Underestimation of alcohol consumption in cohort studies and implications for alcohol's contribution to the global burden of disease

Addiction
Tim StockwellTim Naimi

Abstract

Estimated alcohol consumption from national self-report surveys is often only 30-40% of official estimates based on sales or taxation data. Global burden of disease (GBD) estimates for alcohol adjust survey estimates up to 80% of total per capita consumption. This assumes that cohort studies needed to estimate relative risks for disease suffer less from under-reporting than typical national surveys. However, there is limited evidence on which to base that assumption. This paper aims to assess the extent of underestimation of alcohol consumption in cohort studies concerning alcohol and mortality compared with official total consumption estimates. Comparisons of estimated per capita consumption from a comprehensive sample of cohort studies against official estimates by country and year. A total of 1 876 046 participants in 40 cohort studies from 18 countries on alcohol use and all-cause mortality identified by systematic review. Alcohol consumption data from the cohort studies were converted into usual grams of ethanol per day and then to total age 15+ per capita consumption. Matched estimates were sourced from the World Health Organization (WHO) Global Health Observatory. The cohort studies had mean coverages of age 15+ per capi...Continue Reading

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Citations

Feb 8, 2020·Alcoholism, Clinical and Experimental Research·Meenakshi S SubbaramanWilliam C Kerr
Feb 28, 2020·The Journal of Neuropsychiatry and Clinical Neurosciences·Anita M Y GohKathryn A Ellis
Mar 17, 2020·The Journal of Clinical Hypertension·Ryuichi YoshimuraToshiki Moriyama
Jun 17, 2020·Stroke; a Journal of Cerebral Circulation·Kristina JohanssonMarcus M Lind
Jul 19, 2019·International Journal of Environmental Research and Public Health·Moritz Blanck-LubarschAriane Hohoff
Jun 27, 2019·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Peter C BrittonStephen A Maisto
Jul 10, 2019·The American Journal of Clinical Nutrition·Teresa T FungDiane Feskanich
Jul 12, 2020·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Ryuichi YoshimuraToshiki Moriyama
Dec 22, 2020·European Psychiatry : the Journal of the Association of European Psychiatrists·Stephan ListabarthDaniel König
Jan 31, 2021·International Journal of Molecular Sciences·Michael T McCoyJean Lud Cadet
Feb 11, 2021·Addiction·Kevin D Shield, Jürgen Rehm
May 26, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Vy H NguyenMindie H Nguyen

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