How good is the science?

Stockwell, Tim; Greer, Aubrey; Fillmore, Kaye Middleton; Chikritzhs, Tanya; Zeisser, Cornelia

doi:10.1136/bmj.e2276

Cited by 43 publications

(36 citation statements)

References 3 publications

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“…Based on the current state of the evidence, any published guidelines relating to alcohol use should discourage drinking alcohol for health benefits, and clinicians should not recommend alcohol consumption to their patients as a means of reducing cardiovascular or other disease risk 57 .…”

Section: Social and Economic Effectsmentioning

confidence: 98%

Alcohol: taking a population perspective

Gilmore

Chikritzhs

Stockwell

et al. 2016

Nat Rev Gastroenterol Hepatol

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Alcohol consumption is a global phenomenon, as is the resultant health, social and economic harm. The nature of these harms varies with different drinking patterns and with the societal and political responses to the burden of harm; nevertheless, alcohol-related chronic diseases have a major effect on health. Strong evidence exists for the effectiveness of different strategies to minimize this damage and those policies that target price, availability and marketing of alcohol come out best, whereas those using education and information are much less effective. However, these policies can be portrayed as anti-libertarian and so viewing them in the context of alcohol-related harm to those other than the drinker, such as the most vulnerable in society, is important. When this strategy is successful, as in Scotland, it has been possible to pass strong and effective legislation, such as for a minimum unit price for alcohol.

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Section: Social and Economic Effectsmentioning

confidence: 98%

Alcohol: taking a population perspective

Gilmore

Chikritzhs

Stockwell

et al. 2016

Nat Rev Gastroenterol Hepatol

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show abstract

“…Findings from meta-analyses have shown considerably elevated relative risks in former drinkers, equivalent to 30 g of pure alcohol per day or more for some outcomes, 94,95 although this fi nding could occur as a result of confounding by misclassifi cation of former drinkers as lifetime abstainers. [96][97][98][99] Future GBD studies should carefully re-evaluate whether or not the excess risk in former drinkers is overestimated. If the relative risks for former drinkers have been overestimated, this overestimation will also aff ect our assessment of the alcohol SEV and the global trend in the SEV.…”

Section: Alcohol Usementioning

confidence: 99%

Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

Forouzanfar¹,

Alexander²,

Anderson³

et al. 2015

Br Dent J

108

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“…Our collective efforts might be better rewarded by remembering more often that even the most enthralling metaanalyses are underpinned by the individual studies on which they are based, including all the bias and residual confounding that their imperfect methods bring (e.g. see [13]). …”

Section: Fishy Cur Ves: a Case Of Bias And Confounding?mentioning

confidence: 99%