SynthesisBMC public health2015
Relationship between alcohol-attributable disease and socioeconomic status, and the role of alcohol consumption in this relationship: a systematic review and meta-analysis.
Synthesis in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
95 citing papers in PubMed, 4 syntheses or guidelines pooled it, 188 citations in OpenAlex.
- Sociodemographic risk factors for the persistence of harmful alcohol use: a pooled analysis of prospective cohort studies.Social psychiatry and psychiatric epidemiology · 2025Pooled it
- Pooled it
- Canadian guideline for the clinical management of high-risk drinking and alcohol use disorder.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Guideline
- Causal mechanisms proposed for the alcohol harm paradox-a systematic review.Addiction (Abingdon, England) · 2022Pooled it
- The Moderating Effect of Educational Background on the Efficacy of a Computer-Based Brief Intervention Addressing the Full Spectrum of Alcohol Use: Randomized Controlled Trial.JMIR public health and surveillance · 2022Trial
- Steps Towards Alcohol Misuse Prevention Programme (STAMPP): a school-based and community-based cluster randomised controlled trial.BMJ open · 2018Trial
- Alcohol consumption patterns and association with educational attainment in Europe: an analysis of the 2023-24 European Social Survey.BMC public health · 2026Article
- Role of socioeconomic status in modifying the relationship between alcohol use and injury events: evidence from the UK Biobank.Journal of epidemiology and community health · 2026Article
- Does educational attainment modify the relationship between alcohol use and ischemic heart disease mortality? Evidence from the UK biobank.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2026Article
- Screening for Major Depression and Alcohol Use Disorder in Laundromats As a New Setting for Community- Based Engagement and Intervention.Community mental health journal · 2026Article
- Associations between life course socioeconomic circumstances and drinking patterns among young and early midlife Finnish public sector employees.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Mind the Gap: Exploring Social Inequalities in Alcohol Consumption using Nationally Representative Data from the 2019 and 2021 Health Survey for England.BMC public health · 2026Article
- Socioeconomic differences in dementia risk, lifestyle, and relevant determinants of behavior.Journal of Alzheimer's disease : JAD · 2026Article
- How Childhood State Education Quality Shapes the Risk of Cognitive Impairment in Mid-to-Later Life.Alzheimer's & dementia. Behavior & socioeconomics of aging · 2026Article
- Socio-economic differences in the effectiveness of pharmacotherapy use in alcohol use disorder: A cohort study of 148 626 individuals in Sweden.Addiction (Abingdon, England) · 2026Article
- The burden of extrahepatic organ failures in European patients with cirrhosis.Hepatology communications · 2025Article
- Level of education, labor-market marginalization, and alcohol-related mortality: a cohort study of Swedish men.European journal of public health · 2025Article
- Socioeconomic inequities in alcohol-attributable mortality by sex/gender and age in Canada: a 13-year population-representative cohort study.American journal of epidemiology · 2025Article
- "The alcohol-harm paradox": Understanding socioeconomic inequalities in liver disease.JHEP reports : innovation in hepatology · 2025Review
- Socioeconomic position, alcohol use and alcohol-attributable emergency department visits.Journal of epidemiology and community health · 2025Article
35 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies show that alcohol consumption appears to have a disproportionate impact on people of low socioeconomic status. Further exploration of the relationship between alcohol consumption, socioeconomic status and the development of chronic alcohol-attributable diseases is therefore important to inform the development of effective public health programmes.
methodsWe used systematic review methodology to identify published studies of the association between socioeconomic factors and mortality and morbidity for alcohol-attributable conditions. To attempt to quantify differences in the impact of alcohol consumption for each condition, stratified by SES, we (i) investigated the relationship between SES and risk of mortality or morbidity for each alcohol-attributable condition, and (ii) where, feasible explored alcohol consumption as a mediating or interacting variable in this relationship.
resultsWe identified differing relationships between a range of alcohol-attributable conditions and socioeconomic indicators. Pooled analyses showed that low, relative to high socioeconomic status, was associated with an increased risk of head and neck cancer and stroke, and in individual studies, with hypertension and liver disease. Conversely, risk of female breast cancer tended to be associated with higher socioeconomic status. These findings were attenuated but held when adjusted for a number of known risk factors and other potential confounding factors. A key finding was the lack of studies that have explored the interaction between alcohol-attributable disease, socioeconomic status and alcohol use.
conclusionsDespite some limitations to our review, we have described relationships between socioeconomic status and a range of alcohol-attributable conditions, and explored the mediating and interacting effects of alcohol consumption where feasible. However, further research is needed to better characterise the relationship between socioeconomic status alcohol consumption and alcohol-attributable disease risk so as to gain a greater understanding of the mechanisms and pathways that influence the differential risk in harm between people of low and high socioeconomic status.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.