Evidence map›Paper›PMID 40370091›Full record

ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2025

Trends in economic indicators, alcohol use, and alcohol-attributable health indicators in India.

Jürgen Rehm, Ahmed S Hassan, Ari Franklin, Jayadeep Patra, Ashley Wettlaufer, Huan Jiang, Kevin D Shield

Abstract read
In one paragraph

Article in Alcohol and alcoholism (Oxford, Oxfordshire), 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

7 authors.

Jürgen RehmInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario M5T 1R8, Canada.ORCID 0000-0001-5665-0385
Ahmed S HassanInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario M5T 1R8, Canada.ORCID 0000-0001-8878-5567
Ari FranklinInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario M5T 1R8, Canada.ORCID 0000-0001-6261-1753
Jayadeep PatraInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario M5T 1R8, Canada.ORCID 0000-0002-5666-2711
Ashley WettlauferInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario M5T 1R8, Canada.ORCID 0000-0003-1762-7021
Huan JiangInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario M5T 1R8, Canada.ORCID 0000-0003-0898-2339
Kevin D ShieldInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario M5T 1R8, Canada.ORCID 0000-0003-1871-8849

Funding

CIHR FRN 477887WHO Headquarters to the WHO Collaboration Centre in Toronto 2023/1420956-0
6 · The paper itself

Abstract

aimsEconomic development leading a country from a low- to middle-income status is usually associated with increases in alcohol consumption and decreases in all-cause mortality, despite increases in alcohol-attributable mortality. We analyzed this tradition for India during the years 2000-19, with attention to alcohol policy.

methodsJoinpoint analysis identified points of trend change and associated slopes for alcohol-attributable mortality and burden (disability-adjusted life years) between 2000 and 2019. Structural equation modeling assessed the relationship among adult alcohol per capita consumption, gross domestic product per capita at purchasing power parity (GDP-PPP per capita), alcohol-attributable mortality, and all-cause mortality, where mortality rates were log-transformed in the models. Pearson correlation was evaluated among study variables. Literature review examined alcohol policies in India.

resultsDuring the first decade between 2000 and 2019, a rapidly and steadily increasing GDP-PPP per capita was associated with marked increases in alcohol consumption and decreases in all-cause mortality, despite increasing alcohol-attributable mortality. After 2010, the economic growth still increased, but the increase in alcohol consumption halted, likely due to strong alcohol control policies in availability restrictions (dry states, dry periods, high legal purchasing age and restrictions in density, and purchasing hours), as well as a high tax share on final price.

conclusionAlcohol policies seem to have prevented further increases in alcohol consumption and attributable harm and thus should be upheld. Otherwise, increases in these harms will prevent India from fully reaping the health benefits of economic development.

Indexed as

Alcohol DrinkingEconomic DevelopmentAdultDisability-Adjusted Life YearsFemaleGross Domestic ProductHumansIndiaMalealcohol drinkingeconomic developmentmortalitypolicy

Identifiers

PMID40370091
PMCPMC12078767

What OpenQuestion holds

Textmetadata
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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.