Evidence map›Paper›PMID 32835427›Full record

ArticleDrug and alcohol review2021

The burden of alcohol on health care during COVID-19.

Tim Stockwell, Sven Andreasson, Cheryl Cherpitel, Tanya Chikritzhs, Frida Dangardt, Harold Holder, Timothy Naimi, Adam Sherk

Open access · bronzeAbstract read
In one paragraph

Article in Drug and alcohol review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
9.3field-weighted citation impact, top 1% 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

45 citing papers in PubMed, 71 citations in OpenAlex.

  1. Article
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  4. Mortality and hospitalizations fully attributable to alcohol use before versus during the COVID-19 pandemic in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
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  5. Review
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  15. COVID-19: Reducing the risk via diet and lifestyle.Journal of integrative medicine · 2023
    Review
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  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Tim StockwellCanadian Institute for Substance Use Research, University of Victoria, Victoria, Canada.ORCID 0000-0002-5696-6803
Sven AndreassonDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Cheryl CherpitelAlcohol Research Group, Emeryville, USA.ORCID 0000-0001-6663-3466
Tanya ChikritzhsNational Drug Research Institute, Health Sciences, Curtin University, Perth, Australia.
Frida DangardtDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Goteborg, Sweden.
Harold HolderPacific Institute for Research and Evaluation, Prevention Research Center, Calverton, USA.
Timothy NaimiCanadian Institute for Substance Use Research, University of Victoria, Victoria, Canada.
Adam SherkCanadian Institute for Substance Use Research, University of Victoria, Victoria, Canada.ORCID 0000-0002-8149-4502
University of Victoria · CAAlcohol Research Group · USCurtin University · AUInstitute for Research and Evaluation · USKarolinska Institutet · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alcohol's impact on global health is substantial and of a similar order of magnitude to that from COVID-19. Alcohol now also poses specific concerns, such as increased risk of severe lung infections, domestic violence, child abuse, depression and suicide. Its use is unlikely to aid physical distancing or other preventative behavioural measures. Globally, alcohol contributes to 20% of injury and 11.5% of non-injury emergency room presentations. We provide some broad comparisons between alcohol-attributable and COVID-19-related hospitalisations and deaths in North America using most recent data. For example, for Canada in 2017 it was recently estimated there were 105 065 alcohol-attributable hospitalisations which represent a substantially higher rate over time than the 10 521 COVID-19 hospitalisations reported during the first 5 months of the pandemic. Despite the current importance of protecting health-care services, most governments have deemed alcohol sales to be as essential as food, fuel and pharmaceuticals. In many countries, alcohol is now more readily available and affordable than ever before, a situation global alcohol producers benefit from and have helped engineer. We argue that to protect frontline health-care services and public health more generally, it is essential that modest, evidence-based restrictions on alcohol prices, availability and marketing are introduced. In particular, we recommend increases in excise taxation coupled with minimum unit pricing to both reduce impacts on health-care services and provide much-needed revenues for governments at this critical time.

Indexed as

Delivery of Health CareHealth BehaviorAlcohol DrinkingAlcoholic BeveragesAlcohol-Related DisordersCanadaCommunicable Disease ControlCOVID-19DepressionDomestic ViolenceEmergency Service, HospitalHand DisinfectionHealth ServicesHospitalizationHumansNorth AmericaalcoholCOVID-19healthcaremortalitypolicy

Identifiers

PMID32835427
PMCPMC7461236
OpenAlexW3080859362

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.