Distributions of alcohol use and alcohol‐caused death and disability in Canada: Defining alcohol harm density functions and new perspectives on the prevention paradox.
Aims: The aims of this study were to examine the distribution of alcohol use and to define 'harm density functions' representing distributions of alcohol‐caused health harm in Canada, by sex, towards better understanding which groups of drinkers experience the highest aggregate harms. Design: This w...
| Published in: | Addiction Vol. 119; no. 4; pp. 696 - 706 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Apr2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175800764&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175800764 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Apr2024 vid: 119 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175800764 174834265 175800764 175800764 10.1111/add.16414 175800764 ppf: 696 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Distributions of alcohol use and alcohol‐caused death and disability in Canada: Defining alcohol harm density functions and new perspectives on the prevention paradox. aug: au: Sherk, Adam Churchill, Samuel Cukier, Samantha Grant, Sierra C. Shield, Kevin Stockwell, Tim affil: Canadian Institute for Substance Use Research, University of Victoria, Victoria, Canada sug: subj: Alcohol Drinking Epidemiology Alcohol-Related Disorders Epidemiology Alcohol-Related Disorders Risk Factors Risk Assessment Sex Factors Alcoholism Mortality Human Male Female Adolescence Adult Middle Age Aged Epidemiological Research Canada Funding Source Disability-Adjusted Life Years Binge Drinking Alcohol Drinking Evaluation Descriptive Statistics Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Aims: The aims of this study were to examine the distribution of alcohol use and to define 'harm density functions' representing distributions of alcohol‐caused health harm in Canada, by sex, towards better understanding which groups of drinkers experience the highest aggregate harms. Design: This was an epidemiological modeling study using survey and administrative data on alcohol exposure, death and disability and risk relationships from epidemiological meta‐analyses. Setting: This work took place in Canada, 2019. Participants: Canadians aged 15 years or older participated. Measurements Measures included modeled life‐time mean daily alcohol use in grams of pure alcohol (ethanol) per day, alcohol‐caused deaths and alcohol‐caused disability‐adjusted life‐years. Findings As a life‐time average, more than half of Canadians aged 15+ (62.8% females, 46.9% males) use fewer than 10 g of pure alcohol per day (g/day). By volume, the top 10% of the population consume 45.9% of the total ethanol among males and 47.1% of the total ethanol among females. The remaining 90% of the population experience a slim majority of alcohol‐caused deaths (males 55.3%, females 46.9%). Alcohol harm density functions compose the size of the using population and the risk experienced at each volume level to show that the population‐level harm experienced is highest for males at 25 g/day and females at 13 g/day. Conclusions: Almost 50% of alcohol use in Canada is concentrated among the highest 10% of drinkers, but more than half of the alcohol‐caused deaths in Canada in 2019 were experienced by the bottom 90% of the population by average volume, providing evidence for the prevention paradox. New alcohol harm density functions provide insight into the aggregate health harm experienced across the mean alcohol use spectrum and may therefore be used to help determine where alcohol policies should be targeted for highest efficacy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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