Evidence map›Paper›PMID 29053772›Full record

ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2018

The effect of increased alcohol availability on alcohol-related health problems up to the age of 42 among children exposed in utero: a natural experiment.

Emelie Thern, David Carslake, George Davey Smith, Per Tynelius, Finn Rasmussen

Open access · hybridAbstract read
In one paragraph

Article in Alcohol and alcoholism (Oxford, Oxfordshire), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 27% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Emelie ThernDepartment of Public Health Sciences, Karolinska Institutet, Torsplan, Solnavägen 1E, 113 65 Stockholm, Sweden.
David CarslakeMRC Integrative Epidemiology Unit, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, UK.
George Davey SmithMRC Integrative Epidemiology Unit, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, UK.
Per TyneliusDepartment of Public Health Sciences, Karolinska Institutet, Torsplan, Solnavägen 1E, 113 65 Stockholm, Sweden.
Finn RasmussenDepartment of Health Sciences, Faculty of Medicine, Lund University, Box 157, 221 00 Lund, Sweden.
University of Bristol · GBKarolinska Institutet · SELund University · SEStockholm County Council · SE

Funding

Medical Research Council MC_UU_12013/1Medical Research Council MC_UU_12013/9
6 · The paper itself

Abstract

aimTo examine whether exposure to increased alcohol availability in utero is associated with later alcohol-related health problems.

methodRegister-linked population-based longitudinal study using data from a natural experiment setting, including 363 286 children born 1965-71. An experimental alcohol policy change was piloted in two regions of Sweden in 1967-68, where access to strong beer increased for 16-20 year old. Children exposed in utero to the policy change were compared to children born elsewhere in Sweden (excluding a border area), and to children born before and after the policy change. The outcome was obtained from the National Hospital Discharge Register using the Swedish index of alcohol-related inpatient care. Hazard ratios (HR) with 95% confidence intervals (CI) were estimated by Cox regression analysis.

resultsThe results suggest that children conceived by young mothers prior to the policy change but exposed to it in utero had a slightly increased risk of alcohol-related health problems later in life (HR 1.26, 95% CI 0.94-1.68). A tendency towards an inverse association was found among children conceived by older mothers (HR 0.88, 95% CI 0.74-1.06).

conclusionResults obtained from a natural experiment setting found no consistent evidence of long-term health consequences among children exposed in utero to an alcohol policy change. Some evidence however suggested an increased risk of alcohol-related health problems among the exposed children of young mothers.

Indexed as

AdolescentAdultAlcoholic BeveragesAlcohol-Related DisordersBeerChildCohort StudiesFemaleFollow-Up StudiesHealth StatusHumansLongitudinal StudiesMothersPregnancyPrenatal Exposure Delayed EffectsRegistries

Identifiers

PMID29053772
PMCPMC6019000
OpenAlexW2762451721

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.