Evidence map›Paper›PMID 42313876›Full record

ArticleDrug and alcohol review2026

On the Label: Implementation of Health Warnings on Alcohol Products in 13 European Countries.

Daša Kokole, Maria Neufeld, Daniela Correia, Jürgen Rehm, Simone Pettigrew, Catherine Paradis, Carina Ferreira Borges, Almudena Núñez Fernández-Shaw, António Pedro Pinho, Claudia Pereira and 14 more

Abstract read
In one paragraph

Article in Drug and alcohol review, 2026. 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

24 authors.

Daša KokoleWHO Regional Office for Europe, UN City, Copenhagen, Denmark.ORCID 0000-0001-7260-8064
Maria NeufeldWHO Regional Office for Europe, UN City, Copenhagen, Denmark.
Daniela CorreiaWHO Regional Office for Europe, UN City, Copenhagen, Denmark.ORCID 0000-0001-8886-3211
Jürgen RehmInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.ORCID 0000-0001-5665-0385
Simone PettigrewThe George Institute for Global Health, Faculty of Medicine, UNSW Sydney, Sydney, Australia.
Catherine ParadisWHO Regional Office for Europe, UN City, Copenhagen, Denmark.ORCID 0000-0003-4344-523X
Carina Ferreira BorgesWHO Regional Office for Europe, UN City, Copenhagen, Denmark.
Almudena Núñez Fernández-ShawWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
António Pedro PinhoWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Claudia PereiraWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Eglė JuškevičiūtėWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Evangelia SavvidouWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.ORCID 0000-0001-7730-5978
Jasmijn de VeldWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Laura PlešnarWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Leander MergaertWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.ORCID 0009-0002-9228-9448
Lucía Clemente BermúdezWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Melissa SawayaWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Mia ŠelovićWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Miglė KiguolytėWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Mikołaj PatalongWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Patrik SenicaWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Pau Ladero PalacioWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Saloni MitraWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.
Sara Suarez TostadoWorld Health Organization Regional Office for Europe Evidence Into Action Alcohol Project (EVID-ACTION) Youth Network, UN City, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlcohol health warning labels are an important part of a comprehensive alcohol policy, but there is a lack of recent implementation data across Europe. This study examined the presence, content and format of health warnings across 13 European countries.

methodsStore audits were conducted across 32 stores in 23 cities. The sampled products were assessed for the presence, topic and format of health warnings.

resultsAmong the 1636 investigated products, 69.7% displayed health warnings. The most common topics were pregnancy (68.0%), drink-driving (21.4%) and age restrictions (16.6%), followed by responsible drinking messages (6.9%) and health harms due to alcohol use (0.3%). About one in four (26.7%) products contained a multi-topic warning. The majority of products featured only a pictogram (62.3%), while 6.7% included both pictogram and text, and 0.7% contained text only. Lithuania, France and the Netherlands had the highest proportions of products displaying at least one warning (above 90%). Proportions were lowest in Croatia, Poland, Slovenia and Greece (under 50% of products with health warnings). DISCUSSION AND

conclusionsExisting warnings predominantly focus on messages relevant to at-risk population groups rather than on alcohol harms affecting the general population. The current implementation largely reflects the alcohol producers' voluntary commitments, although the highest implementation is found in countries with existing legislation. There is underutilised potential to inform Europeans about the health harms of alcohol through warning labels. Stronger regulatory approaches at the EU or Member State level could improve the quality of information provided directly to consumers.

Indexed as

Alcohol DrinkingAlcoholic BeveragesProduct LabelingEuropeFemaleHumansPregnancyalcohol labelconsumer informationEuropehealth warnings

Identifiers

PMID42313876
PMCPMC13278522

What OpenQuestion holds

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LicenceCC BY-NC
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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.