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Alcohol Intake, Risk of Adverse Health Outcomes and Public Health Implications

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Guest Editor
1. Charles Perkins Centre, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2000, Australia
2. Molecular Epidemiology Department, German Institute of Human Nutrition Potsdam-Rehbrucke, Nuthetal, Germany
Interests: epidemiology; nutrition; chronic diseases; alcohol consumption; adiposity

Special Issue Information

Dear Colleagues,

The International Journal of Environmental Research and Public Health is a peer-reviewed scientific journal that publishes articles and communications pertaining to the interdisciplinary area of environmental health sciences and public health. For detailed information on the journal, please visit  https://www.mdpi.com/journal/ijerph. We are organizing a Special Issue on alcohol consumption, adverse health outcomes and public health implications. The aim of this Special Issue is to inform the readers about the most recent research findings regarding the relationship between alcohol consumption and adverse health outcomes. Research papers and reviews are both welcome. Other accepted manuscript formats include position papers, brief reports and commentaries. Potential topics of interest include, but are not limited to, the following:

  1. Alcohol consumption and all-cause and cause-specific mortality;
  2. Alcohol consumption and chronic disease risk;
  3. Alcohol consumption and adiposity;
  4. Factors associated with alcohol consumption;
  5. Alcohol consumption during COVID-19 pandemic;
  6. Alcohol consumption and implications for public health. 

Dr. Elif Inan-Eroglu
Guest Editor

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Keywords

  • alcohol consumption
  • alcohol drinking
  • alcoholic drinks, alcohol consumption patterns
  • health outcomes
  • alcoholic fatty liver disease
  • cardiovascular disease
  • cross-sectional studies
  • longitudinal studies

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Published Papers (6 papers)

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Research

11 pages, 661 KiB  
Article
The Impact of the COVID-19 Pandemic on the Severity of Alcohol Use Disorder: Significance of Dual Disorders
by Janka Gajdics, Otília Bagi, Fanni Fruzsina Farkas, Bálint Andó, Ildikó Katalin Pribék and Bence András Lázár
Int. J. Environ. Res. Public Health 2023, 20(20), 6939; https://doi.org/10.3390/ijerph20206939 - 19 Oct 2023
Cited by 2 | Viewed by 1773
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has been assumed to impact patients diagnosed with alcohol use disorder (AUD). The severity of the influence that the COVID-19 pandemic had on the symptoms of AUD has not yet been revealed in detail. The aim of [...] Read more.
The coronavirus disease 2019 (COVID-19) pandemic has been assumed to impact patients diagnosed with alcohol use disorder (AUD). The severity of the influence that the COVID-19 pandemic had on the symptoms of AUD has not yet been revealed in detail. The aim of this study was to examine the impact of the COVID-19 pandemic on patients diagnosed with AUD. This retrospective study was conducted between 11 March 2017 and 31 May 2022 in Hungary. Medical charts (N = 1082) of inpatients with the diagnosis of AUD were reviewed. Based on the dates of admissions, two groups were created: the ‘before COVID-19’ group (11 March 2017–10 March 2020) and the ‘during COVID-19’ group (11 March 2020–31 May 2022). Chi-square tests, independent-sample t-tests, and multinomial logistic regressions were performed. The occurrence of delirium tremens (DT) and psychiatric co-morbidities was significantly higher during the pandemic. Our results showed that the occurrence of DT and psychiatric co-morbidities significantly increased during the pandemic. Our results revealed that the pandemic enhanced the severe consequences of AUD, and the development of AUD might have increased in frequency among individuals previously diagnosed with mental illness during the pandemic. These findings indicate the significance of dual disorders in the post-pandemic period. Full article
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13 pages, 563 KiB  
Article
Rethinking Local Economic Development for Fetal Alcohol Spectrum Disorder in Renosterberg Local Municipality, South Africa
by Bianca Jordan, Naiefa Rashied and Marius Venter
Int. J. Environ. Res. Public Health 2023, 20(5), 4492; https://doi.org/10.3390/ijerph20054492 - 3 Mar 2023
Viewed by 1801
Abstract
Two towns in Renosterberg Local Municipality (RLM) in the Northern Cape Province of South Africa, Petrusville and Philipstown, have high Fetal Alcohol Spectrum Disorder (FASD) prevalence rates. FASD is linked to poverty and imposes high national economic costs. Thus, it is critical to [...] Read more.
Two towns in Renosterberg Local Municipality (RLM) in the Northern Cape Province of South Africa, Petrusville and Philipstown, have high Fetal Alcohol Spectrum Disorder (FASD) prevalence rates. FASD is linked to poverty and imposes high national economic costs. Thus, it is critical to understand the local economic development (LED) strategies used to mitigate the high prevalence of FASD. Moreover, there is sparse literature examining adult communities where FASD children reside. Understanding these adult communities is important because FASD cannot exist without adult gestational exposure to alcohol consumption. Using a mixed-method approach, this study uses a six-phase analytic approach to investigate the drinking culture and drinking motives in RLM, applied to two cross-sectional in-depth community needs assessments, five in-depth interviews, and three focus groups. This study also evaluates how the RLM targets FASD, as well as binge and risky drinking, in its municipal economic strategy by analysing its Integrated Development Plan (IDP) with respect to an eight-stage policy development process. The results indicate that 57% of respondents expressed concern regarding the unhealthy drinking culture in RLM, 40% felt that the residents of RLM drank in response to unemployment-related hopelessness, and 52% attributed the drinking culture to a lack of hobbies and recreational opportunities. The results of an analysis of the RLM IDP through the lens of Ryder’s eight-stage policy development process suggest that the decisive policy development process is not open to the public and that, furthermore, FASD is neglected. A dedicated alcohol consumption census-style study is recommended to broadly capture alcohol consumption in RLM, allowing researchers to identify the exact alcohol consumption patterns and priority areas for the IDP and public health policy. RLM should directly publicise its policy development process so that its IDP is inclusively formulated to address FASD, risky drinking, binge drinking, and gestational alcohol consumption. Full article
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9 pages, 316 KiB  
Article
The Changes in the Level of Knowledge about the Effects of Alcohol Use during Pregnancy among Three Last Generations of Women in Poland
by Emilia Piotrkowicz, Ilona Kowalik and Iwona Szymusik
Int. J. Environ. Res. Public Health 2023, 20(3), 2479; https://doi.org/10.3390/ijerph20032479 - 30 Jan 2023
Cited by 1 | Viewed by 2032
Abstract
Since 1973, when the term Fetal Alcohol Syndrome (FAS) was introduced, a major impact has been put on raising awareness about the negative effects of prenatal alcohol exposure. This study aimed to compare the level of knowledge about the risks of alcohol consumption [...] Read more.
Since 1973, when the term Fetal Alcohol Syndrome (FAS) was introduced, a major impact has been put on raising awareness about the negative effects of prenatal alcohol exposure. This study aimed to compare the level of knowledge about the risks of alcohol consumption during pregnancy among three last generations of women in Poland, in order to assess the effectiveness of prenatal education regarding FAS. An online questionnaire was conducted among women of reproductive age, between February and March 2022. The level of knowledge was determined based on the average number of correct answers to 9 questions. Data were analyzed using Cochran–Armitage, ANOVA Kruskal–Wallis, Cochran–Mentel–Haenszel and Pearson’s chi-squared tests. Out of 471 women participating in the study, 34.8% belonged to Generation Z (15–25 years), 55.6% to Generation Y (26–41 years), and 9.6% to Generation X (42–49 years). The average score of correct answers was the highest for Generation Y women (7.55 points) and the lowest for Generation X (6.96 points). Women from Generation Z scored 7.27 points on average. The ANOVA Kruskal–Wallis test was performed with p = 0.07. The level of women’s knowledge about the risks of alcohol consumption during pregnancy suggests that education regarding FAS in Poland is less effective in recent years. Full article
17 pages, 911 KiB  
Article
Alcohol Consumption and Adiposity: A Longitudinal Analysis of 45,399 UK Biobank Participants
by Elif Inan-Eroglu, Bo-Huei Huang, Mark Hamer, Annie Britton and Emmanuel Stamatakis
Int. J. Environ. Res. Public Health 2022, 19(19), 11945; https://doi.org/10.3390/ijerph191911945 - 21 Sep 2022
Viewed by 2251
Abstract
The evidence on the association between alcohol consumption and adiposity is inconsistent and fragmented. We investigated the longitudinal association between alcohol consumption pattern and four different adiposity markers with repeated measures of adiposity and obesity incidence. We categorized current drinkers based on the [...] Read more.
The evidence on the association between alcohol consumption and adiposity is inconsistent and fragmented. We investigated the longitudinal association between alcohol consumption pattern and four different adiposity markers with repeated measures of adiposity and obesity incidence. We categorized current drinkers based on the sex-specific quartiles of their weekly alcohol consumption and the UK alcohol drinking guidelines. We used multivariable adjusted generalised linear models. With the exception of a direct association between alcohol volume and body fat percentage (BF%) in women (B = 0.42%; 95%CI: 0.04, 0.80% for women in the top quartile), we found no associations between alcohol consumption and adiposity markers for either sex. Red wine and champagne/white wine consumption were inversely associated with waist circumference (WC) for both sexes (B = −0.58 cm, 95%CI: −0.77, −0.38 cm and B= −0.49 cm, 95%CI: −0.68, −0.29 cm, respectively, for women; B = −0.28 cm, 95%CI: −0.47, −0.08 cm and B = −0.23 cm, 95%CI: −0.42, −0.04 cm, respectively, for men). Female and male spirit drinkers had higher WC than non-spirit drinkers. Alcohol consumption was associated with a lower risk of obesity incidence in women (OR:0.60, 95%CI:0.45, 0.80 for the 2nd quartile, OR:0.53, 95%CI: 0.40, 0.70 for the 3rd quartile and OR:0.61, 95%CI:0.46, 0.80 for the 4th quartile). We found limited evidence of longitudinal associations between alcohol intake and adiposity. The few statistically significant associations we observed are unlikely to be of clinical importance. Full article
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12 pages, 329 KiB  
Article
Risk Factors for Problematic Drinking in One’s Thirties and Forties: A Longitudinal Analysis of the 1970 British Cohort Study
by Gary O’Donovan and Mark Hamer
Int. J. Environ. Res. Public Health 2022, 19(17), 10664; https://doi.org/10.3390/ijerph191710664 - 26 Aug 2022
Viewed by 1317
Abstract
Alcohol drinking and risk factors for problematic drinking may vary across a lifespan. The objective of this study was to identify risk factors for problematic drinking in men and women in their thirties and forties. Alcohol drinking and potential risk factors for problematic [...] Read more.
Alcohol drinking and risk factors for problematic drinking may vary across a lifespan. The objective of this study was to identify risk factors for problematic drinking in men and women in their thirties and forties. Alcohol drinking and potential risk factors for problematic drinking were assessed at ages 30, 34, 42, and 46 in the 1970 British Cohort Study. Multilevel models included 10,079 observations in 3880 men and 9241 observations in 3716 women. In men, formerly smoking, currently smoking, having a degree, having malaise, and having a mother who drank while pregnant were independently associated with increased risk of problematic drinking. In women, formerly smoking, currently smoking, being physically active in one’s leisure time, having a degree, having a managerial or professional occupation, having malaise, and having a mother who drank while pregnant were independently associated with increased risk of problematic drinking. In men and women, cohabiting as a couple was associated with decreased risk of problematic drinking. This study suggests that several risk factors may be associated with problematic drinking in men and women in their thirties and forties. Policy makers should consider the role of modifiable risk factors in the prevention of problematic drinking. Full article
12 pages, 397 KiB  
Article
Patterns of Alcohol Consumption and Use of Health Services in Spanish University Students: UniHcos Project
by Esperanza Romero-Rodríguez, Carmen Amezcua-Prieto, María Morales Suárez-Varela, Carlos Ayán-Pérez, Ramona Mateos-Campos, Vicente Martín-Sánchez, Rocío Ortíz-Moncada, Susana Redondo-Martín, Juan Alguacil Ojeda, Miguel Delgado-Rodríguez, Gemma Blázquez Abellán, Jéssica Alonso-Molero, José María Cancela-Carral, Luis Félix Valero Juan and Tania Fernández-Villa
Int. J. Environ. Res. Public Health 2022, 19(10), 6158; https://doi.org/10.3390/ijerph19106158 - 18 May 2022
Cited by 2 | Viewed by 2297
Abstract
The aim of the study was to examine the association of alcohol consumption patterns (hazardous alcohol use and binge drinking) and the use of emergency services and primary care consultations in university students. An observational, descriptive, cross-sectional study was conducted at eleven Spanish [...] Read more.
The aim of the study was to examine the association of alcohol consumption patterns (hazardous alcohol use and binge drinking) and the use of emergency services and primary care consultations in university students. An observational, descriptive, cross-sectional study was conducted at eleven Spanish universities collaborating within the uniHcos Project. University students completed an online questionnaire that assessed hazardous alcohol use and binge drinking using the AUDIT questionnaire and evaluated the use of emergency services and primary care. A descriptive analysis of the data was performed, as well as the chi-squared test and Student’s t-test and nonconditional logistic regression models to examine this association. Results: There were 10,167 participants who completed the questionnaire. The prevalence of hazardous alcohol use was 16.9% (95% CI: 16.2–17.6), while the prevalence of binge drinking was 48.8% (95% CI: 47.9–49.8). There were significant differences in the use of emergency services in those surveyed with hazardous alcohol use (p < 0.001) or binge drinking pattern (p < 0.001). However, no significant differences were observed in terms of attendance during primary care visits in individuals with hazardous alcohol use (p = 0.367) or binge drinking pattern (p = 0.755). The current study shows the association between university students with a pattern of hazardous alcohol use or binge drinking and greater use of emergency services. However, no significant association was observed between the said consumption patterns and the use of primary care services. Full article
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