9.9) of male DALYs.
  • The level of alcohol consumption that minimised overall individual health risk was zero (95% UI 0.0–0.8) standard drinks per week, with cancers driving 27.1% (95% UI 21.2–33.3) of female and 18.9% (95% UI 15.3–22.6) of male attributable deaths in people aged 50 and older.

Cite This Study

Griswold et al. (2018) studied this question.

synapsesocial.com/papers/6a7cc8aac9ba99be288cebeehttps://doi.org/10.1016/s0140-6736(18)31310-2
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