Evidence map›Paper›PMID 40883042›Full record

ArticleThe Lancet. Public health2025

National, regional, and global statistics on alcohol consumption and associated burden of disease 2000-20: a modelling study and comparative risk assessment.

Kevin Shield, Ari Franklin, Ashley Wettlaufer, Ivneet Sohi, Meera Bhulabhai, Elizabeth K Farkouh, Ilinca-Gabriela Radu, Iman Kassam, Mikayla Munnery, Ronaz Remtulla and 6 more

Abstract readComparative Study
In one paragraph

Article in The Lancet. Public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  15. Dual-Species Fermentation of aFoods (Basel, Switzerland) · 2026
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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

16 authors.

Kevin ShieldInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada. Electronic address: kevin.david.shield@gmail.com.
Ari FranklinInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Ashley WettlauferInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Ivneet SohiInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Meera BhulabhaiInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Elizabeth K FarkouhInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada; Mayo Clinic Alix School of Medicine, Rochester, MN, USA.
Ilinca-Gabriela RaduInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Iman KassamInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Mikayla MunneryInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Ronaz RemtullaInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Sarah RichterInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Farhana SafaInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Sara TasnimInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Abhinav ThakralInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Mavra QamarInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Jürgen RehmInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; Department of Psychiatry, University of Toronto, Toronto, ON, Canada; Institute of Medical Science, University of Toronto, Toronto, ON, Canada; Centre for Interdisciplinary Addiction Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Program on Substance Abuse & WHO European Region Collaboration Centre, Public Health Agency of Catalonia, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on alcohol consumption and associated health harms are essential to evaluate progress in achieving global health goals. This study aims to estimate global alcohol consumption from 2000 to 2020, and the global burden of alcohol-attributable harms from 2000 to 2019.

methodsIn this global analysis, adult per capita consumption data estimates were modelled on the basis of sales, survey, and traveller data. Drinking status and past 30-day heavy episodic drinking were estimated through regression analyses of 540 surveys from 174 countries. Alcohol-attributable harms were estimated using a comparative risk assessment methodology by combining alcohol consumption data with corresponding relative risks obtained from meta-analyses and cohort studies. Mortality and morbidity data were obtained from WHO Global Health Estimates.

findingsGlobally, average alcohol consumption in 2019 among adults was 5·5 L (95% uncertainty interval 4·9-6·2), which increased from 5·1 L (4·6-5·7) in 2000. From 2019 to 2020 alcohol consumption decreased to 4·9 L (4·3-5·6). In 2019, alcohol consumption was associated with 2·6 (2·3-3·1) million deaths (4·7% of all deaths) and 116·0 million disability-adjusted life-years (DALYs) lost (4·6% of all DALYs lost). In contrast to alcohol consumption, the number of alcohol-attributable deaths decreased by 31·0% and DALYs lost per 100 000 people decreased by 27·4% from 2000 to 2019.

interpretationAlcohol is attributed to a large burden of disease, which disproportionately affects people in Eastern Europe and in Central and Southern Sub-Saharan Africa, and young people. Accordingly, these regions should implement policies such as alcohol taxation increases, availability reductions, and marketing restrictions to reduce alcohol-related harms.

fundingWHO.

Indexed as

Alcohol DrinkingGlobal Burden of DiseaseGlobal HealthAdultFemaleHumansMaleMiddle AgedRisk Assessment

Identifiers

PMID40883042
PMCPMC12394792

What OpenQuestion holds

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LicenceCC BY
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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.