ReviewBMJ global health2020
Advancing alcohol research in low-income and middle-income countries: a global alcohol environment framework.
Review in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 6 of them syntheses that pooled it.
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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.
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Who cites it
54 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Health impact of alcohol regulatory interventions: a systematic review of policies in low- and middle-income countries.Health policy and planning · 2025Pooled it
- Psychosocial and pharmacologic interventions to reduce harmful alcohol use in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- The relationship between alcohol use and dementia in adults aged more than 60 years: a combined analysis of prospective, individual-participant data from 15 international studies.Addiction (Abingdon, England) · 2023Pooled it
- Individual-, family- and school-based interventions to prevent multiple risk behaviours relating to alcohol, tobacco and drug use in young people aged 8-25 years: a systematic review and meta-analysis.BMC public health · 2022Pooled it
- Causal mechanisms proposed for the alcohol harm paradox-a systematic review.Addiction (Abingdon, England) · 2022Pooled it
- Market strategies used by processed food manufacturers to increase and consolidate their power: a systematic review and document analysis.Globalization and health · 2021Pooled it
- Impact of alcohol use on economy of the Association of Southeast Asian Nations member states in 2000-2023: a structural equation modelling analysis.The Lancet regional health. Southeast Asia · 2026Article
- Young Women's Perspectives on Alcohol Environments in Urban Informal Settlements in Kampala, Uganda: An Exploratory Photovoice Analysis.International journal of environmental research and public health · 2026Article
- The role of alcohol control policy on the level of alcohol consumption in member states of the Association of Southeast Asian Nations 2000-2022: identifying trends and country clusters for further analyses.Journal of global health · 2026Article
- Shrinking appetites: Will GLP-1 adoption in high-income countries accelerate Big Food's push into low- and middle-income countries?Globalization and health · 2026Article
- Alcohol-related cirrhosis mortality, 1990-2021: temporal trends and development-level inequalities.Gastroenterology and hepatology from bed to bench · 2026Article
- Social determinants of hazardous alcohol use in a Ugandan population cohort.Global health action · 2025Article
- Global burden of noncommunicable diseases attributable to modifiable behavioral risks among adolescents and young adults aged 10-24 years, 1990-2021.BMC medicine · 2025Article
- Inertia or unanticipated bottlenecks? Exploring stakeholder perspectives on the implementation determinants of the national alcohol policy five years post-enactment in Zambia.Archives of public health = Archives belges de sante publique · 2025Article
- Validation of screening instruments for alcohol and substance use disorders among men and women in Eastern Cape, South Africa.Drug and alcohol dependence · 2025Article
- Hygiene and sanitation public health risks in illicit alcohol production and retail in Zambia.Frontiers in epidemiology · 2025Article
- Global burden and trends of high alcohol use-related injuries from 1990 to 2030: a comprehensive assessment of self-harm and interpersonal violence, transport injuries, and unintentional injuries using global burden of disease 2021.Frontiers in public health · 2025Article
- Housing Eviction and Alcohol-Related Harms: A Review of the Literature.Substance use & misuse · 2025Review
- Drivers of illicit alcohol consumption among at-risk populations aged 15-29 years old in Zambia: a qualitative perspective.Frontiers in public health · 2025Article
- Navigating alcohol's impact: A mixed-methods analysis of community perceptions and consequences in Northern Tanzania.PloS one · 2025Article
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Alcohol-related harm has gained increased attention in high-income countries (HICs) in recent years which, alongside government regulation, has effected a reduction in alcohol consumption. The alcohol industry has turned its attention to low-income and middle-income country (LMIC) markets as a new source of growth and profit, prompting increased consumption in LMICS. Alcohol use in LMICs is also increasing. There is a need to understand particularly in LMICs the impact of industry strategy in shaping local contexts of alcohol use. We draw on conceptualisations from food systems research, and research on the commercial determinants of health, to develop a new approach for framing alcohol research and discuss implications for alcohol research, particularly in LMICs, focusing on South Africa as an illustrative example. We propose a conceptualisation of the 'alcohol environment' as the system of alcohol provision, acquisition and consumption-including, critically, industry advertising and marketing-along with the political, economic and regulatory context of the alcohol industry that mediates people's alcohol drinking patterns and behaviours. While each country and region is different in terms of its context of alcohol use, we contrast several broadly distinct features of alcohol environments in LMICs and HICs. Improving understanding of the full spectrum of influences on drinking behaviour, particularly in LMICs, is vital to inform the design of interventions and policies to facilitate healthier environments and reduce the harms associated with alcohol consumption. Our framework for undertaking alcohol research may be used to structure mixed methods empirical research examining the role of the alcohol environment particularly in LMICs.
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