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Guest post: Most US women don’t know alcohol’s health risks

January 10, 2024

Targeted marketing may play a role in increasing alcohol consumption among women.
Lisa Schaetzle/Moment via Getty Images

By Monica Swahn, Kennesaw State University and Ritu Aneja, University of Alabama at Birmingham

Did you know that casual drinks with friends or having a “wine mom” moment to unwind could actually be nudging up your risk for breast cancer? It sounds like a buzzkill. But it’s a truth that many might not know: Alcohol actually causes breast cancer.

The World Health Organization and the National Institute on Alcohol Abuse and Alcoholism lay it out pretty clearly: Compared to those who don’t drink, just one drink a day can bump up your breast cancer risk by 5% to 9%.

As alcohol and cancer researchers, we wanted to learn more about what women actually know about the connection between alcohol and breast cancer, especially since alcohol use has been increasing among women.

Explaining the knowledge gap
For our recently published research, we asked more than 5,000 women ages 18 and older across the US in 2021 about whether they were aware of the link between alcohol consumption and breast cancer. We also asked them about their drinking habits and other health and background factors.

We were surprised to find that only one in four of these women knew that alcohol is a risk factor for breast cancer. Even more concerning, 35% didn’t think there’s any link at all. Another 40% were sitting on the fence about it.

Closeup of person cupping glass of whisky in two hands
Fully understanding alcohol’s health risks can help people make more informed choices about how they consume it.
aire images/Moment via Getty Images

We also saw a knowledge gap based on age, education and race.

Younger, more educated women and those facing alcohol-related issues were more in the know about the link between alcohol and breast cancer risk than older, less educated women and those who have not drank in the past year. Black women were also less aware of the risk between alcohol and breast cancer compared to white women.

Drinking less lowers breast cancer risk
Despite the attempts of alcohol researchers, health officials and advocates to inform women about alcohol’s risks and its connection to breast cancer, our findings show that this message isn’t getting across to most people.

There are also pervasive myths about the benefits of alcohol use because some people don’t want to know that drinking can cause harm and don’t want to talk about it. As a result, many women simply don’t know or are uncertain of the health harms alcohol causes.

A comprehensive communication approach to increase awareness of alcohol’s harms and its link to cancer can help support and encourage women to make healthier choices regarding alcohol use.

Educational campaigns can help inform people from diverse backgrounds about alcohol and breast cancer risk.

Warning labels can help increase awareness of alcohol’s health risks.

Policy changes with respect to alcohol marketing, access and availability can also make a difference in people’s drinking patterns.

These policies may also address the “feminization” of alcohol marketing, which intentionally entices women to drink and purchase alcohol by normalizing or glamorizing heavy alcohol use and ignoring the health risks and harm caused. The World Health Organization recommends stricter rules on alcohol advertising and marketing along with higher taxes on alcohol to reduce alcohol-related harm.

Today’s culture may normalize dealing with life’s stresses by popping the cork.

But cutting down on alcohol is something that can make a difference in breast cancer risk. Stepping back and thinking about alcohol’s effects on your health can help you make informed choices about whether to drink or not.The Conversation ■

Monica Swahn, Dean of the Wellstar College of Health and Human Services, Kennesaw State University and Ritu Aneja, Professor of Clinical and Diagnostic Sciences, Associate Dean of Research and Innovation in the School of Health Professions, University of Alabama at Birmingham. This article is republished from The Conversation under a Creative Commons license. Read the original article.

Video: Meet the 170-year-old sobriety movement

January 10, 2024

The current wave of attention might make it seem like tackling alcohol harm is a new thing, but far from it. Movendi International has been working in the area for nigh-on 170 years, with a name change from IOGT last month the latest evolution. Its president Katarina Sperkova talks with me here about the organisation’s legacy, its values, policies and hopes for the future.

Key points:

  • “We can see a boom in coming out as a person who has a problem with alcohol and being confident in talking about it.”  [1m47s]
  • Reasons for the name-change: “There are very few members in the organisation that understand what a ‘good templar’ is. They have never been part of any order.” [4m15s]
  • “IOGT [the name adopted in 2006] was difficult to explain. … People were asking what it is? We didn’t have any good answer. We really needed to move away from that name.” [4m57s]
  • On the use of ritual and regalia. “I have never experienced it as a member and I have been active in the organisation since 1999.” [6m29s]
  • The number of member organisations with such practices “I would count them on one hand” [6m51s]. The practices are important for them as part of a recovery process.
  • On being an umbrella organisation: “We are not taking active steps in finding individual members.” [10m13s] It might assist in creating an organisation when one does not exist.
  • The situation in the global south, “It reminds us very much of the situation in 1851 in the US [when Movendi began].” [13m43s]
  • 14 out of the UN’s 17 sustainable development goals are “negatively impacted by alcohol harm”. [16m57s]
  • Areas where it has a negative impact are: Poverty, gender-based violence and sexist advertising undermining gender equality, access to water.
  • What does “alcohol prevention” mean in the organisation’s catchline? “What we are talking about is to reduce harm caused by alcohol, or prevent harm caused by alcohol. … It is definitely not a prohibitionist term.” [20m16s] 
  • The phrase also includes recovery because people who recover “create alcohol-free space”, which influenced people around them. [21m54]
  • “We do not interfere in people’s personal choices. What is important for us is what a society offers to people.” [22m50]
  • Have we got another 170 years of this same story? “I have a very strong belief this is about to change. … I think it has already changed.” [25m17s]

Deadly lockdown drinking polarisation quantified

January 10, 2024

The heaviest drinking households bought 17 times more alcohol than the lightest drinking ones at the start of the covid pandemic, a study says, helping to explain record high levels of alcohol-induced death.

The polarisation of alcohol consumption found between the top and bottom fifth of households in the UK is likely one reason why there was a 19% rise in alcohol-specific deaths in 2020, reaching the highest level for 20 years.

The US saw an even bigger alcohol-induced death surge in 2020 Alcohol Review revealed last month (see chart). The CDC has since confirmed the 26% rise that year and now also estimates a similarly high level for last year.

The increase in US deaths has so far attracted scant public attention or research. But it is likely the lifestyle changes and stress of the covid crisis saw heavier drinkers in both sides of the Atlantic increase their intake to deadly levels, just as this research suggests they did in the opening phase of the covid crisis in the UK.

Late last year around 30% more people in England said they drank more than the official low risk guidelines of 14 units (140ml) a week compared to before the covid crisis, said a Office for Health Improvement and Disparities survey.

“It is also likely that reduced access to care and treatment during covid contributed to an increase in alcohol-related deaths,” said lead author Professor Peter Anderson of Newcastle University when asked if other factors played a part in the UK. 

Households in the more socially disadvantaged locations of northern England bought more alcohol. The pattern in Scotland and Wales was “less pronounced”, possibly because they have minimum alcohol pricing policies, the study says. 

 “This suggests that a focus on policies to reduce high levels of drinking are even more important in extraordinary times, such as those we’ve seen since March 2020,” said Professor Anderson from Newcastle University.

“By failing to implement minimum unit pricing as part of its plans for public health, England is now falling further behind the rest of the UK in the race to tackle alcohol harm,” said Professor Sir Ian Gilmore of the Alcohol Health Alliance.

The research is a joint project between Newcastle University and the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) North East and North Cumbria. 

The study used retail data from Kantar WorldPanel for 30,000 UK homes for six years to 2020. ■

Alcohol Review – issue 99, January 29th 2024

January 10, 2024

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In this issue: Olympics strikes first global beer deal; Local alcohol levies mooted; Pope issues wine reminder; Smaller glasses cut drinking; US alcohol deaths state-by-state; and more

Olympic beer deal: The Olympics’ first ever global beer promotion deal drew sharp criticism from a range of UK health advocates, including the Association of Directors of Public Health. The deal to promote beer brands at the next two Olympics covers all brands in AB InBev’s portfolio, Alcohol Review was told. The Olympics organiser said the beer branding will not be seen in the field of play and will initially revolve around the Corona Cero alcohol-free brand, a modified version of the 4.5% brand. At the LA games in 2028 the emphasis will switch to the 3.5% Michelob Ultra brand, marketed as low calorie.

Local levies: Local levies on alcohol and other unhealthy products could raise funds and reduce inequality, said the left-leaning UK think tank IPPR in a new report. Such levies would top up £3bn funding from a Health Creation Fund, with poorer areas where unhealthy outlets cluster able to raise more money. Scottish Labour said earlier in the month that it is backing an alcohol levy.

Papal whine: Pope Francis was reported to have reminded Italian wine producers of their moral and ethical responsibilities, while reassuring them their product is a “gift from God”. His reminder may relate to the Italian industry being at the vanguard of resistance to nutrition and ingredients labels.

Glass ceiling: A study removing the largest glass of wine from sale in pubs cut the total amount of alcohol consumed by 7.6%, while income remained the same. One commentator suggested huge glasses are naff anyway, while another felt the discussion was a sure sign a full ban on alcohol is nigh.

US deaths state-by-state: Alcohol Review published a table of rises in US alcohol-induced deaths by state, using provisional CDC figures. They range from Mississippi with an 85% rise and New Jersey with 11%. PBS this month talked to the author of a new four-part series in the Denver Post on how alcohol has not been treated with the same urgency as opioids. Colorado, the CDC data says, is in the middle with a 32% in deaths.

Conflicted again: The US organisation assembling a committee to assess evidence for an update to alcohol guidelines has picked a Harvard professor with financial ties to the alcohol industry, having recently backtracked on the appointment of two people with such ties.

AI ageing: The UK government is considering the use of age assurance technologies, including age estimation to decide  if an individual is old enough to purchase age restricted products like alcohol.

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Drink less alcohol, make fewer mistakes

January 10, 2024

Alcohol impairs a wide range of brain functions, making a wide range of mistakes more likely, with consequences ranging from the minor to the life-changing. Drinking less alcohol means fewer mistakes. If you think more people should know, please become a supporter. ■

CAMRA launches minimum alcohol price investigation

January 10, 2024

The leaders of a UK organisation representing traditional pub and ale enthusiasts have decided to hold an investigation into the effects of minimum alcohol pricing.

The move comes in response to a motion passed at the Campaign for Real Ale (CAMRA) annual conference in Dundee last month calling for the organisation to back the “urgent introduction” of minimum pricing in England, after it was introduced in Scotland last year.

“The national executive are carrying out further investigation into the issue to determine the best way to deliver the decision taken by conference,” a CAMRA spokesperson said. “We are unlikely to have any different updates imminently.”

Alcohol has retailed for more than 50p ($0.66) per 10ml UK unit in Scotland since May last year. Supporters hope it will curtail the drinking of very heavy drinkers who gravitate towards cheap sources of alcohol. In England the price per unit starts at 16p.

The price of beer sold in pubs is unaffected by minimum pricing, typically being more than three times the 50p minimum price. Supporters within CAMRA argue minimum pricing may help counter the decline of British pubs by narrowing the price gap with supermarkets.

Others do not see it this way, saying on social media the pro-minimum price motion panders to “anti-alcohol” forces, threatening to cancel their CAMRA memberships. Some, however, wonder if an appreciation of untainted liberal economics is a necessary part of appreciating traditional beer.

Help may be at hand. An initial evaluation of the short-term economic impact of minimum pricing in Scotland is due later this year. And some insight into its effectiveness in achieving its goal of reducing harmful drinking is expected next year.

The conference also saw the arrival of a new CAMRA chairman, Nik Antona. ■

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