Alcohol, diabetes, and public health in the Americas

被引:18
作者
Babor, Thomas [1 ]
Rehm, Jurgen [2 ]
Jernigan, David [3 ]
Vaeth, Patrice [4 ]
Monteiro, Maristela [5 ]
Lehman, Hallie [5 ]
机构
[1] Univ Connecticut, Sch Med, Dept Community Med & Hlth Care, Farmington, CT 06030 USA
[2] Ctr Addict & Mental Hlth, Social & Epidemiol Res Dept, Toronto, ON, Canada
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA
[4] Univ Texas Dallas, Sch Publ Hlth, Hlth Promot & Behav Sci Dept, Dallas, TX 75230 USA
[5] Pan Amer Hlth Org, Alcohol & Subst Abuse Program, Washington, DC USA
来源
REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH | 2012年 / 32卷 / 02期
关键词
alcohol drinking; diabetes mellitus; cost of illness; health promotion; Americas; CONSUMPTION; DEPENDENCE; DRINKING; ABUSE; RISK;
D O I
10.1590/S1020-49892012000800010
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This article describes epidemiological evidence on the association between alcohol use and diabetes, and the implications for clinical management and public health policies in the Americas. Heavy alcohol use is a risk factor for both diabetes and poor treatment adherence, despite evidence that moderate drinking can protect against type 2 diabetes under some circumstances. The burden of disease from diabetes associated with excessive alcohol consumption warrants both clinical and public health measures. On the clinical level, research on early interventions to prevent hazardous drinking shows that new screening, brief intervention, and referral techniques are effective ways to manage hazardous drinking in primary care settings. On the population level, restrictions on alcohol marketing and other alcohol control policies reduce the frequency and intensity of alcohol consumption in at-risk populations. These policy actions are recommended within the context of the World Health Organization's global strategy to reduce the harmful use of alcohol.
引用
收藏
页码:151 / 155
页数:5
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