Doing it by numbers: A simple approach to reducing the harms of alcohol

@article{Nutt2014DoingIB,
  title={Doing it by numbers: A simple approach to reducing the harms of alcohol},
  author={David J. Nutt and J{\"u}rgen Rehm},
  journal={Journal of Psychopharmacology},
  year={2014},
  volume={28},
  pages={3 - 7}
}
  • D. Nutt, J. Rehm
  • Published 1 January 2014
  • Medicine
  • Journal of Psychopharmacology
Alcohol use is one of the top five causes of disease and disability in almost all countries in Europe, and in the eastern part of Europe it is the number one cause. In the UK, alcohol is now the leading cause of death in men between the ages of 16–54 years, accounting for over 20% of the total. Europeans above 15 years of age in the EU on average consume alcohol at a level which is twice as high as the world average. Alcohol should therefore be a public health priority, but it is not. This… 
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65 Citations
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Methods Citations
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References

SHOWING 1-10 OF 41 REFERENCES

The high harm score of alcohol. Time for drug policy to be revisited?

TLDR
Policy makers should consider alcohol to be at least as harmful as illicit drugs and invest more in prevention and harm reduction strategies for alcohol abuse and dependence.

Alcohol alternatives – a goal for psychopharmacology?

  • D. Nutt
  • Medicine
    Journal of psychopharmacology
  • 2006
TLDR
The options to make a safer alcohol – or a substitute drug alternative – or to reduce the concentration of alcohol in drinks are examined in the light of the lessons learnt from tobacco.

The stigma of alcohol dependence compared with other mental disorders: a review of population studies.

TLDR
Alcoholism is a particularly severely stigmatized mental disorder and possible reasons for the differences between the stigma of alcoholism and of other mental diseases and the consequences for targeted anti-stigma initiatives are discussed.

Epidemiology and alcohol policy in Europe.

TLDR
Any reduction in the dose of alcohol consumed, at least down to 10 g/day, will reduce the annual and lifetime risk of an alcohol-related death and there is a need for alcohol policy to focus on measures in reducing alcohol consumption, throughout middle age, with immediacy of impact.

Modeling the impact of alcohol dependence on mortality burden and the effect of available treatment interventions in the European Union

Reduction of drinking in problem drinkers and all-cause mortality.

TLDR
A model for reduction of drinking in heavy drinkers and its consequences for all-cause mortality risk was estimated and it was shown that the higher the level of drinking, the stronger the effects of a given reduction.

The relation between different dimensions of alcohol consumption and burden of disease: an overview.

TLDR
Findings indicate that alcohol impacts many disease outcomes causally, both chronic and acute, and injuries, and a pattern of heavy episodic drinking increases risk for some disease and all injury outcomes.

Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol

The economic burden of alcohol dependence in Europe.

TLDR
It is confirmed that alcohol dependence represents a significant burden for European healthcare systems and society and may be more costly in terms of health costs per patient than alcohol abuse.

Defining substance use disorders: do we really need more than heavy use?

TLDR
'Heavy substance use over time' seems to be a definition of substance use disorders in line with results of basic research and epidemiology and reduces stigmatization.