Alcohol intake trajectories during the life course and risk of alcohol‐related cancer: A prospective cohort study

Bassett, Julie K.; MacInnis, Robert J.; Yang, Yi; Hodge, Allison; Lynch, Brigid M.; English, Dallas R.; Giles, Graham G.; Milne, Roger L.; Jayasekara, Harindra

doi:10.1002/ijc.33973

Cited by 3 publications

(12 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…McDermott et al 10.3389/fdgth.2023.1178407 problematic in a rapidly changing technology field such as digital interventions. If systematic reviews are out-of-date the resulting review of reviews does not include the most recent evidence either.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Drinking behaviours amongst university and college students has also been shown to be highly concerning, with risky drinking being common place (5) and heavy drinking being reported in university students in high income countries (6)(7)(8). Increased consumption of alcohol in younger people has been linked to increased alcohol consumption in later adulthood (9) which in turn has also has been linked to increased risk of cancer (10).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Digital interventions to moderate alcohol consumption in young people: a Cancer Prevention Europe overview of systematic reviews

McDermott

Noake

Wolff

et al. 2023

Front. Digit. Health

View full text Add to dashboard Cite

BackgroundStrategies to reduce alcohol consumption would contribute to substantial health benefits in the population, including reducing cancer risk. The increasing accessibility and applicability of digital technologies make these powerful tools suitable to facilitate changes in behaviour in young people which could then translate into both immediate and long-term improvements to public health.ObjectiveWe conducted a review of systematic reviews to assess the available evidence on digital interventions aimed at reducing alcohol consumption in sub-populations of young people [school-aged children, college/university students, young adults only (over 18 years) and both adolescent and young adults (<25 years)].MethodsSearches were conducted across relevant databases including KSR Evidence, Cochrane Database of Systematic Reviews (CDSR) and Database of Abstracts of Reviews of Effects (DARE). Records were independently screened by title and abstract and those that met inclusion criteria were obtained for full text screening by two reviewers. Risk of bias (RoB) was assessed with the ROBIS checklist. We employed a narrative analysis.ResultsTwenty-seven systematic reviews were included that addressed relevant interventions in one or more of the sub-populations, but those reviews were mostly assessed as low quality. Definitions of “digital intervention” greatly varied across systematic reviews. Available evidence was limited both by sub-population and type of intervention. No reviews reported cancer incidence or influence on cancer related outcomes. In school-aged children eHealth multiple health behaviour change interventions delivered through a variety of digital methods were not effective in preventing or reducing alcohol consumption with no effect on the prevalence of alcohol use [Odds Ratio (OR) = 1.13, 95% CI: 0.95–1.36, review rated low RoB, minimal heterogeneity]. While in adolescents and/or young adults who were identified as risky drinkers, the use of computer or mobile device-based interventions resulted in reduced alcohol consumption when comparing the digital intervention with no/minimal intervention (−13.4 g/week, 95% CI: −19.3 to −7.6, review rated low RoB, moderate to substantial heterogeneity).In University/College students, a range of E-interventions reduced the number of drinks consumed per week compared to assessment only controls although the overall effect was small [standardised mean difference (SMD): −0.15, 95% CI: −0.21 to −0.09]. Web-based personalised feedback interventions demonstrated a small to medium effect on alcohol consumption (SMD: −0.19, 95% CI: −0.27 to −0.11) (review rated high RoB, minimal heterogeneity). In risky drinkers, stand-alone Computerized interventions reduced short (SMD: −0.17, 95% CI: −0.27 to −0.08) and long term (SMD: −0.17, 95% CI: −0.30 to −0.04) alcohol consumption compared to no intervention, while a small effect (SMD: −0.15, 95% CI: −0.25 to −0.06) in favour of computerised assessment and feedback vs. assessment only was observed. No short-term (SMD: −0.10, 95% CI: −0.30 to 0.11) or long-term effect (SMD: −0.11, 95% CI: −0.53 to 0.32) was demonstrated for computerised brief interventions when compared to counsellor based interventions (review rated low RoB, minimal to considerable heterogeneity). In young adults and adolescents, SMS-based interventions did not significantly reduce the quantity of drinks per occasion from baseline (SMD: 0.28, 95% CI: −0.02 to 0.58) or the average number of standard glasses per week (SMD: −0.05, 95% CI: −0.15 to 0.05) but increased the risk of binge drinking episodes (OR = 2.45, 95% CI: 1.32–4.53, review rated high RoB; minimal to substantial heterogeneity). For all results, interpretation has limitations in terms of risk of bias and heterogeneity.ConclusionsLimited evidence suggests some potential for digital interventions, particularly those with feedback, in reducing alcohol consumption in certain sub-populations of younger people. However, this effect is often small, inconsistent or diminishes when only methodologically robust evidence is considered. There is no systematic review evidence that digital interventions reduce cancer incidence through alcohol moderation in young people. To reduce alcohol consumption, a major cancer risk factor, further methodologically robust research is warranted to explore the full potential of digital interventions and to form the basis of evidence based public health initiatives.

show abstract

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Digital interventions to moderate alcohol consumption in young people: a Cancer Prevention Europe overview of systematic reviews

McDermott

Noake

Wolff

et al. 2023

Front. Digit. Health

View full text Add to dashboard Cite

show abstract

“…The previously mentioned Australian study investigating alcohol consumption trajectories over the life-course also observed increased risks of alcohol-related cancers with similar estimates (45-94% increase). 6 However, the limited number of cancer cases in that study enabled specific evaluations of the association between alcohol consumption and only colorectal cancer. 6 We noted a significant cancer-risk elevation from light alcohol intake (≥10 g/day), which was previously reported for several cancers (including oropharyngeal, esophageal, and colorectal cancers).…”

Section: Discussionmentioning

confidence: 97%

“…6 However, the limited number of cancer cases in that study enabled specific evaluations of the association between alcohol consumption and only colorectal cancer. 6 We noted a significant cancer-risk elevation from light alcohol intake (≥10 g/day), which was previously reported for several cancers (including oropharyngeal, esophageal, and colorectal cancers). 4,5,24,25 A metaanalysis on lifetime alcohol consumption also supports our findings for upper aero-digestive tract and colorectal cancers.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Cancer Risk According to Alcohol Consumption Trajectories: A Population-based Cohort Study of 2.8 Million Korean Men

Bui

Han

Luu

et al. 2023

Journal of Epidemiology

View full text Add to dashboard Cite

BackgroundAlcohol drinking behaviors change temporally and can lead to changes in related cancer risks; previous studies have been unable to identify the association between the two using a single-measurement approach. Thus, this study aimed to investigate the association of drinking trajectories with the cancer risk in Korean men. MethodsA trajectory analysis using group-based trajectory modeling was performed on 2,839,332 men using data on alcohol drinking levels collected thrice during the Korean National Health Insurance Service's general health screening program conducted between 2002 and 2007. Cox proportional hazards regression was performed to evaluate the associations between drinking trajectories and cancer incidence, after adjustments for age, income, body mass index, smoking status, physical activity, family history of cancer, and comorbidities. ResultsDuring 10.5 years of follow-up, 189,617 cancer cases were recorded. Six trajectories were determined: non-drinking, light, moderate, decreasing-heavy, increasing-heavy, and steady-heavy. Light-to-heavy alcohol consumption increased the risk for all cancers combined in a dose-dependent manner (adjusted hazards ratio, 95% confidence interval for trajectories = 1.

show abstract

Alcohol rehabilitation and cancer risk: a nationwide hospital cohort study in France

Schwarzinger,

Ferreira-Borges,

Neufeld

et al. 2024

The Lancet Public Health

View full text Add to dashboard Cite

Alcohol intake trajectories during the life course and risk of alcohol‐related cancer: A prospective cohort study

Cited by 3 publications

References 29 publications

Digital interventions to moderate alcohol consumption in young people: a Cancer Prevention Europe overview of systematic reviews

Digital interventions to moderate alcohol consumption in young people: a Cancer Prevention Europe overview of systematic reviews

Cancer Risk According to Alcohol Consumption Trajectories: A Population-based Cohort Study of 2.8 Million Korean Men

Alcohol rehabilitation and cancer risk: a nationwide hospital cohort study in France

Contact Info

Product

Resources

About