Classifying national drinking patterns in Europe between 2000 and 2019: a clustering approach using comparable exposure data.

• Published in: Addiction
• Main Authors: Correia, Daniela, Manthey, Jakob, Neufeld, Maria, Ferreira-Borges, Carina, Olsen, Aleksandra, Shield, Kevin, Rehm, Jürgen
• Format: Article in Journal/Newspaper
• Language: unknown
• Published: 2024
• Subjects: Substance use pattern (change / quantity); Binge / risky / heavy episodic drinking; Alcohol consumption; Public health; Substance related mortality / death; Europe; Ireland; Iceland
• Online Access: https://www.drugsandalcohol.ie/41303/; https://onlinelibrary.wiley.com/doi/10.1111/add.16567; https://doi.org/10.1111/add.16567

BACKGROUND AND AIMS Previously identified national drinking patterns in Europe lack comparability and might be no longer be valid due to changes in economic conditions and policy frameworks. We aimed to identify the most recent alcohol drinking patterns in Europe based on comparable alcohol exposure indicators using a data-driven approach, as well as identifying temporal changes and establishing empirical links between these patterns and indicators of alcohol-related harm. DESIGN Data from the World Health Organization's monitoring system on alcohol exposure indicators were used. Repeated cross-sectional hierarchical cluster analyses were applied. Differences in alcohol-attributable harm between clusters of countries were analyzed via linear regression. SETTING European Union countries, plus Iceland, Norway and Ukraine, for 2000, 2010, 2015 and 2019. PARTICIPANTS/CASES Observations consisted of annual country data, at four different time points for alcohol exposure. Harm indicators were only included for 2019. MEASUREMENTS Alcohol exposure indicators included alcohol per capita consumption (APC), beverage-specific consumption and prevalence of drinking status indicators (lifetime abstainers, current drinkers, former drinkers and heavy episodic drinking). Alcohol-attributable harm was measured using age-standardized alcohol-attributable Disability-Adjusted Life Years (DALYs) lost and deaths per 100 000 people. FINDINGS The same six clusters were identified in 2019, 2015 and 2010, mainly characterized by type of alcoholic beverage and prevalence drinking status indicators, with geographical interpretation. Two-thirds of the countries remained in the same cluster over time, with one additional cluster identified in 2000, characterized by low APC. The most recent drinking patterns were shown to be significantly associated with alcohol-attributable deaths and DALY rates. Compared with wine-drinking countries, the mortality rate per 100 000 people was significantly higher in Eastern Europe with high spirits and ...