Prioritising action on alcohol for health and development

Rekve, Dag; Banatvala, Nick; Karpati, Adam; Tarlton, Dudley; Westerman, Lucy; Sperkova, Kristina; Casswell, Sally; Duennbier, Maik; Rojhani, Ariella; Bakke, Øystein; Monteiro, Maristela; Linou, Natalia; Kulikov, Alexey; Poznyak, Vladimir

doi:10.1136/bmj.l6162

Cited by 24 publications

(31 citation statements)

References 18 publications

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“…Nations has set objectives to reduce this burden [3]. Among five high-impact and cost-effective strategies to reduce alcohol use and the resulting burden of disease, the WHO recommends facilitating access to screening and brief interventions (SBI), and treatment [4][5][6].…”

Section: Various Initiatives Have Been Set By the World Health Organization (Who) And The Unitedmentioning

confidence: 99%

Can alcohol consumption in Germany be reduced by alcohol screening, brief intervention and referral to treatment in primary health care? Results of a simulation study

Manthey

Solovei

Anderson

et al. 2021

Preprint

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Background Screening, brief intervention and referral to treatment (SBIRT) is a programme to reduce alcohol consumption for drinkers with high alcohol consumption levels. Only 2.9% of patients in primary health care (PHC) are screened for their alcohol use in Germany, despite high levels of alcohol consumption and attributable harm. We developed an open-access simulation model to estimate the impact of higher SBIRT delivery rates in German PHC settings on population-level alcohol consumption. Methods and findings A hypothetical population of drinkers and non-drinkers was simulated by sex, age, and educational status for the year 2009 based on survey and sales data. Risky drinking persons receiving BI or RT were sampled from this population based on screening coverage and other parameters. Running the simulation model for a ten-year period, drinking levels and heavy episodic drinking (HED) status were changed based on effect sizes from meta-analyses. In the baseline scenario of 2.9% screening coverage, 2.4% of the adult German population received a subsequent intervention between 2009 and 2018. If every second PHC patient would have been screened for alcohol use, 21% of adult residents in Germany would have received BI or RT by the end of the ten-year simulation period. In this scenario, population-level alcohol consumption would be 12% lower than it was in 2018, without any impact on HED prevalence. Screening coverage rates below 10% were not found to have a measurable effect on drinking levels. Conclusions Large-scale implementation of SBIRT in PHC settings can yield substantial reductions of alcohol consumption in Germany. As high screening coverage rates may only be achievable in the long run, other effective alcohol policies are required to achieve short-term reduction of alcohol use and attributable harm in Germany. There is large potential to apply this open-access simulation model to other settings and for other alcohol interventions.

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Section: Various Initiatives Have Been Set By the World Health Organization (Who) And The Unitedmentioning

confidence: 99%

Can alcohol consumption in Germany be reduced by alcohol screening, brief intervention and referral to treatment in primary health care? Results of a simulation study

Manthey

Solovei

Anderson

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Given that such harm dos not relate exclusively to health, but also involves social and economic harm, and that several of the necessary governmental measures fall outside the health sector, the initiative also serves for other sectors and for articulating an integrated and coherent response that is internally consistent with the target of improving public health. 13,14…”

Section: Who's Safer Initiativementioning

confidence: 99%

A iniciativa SAFER da Organização Mundial da Saúde e os desafios no Brasil para a redução do consumo nocivo de bebidas alcoólicas

Monteiro¹

2020

Epidemiologia e Serviços de Saúde

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“…The current services and interventions to address FASD are fragmented across relevant departments at national and provincial levels due to the lack of multisectoral policy and inclusive policy implementation (11,12). In addition, the "best buys" [increasing excise taxes on alcoholic beverages, comprehensive restrictions on alcohol advertising, and restrictions on sales of alcohol] for reducing harm from alcohol have not been implemented in South Africa (13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Policy Requirements for the Prevention and Management of Fetal Alcohol Spectrum Disorder in South Africa: A Policy Brief

Adebiyi

Mukumbang

Beytell

2021

Front. Public Health

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This policy brief is aimed to guide policymakers in developing a comprehensive and multi-sectoral policy for the prevention and management of fetal alcohol spectrum disorder (FASD). FASD is a leading source of non-genetic developmental and intellectual disability globally and is usually associated with primary and secondary disabilities. South Africa has been identified to have the highest reported prevalence of FASD in the world. Nevertheless, evidence shows that there is no specific policy for FASD, albeit there are clauses that could be attributed to its prevention and management in other existing policies. In this brief, we present a guideline to inform programmes and interventions to tackle the FASD problem in South Africa and other relevant contexts through developing a policy.

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Prioritising action on alcohol for health and development

Abstract: Prioritising action on alcohol for health and development Despite the existence of cost effective interventions to reduce harmful use of alcohol, many countries are not giving it the attention it deserves, say Dag Rekve and colleagues

Cited by 24 publications

References 18 publications

Can alcohol consumption in Germany be reduced by alcohol screening, brief intervention and referral to treatment in primary health care? Results of a simulation study

Can alcohol consumption in Germany be reduced by alcohol screening, brief intervention and referral to treatment in primary health care? Results of a simulation study

A iniciativa SAFER da Organização Mundial da Saúde e os desafios no Brasil para a redução do consumo nocivo de bebidas alcoólicas

Policy Requirements for the Prevention and Management of Fetal Alcohol Spectrum Disorder in South Africa: A Policy Brief

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