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A systematic review of adolescent alcohol‐related harm trends in high‐income countries with declines in adolescent consumption.

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Title: A systematic review of adolescent alcohol‐related harm trends in high‐income countries with declines in adolescent consumption.
Authors: Vieira, Emma, Taylor, Nicholas, Stevely, Abigail, Pennay, Amy, Raninen, Jonas, Holmes, John, Vashishtha, Rakhi, Livingston, Michael
Source: Addiction. Aug2025, Vol. 120 Issue 8, p1551-1570. 20p.
Subjects: Research funding, Developed countries, Sex distribution, CINAHL database, Descriptive statistics, Alcohol-induced disorders, Harm reduction, Systematic reviews, MEDLINE, Alcohol drinking, Online information services, Disease complications, Adolescence, Children, Adults
Abstract: Background and Aims: Adolescent alcohol consumption decreased in high‐income countries during the 2000s and 2010s. While evidence for declining consumption is clear, there has been less research tracking trends in alcohol‐related harms. This article reviewed trends in adolescent alcohol‐related harms in high‐income countries where a decline in consumption had occurred and investigated sex‐based differences in trends. Methods: The databases Medline, CINAHL, Scopus and PubMed were systematically searched, with grey literature searches also conducted. Studies were included if they reported on harm rates between 2005 and 2019 for adolescents (10–19 years) from countries where a reduction in adolescent drinking occurred. Health‐system based measures of alcohol‐related harm were used (e.g. hospital admissions or mortality data). Search terms included alcohol, adolescents, alcohol‐related harms, trends or synonyms. Risk of bias was assessed, primary screening was conducted by one author with checks by another, and data extraction was completed by three authors with accuracy checks conducted. The results are presented via narrative synthesis. Results: Systematic searches resulted in 1311 results. A total of 18 systematic search and 23 grey literature sources were included. For many countries, alcohol‐related harms have decreased since 2005, following trends in declining consumption. This evidence was strongest in Anglosphere countries, where eight of thirteen records (62%) indicated declines, followed by North America, where declines were present in four of eleven records (36%). Trends from mainland Europe were contradictory, with only four of thirteen (31%) indicating decreases in harms. Increases in harms for some female and student populations were reported in some jurisdictions. Conclusions: Alcohol‐related harms for young people have generally declined in countries where youth drinking has fallen, although the declines in harm have been smaller than the declines in drinking. Declines in alcohol‐related harm were strongest in the United Kingdom, Australia, New Zealand and Ireland, followed by North America. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: A systematic review of adolescent alcohol‐related harm trends in high‐income countries with declines in adolescent consumption.
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  Data: <searchLink fieldCode="AR" term="%22Vieira%2C+Emma%22">Vieira, Emma</searchLink><br /><searchLink fieldCode="AR" term="%22Taylor%2C+Nicholas%22">Taylor, Nicholas</searchLink><br /><searchLink fieldCode="AR" term="%22Stevely%2C+Abigail%22">Stevely, Abigail</searchLink><br /><searchLink fieldCode="AR" term="%22Pennay%2C+Amy%22">Pennay, Amy</searchLink><br /><searchLink fieldCode="AR" term="%22Raninen%2C+Jonas%22">Raninen, Jonas</searchLink><br /><searchLink fieldCode="AR" term="%22Holmes%2C+John%22">Holmes, John</searchLink><br /><searchLink fieldCode="AR" term="%22Vashishtha%2C+Rakhi%22">Vashishtha, Rakhi</searchLink><br /><searchLink fieldCode="AR" term="%22Livingston%2C+Michael%22">Livingston, Michael</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Aug2025, Vol. 120 Issue 8, p1551-1570. 20p.
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  Data: <searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Developed+countries%22">Developed countries</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol-induced+disorders%22">Alcohol-induced disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Harm+reduction%22">Harm reduction</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+drinking%22">Alcohol drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
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  Data: Background and Aims: Adolescent alcohol consumption decreased in high‐income countries during the 2000s and 2010s. While evidence for declining consumption is clear, there has been less research tracking trends in alcohol‐related harms. This article reviewed trends in adolescent alcohol‐related harms in high‐income countries where a decline in consumption had occurred and investigated sex‐based differences in trends. Methods: The databases Medline, CINAHL, Scopus and PubMed were systematically searched, with grey literature searches also conducted. Studies were included if they reported on harm rates between 2005 and 2019 for adolescents (10–19 years) from countries where a reduction in adolescent drinking occurred. Health‐system based measures of alcohol‐related harm were used (e.g. hospital admissions or mortality data). Search terms included alcohol, adolescents, alcohol‐related harms, trends or synonyms. Risk of bias was assessed, primary screening was conducted by one author with checks by another, and data extraction was completed by three authors with accuracy checks conducted. The results are presented via narrative synthesis. Results: Systematic searches resulted in 1311 results. A total of 18 systematic search and 23 grey literature sources were included. For many countries, alcohol‐related harms have decreased since 2005, following trends in declining consumption. This evidence was strongest in Anglosphere countries, where eight of thirteen records (62%) indicated declines, followed by North America, where declines were present in four of eleven records (36%). Trends from mainland Europe were contradictory, with only four of thirteen (31%) indicating decreases in harms. Increases in harms for some female and student populations were reported in some jurisdictions. Conclusions: Alcohol‐related harms for young people have generally declined in countries where youth drinking has fallen, although the declines in harm have been smaller than the declines in drinking. Declines in alcohol‐related harm were strongest in the United Kingdom, Australia, New Zealand and Ireland, followed by North America. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/add.70026
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        Text: English
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        PageCount: 20
        StartPage: 1551
    Subjects:
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Developed countries
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: CINAHL database
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      – SubjectFull: Alcohol-induced disorders
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      – SubjectFull: Adolescence
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              Text: Aug2025
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