Evidence map›Paper›PMID 42503018›Full record

ArticleDrug and alcohol review2026

Alcohol Use and Attributable Burden of Disease in the World Health Organization Western Pacific Region.

Jürgen Rehm, Sally Caswell, Dan Fang, Ari Franklin, Ahmed S Hassan, Marian Saab, Ashley Wettlaufer, Xi Yin, Kevin D Shield

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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Jürgen RehmInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.ORCID 0000-0001-5665-0385
Sally CaswellSHORE and Whariki Research Centre, Massey University, Auckland, New Zealand.
Dan FangWHO Western Pacific Regional Office, Manila, Philippines.
Ari FranklinInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Ahmed S HassanInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Marian SaabInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Ashley WettlauferInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Xi YinWHO Western Pacific Regional Office, Manila, Philippines.
Kevin D ShieldInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.

Funding

CIHR FRN 477887WHO Headquarters to the WHO Collaboration Centre in Toronto 2023/1420956-0WHO Western Pacific Region WPRO-2023-08/DHP_PND/210851
6 · The paper itself

Abstract

introductionThis article provides an overview of alcohol exposure and attributable mortality and burden of disease in the World Health Organization Western Pacific Region, and trends in alcohol exposure over the past two decades.

methodsWe employed a comparative risk assessment and trend analyses to evaluate alcohol exposure patterns and attributable burden.

resultsIn 2019, almost half a million deaths and more than 22 million disability-adjusted life years lost were attributable to the consumption of alcohol in the Western Pacific Region, representing 3.5% (95% uncertainty interval 2.5, 4.8) of all deaths and 4.4% (95% uncertainty interval 3.6, 5.4) of all disability-adjusted life years lost. This was caused by an average consumption of 6.06 litres of pure alcohol per year (APC; 95% confidence interval 4.46-7.84), higher than the global average of 5.45 litres. Trends in APC have varied across subregions: China saw increasing consumption up to 2016, with a marked decrease since then, likely due to an anti-corruption campaign prohibiting consumption in public spaces and during official functions. In other Asian countries, consumption steadily increased until the COVID-19 pandemic, then decreased during it, and has now partially returned to pre-pandemic levels. APC in Oceania including Australasia was relatively stable between 2000 and 2020 and has decreased since. DISCUSSION AND

conclusionsOverall, alcohol use remains high and normalised in the region, necessitating robust alcohol control policies. Strengthening these efforts is particularly critical in some Asian countries that experienced the largest increases in levels of alcohol consumption between 2000 and 2024.

Indexed as

Alcohol DrinkingCost of IllnessCOVID-19Disability-Adjusted Life YearsHumansWorld Health Organizationalcoholburden of diseasedisabilitymortalitypublic healthyears of life lost

Identifiers

PMID42503018
PMCPMC13401861

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.