Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the global burden of disease study 2016

• Autor(a) principal: Mariana Santos Felisbino-mendes
• Data de Publicação: 2018
• Outros Autores: Eduarda Fernandes, Alize j Ferrari, Cleusa p Ferri, Daniel Obadare Fijabi, Zegeye Abebe, Irina Filip, Jonas David Finger, Florian Fischer, Abraham d Flaxman, Richard Charles Franklin, Catalina Liliana Andrei, Engida Yisma, Naohiro Yonemoto, Seok-jun Yoon, Marcel Yotebieng, Ziyad Al-aly, Mustafa z Younis, Geevar Zachariah, Nima Hafezi-nejad, Andre m n Renzaho, Adauto Martins Soares Filho, Arjun Lakshmana Balaji, Zoubida Zaidi, Mohammad Zamani, Xueying Zhang, Sanjay Zodpey, Colin Angus, Ali h Mokdad, Vinay Nangia, Mohsen Naghavi, Christopher j l Murray, Moslem Soofi, Mika Kivimäki, Emmanuela Gakidou, Mustafa Geleto Ansha, Ratilal Lalloo, Tekleberhan Beyene Hagos, Carl Abelardo t Antonio, Olatunde Aremu, Johan Ärnlöv, al Artaman, Jobert Richie Nansseu, Reed j d Sorensen, Krishna k Aryal, Karzan Abdulmuhsin Mohammad, Reza Assadi, Marcel Ausloos, Hayley d Tymeson, Leticia Avila-burgos, Tea Lallukka, Euripide f Avokpaho, Gessessew Bugssa Hailu, Ashish Awasthi, Joan b Soriano, Henok Tadesse Ayele, Mudavath Siva Durga Prasad Nayak, Mohammad Sadegh Rezai, Rakesh Ayer, Tambe b Ayuk, Peter s Azzopardi, Hamid Badali, Alaa Badawi, Maciej Banach, Hilton Lam, Chandrashekhar t Sreeramareddy, Vidhya Venkateswaran, Suzanne Lyn Barker-collo, Randah r Hamadeh, Leonardo Roever, Chakib Nejjari, Lope h Barrero, Huda Basaleem, Estifanos Baye, Shahrzad Bazargan-hejazi, Neeraj Bedi, Barthelemy Kuate Defo, Yannick Béjot, Abate Bekele Belachew, Faris Hasan Lami, Saba Abraham Belay, Luca Ronfani, Derrick a Bennett, Subas Neupane, Austin Douglas Tapp, Samer Hamidi, Isabela m Bensenor, Azmeraw t Amare, Eduardo Bernabe, Robert s Bernstein, Addisu Shunu Beyene, Tina Beyranvand, Soumyadeeep Bhaumik, Robin Room, Qing Lan, Zulfiqar a Bhutta, Jagdish Khubchandani, Belete Biadgo, Nadine Steckling, Ali Bijani, Nigus Bililign, Graeme j Hankey, Mohammad h Forouzanfar, Sait Mentes Birlik, Charles Birungi, Gholamreza Roshandel, Hailemichael Bizuneh, Peter Bjerregaard, Justin j Lang, Dan j Stein, Lilian a Ghandour, Tone Bjørge, Guilherme Borges, Cristina Bosetti, Soufiane Boufous, Nicola Luigi Bragazzi, Hilda l Harb, Ali Rostami, Hermann Brenner, Max Ggriswold, Satinath Mukhopadhyay, Joseph s Salama, Zahid a Butt, Sudan Prasad Neupane, Sutapa Agrawal, Lucero Cahuana-hurtado, Bianca Calabria, Ismael r Campos-nonato, Julio Cesar Campuzano, Gregory a Roth, Giulia Carreras, Saleem m Rana, Juan j Carrero, Sivadasanpillai Harikrishnan, Félix Carvalho, Carlos a Castañeda-orjuela, Josephine w Ngunjiri, Jacqueline Castillo Rivas, Sonia Lansky, Kalkidan Hassen Abate, Ferrán Catalá-lópez, Mohammed Mehdi Abrar, Rahul Gupta, Jung-chen Chang, Fiona j Charlson, Aparajita Chattopadhyay, Pankaj Chaturvedi, Rajiv Chowdhury, Josep Maria Haro, Cuong Tat Nguyen, Devasahayam j Christopher, Sheng-chia Chung, Anders o Larsson, Mu'awiyyah Babale Sufiyan, Ambuj Roy, Liliana g Ciobanu, Rafael Moreira Claro, Degu Abate, Sara Conti, Ewerton Cousin, Michael h Criqui, Berihun Assefa Dachew, Long Hoang Nguyen, Paul i Dargan, Patrick j Sur, Hamid Yimam Hassen, Nicholas Arian, Ahmad Daryani, Morsaleh Ganji, José Das Neves, Kairat Davletov, Filipa de Castro, Barbora de Courten, Solomon m Abay, Jan-walter de Neve, Bryan l Sykes, Trang Huyen Nguyen, Louisa Degenhardt, Noushin Mohammadifard, Gebre Teklemariam Demoz, Don c Des Jarlais, Nancy Fullman, Arman Latifi, Subhojit Dey, Rupinder Singh Dhaliwal, Samath Dhamminda Dharmaratne, Rafael Tabarés-seisdedos, Meghnath Dhimal, David Teye Doku, Fares Alahdab, Sonali Kochhar, Kerrie e Doyle, Cristiana Abbafati, Manisha Dubey, Eleonora Dubljanin, Bruce b Duncan, Janet l Leasher, Takahiro Tabuchi, Olatunji o Adetokunboh, Hedyeh Ebrahimi, Dumessa Edessa, Maysaa el Sayed Zaki, Mehran Alijanzadeh, Dina Nur Anggraini Ningrum, Sergei Petrovich Ermakov, Holly e Erskine, Alireza Esteghamati, Mahbobeh Faramarzi, Mohammad Tavakkoli, Rizwan Suliankatchi Abdulkader, Andrea Farioli, Paul h Lee, Andre Faro, Rasmus Havmoeller, Yogesh Damodar Sabde, Maryam s Farvid, Yirga Legesse Nirayo, Farshad Farzadfar, Valery l Feigin, Burcu Kucuk Bicer, Simon i Hay, Behzad Heibati, Andualem Henok, Ileana Heredia-pi, Norberto Francisco Hernández-llanes, James Leigh, Basema Saddik, Claudiu Herteliu, Desalegn ts Tsegaw Hibstu, Jean Jacques Noubiap, Arash Tehrani-banihashemi, Praveen Hoogar, Nobuyuki Horita, Tara Ballav Adhikari, h Dean Hosgood, Mostafa Hosseini, Mihaela Hostiuc, Guoqing hu, Saeid Safiri, Hsiang Huang, Mall Leinsalu, Merhawi Gebremedhin Tekle, Abdullatif Husseini, Cho-il Kim, Bulat Idrisov, Bogdan Vasile Ileanu, Olayinka Stephen Ilesanmi, Seyed Sina Naghibi Irvani, Jose c Adsuar, Sheikh Mohammed Shariful Islam, Amirhossein Sahebkar, Maria d Jackson, Chhabi Lal Ranabhat, Mihajlo Jakovljevic, Moti Tolera Jalu, Janni Leung, Richard Ofori-asenso, Achala Upendra Jayatilleke, Ravi Prakash Jha, Jost b Jonas, Jacek Jerzy Jozwiak, Zubair Kabir, Reza Ghadimi, Rajendra Kadel, Mohsen Afarideh, Amaha Kahsay, Umesh Kapil, Amir Kasaeian, Mamata Ghimire, Miriam Levi, Tesfaye d Dessale Kassa, Srinivasa Vittal Katikireddi, Norito Kawakami, Leopold n Aminde, Zikria Saleem, Seifu Kebede, Adane Teshome Kefale, Peter Njenga Keiyoro, Andre Pascal Kengne, Emilie Elisabet Agardh, Yousef Khader, Felix Akpojene Ogbo, Morteza Abdullatif Khafaie, Yichong li, Subash Thapa, Ibrahim a Khalil, Joshua a Salomon, md Nuruzzaman Khan, Young-ho Khang, Muktar Beshir Ahmed, Lee-ling Lim, Fortune Gbetoho Gankpe, Shai Linn, Shiwei Liu, In-hwan oh, Rajeev Gupta, Andrea Lobato-cordero, Alan d Lopez, Carolyn c Gotay, Paulo a Lotufo, Erlyn Rachelle King Macarayan, Isis Eloah Machado, Fabiana Madotto, Hassan Magdy Abd el Razek, Mohammed Akibu, Gebremedhin Berhe Gebregergs, Nihal Thomas, Muhammed Magdy Abd el Razek, Olanrewaju Oladimeji, Marek Majdan, Deena h al Asfoor, Reza Majdzadeh, Azeem Majeed, Reza Malekzadeh, Deborah Carvalho Malta, Chabila Christopher Mapoma, Jose Martinez-raga, Roman Topor-madry, Pallab k Maulik, Mohsen Mazidi, Victor Aboyans, Andrew t Olagunju, Sundeep Santosh Salvi, Caitlin Hawley, Tomi Akinyemiju, Martin Mckee, Varshil Mehta, Toni Meier, Fotis Topouzis, Tesfa Mekonen, Kidanu Gebremariam Meles, Addisu Melese, Peter t n Memiah, Walter Mendoza, Neal d Futran, Pedro r Olivares, Tsegaye Tewelde Gebrehiwot, Desalegn Tadese Mengistu, George a Mensah, Bach Xuan Tran, Nadia Akseer, Tuomo j Meretoja, Haftay Berhane Mezgebe, Tomasz Miazgowski, Ted r Miller, gk Mini, Juan Sanabria, Andreea Mirica, Bolajoko Olubukunola Olusanya, Erkin m Mirrakhimov, Christopher e Troeger, Johanna m Geleijnse, Babak Moazen, Khurshid Alam, Jacob Olusegun Olusanya, Daniel Kim, Anu Mary Oommen, Eyal Oren, Maria Dolores Sanchez-niño, Paramjit Singh Gill, Heather m Orpana, Sargis Aghasi Aghayan, Doris d v Ortega-altamirano, Justin r Ortiz, Erika Ota, Mayowa Ojo Owolabi, Abayomi Samuel Oyekale, Mahesh p a, Yun Jin Kim, Ammar Albujeer, Syed Mohamed Aljunid, Adrian Pana, David Laith Rawaf, Eun-kee Park, Ibrahim Abdelmageed Ginawi, Charles d h Parry, Hadi Parsian, Ajay Patle, George c Patton, Deepak Paudel, Max Petzold, Gina Agarwal, Damian Francesco Santomauro, Thomas Clement Truelsen, Michael r Phillips, Julian David Pillay, Kefyalew Addis Alene, Maarten j Postma, Ababi Zergaw z Giref, Farshad Pourmalek, Dorairaj Prabhakaran, Mostafa Qorbani, Amir Radfar, Anwar Rafay, Mona m Khater, Itamar s Santos, Ruth w Kimokoti, Alireza Rafiei, Fakher Rahim, Afarin Rahimi-movaghar, Mahfuzar Rahman, Raghib Ali, Philimon n Gona, Muhammad Aziz Rahman, Rajesh Kumar Rai, Nikolaos Tsilimparis, Sasa Rajsic, Milena m m Santric Milicevic, Sree Bhushan Raju, Adnan Kisa, Usha Ram, Abdur Razzaque Sarker, Rodrigo Sarmiento-suárez, Shafiu Mohammed, Nizal Sarrafzadegan, Alessandra c Goulart, Stefanos Tyrovolas, Soewarta Kosen, Benn Sartorius, Maheswar Satpathy, Monika Sawhney, Sonia Saxena, Ala'a Alkerwi, Mete Saylan, Michael p Schaub, Lorenzo Monasta, Maria Inês Schmidt, Kingsley Nnanna Ukwaja, Ione j c Schneider, Ben Schöttker, Parvaiz a Koul, Felix Greaves, Aletta Elisabeth Schutte, Falk Schwendicke, Sadaf g Sepanlou, Masood Ali Shaikh, Mehdi Sharif, Paula Moraga, Walid Ammar, Peter Allebeck, Jun She, Aziz Sheikh, Jiabin Shen, ai Koyanagi, Mekonnen Sisay Shiferaw, Giuseppe Grosso, Mika Shigematsu, Rahman Shiri, Kawkab Shishani, Vipin Gupta, Lidia Morawska, Ivy Shiue, Sharvari Rahul Shukla, Inga Dora Sigfusdottir, Nelson Alvis-guzman, Diego Augusto Santos Silva, Kewal Krishan, Natacha Torres da Silva, Dayane Gabriele Alves Silveira, Yuming Guo, Irfan Ullah, Dhirendra Narain Sinha, Seyyed Meysam Mousavi, Freddy Sitas, Olalekan a Uthman, Pascual r Valdez, Salman Rawaf, Job f m Van Boven, Veena s Kulkarni, Kamarul Imran Musa, Tommi Juhani Vasankari, Narayanaswamy Venketasubramanian, Francesco s Violante, Sergey Konstantinovitch Vladimirov, Vasily Vlassov, Stein Emil Vollset, Reyna Alma Gutiérrez, Robert c Reiner, Yaw Ampem Amoako, Theo Vos, Fasil Wagnew Shiferaw Wagnew, Aliya Naheed, Pushpendra Kumar, Yasir Waheed, Yuan-pang Wang, Elisabete Weiderpass, Fitsum Weldegebreal, Kidu Gidey Weldegwergs, Sameer Vali Gopalani, Andrea Werdecker, Ronny Westerman, Murthy Gvs, Harvey a Whiteford, Gurudatta Naik, Gianna Gayle Herrera Amul, Alessandra Lafranconi, Justyna Widecka, Tissa Wijeratne, Grant m a Wyper, Syed Danish Ali, Gelin xu, Tomohide Yamada, Yuichiro Yano, Pengpeng ye, Ebrahim m Yimer, Farid Najafi, Pawan Acharya, Paul Yip, Silvano Gallus, Biruck Desalegn Yirsaw, Cesar Reis, Stephanie r m Zimsen
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.1016/S0140-6736(18)31310-2; http://hdl.handle.net/1843/52085; https://orcid.org/0000-0002-8214-5734
• topic: Alcohol Abuse; Global Burden of Disease; Alcoolismo; Carga Global da Doença

Background Alcohol use is a leading risk factor for death and disability, but its overall association with health remains complex given the possible protective effects of moderate alcohol consumption on some conditions. With our comprehensive approach to health accounting within the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we generated improved estimates of alcohol use and alcohol-attributable deaths and disability-adjusted life years (DALYs) for 195 locations from 1990 to 2016, for both sexes and for 5-year age groups between the ages of 15 years and 95 years and older. Methods Using 694 data sources of individual and population-level alcohol consumption, along with 592 prospective and retrospective studies on the risk of alcohol use, we produced estimates of the prevalence of current drinking, abstention, the distribution of alcohol consumption among current drinkers in standard drinks daily (defined as 10 g of pure ethyl alcohol), and alcohol-attributable deaths and DALYs. We made several methodological improvements compared with previous estimates: first, we adjusted alcohol sales estimates to take into account tourist and unrecorded consumption; second, we did a new meta-analysis of relative risks for 23 health outcomes associated with alcohol use; and third, we developed a new method to quantify the level of alcohol consumption that minimises the overall risk to individual health. Findings Globally, alcohol use was the seventh leading risk factor for both deaths and DALYs in 2016, accounting for 2·2% (95% uncertainty interval [UI] 1·5–3·0) of age-standardised female deaths and 6·8% (5·8–8·0) of age standardised male deaths. Among the population aged 15–49 years, alcohol use was the leading risk factor globally in 2016, with 3·8% (95% UI 3·2–4·3) of female deaths and 12·2% (10·8–13·6) of male deaths attributable to alcohol use. For the population aged 15–49 years, female attributable DALYs were 2·3% (95% UI 2·0–2·6) and male attributable DALYs were 8·9% (7·8–9·9). The three leading causes of attributable deaths in this age group were tuberculosis (1·4% [95% UI 1·0–1·7] of total deaths), road injuries (1·2% [0·7–1·9]), and self-harm (1·1% [0·6–1·5]). For populations aged 50 years and older, cancers accounted for a large proportion of total alcohol-attributable deaths in 2016, constituting 27·1% (95% UI 21·2–33·3) of total alcohol-attributable female deaths and 18·9% (15·3–22·6) of male deaths. The level of alcohol consumption that minimised harm across health outcomes was zero (95% UI 0·0–0·8) standard drinks perweek.Interpretation. Alcohol use is a leading risk factor for global disease burden and causes substantial health loss. We found that therisk of all-cause mortality, and of cancers specifically, rises with increasing levels of consumption, and the level of consumption that minimises health loss is zero. These results suggest that alcohol control policies might need to be revised worldwide, refocusing on efforts to lower overall population-level consumption.