Evidence map›Paper›PMID 39644097›Full record

ArticleInternational journal of stroke : official journal of the International Stroke Society2025

Association between alcohol consumption and stroke in Nigeria and Ghana: A case-control study.

Innocent Ijezie Chukwuonye, Onoja Matthew Akpa, Osahon Jeffery Asowata, Adekunle Gregory Fakunle, Morenikeji A Komolafe, Joshua Akinyemi, Fred Stephen Sarfo, Albert Akpalu, Kolawole Wahab, Reginald Obiako and 22 more

Abstract readMulticenter Study
In one paragraph

Article in International journal of stroke : official journal of the International Stroke Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

32 authors.

Innocent Ijezie ChukwuonyeDepartment of Medicine, Federal Medical Centre Umuahia, Umuahia, Nigeria.ORCID 0000-0003-1190-135X
Onoja Matthew AkpaDepartment of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Osahon Jeffery AsowataDepartment of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Adekunle Gregory FakunleDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Morenikeji A KomolafeDepartment of Medicine, Obafemi Awolowo University, Ile-Ife, Nigeria.
Joshua AkinyemiDepartment of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Fred Stephen SarfoDepartment of Medicine, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.ORCID 0000-0001-7274-5093
Albert AkpaluDepartment of Medicine, University of Ghana Medical School, Accra, Ghana.ORCID 0000-0002-4802-9852
Kolawole WahabDepartment of Medicine, University of Ilorin Teaching Hospital, Ilorin, Nigeria.ORCID 0000-0002-2914-1953
Reginald ObiakoDepartment of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Lukman OwolabiDepartment of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
Godwin O OsaigbovoJos University Teaching Hospital, Jos, Nigeria.
Akinkunmi Paul OkekunleDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID 0000-0003-4825-4934
Okechukwu OgahDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID 0000-0002-2093-7787
Hemant K TiwariThe University of Alabama at Birmingham, Birmingham, AL, USA.
Carolyn JekinsMedical University of South Carolina, Charleston, SC, USA.
Fawale B MichaelDepartment of Medicine, Obafemi Awolowo University, Ile-Ife, Nigeria.
Donna ArnettCollege of Public Health, University of Kentucky, Lexington, KY, USA.
Benedict Calys-TagoeMedical University of South Carolina, Charleston, SC, USA.
Abimbola OlalereDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Oladimeji AdebayoDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Wisdom OguikeDepartment of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Philip AdebayoDepartment of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Oyedunni ArulogunDepartment of Health Promotion and Education, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID 0000-0002-2173-4682
Lambert AppiahDepartment of Medicine, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.
Philip O IbinaiyeDepartment of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Sunday AdeniyiDepartment of Medicine, University of Ilorin Teaching Hospital, Ilorin, Nigeria.ORCID 0000-0002-3286-9937
Oladotun OlalusiDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID 0000-0002-2842-3545
Olayemi BalogunDepartment of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Rufus AkinyemiDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID 0000-0001-5286-428X
Bruce OvbiageleWeill Institute for Neurosciences, School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Mayowa Ojo OwolabiDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID 0000-0003-1146-3070

Funding

Stroke Investigative Research & Educational Network (SIREN)U54HG007479 · NHGRI · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI OVBIAGELE, BRUCE, OWOLABI, MAYOWA OJO · 2013 to 2017
$4.2M
African Rigorous Innovative Stroke Epidemiological Surveillance (ARISES)R01NS115944 · NINDS · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI OVBIAGELE, BRUCE, OWOLABI, MAYOWA OJO · 2020 to 2025
$2.2M
Systematic Investigation of Blacks with Stroke - Genomics (SIBS-Genomics) StudyR01NS107900 · NINDS · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI OVBIAGELE, BRUCE, OWOLABI, MAYOWA OJO · 2018 to 2021
$1.8M
Training Africans to Lead and Execute Neurological Trials & Studies (TALENTS)D43TW012030 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI OVBIAGELE, BRUCE · 2021 to 2025
$1.2M
Growing Data-science Research in Africa to Stimulate Progress (GRASP)UE5HL172183 · NHLBI · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI FATUMO, SEGUN, OVBIAGELE, BRUCE · 2023 to 2025
$568k
FIC NIH HHS D43 TW012030NHGRI NIH HHS U54 HG007479NHLBI NIH HHS UE5 HL172183NINDS NIH HHS R01 NS107900NINDS NIH HHS R01 NS115944
6 · The paper itself

Abstract

backgroundThe aim of the study was to examine the association between alcohol consumption and stroke in Nigeria and Ghana.

methodsThe study is a multicentre, case-control study. Cases included consenting adults 18 years of age and older with acute stroke and controls were age-and -gender -matched stroke -free adults. Alcohol consumption was self-reported. The participants were classified into three alcohol-drinking status, which included abstainers, former drinkers, and current drinkers. The current drinkers were further classified into different alcohol drinking levels, including infrequent, light, moderate, heavy, and binge drinkers. Conditional logistic regression was used to determine associations between the drinking status and stroke, and the association between the different levels of current alcohol consumption and stroke. Five models were evaluated. Model 1 was unadjusted. Model 2 was adjusted for demographic characteristics. Model 3 included Model 2, lifestyle and psychosocial characteristics. Model 4 included Model 3 and dietary characteristics. Model 5 included Model 4 and metabolic characteristics.

resultsA total of 7368 participants took part in the study. Half were stroke participants, and half were control participants. On the associations between drinking status and stroke, respectively, former drinkers showed no significant association with stroke. However, a significant association was observed between current drinkers and stroke in Models 1 and 2, with an odds ratio of 1.19 (95% CI: 1.04-1.38; p < 0.05) and 1.17 (95% CI: 1.01-1.36; p < 0.05), respectively. Regarding the various levels of current alcohol drinking and their association with stroke, no significant association was observed between light drinking and stroke in Model 5. In contrast, moderate drinkers, binge drinkers, and heavy drinkers showed a persistent and significant association with stroke respectively.

conclusionThere is a significant association between stroke and current alcohol consumption, especially among heavy, binge, and moderate drinkers.

Indexed as

Alcohol DrinkingStrokeAdultAgedCase-Control StudiesFemaleGhanaHumansMaleMiddle AgedNigeriaRisk Factorscurrent alcohol drinkersformer alcohol drinkerslifetime alcohol abstainersStroke

Identifiers

PMID39644097
PMCPMC12092175

What OpenQuestion holds

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Registered trials

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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.