The socioeconomic gradient of alcohol use: an analysis of nationally representative survey data from 55 low-income and middle-income countries

Xu, Yuanwei; Geldsetzer, Pascal; Manne-Goehler, Jen; Theilmann, Michaela; Marcus, Maja-E; Zhumadilov, Zhaxybay; Quesnel-Crooks, Sarah; Mwalim, Omar; Moghaddam, Sahar Saeedi; Koolaji, Sogol; Karki, Khem Bahadur; Farzadfar, Farshad; Ebrahimi, Narges; Damasceno, Albertino; Aryal, Krishna Kumar; Agoudavi, Kokou; Atun, Rifat; Bärnighausen, Till; Davies, Justine; Jaacks, Lindsay M.; Vollmer, Sebastián; Probst, Charlotte

doi:10.1016/s2214-109x(22)00273-x

Cited by 23 publications

(11 citation statements)

References 29 publications

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“…On the other hand, there is a lack of effective alcohol regulation measures in the low–middle SDI region [ 38 ]. In one latest survey, the prevalence of current drinking and heavy episodic drinking was highest in lower middle-income countries [ 39 ]. Therefore, implementing of effective alcohol policies in rapidly developing low-income countries is warranted.…”

Section: Discussionmentioning

confidence: 99%

Contribution of alcohol use to the global burden of cirrhosis and liver cancer from 1990 to 2019 and projections to 2044

et al. 2023

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Background Identifying the temporal trends of cirrhosis and liver cancer attributable to alcohol use in both the past and the future can formulate the control strategies. Methods Data on cirrhosis and liver cancer attributable to alcohol use from 1990 to 2019, including mortality and disability-adjusted life year (DALY) rates were collected from the 2019 Global Burden of Disease (GBD) study. To analyze the temporal trends, the average annual percentage change (AAPC) was calculated, and the Bayesian age-period-cohort model was applied. Result Deaths and DALY of cirrhosis and liver cancer attributable to alcohol use increased year by years, but the age-standardized death rate (ASDR) and age-standardized DALY rate declined or remained stable from 1990 to 2019 in most regions of the world. The burden of cirrhosis attributable to alcohol increased in low-middle social-development index (SDI) regions, while the burden of liver cancer increased in high-SDI regions. Eastern Europe and Central Asia have the highest burden of cirrhosis and liver cancer caused by alcohol use. Deaths and DALYs are mainly distributed in people aged 40+ years, but there is an increasing trend in people aged under 40 years. New deaths from cirrhosis and liver cancer attributable to alcohol use are predicted to increase in the next 25 years, but the ASDR of cirrhosis in males will increase slightly. Conclusions Although the age-standardized rate of cirrhosis and liver cancer due to alcohol use have decreased, the absolute burden increased and will continue to increase. Therefore, alcohol control measures should be further strengthened and improved through effective national policies.

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Section: Discussionmentioning

confidence: 99%

Contribution of alcohol use to the global burden of cirrhosis and liver cancer from 1990 to 2019 and projections to 2044

et al. 2023

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“…On the other hand, the lack of effective alcohol regulation measures in the low-middle SDI region(28). .In the latest survey, the prevalence of current drinking and heavy episodic drinking was highest in lower-middle-income countries (29). Therefore, implementing of effective alcohol policies in rapidly developing lowincome countries is warranted.…”

Section: Discussionmentioning

confidence: 99%

Contribution of alcohol use to the global burden of cirrhosis and liver cancer from 1990 to 2019 and projections to 2044

Liu

Sun

Wang

et al. 2022

Preprint

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Background Identifying the temporal trends of cirrhosis and liver cancer attributable to alcohol use in both the past and the future can formulated the control strategies. Methods Data on cirrhosis and liver cancer attributable to alcohol use from 1990 to 2019, including mortality and disability adjusted life year (DALY) rates were collected from the 2019 Global Burden of Disease (GBD) study. In order to analysis the temporal trends, the average annual percentage change (AAPC) was calculated and the Bayesian age-period-cohort model was applied. Result The deaths and DALY of cirrhosis and liver cancer attributable to alcohol use increased year by years, but the ASDR and age-standardized DALY rate declined or remained stable from 1990 to 2019 in most regions of the world. The burden of cirrhosis attributable to alcohol increased in low-middle social-development index (SDI) regions, while the burden of liver cancer increased in high SDI region. Deaths and DALYs are mainly distributed in people aged 40 + years, but there is a growing trend in people aged under 40 years. New deaths from cirrhosis and liver cancer attributable to alcohol use are predicted to increase in the next 25 years, but the ASDR of cirrhosis in males will increase slightly. Conclusions Although the age-standardized rate of cirrhosis and liver cancer due to alcohol use have declined, the absolute burden increased and will continue to increase. Therefore, steps against alcohol use should be further strengthened and improved through effective national policies.

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“…Future studies should examine other country-level characteristics that may moderate the associations we examined. Future work should also consider additional factors like parental use of alcohol, tobacco, and nicotine-containing products, which is prevalent in LMICs [70] and in farming populations [71], and associated with child development, particularly with poor emotional development and behavioural difficulties [72][73][74]. More evidence is needed on if, and how, parental substance use influences the relationship between parental occupation and child development in LLMICs.…”

Section: Plos Global Public Healthmentioning

confidence: 99%

Maternal and paternal employment in agriculture and early childhood development: A cross-sectional analysis of Demographic and Health Survey data

Bliznashka

Jeong

Jaacks

2023

PLOS Glob Public Health

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Considerable literature from low- and lower-middle-income countries (LLMICs) links maternal employment to child nutritional status. However, less is known about the role of parental employment and occupation type in shaping child development outcomes. Additionally, little empirical work has examined the mechanisms through which parental occupation influences child outcomes. Our objective was to investigate the associations between maternal and paternal employment (comparing agricultural and non-agricultural employment) and child development and to examine childcare practices and women’s empowerment as potential mechanisms. We pooled nine Demographic and Health Surveys (Benin, Burundi, Cambodia, Congo, Haiti, Rwanda, Senegal, Togo, and Uganda) with data on 8,516 children aged 36–59 months. We used generalised linear models to estimate associations between parental employment and child development, child stimulation (number of activities provided by the mother, father, and other household members), child supervision (not left alone or with older child for >1 hour), early childhood care and education programme (ECCE) attendance, and women’s empowerment. In our sample, all fathers and 85% of mothers were employed. In 40% of families, both parents were employed in agriculture. After adjusting for child, parental and household confounders, we found that parental agricultural employment, relative to non-agricultural employment, was associated with poorer child development (relative risk (RR) 0.86 (95% CI 0.80, 0.92), more child stimulation provided by other household members (mean difference (MD) 0.26 (95% CI 0.09, 0.42)), less adequate child supervision (RR, 0.83 (95% 0.78, 0.80)), less ECCE attendance (RR 0.46 (95% CI 0.39, 0.54)), and lower women’s empowerment (MD -1.01 (95% CI -1.18, -0.84)). Parental agricultural employment may be an important risk factor for early childhood development. More research using more comprehensive exposure and outcome measures is needed to unpack these complex relationships and to inform interventions and policies to support working parents in the agricultural sector with young children.

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The socioeconomic gradient of alcohol use: an analysis of nationally representative survey data from 55 low-income and middle-income countries

Cited by 23 publications

References 29 publications

Contribution of alcohol use to the global burden of cirrhosis and liver cancer from 1990 to 2019 and projections to 2044

Contribution of alcohol use to the global burden of cirrhosis and liver cancer from 1990 to 2019 and projections to 2044

Contribution of alcohol use to the global burden of cirrhosis and liver cancer from 1990 to 2019 and projections to 2044

Maternal and paternal employment in agriculture and early childhood development: A cross-sectional analysis of Demographic and Health Survey data

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