Titre : | New perspectives on how to formulate alcohol drinking guidelines [Addiction opinion and debate] (2024) |
Auteurs : | K. SHIELD ; C. PARADIS ; P. BUTT ; T. NAIMI ; A. SHERK ; M. ASBRIDGE ; D. MYRAN ; T. STOCKWELL ; S. WELLS ; N. POOLE ; J. HEATLEY ; E. HOBIN ; K. THOMPSON ; M. YOUNG |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.119, n°1, January 2024) |
Article en page(s) : | 9-19 |
Note générale : |
Commentaries:
- Improving the epidemiology of low-risk drinking guidelines is not enough. Livingston M., p. 20-21. - Debating Shield et al.'s perspectives on how to formulate alcohol drinking guidelines. Greenfield T.K., p. 22-23. - The unacceptability of evidence on acceptable risks. Holmes J., Angus C.R., p. 24-25. - New perspectives on how to formulate alcohol drinking guidelines: Response to commentaries. Shield K.D., Paradis C., Butt P.R., Naimi T., Sherk A., Asbridge M., et al., p. 26-27. |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique CANADAThésaurus mots-clés ALCOOL ; REPERE DE CONSOMMATION ; RECOMMANDATION ; REDUCTION DES RISQUES ET DES DOMMAGES ; INDICATEUR ; MORTALITE ; CAUSE DE DECES |
Résumé : |
BACKGROUND: Low-Risk Alcohol Drinking Guidelines (LRDGs) aim to reduce the harms caused by alcohol. However, considerable discrepancies exist in the 'low-risk' thresholds employed by different countries.
ARGUMENT/ANALYSIS: Drawing upon Canada's LRDGs update process, the current paper offers the following propositions for debate regarding the establishment of 'low-risk' thresholds in national guidelines: (1) as an indicator of health loss, years of life lost (YLL) has several advantages that could make it more suitable for setting guidelines than deaths, premature deaths or disability adjusted years of life (DALYs) lost. (2) Presenting age-specific guidelines may not be the most appropriate way of providing LRDGs. (3) Given past overemphasis on the so-called protective effects of alcohol on health, presenting cause-specific guidelines may not be appropriate compared with a 'whole health' effect derived from a weighted composite risk function comprising conditions that are causally related to alcohol consumption. (4) To help people reduce their alcohol use, presenting different risk zones associated with alcohol consumption instead of a single low risk threshold may be advantageous. CONCLUSIONS: National LRDGs should be based on years of life lost and should be neither age-specific nor cause-specific. We recommend using risk zones rather than a single drinking threshold to help people assess their own risk and encourage the adoption of behaviours with positive health impacts across the alcohol use spectrum. |
Domaine : | Alcool / Alcohol |
Affiliation : |
Institute for Mental Health Policy Research, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada Canadian Centre on Substance Use and Addiction, Ottawa, Ontario, Canada College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada Canadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada Department of Community Health and Epidemiology, Department of Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada Centre of Excellence for Women's Health, Vancouver, British Columbia, Canada Department of Health and Wellness, Government of Nova Scotia, Halifax, Nova Scotia, Canada Public Health Ontario, Toronto, Ontario, Canada Department of Psychology, St Francis Xavier University, Antigonish, Nova Scotia, Canada Gambling Research Exchange Ontario, Guelph, Ontario, Canada |
Cote : | Abonnement |
Lien : | https://doi.org/10.1111/add.16316 |
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