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Impact of Public Health Policies on Alcohol‐Associated Liver Disease in Latin America: An Ecological Multinational Study

Díaz, Luis Antonio ; Idalsoaga, Francisco ; Fuentes‐López, Eduardo ; Márquez‐Lomas, Andrea ; Ramírez, Carolina A. ; Roblero, Juan Pablo ; Araujo, Roberta C. ; Higuera‐de‐la‐Tijera, Fátima ; Toro, Luis Guillermo ; Pazmiño, Galo ; Montes, Pedro ; Hernandez, Nelia ; Mendizabal, Manuel ; Corsi, Oscar ; Ferreccio, Catterina ; Lazo, Mariana ; Brahmania, Mayur ; Singal, Ashwani K. ; Bataller, Ramon ; Arrese, Marco ; Arab, Juan Pablo

Hepatology (Baltimore, Md.), 2021-11, Vol.74 (5), p.2478-2490 [Periódico revisado por pares]

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Título:
Impact of Public Health Policies on Alcohol‐Associated Liver Disease in Latin America: An Ecological Multinational Study
Autor: Díaz, Luis Antonio ; Idalsoaga, Francisco ; Fuentes‐López, Eduardo ; Márquez‐Lomas, Andrea ; Ramírez, Carolina A. ; Roblero, Juan Pablo ; Araujo, Roberta C. ; Higuera‐de‐la‐Tijera, Fátima ; Toro, Luis Guillermo ; Pazmiño, Galo ; Montes, Pedro ; Hernandez, Nelia ; Mendizabal, Manuel ; Corsi, Oscar ; Ferreccio, Catterina ; Lazo, Mariana ; Brahmania, Mayur ; Singal, Ashwani K. ; Bataller, Ramon ; Arrese, Marco ; Arab, Juan Pablo
Assuntos: Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alcohol ; Alcohol Drinking - epidemiology ; Alcohol Drinking - legislation & jurisprudence ; Alcohol use ; Alcoholism - epidemiology ; Cirrhosis ; Community Support ; Diabetes Mellitus - epidemiology ; Drinking behavior ; Female ; Generalized linear models ; Government Regulation ; Health Policy ; Hepatology ; Humans ; Latin America - epidemiology ; Liver cirrhosis ; Liver diseases ; Liver Diseases, Alcoholic - epidemiology ; Liver Diseases, Alcoholic - mortality ; Male ; Middle Aged ; Mortality ; Obesity - epidemiology ; Prevalence ; Public health ; Risk Factors ; Tax regulations ; Young Adult
É parte de: Hepatology (Baltimore, Md.), 2021-11, Vol.74 (5), p.2478-2490
Notas: Partially supported by the Chilean government through the Fondo Nacional de Desarrollo Científico y Tecnológico (FONDECYT 1200227 to J.P.A.) and the Comisión Nacional de Investigación Científica y Tecnológica (CONICYT, AFB170005, CARE Chile UC to J.P.A.).
Potential conflict of interest: Dr. Bataller received speaking fees from Echosens.
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Descrição: Background and Aims Alcohol‐associated liver disease (ALD) is the leading cause of liver‐related mortality in Latin America, yet the impact of public health policies (PHP) on liver disease is unknown. We aimed to assess the association between alcohol PHP and deaths due to ALD in Latin American countries. Approach and Results We performed an ecological multinational study including 20 countries in Latin America (628,466,088 inhabitants). We obtained country‐level sociodemographic information from the World Bank Open Data source. Alcohol‐related PHP data for countries were obtained from the World Health Organization Global Information System of Alcohol and Health. We constructed generalized linear models to assess the association between the number of PHP (in 2010) and health outcomes (in 2016). In Latin America, the prevalence of obesity was 27% and 26.1% among male and female populations, respectively. The estimated alcohol per capita consumption among the population at 15 years old or older was 6.8 L of pure alcohol (5.6 recorded and 1.2 unrecorded). The overall prevalence of alcohol use disorders (AUD) was 4.9%. ALD was the main cause of cirrhosis in 64.7% of male and 40.0% of female populations. A total of 19 (95%) countries have at least one alcohol‐related PHP on alcohol. The most frequent PHP were limiting drinking age (95%), tax regulations (90%), drunk‐driving policies and countermeasures (90%), and government monitoring systems and community support (90%). A higher number of PHP was associated with a lower ALD mortality (PR, 0.76; 95% CI, 0.61‐0.93; P = 0.009), lower AUD prevalence (PR, 0.80; 95% CI, 0.65‐0.99; P = 0.045), and lower alcohol‐attributable road traffic deaths (PR, 0.81; 95% CI, 0.65‐1.00; P = 0.051). Conclusions Our study indicates that in Latin America, countries with higher number of PHP have lower mortality due to ALD, lower prevalence of AUD, and lower alcohol‐attributable road traffic mortality.
Editor: United States: Wiley Subscription Services, Inc
Idioma: Inglês

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Impact of Public Health Policies on Alcohol‐Associated Liver Disease in Latin America: An Ecological Multinational Study

United States: Wiley Subscription Services, Inc

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