Evidence map›Paper›PMID 41162126›Full record

SynthesisThe Lancet. Public health2025

Association between exposure to digital alcohol marketing and alcohol use: a systematic review and meta-analysis.

Scott I Donaldson, Alex M Russell, Kathryn La Capria, Amanda DeJesus, Emily Wang, Jamil Fayad, Jon-Patrick Allem

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

7 authors.

Scott I DonaldsonInstitute for Nicotine and Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ, USA; Division of General Internal Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Alex M RussellRecovery Research Institute, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Kathryn La CapriaInstitute for Nicotine and Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ, USA.
Amanda DeJesusInstitute for Nicotine and Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ, USA.
Emily WangInstitute for Nicotine and Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ, USA.
Jamil FayadInstitute for Nicotine and Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ, USA.
Jon-Patrick AllemInstitute for Nicotine and Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ, USA; Division of General Internal Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Department of Health Behavior, Society and Policy, Rutgers School of Public Health, The State University of New Jersey, Piscataway, NJ, USA. Electronic address: jon.patrick.allem@rutgers.edu.

Funding

Characterizing alcohol use disorder recovery-related exposures on Twitter: Content, cluster, and network analysisK01AA030614 · NIAAA · UNIVERSITY OF ARKANSAS AT FAYETTEVILLE · PI Alex Russell · 2022 to 2026
$734k
NIAAA NIH HHS K01 AA030614
6 · The paper itself

Abstract

backgroundExposure to digital alcohol marketing content might be associated with pro-alcohol-related attitudes and behaviours, including the likelihood of initiating or sustaining the use of alcohol, especially among adolescents (aged <18 years) and young adults (aged 18-25 years). This study aimed to examine the relationship between exposure to digital alcohol marketing content and alcohol use outcomes.

methodsAlcohol-related, digital media-related, and marketing-related search terms were entered into six online databases: PubMed, Web of Science, Scopus, PsycINFO, Embase, and Communication & Mass Media. Peer-reviewed articles written in English, published between Jan 1, 2004, and Feb 1, 2025, were included in the search. Studies that were included measured self-reported exposure to digital alcohol marketing content; used an unexposed control group; measured past 30-day alcohol use, binge drinking, or susceptibility to use alcohol among never users; and provided raw data to compute odds ratios (ORs) or reported ORs in the manuscript. When available, adjusted odds ratios were included; otherwise, unadjusted estimates were computed from raw data. A multilevel random-effects meta-analysis was used to estimate ORs and 95% CI, and heterogeneity (I

findingsThe search identified 9913 articles. 96 articles were eligible for full-text review, of which 65 articles were removed based on the exclusion criteria. 31 studies were included in the final meta-analysis. The total sample size was 62 703 participants (32 314 [51·5%] female; 30 389 [48·5%] male, including 52 475 (83·7%) adolescents (aged 11-17 years) and 10 228 (16·3%) adults (aged ≥18 years). Participants exposed to digital alcohol marketing content, compared with those not exposed, had greater odds of reporting past 30-day alcohol use (19 studies, 46 361 participants; OR 1·75 [95% CI 1·39-2·20]; I

interpretationFindings demonstrated an association between exposure to digital alcohol marketing content and alcohol-related behaviours. Future research is needed to clarify the temporal order between exposure to digital alcohol marketing content and alcohol-related behaviours.

fundingThe National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health.

Indexed as

Alcohol DrinkingAlcoholic BeveragesMarketingAdolescentHumansYoung Adult

Identifiers

PMID41162126
PMCPMC12667599

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.