SynthesisBMC medicine2021
The dose-response relationship between socioeconomic deprivation and alcohol-attributable mortality risk-a systematic review and meta-analysis.
Synthesis in BMC medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05865847 (Unveiling the Alcohol Harm Paradox), which is not on this map. Cited by 35 papers, 5 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.
Unveiling the Alcohol Harm Paradox: Analysis of Socioeconomic Differences in Alcohol Harm in Finland in a Nationwide Cohort Study
Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- A systematic review of the association between alcohol-related deaths and area-level socioeconomic deprivation and other geographic characteristics in high-income countries.BMC public health · 2026Pooled it
- The association between macro-level structural discrimination and alcohol outcomes: A systematic review.Social science & medicine (1982) · 2025Pooled it
- The Role of Socioeconomic Position in the Association Between Mental Disorders and Mortality: A Systematic Review and Meta-Analysis.JAMA psychiatry · 2024Pooled it
- Employment Status and Alcohol-Attributable Mortality Risk-A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- The dose-response relationship between socioeconomic deprivation and alcohol-attributable mortality risk-a systematic review and meta-analysis.BMC medicine · 2021Pooled it
- Socioeconomic Status, Alcohol Use, and Mortality: Results From a Prospective Cohort Study.Alcohol, clinical & experimental research · 2026Article
- Receptiveness to Formal and Informal Alcohol Intervention Approaches Among Emerging Adults Without Bachelor's Degrees.Substance use & misuse · 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
- Implementation of evidence-based alcohol policies to reduce alcohol-related harm and liver disease to advance public health in Europe.The Lancet regional health. Europe · 2026Review
- Implementation of a Hospital-Based Screening and Treatment Program for Unhealthy Alcohol Use.Journal of general internal medicine · 2026Article
- The global burden of alcohol-attributable cancers from 1990 to 2021: assessment and projection based on the global burden of disease study 2021.International journal of clinical oncology · 2026Article
- Past-month alcohol use in relation to the COVID-19 lockdown in 13 Indian states and union territories: gender, socioeconomic status, and state alcohol policy differences.Frontiers in public health · 2026Article
- Mediating role of psychological distress and alcohol use in socioeconomic disparities in deaths of despair: a causal mediation analysis using record linkage data.Journal of epidemiology and community health · 2025Article
- Applying an intersectional lens to alcohol inequities: A conceptual framework.Addiction (Abingdon, England) · 2025Article
- Social determinants of hazardous alcohol use in a Ugandan population cohort.Global health action · 2025Article
- Targeting alcohol use in high-risk population groups: a US microsimulation study of beverage-specific pricing policies.The Lancet. Public health · 2025Article
- National, regional, and global statistics on alcohol consumption and associated burden of disease 2000-20: a modelling study and comparative risk assessment.The Lancet. Public health · 2025Article
- Barriers to healthcare utilization among adults engaging in heavy drinking: Results from the All of Us research program.Preventive medicine · 2025Article
- Educational attainment as a potential effect modifier of alcohol use and 100% alcohol-attributable mortality in the United States-A longitudinal analysis of mortality linked survey data from 1997 to 2018.Addiction (Abingdon, England) · 2025Article
- Do socioeconomic status, race and ethnicity modify the relationship between alcohol use and unintentional injury mortality?Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 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
5 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundIndividuals with low socioeconomic status (SES) experience a higher risk of mortality, in general, and alcohol-attributable mortality in particular. However, a knowledge gap exists concerning the dose-response relationships between the level of socioeconomic deprivation and the alcohol-attributable mortality risk.
methodsWe conducted a systematic literature search in August of 2020 to update a previous systematic review that included studies published up until February of 2013. Quantitative studies reporting on socioeconomic inequality in alcohol-attributable mortality among the general adult population were included. We used random-effects dose-response meta-analyses to investigate the relationship between the level of socioeconomic deprivation and the relative alcohol-attributable risk (RR), by sex and indicator of SES (education, income, and occupation).
resultsWe identified 25 eligible studies, comprising about 241 million women and 230 million men, among whom there were about 75,200 and 308,400 alcohol-attributable deaths, respectively. A dose-response relationship between the level of socioeconomic deprivation and the RR was found for all indicators of SES. The sharpest and non-linear increase in the RR of dying from an alcohol-attributable cause of death with increasing levels of socioeconomic deprivation was observed for education, where, compared to the most educated individuals, individuals at percentiles with decreasing education had the following RR of dying: women: 25th: 2.09 [95% CI 1.70-2.59], 50th: 3.43 [2.67-4.49], 75th: 4.43 [3.62-5.50], 100th: 4.50 [3.26-6.40]; men: 25th: 2.34 [1.98-2.76], 50th: 4.22 [3.38-5.24], 75th: 5.87 [4.75-7.10], 100th: 6.28 [4.89-8.07].
conclusionsThe findings of this study show that individuals along the entire continuum of SES are exposed to increased alcohol-attributable mortality risk. Differences in the dose-response relationship can guide priorities in targeting public health initiatives.
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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.