Evidence map›Paper›PMID 40178782›Full record

SynthesisCanadian journal of public health = Revue canadienne de sante publique2025

The effectiveness and cost-effectiveness of population-level policies to reduce alcohol use: A systematic umbrella review.

G Emmanuel Guindon, Clement Li, Riya Trivedi, Umaima Abbas, Grace Xiong, Alisha Atri

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian journal of public health = Revue canadienne de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

G Emmanuel GuindonCentre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada. emmanuel.guindon@mcmaster.ca.ORCID 0000-0001-9561-5072
Clement LiCentre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada.
Riya TrivediCentre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada.
Umaima AbbasCentre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada.
Grace XiongCentre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada.
Alisha AtriCentre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada.

Funding

CIHR 180928
6 · The paper itself

Abstract

objectiveTo systematically review and synthesize evidence from reviews about the effectiveness and cost-effectiveness of population-level policies to reduce alcohol use.

methodsWe searched peer-reviewed literature using eight electronic bibliographic databases, grey literature using two databases, two search engines, and two working paper repositories, and examined references of included studies. At least two reviewers independently screened articles for inclusion, extracted detailed characteristics, and assessed the risk of bias of each included study. We considered all reviews that included studies which quantitatively examined the relationship between alcohol consumption and population-level policies that seek to regulate the public availability and marketing of alcoholic beverages. After screening according to a set of predetermined criteria, we included 32 reviews. SYNTHESIS: We found consistent evidence that addressing alcohol availability (introducing or increasing minimum purchasing age, restrictions on temporal availability, decreasing outlet density, government monopolization) was associated with lower alcohol use; and a general lack of evidence on the associations between alcohol marketing (marketing self-regulation, advertising from government authorities, regulating the volume of advertising from alcohol manufacturers, and introducing warning labels) and alcohol consumption, which precludes any conclusions about these regulations. Additionally, we found scarce evidence about the cost-effectiveness of population-level policies to reduce alcohol use, which is likely due to the relatively low cost of implementation and enforcement of these policies.

conclusionThe Government of Ontario began expanding privatized alcohol sales in 2015 with further expansions starting in August 2024. Evidence from reviews suggests that this increase in availability will result in increased alcohol consumption.

Indexed as

Alcohol DrinkingAlcoholic BeveragesHealth PolicyPublic PolicyCanadaCost-Benefit AnalysisHumansAlcohol drinkingCost-effectiveness analysisMarketingPublic policySystematic review

Identifiers

PMID40178782
PMCPMC12753591

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.