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

Shen J.; Sorensen R.J.D.; Soriano J.B.; Sreeramareddy C.T.; Steckling N.; Stein D.J.; Sufiyan M.B.; Sur P.J.; Sykes B.L.; Tabares-Seisdedos R.; Tabuchi T.; Tavakkoli M.; Tehrani-Banihashemi A.; Tekle M.G.; Thapa S.; Thomas N.; Topor-Madry R.; Topouzis F.; Tran B.X.; Troeger C.E.; Truelsen T.C.; Tsilimparis N.; Tyrovolas S.; Ukwaja K.N.; Ullah I.; Uthman O.A.; Valdez P.R.; Van Boven J.F.M.; Vasankari T.J.; Venketasubramanian N.; Violante F.S.; Vladimirov S.K.; Vlassov V.; Vollset S.E.; Vos T.; Wagnew F.W.S.; Waheed Y.; Wang Y.-P.; Weiderpass E.; Weldegebreal F.; Weldegwergs K.G.; Werdecker A.; Westerman R.; Whiteford H.A.; Widecka J.; Wijeratne T.; Wyper G.M.A.; Xu G.; Yamada T.; Yano Y.; Ye P.; Yimer E.M.; Yip P.; Yirsaw B.D.; Yisma E.; Yonemoto N.; Yoon S.-J.; Yotebieng M.; Younis M.Z.; Zachariah G.; Zaidi Z.; Zamani M.; Zhang X.; Zodpey S.; Mokdad A.H.; Naghavi M.; Murray C.J.L.; Gakidou E.; Griswold M.G.; Fullman N.; Hawley C.; Arian N.; Zimsen S.R.M.; Tymeson H.D.; Venkateswaran V.; Tapp A.D.; Forouzanfar M.H.; Salama J.S.; Abate K.H.; Abate D.; Abay S.M.; Abbafati C.; Abdulkader R.S.; Abebe Z.; Aboyans V.; Abrar M.M.; Acharya P.; Adetokunboh O.O.; Adhikari T.B.; Adsuar J.C.; Afarideh M.; Agardh E.E.; Agarwal G.; Aghayan S.A.; Agrawal S.; Ahmed M.B.; Akibu M.; Akinyemiju T.; Akseer N.; Al Asfoor D.H.; Al-Aly Z.; Alahdab F.; Alam K.; Albujeer A.; Alene K.A.; Ali R.; Ali S.D.; Alijanzadeh M.; Aljunid S.M.; Alkerwi A.; Allebeck P.; Alvis-Guzman N.; Amare A.T.; Aminde L.N.; Ammar W.; Amoako Y.A.; Amul G.G.H.; Andrei C.L.; Angus C.; Ansha M.G.; Antonio C.A.T.; Aremu O.; Arnlov J.; Artaman A.; Aryal K.K.; Assadi R.; Ausloos M.; Avila-Burgos L.; Avokpaho E.F.G.A.; Awasthi A.; Ayele H.T.; Ayer R.; Ayuk T.B.; Azzopardi P.S.; Badali H.; Badawi A.; Banach M.; Barker-Collo S.L.; Barrero L.H.; Basaleem H.; Baye E.; Bazargan-Hejazi S.; Bedi N.; Bejot Y.; Belachew A.B.; Belay S.A.; Bennett D.A.; Bensenor I.M.; Bernabe E.; Bernstein R.S.; Beyene A.S.; Beyranvand T.; Bhaumik S.; Bhutta Z.A.; Biadgo B.; Bijani A.; Bililign N.; Birlik S.M.; Birungi C.; Bizuneh H.; Bjerregaard P.; Bjorge T.; Borges G.; Bosetti C.; Boufous S.; Bragazzi N.L.; Brenner H.; Butt Z.A.; Cahuana-Hurtado L.; Calabria B.; Campos-Nonato I.R.; Rincon J.C.C.; Carreras G.; Carrero J.J.; Carvalho F.; Castaneda-Orjuela C.A.; Rivas J.C.; Catala-Lopez F.; Chang J.-C.; Charlson F.J.; Chattopadhyay A.; Chaturvedi P.; Chowdhury R.; Christopher D.J.; Chung S.-C.; Ciobanu L.G.; Claro R.M.; Conti S.; Cousin E.; Criqui M.H.; Dachew B.A.; Dargan P.I.; Daryani A.; Das Neves J.; Davletov K.; De Castro F.; De Courten B.; De Neve J.-W.; Degenhardt L.; Demoz G.T.; Des Jarlais D.C.; Dey S.; Dhaliwal R.S.; Dharmaratne S.D.; Dhimal M.; Doku D.T.; Doyle K.E.; Dubey M.; Dubljanin E.; Duncan B.B.; Ebrahimi H.; Edessa D.; El Sayed Zaki M.; Ermakov S.P.; Erskine H.E.; Esteghamati A.; Faramarzi M.; Farioli A.; Faro A.; Farvid M.S.; Farzadfar F.; Feigin V.L.; Felisbino-Mendes M.S.; Fernandes E.; Ferrari A.J.; Ferri C.P.; Fijabi D.O.; Filip I.; Finger J.D.; Fischer F.; Flaxman A.D.; Franklin R.C.; Futran N.D.; Gallus S.; Ganji M.; Gankpe F.G.; Gebregergs G.B.; Gebrehiwot T.T.; Geleijnse J.M.; Ghadimi R.; Ghandour L.A.; Ghimire M.; Gill P.S.; Ginawi I.A.; Giref A.Z.Z.; Gona P.N.; Gopalani S.V.; Gotay C.C.; Goulart A.C.; Greaves F.; Grosso G.; Guo Y.; Gupta R.; Gupta V.; Gutierrez R.A.; Gvs M.; Hafezi-Nejad N.; Hagos T.B.; Hailu G.B.; Hamadeh R.R.; Hamidi S.; Hankey G.J.; Harb H.L.; Harikrishnan S.; Haro J.M.; Hassen H.Y.; Havmoeller R.; Hay S.I.; Heibati B.; Henok A.; Heredia-Pi I.; Hernandez-Llanes N.F.; Herteliu C.; Ts Tsegaw Hibstu D.; Hoogar P.; Horita N.; Hosgood H.D.; Hosseini M.; Hostiuc M.; Hu G.; Huang H.; Husseini A.; Idrisov B.; Ileanu B.V.; Ilesanmi O.S.; Irvani S.S.N.; Islam S.M.S.; Jackson M.D.; Jakovljevic M.; Jalu M.T.; Jayatilleke A.U.; Jha R.P.; Jonas J.B.; Jozwiak J.J.; Kabir Z.; Kadel R.; Kahsay A.; Kapil U.; Kasaeian A.; Kassa T.D.D.; Katikireddi S.V.; Kawakami N.; Kebede S.; Kefale A.T.; Keiyoro P.N.; Kengne A.P.; Khader Y.; Khafaie M.A.; Khalil I.A.; Khan M.N.; Khang Y.-H.; Khater M.M.; Khubchandani J.; Kim C.-I.; Kim D.; Kim Y.J.; Kimokoti R.W.; Kisa A.; Kivimaki M.; Kochhar S.; Kosen S.; Koul P.A.; Koyanagi A.; Krishan K.; Defo B.K.; Bicer B.K.; Kulkarni V.S.; Kumar P.; Lafranconi A.; Balaji A.L.; Lalloo R.; Lallukka T.; Lam H.; Lami F.H.; Lan Q.; Lang J.J.; Lansky S.; Larsson A.O.; Latifi A.; Leasher J.L.; Lee P.H.; Leigh J.; Leinsalu M.; Leung J.; Levi M.; Li Y.; Lim L.-L.; Linn S.; Liu S.; Lobato-Cordero A.; Lopez A.D.; Lotufo P.A.; Macarayan E.R.K.; Machado I.E.; Madotto F.; Abd El Razek H.M.; Abd El Razek M.M.; Majdan M.; Majdzadeh R.; Majeed A.; Malekzadeh R.; Malta D.C.; Mapoma C.C.; Martinez-Raga J.; Maulik P.K.; Mazidi M.; McKee M.; Mehta V.; Meier T.; Mekonen T.; Meles K.G.; Melese A.; Memiah P.T.N.; Mendoza W.; Mengistu D.T.; Mensah G.A.; Meretoja T.J.; Mezgebe H.B.; Miazgowski T.; Miller T.R.; Mini G.; Mirica A.; Mirrakhimov E.M.; Moazen B.; Mohammad K.A.; Mohammadifard N.; Mohammed S.; Monasta L.; Moraga P.; Morawska L.; Mousavi S.M.; Mukhopadhyay S.; Musa K.I.; Naheed A.; Naik G.; Najafi F.; Nangia V.; Nansseu J.R.; Nayak M.S.D.P.; Nejjari C.; Neupane S.; Neupane S.P.; Ngunjiri J.W.; Nguyen C.T.; Nguyen L.H.; Nguyen T.H.; Ningrum D.N.A.; Nirayo Y.L.; Noubiap J.J.; Ofori-Asenso R.; Ogbo F.A.; Oh I.-H.; Oladimeji O.; Olagunju A.T.; Olivares P.R.; Olusanya B.O.; Olusanya J.O.; Oommen A.M.; Oren E.; Orpana H.M.; Ortega-Altamirano D.D.V.; Ortiz J.R.; Ota E.; Owolabi M.O.; Oyekale A.S.; Mahesh P.A.; Pana A.; Park E.-K.; Parry C.D.H.; Parsian H.; Patle A.; Patton G.C.; Paudel D.; Petzold M.; Phillips M.R.; Pillay J.D.; Postma M.J.; Pourmalek F.; Prabhakaran D.; Qorbani M.; Radfar A.; Rafay A.; Rafiei A.; Rahim F.; Rahimi-Movaghar A.; Rahman M.; Rahman M.A.; Rai R.K.; Rajsic S.; Raju S.B.; Ram U.; Rana S.M.; Ranabhat C.L.; Rawaf D.L.; Rawaf S.; Reiner R.C.; Reis C.; Renzaho A.M.N.; Rezai M.S.; Roever L.; Ronfani L.; Room R.; Roshandel G.; Rostami A.; Roth G.A.; Roy A.; Sabde Y.D.; Saddik B.; Safiri S.; Sahebkar A.; Saleem Z.; Salomon J.A.; Salvi S.S.; Sanabria J.; Sanchez-Nino M.D.; Santomauro D.F.; Santos I.S.; Santric Milicevic M.M.M.; Sarker A.R.; Sarmiento-Suarez R.; Sarrafzadegan N.; Sartorius B.; Satpathy M.; Sawhney M.; Saxena S.; Saylan M.; Schaub M.P.; Schmidt M.I.; Schneider I.J.C.; Schottker B.; Schutte A.E.; Schwendicke F.; Sepanlou S.G.; Shaikh M.A.; Sharif M.; She J.; Sheikh A.; Shiferaw M.S.; Shigematsu M.; Shiri R.; Shishani K.; Shiue I.; Shukla S.R.; Sigfusdottir I.D.; Silva D.A.S.; Da Silva N.T.; Silveira D.G.A.; Sinha D.N.; Sitas F.; Filho A.M.S.; Soofi M.

Please use this identifier to cite or link to this item: https://repository.monashhealth.org/monashhealthjspui/handle/1/26802

Title:	Alcohol use and burden for 195 countries and territories, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016.
Authors:	Shen J.;Sorensen R.J.D.;Soriano J.B.;Sreeramareddy C.T.;Steckling N.;Stein D.J.;Sufiyan M.B.;Sur P.J.;Sykes B.L.;Tabares-Seisdedos R.;Tabuchi T.;Tavakkoli M.;Tehrani-Banihashemi A.;Tekle M.G.;Thapa S.;Thomas N.;Topor-Madry R.;Topouzis F.;Tran B.X.;Troeger C.E.;Truelsen T.C.;Tsilimparis N.;Tyrovolas S.;Ukwaja K.N.;Ullah I.;Uthman O.A.;Valdez P.R.;Van Boven J.F.M.;Vasankari T.J.;Venketasubramanian N.;Violante F.S.;Vladimirov S.K.;Vlassov V.;Vollset S.E.;Vos T.;Wagnew F.W.S.;Waheed Y.;Wang Y.-P.;Weiderpass E.;Weldegebreal F.;Weldegwergs K.G.;Werdecker A.;Westerman R.;Whiteford H.A.;Widecka J.;Wijeratne T.;Wyper G.M.A.;Xu G.;Yamada T.;Yano Y.;Ye P.;Yimer E.M.;Yip P.;Yirsaw B.D.;Yisma E.;Yonemoto N.;Yoon S.-J.;Yotebieng M.;Younis M.Z.;Zachariah G.;Zaidi Z.;Zamani M.;Zhang X.;Zodpey S.;Mokdad A.H.;Naghavi M.;Murray C.J.L.;Gakidou E.;Griswold M.G.;Fullman N.;Hawley C.;Arian N.;Zimsen S.R.M.;Tymeson H.D.;Venkateswaran V.;Tapp A.D.;Forouzanfar M.H.;Salama J.S.;Abate K.H.;Abate D.;Abay S.M.;Abbafati C.;Abdulkader R.S.;Abebe Z.;Aboyans V.;Abrar M.M.;Acharya P.;Adetokunboh O.O.;Adhikari T.B.;Adsuar J.C.;Afarideh M.;Agardh E.E.;Agarwal G.;Aghayan S.A.;Agrawal S.;Ahmed M.B.;Akibu M.;Akinyemiju T.;Akseer N.;Al Asfoor D.H.;Al-Aly Z.;Alahdab F.;Alam K.;Albujeer A.;Alene K.A.;Ali R.;Ali S.D.;Alijanzadeh M.;Aljunid S.M.;Alkerwi A.;Allebeck P.;Alvis-Guzman N.;Amare A.T.;Aminde L.N.;Ammar W.;Amoako Y.A.;Amul G.G.H.;Andrei C.L.;Angus C.;Ansha M.G.;Antonio C.A.T.;Aremu O.;Arnlov J.;Artaman A.;Aryal K.K.;Assadi R.;Ausloos M.;Avila-Burgos L.;Avokpaho E.F.G.A.;Awasthi A.;Ayele H.T.;Ayer R.;Ayuk T.B.;Azzopardi P.S.;Badali H.;Badawi A.;Banach M.;Barker-Collo S.L.;Barrero L.H.;Basaleem H.;Baye E.;Bazargan-Hejazi S.;Bedi N.;Bejot Y.;Belachew A.B.;Belay S.A.;Bennett D.A.;Bensenor I.M.;Bernabe E.;Bernstein R.S.;Beyene A.S.;Beyranvand T.;Bhaumik S.;Bhutta Z.A.;Biadgo B.;Bijani A.;Bililign N.;Birlik S.M.;Birungi C.;Bizuneh H.;Bjerregaard P.;Bjorge T.;Borges G.;Bosetti C.;Boufous S.;Bragazzi N.L.;Brenner H.;Butt Z.A.;Cahuana-Hurtado L.;Calabria B.;Campos-Nonato I.R.;Rincon J.C.C.;Carreras G.;Carrero J.J.;Carvalho F.;Castaneda-Orjuela C.A.;Rivas J.C.;Catala-Lopez F.;Chang J.-C.;Charlson F.J.;Chattopadhyay A.;Chaturvedi P.;Chowdhury R.;Christopher D.J.;Chung S.-C.;Ciobanu L.G.;Claro R.M.;Conti S.;Cousin E.;Criqui M.H.;Dachew B.A.;Dargan P.I.;Daryani A.;Das Neves J.;Davletov K.;De Castro F.;De Courten B. ;De Neve J.-W.;Degenhardt L.;Demoz G.T.;Des Jarlais D.C.;Dey S.;Dhaliwal R.S.;Dharmaratne S.D.;Dhimal M.;Doku D.T.;Doyle K.E.;Dubey M.;Dubljanin E.;Duncan B.B.;Ebrahimi H.;Edessa D.;El Sayed Zaki M.;Ermakov S.P.;Erskine H.E.;Esteghamati A.;Faramarzi M.;Farioli A.;Faro A.;Farvid M.S.;Farzadfar F.;Feigin V.L.;Felisbino-Mendes M.S.;Fernandes E.;Ferrari A.J.;Ferri C.P.;Fijabi D.O.;Filip I.;Finger J.D.;Fischer F.;Flaxman A.D.;Franklin R.C.;Futran N.D.;Gallus S.;Ganji M.;Gankpe F.G.;Gebregergs G.B.;Gebrehiwot T.T.;Geleijnse J.M.;Ghadimi R.;Ghandour L.A.;Ghimire M.;Gill P.S.;Ginawi I.A.;Giref A.Z.Z.;Gona P.N.;Gopalani S.V.;Gotay C.C.;Goulart A.C.;Greaves F.;Grosso G.;Guo Y.;Gupta R.;Gupta V.;Gutierrez R.A.;Gvs M.;Hafezi-Nejad N.;Hagos T.B.;Hailu G.B.;Hamadeh R.R.;Hamidi S.;Hankey G.J.;Harb H.L.;Harikrishnan S.;Haro J.M.;Hassen H.Y.;Havmoeller R.;Hay S.I.;Heibati B.;Henok A.;Heredia-Pi I.;Hernandez-Llanes N.F.;Herteliu C.;Ts Tsegaw Hibstu D.;Hoogar P.;Horita N.;Hosgood H.D.;Hosseini M.;Hostiuc M.;Hu G.;Huang H.;Husseini A.;Idrisov B.;Ileanu B.V.;Ilesanmi O.S.;Irvani S.S.N.;Islam S.M.S.;Jackson M.D.;Jakovljevic M.;Jalu M.T.;Jayatilleke A.U.;Jha R.P.;Jonas J.B.;Jozwiak J.J.;Kabir Z.;Kadel R.;Kahsay A.;Kapil U.;Kasaeian A.;Kassa T.D.D.;Katikireddi S.V.;Kawakami N.;Kebede S.;Kefale A.T.;Keiyoro P.N.;Kengne A.P.;Khader Y.;Khafaie M.A.;Khalil I.A.;Khan M.N.;Khang Y.-H.;Khater M.M.;Khubchandani J.;Kim C.-I.;Kim D.;Kim Y.J.;Kimokoti R.W.;Kisa A.;Kivimaki M.;Kochhar S.;Kosen S.;Koul P.A.;Koyanagi A.;Krishan K.;Defo B.K.;Bicer B.K.;Kulkarni V.S.;Kumar P.;Lafranconi A.;Balaji A.L.;Lalloo R.;Lallukka T.;Lam H.;Lami F.H.;Lan Q.;Lang J.J.;Lansky S.;Larsson A.O.;Latifi A.;Leasher J.L.;Lee P.H.;Leigh J.;Leinsalu M.;Leung J.;Levi M.;Li Y.;Lim L.-L.;Linn S.;Liu S.;Lobato-Cordero A.;Lopez A.D.;Lotufo P.A.;Macarayan E.R.K.;Machado I.E.;Madotto F.;Abd El Razek H.M.;Abd El Razek M.M.;Majdan M.;Majdzadeh R.;Majeed A.;Malekzadeh R.;Malta D.C.;Mapoma C.C.;Martinez-Raga J.;Maulik P.K.;Mazidi M.;McKee M.;Mehta V.;Meier T.;Mekonen T.;Meles K.G.;Melese A.;Memiah P.T.N.;Mendoza W.;Mengistu D.T.;Mensah G.A.;Meretoja T.J.;Mezgebe H.B.;Miazgowski T.;Miller T.R.;Mini G.;Mirica A.;Mirrakhimov E.M.;Moazen B.;Mohammad K.A.;Mohammadifard N.;Mohammed S.;Monasta L.;Moraga P.;Morawska L.;Mousavi S.M.;Mukhopadhyay S.;Musa K.I.;Naheed A.;Naik G.;Najafi F.;Nangia V.;Nansseu J.R.;Nayak M.S.D.P.;Nejjari C.;Neupane S.;Neupane S.P.;Ngunjiri J.W.;Nguyen C.T.;Nguyen L.H.;Nguyen T.H.;Ningrum D.N.A.;Nirayo Y.L.;Noubiap J.J.;Ofori-Asenso R.;Ogbo F.A.;Oh I.-H.;Oladimeji O.;Olagunju A.T.;Olivares P.R.;Olusanya B.O.;Olusanya J.O.;Oommen A.M.;Oren E.;Orpana H.M.;Ortega-Altamirano D.D.V.;Ortiz J.R.;Ota E.;Owolabi M.O.;Oyekale A.S.;Mahesh P.A.;Pana A.;Park E.-K.;Parry C.D.H.;Parsian H.;Patle A.;Patton G.C.;Paudel D.;Petzold M.;Phillips M.R.;Pillay J.D.;Postma M.J.;Pourmalek F.;Prabhakaran D.;Qorbani M.;Radfar A.;Rafay A.;Rafiei A.;Rahim F.;Rahimi-Movaghar A.;Rahman M.;Rahman M.A.;Rai R.K.;Rajsic S.;Raju S.B.;Ram U.;Rana S.M.;Ranabhat C.L.;Rawaf D.L.;Rawaf S.;Reiner R.C.;Reis C.;Renzaho A.M.N.;Rezai M.S.;Roever L.;Ronfani L.;Room R.;Roshandel G.;Rostami A.;Roth G.A.;Roy A.;Sabde Y.D.;Saddik B.;Safiri S.;Sahebkar A.;Saleem Z.;Salomon J.A.;Salvi S.S.;Sanabria J.;Sanchez-Nino M.D.;Santomauro D.F.;Santos I.S.;Santric Milicevic M.M.M.;Sarker A.R.;Sarmiento-Suarez R.;Sarrafzadegan N.;Sartorius B.;Satpathy M.;Sawhney M.;Saxena S.;Saylan M.;Schaub M.P.;Schmidt M.I.;Schneider I.J.C.;Schottker B.;Schutte A.E.;Schwendicke F.;Sepanlou S.G.;Shaikh M.A.;Sharif M.;She J.;Sheikh A.;Shiferaw M.S.;Shigematsu M.;Shiri R.;Shishani K.;Shiue I.;Shukla S.R.;Sigfusdottir I.D.;Silva D.A.S.;Da Silva N.T.;Silveira D.G.A.;Sinha D.N.;Sitas F.;Filho A.M.S.;Soofi M.
Institution:	(Griswold, Fullman, Hawley, Arian, Zimsen, Tymeson, Tapp, Salama, Degenhardt, Dharmaratne, Feigin, Flaxman, Hay, Jakovljevic, Khalil, Reiner, Roth, Sur, Troeger, Vollset, Vos, Whiteford, Mokdad, Naghavi, Murray, Gakidou) Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA 98121, United States (Charlson, Kochhar, Ortiz, Sorensen) Department of Global Health, Seattle, WA, United States (Futran) School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Seattle, WA, United States (Oren) University of Washington, Seattle, WA, United States (Venkateswaran) Department of Epidemiology, Harvard University, Boston, MA, United States (Farvid) Department of Nutrition, Harvard University, Boston, MA, United States (Macarayan) Ariadne Labs, Harvard University, Boston, MA, United States (Sheikh) BWH Division of General Internal Medicine and Primary Care, Harvard University, Boston, MA, United States (Forouzanfar) Seattle Genetics, Seattle, WA, United States (Abate) Department of Population and Family Health, Jimma University, Jimma, Ethiopia (Ahmed, Gebrehiwot) Department of Epidemiology, Jimma University, Jimma, Ethiopia (Beyene, Tekle) School of Public Health, Harar, Ethiopia (Edessa, Shiferaw) School of Pharmacy, Harar, Ethiopia (Weldegebreal) Department of Medical Laboratory Science, Harar, Ethiopia (Abate, Jalu) Haramaya University, Harar, Ethiopia (Abay) Department of Pharmacology and Clinical Pharmacy, Addis Ababa, Ethiopia (Giref) Department of Reproductive Health and Health Service Management, Addis Ababa, Ethiopia (Yisma) School of Alaide Health Sciences, Addis Ababa, Ethiopia (Abrar, Demoz) Addis Ababa University, Addis Ababa, Ethiopia (Abbafati) Department of Law Philosophy and Economic Studies, La Sapienza University, Rome, Italy (Abdulkader) Department of Public Health, Riyadh, Saudi Arabia (Al Asfoor) Office of the Undersecretary of Health Affairs, Ministry of Health, Riyadh, Saudi Arabia (Abebe) Human Nutrition, Gondar, Ethiopia (Alene, Dachew) Institute of Public Health, Gondar, Ethiopia (Biadgo) Department of Clinical Chemistry, University of Gondar, Gondar, Ethiopia (Aboyans) Department of Cardiology, Dupuytren University Hospital, Limoges, France (Aboyans) Institute of Epidemiology, University of Limoges, Limoges, France (Acharya) Nepal Development Society, Nepal (Adetokunboh) Department of Global Health, Stellenbosch University, Cape Town, South Africa (Parry) Department of Psychiatry, Stellenbosch University, Cape Town, South Africa (Adetokunboh) Cochrane South Africa, Cape Town, South Africa (Schutte) Unit for Hypertension and Cardiovascular Disease, Cape Town, South Africa (Stein) South African Medical Research Council, Cape Town, South Africa (Adhikari) Nepal Health Research Environment, Center for Social Science and Public Health Research Nepal, Nepal (Adhikari) Unit for Health Promotion Research, University of Southern Denmark, Odense, Denmark (Bjerregaard) National Institute of Public Health, University of Southern Denmark, Odense, Denmark (Thapa) Department of Public Health, University of Southern Denmark, Odense, Denmark (Adsuar) Faculty of Sport Science, University of Extremadura, Spain (Afarideh, Ebrahimi, Esteghamati, Ganji) Endocrinology and Metabolism Research Center, Tehran, Iran, Islamic Republic of (Ebrahimi) Digestive Disease Research Institute, Tehran, Iran, Islamic Republic of (Farzadfar, Irvani) Non-Communicable Diseases Research Center, Tehran, Iran, Islamic Republic of (Hafezi-Nejad) School of Medicine, Tehran, Iran, Islamic Republic of (Kasaeian) Hematologic Malignancies Research Center, Tehran, Iran, Islamic Republic of (Kasaeian) Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran, Iran, Islamic Republic of (Majdzadeh) Knowledge Utilization Research Center (KURC), Tehran, Iran, Islamic Republic of (Malekzadeh, Roshandel, Sepanlou) Digestive Diseases Research Institute, Tehran, Iran, Islamic Republic of (Mousavi) Department of Health Management and Economics, School of Public Health, Tehran, Iran, Islamic Republic of (Rahimi-Movaghar) Iranian National Center for Addiction Studies (INCAS), Tehran, Iran, Islamic Republic of (Majdzadeh) Community-Based Participatory-Research Center (CBPR), Tehran, Iran, Islamic Republic of (Hosseini, Rahim) Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of (Agardh, Allebeck) Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden (Arnlov) Department of Neurobiology, Karolinska Institute, Stockholm, Sweden (Carrero, Weiderpass) Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden (Agarwal) Department of Family Medicine, McMaster University, Hamilton, ON, Canada (Aghayan) Department of Zoology, Yerevan State University, Yerevan, Armenia (Aghayan, Prabhakaran) Research Group of Molecular Parasitology, Scientific Center of Zoology and Hydroecology, Yerevan, Armenia (Zodpey) Indian Institute of Public Health, Gurugram, India (Agrawal, Awasthi) Public Health Foundation of India (PHFI), Gurugram, India (Agrawal) Vital Strategies, Gurugram, India (Akibu) Department of Midwifery, Lexington, KY, United States (Ansha) Department of Public Health, Lexington, KY, United States (Akinyemiju) Debre Berhan University, Debre Berhan, Ethiopia (Akinyemiju) Department of Epidemiology, University of Kentucky, United States (Badawi) Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, Canada (Bhutta) Centre for Global Child Health, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada (Al Asfoor, Ali, Bennett) Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom (Akseer, Al-Aly) Department of Internal Medicine, Washington University in St. Louis, Saint Louis, MO, United States (Al-Aly) VA Saint Louis Health Care System, Clinical Epidemiology Center, Department of Veterans Affairs, Saint Louis, MO, United States (Alahdab) Evidence Based Practice Center, Mayo Clinic Foundation for Medical Education and Research, Rochester, MN, United States (Alahdab) Research Committee, Education Committee, Syrian American Medical Society, Washington, Washington, DC, United States (Alam) School of Population and Global Health, University of Western Australia, Perth, WA, Australia (Hankey) Medical School, University of Western Australia, Perth, WA, Australia (Albujeer) Nab'a Al-Hayat Foundation for Medical Sciences and Health Care, Iraq (Alene) Research School of Population Health, Australian National University, Canberra, ACT, Australia (Calabria) National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia (Ali) Public Health Research Center, New York University Abu Dhabi, Abu Dhabi, United Arab Emirates (Ali) University of London, Pakistan (Alijanzadeh) Social Determinants of Health Research Center, Qazvin University of Medical Sciences, 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[Ovid has truncated this field to avoid Excel character limitations]
Issue Date:	25-Oct-2018
Copyright year:	2018
Publisher:	Lancet Publishing Group (E-mail: cususerv@lancet.com)
Place of publication:	United Kingdom
Publication information:	The Lancet. 392 (10152) (pp 1015-1035), 2018. Date of Publication: 22 - 28 September 2018.
Journal:	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 lifeyears (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. Method(s): 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. Finding(s): Globally, alcohol use was the seventh leading risk factor for both deaths and DALYs in 2016, accounting for 2.2% (95% uncertainty interval [UI] 1.5-3.0) of age-standardised female deaths and 6.8% (5.8-8.0) of agestandardised male deaths. Among the population aged 15-49 years, alcohol use was the leading risk factor globally in 2016, with 3.8% (95% UI 3.2-4.3) of female deaths and 12.2% (10.8-13.6) of male deaths attributable to alcohol use. For the population aged 15-49 years, female attributable DALYs were 2.3% (95% UI 2.0-2.6) and male attributable DALYs were 8.9% (7.8-9.9). The three leading causes of attributable deaths in this age group were tuberculosis (1.4% [95% UI 1.0-1.7] of total deaths), road injuries (1.2% [0.7-1.9]), and self-harm (1.1% [0.6-1.5]). For populations aged 50 years and older, cancers accounted for a large proportion of total alcohol-attributable deaths in 2016, constituting 27.1% (95% UI 21.2-33.3) of total alcohol-attributable female deaths and 18.9% (15.3-22.6) of male deaths. The level of alcohol consumption that minimised harm across health outcomes was zero (95% UI 0.0-0.8) standard drinks per week. Interpretation(s): Alcohol use is a leading risk factor for global disease burden and causes substantial health loss. We found that the risk of all-cause mortality, and of cancers specifically, rises with increasing levels of consumption, and the level of consumption that minimises health loss is zero. These results suggest that alcohol control policies might need to be revised worldwide, refocusing on efforts to lower overall population-level consumption. Funding Bill & Melinda Gates Foundation.Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.
DOI:	http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1016/S0140-6736%2818%2931310-2
PubMed URL:	30146330 [http://www.ncbi.nlm.nih.gov/pubmed/?term=30146330]
ISSN:	0140-6736
URI:	https://repository.monashhealth.org/monashhealthjspui/handle/1/26802
Type:	Article
Type of Clinical Study or Trial:	Systematic review and/or meta-analysis
Appears in Collections:	Articles

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