Evidence map›Paper›PMID 37952353›Full record

ArticleDrug and alcohol dependence2023

(Mis)understanding alcohol use disorder: Making the case for a public health first approach.

James Morris, Cassandra L Boness, Robyn Burton

Open access · hybridAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.7field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 31 citations in OpenAlex.

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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

3 authors at 3 institutions in 3 countries.

James MorrisLondon South Bank University, Centre for Addictive Behaviours Research, UK. Electronic address: morrij24@lsbu.ac.uk.
Cassandra L BonessUniversity of New Mexico, Center on Alcohol, Substance use, And Addictions, USA.
Robyn BurtonInstitute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
King's College London · GBLondon South Bank University · GBUniversity of New Mexico · US

Funding

Measurement and Multimethod Validation of Alcohol Use Disorder Etiologic MechanismsK08AA030301 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Cassandra Lee Boness · 2022 to 2026
$1.1M
NIAAA NIH HHS K08 AA030301
6 · The paper itself

Abstract

'Alcohol use disorder' (AUD) is used by several contemporary conceptualizations to identify, treat and prevent problems associated with alcohol use. Such conceptualizations encompass diagnostic classifications and broader frameworks for policy and practice. However, current AUD concepts are subject to multiple tensions and limitations in capturing and responding to the complex and heterogeneous nature of alcohol problems. Further, public understandings of alcohol problems are heavily divergent from professional AUD concepts and remain embedded within an 'alcoholism' master narrative in which disease model stereotypes come with multiple costs for prevention and 'recovery'. The persistence of a problematic 'alcoholism' paradigm reflects the coalescing of multiple forces including the cognitive appeal of reductionism, motives to stigmatize and 'other', and an over-emphasis on AUD as an individually located biomedical problem. Public misperceptions of AUD as a matter of the individual, the individual's essence, and misconceived notions of responsibility and control have been bolstered by industry interests and the ascension of neuroscience and genetics, in turn diverting attention from the importance of the environmental and commercial determinants of health and the effectiveness of under-utilized public health policies. We call for multiple stakeholders to support efforts to prioritize a public health first approach to advancing AUD research, policy and treatment in order to make significant advances in AUD prevention and treatment. We offer several recommendations to assist in shifting public understanding and scientific limitations in AUD concepts and responses.

Indexed as

AlcoholismAlcohol-Related DisordersAlcohol DrinkingHumansPolicyPublic HealthAlcoholAlcohol use disorderBiopsychosocialFramingPublic health

Identifiers

PMID37952353
PMCPMC11061885
OpenAlexW4388343545

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.