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

Griswold, M, Fullman, N, Hawley, C and Doyle, K., et al, 2018, 'Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016', Lancet, vol. 392, no. 10152, pp. 1015-1035.


Document type: Journal Article
Collection: Journal Articles

Title Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
Author(s) Griswold, M
Fullman, N
Hawley, C
Doyle, K., et al,
Year 2018
Journal name Lancet
Volume number 392
Issue number 10152
Start page 1015
End page 1035
Total pages 21
Publisher The Lancet
Abstract Background: Alcohol use is a leading risk factor for death and disability, but its overall association with health remains complex given the possible protective effects of moderate alcohol consumption on some conditions. With our comprehensive approach to health accounting within the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we generated improved estimates of alcohol use and alcohol-attributable deaths and disability-adjusted life-years (DALYs) for 195 locations from 1990 to 2016, for both sexes and for 5-year age groups between the ages of 15 years and 95 years and older. Methods: Using 694 data sources of individual and population-level alcohol consumption, along with 592 prospective and retrospective studies on the risk of alcohol use, we produced estimates of the prevalence of current drinking, abstention, the distribution of alcohol consumption among current drinkers in standard drinks daily (defined as 10 g of pure ethyl alcohol), and alcohol-attributable deaths and DALYs. We made several methodological improvements compared with previous estimates: first, we adjusted alcohol sales estimates to take into account tourist and unrecorded consumption; second, we did a new meta-analysis of relative risks for 23 health outcomes associated with alcohol use; and third, we developed a new method to quantify the level of alcohol consumption that minimises the overall risk to individual health. Findings: Globally, alcohol use was the seventh leading risk factor for both deaths and DALYs in 2016, accounting for 2·2% (95% uncertainty interval [UI] 1·53·0) of age-standardised female deaths and 6·8% (5·88·0) of age-standardised male deaths. Among the population aged 1549 years, alcohol use was the leading risk factor globally in 2016, with 3·8% (95% UI 3·24·3) of female deaths and 12·2% (10·813·6) of male deaths attributable to alcohol use. For the population aged 1549 years, female attributable DALYs were 2·3% (95% UI 2·02·6) and male attribut
Subject Primary Health Care
DOI - identifier 10.1016/S0140-6736(18)31310-2
Copyright notice © 2018 The Author(s).
ISSN 0140-6736
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