Evidence map›Paper›PMID 32458295›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2020

Communicating risks to drinkers: testing alcohol labels with a cancer warning and national drinking guidelines in Canada.

Erin Hobin, Simran Shokar, Kate Vallance, David Hammond, Jonathan McGavock, Thomas K Greenfield, Nour Schoueri-Mychasiw, Catherine Paradis, Tim Stockwell

Abstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Trial
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  5. Article
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  8. Impact of Alcohol Consumption on Selected Cancer Incidence Trends among Adults in the United States, 2008 to 2019.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  9. Association of lifestyle factors with breast cancer incidence: An overview of systematic reviews.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  10. Review
  11. Article
  12. Observational
  13. Alcohol Health Warning Labels: A Rapid Review with Action Recommendations.International journal of environmental research and public health · 2022
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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

9 authors.

Erin HobinPublic Health Ontario, 480 University Ave, Suite 300, Toronto, ON, M5G 1V2, Canada. Erin.Hobin@oahpp.ca.
Simran ShokarPublic Health Ontario, 480 University Ave, Suite 300, Toronto, ON, M5G 1V2, Canada.
Kate VallanceCanadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada.
David HammondSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Jonathan McGavockChildren's Hospital Research Institute of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.
Thomas K GreenfieldAlcohol Research Group, Public Health Institute, Emeryville, CA, USA.
Nour Schoueri-MychasiwPublic Health Ontario, 480 University Ave, Suite 300, Toronto, ON, M5G 1V2, Canada.
Catherine ParadisCanadian Centre for Substance Use and Addiction, Ottawa, Ontario, Canada.
Tim StockwellCanadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada.

Funding

TREND &STRUCTURE OF ALCOHOL DEPENDENCE--GENERAL POPULATION 1990 SURVEY DATAP50AA005595 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI KERR, WILLIAM C. · 1985 to 2025
$34.1M
NIAAA NIH HHS P50 AA005595
6 · The paper itself

Abstract

objectiveTo test whether alcohol labels with a cancer warning and national drinking guidelines are an effective tool for supporting more informed and safer alcohol consumption among drinkers.

methodsUsing a quasi-experimental design, pre-post surveys were conducted with 1647 cohort participants systematically selected in liquor stores in two matched sites in Canada in 2017-2018. Enhanced labels designed according to best practices for effective product labels were applied to alcohol containers in the liquor store in the intervention site for one month, and usual practice continued in the comparison site. Generalized estimating equations tested the differences between sites over time in label salience and processing, and self-reported impact of the labels on drinking behaviours.

resultsAfter the intervention, recall of the cancer warning label increased to a greater extent in the intervention versus comparison site (adjusted odds ratio (AOR) = 32.2, 95% CI = 5.4, 191.1), but not the national drinking guideline label (AOR = 2.7, 95% CI = 0.2, 31.8). There were significant label effects in the intervention versus comparison site for reading (AOR = 1.8, 95% CI = 1.3, 2.5), thinking about (AOR = 2.0, 95% CI = 1.4, 2.9), and talking with others about (AOR = 2.1, 95% CI = 1.3, 3.6) the labels, as well as self-reported impact to cut down on drinking (AOR = 2.5, 95% CI = 1.3, 4.7) and to drink less (AOR = 2.4, 95% CI = 1.3, 4.3).

conclusionsAlcohol labels with a cancer warning and national drinking guidelines do a better job conveying risk information and promoting safer consumption than existing practices. Industry has a legal duty to adequately inform consumers about their products and should be mandated to include key information on alcohol containers.

Indexed as

Alcohol DrinkingHealth CommunicationProduct LabelingCanadaFemaleGuidelines as TopicHumansMaleNeoplasmsRiskAlcoholAlcohol labelsCancer warningNational alcohol drinking guidelinesPolicyPopulation healthQuasi-experiment

Identifiers

PMID32458295
PMCPMC7501355

What OpenQuestion holds

Textmetadata
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.