Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016

Max G. Griswold; Nancy Fullman; Caitlin Hawley; Nicholas Arian; Stephanie R. M. Zimsen; Hayley D. Tymeson; Vidhya Venkateswaran; Austin Douglas Tapp; Mohammad H. Forouzanfar; Joseph S. Salama; Kalkidan Hassen Abate; Degu Abate; Solomon M. Abay; Cristiana Abbafati; Rizwan Suliankatchi Abdulkader; Zegeye Abebe; Victor Aboyans; Mohammed Mehdi Abrar; Pawan Acharya; Olatunji O. Adetokunboh; Tara Ballav Adhikari; Jose C. Adsuar; Mohsen Afarideh; Emilie Elisabet Agardh; Gina Agarwal; Sargis Aghasi Aghayan; Sutapa Agrawal; Muktar Beshir Ahmed; Mohammed Akibu; Tomi Akinyemiju; Nadia Akseer; Deena H. Al Asfoor; Ziyad Al-Aly; Fares Alahdab; Khurshid Alam; Ammar Albujeer; Kefyalew Addis Alene; Raghib Ali; Syed Danish Ali; Mehran Alijanzadeh; Syed Mohamed Aljunid; Ala'a Alkerwi; Peter Allebeck; Nelson Alvis-Guzman; Azmeraw T. Amare; Leopold N. Aminde; Walid Ammar; Yaw Ampem Amoako; Gianna Gayle Herrera Amul; Catalina Liliana Andrei; Colin Angus; Mustafa Geleto Ansha; Carl Abelardo T. Antonio; Olatunde Aremu; Johan Arnlov; Al Artaman; Krishna K. Aryal; Reza Assadi; Marcel Ausloos; Leticia Avila-Burgos; Euripide F. G. A. Avokpaho; Ashish Awasthi; Henok Tadesse Ayele; Rakesh Ayer; Tambe B. Ayuk; Peter S. Azzopardi; Hamid Badali; Alaa Badawi; Maciej Banach; Suzanne Lyn Barker-Collo; Lope H. Barrero; Huda Basaleem; Estifanos Baye; Shahrzad Bazargan-Hejazi; Neeraj Bedi; Yannick Bejot; Abate Bekele Belachew; Saba Abraham Belay; Derrick A. Bennett; Isabela M. Bensenor; Eduardo Bernabe; Robert S. Bernstein; Addisu Shunu Beyene; Tina Beyranvand; Soumyadeeep Bhaumik; Zulfiqar A. Bhutta; Belete Biadgo; Ali Bijani; Nigus Bililign; Sait Mentes Birlik; Charles Birungi; Hailemichael Bizuneh; Peter Bjerregaard; Tone Bjorge; Guilherme Borges; Cristina Bosetti; Soufiane Boufous; Nicola Luigi Bragazzi; Hermann Brenner; Zahid A. Butt; Lucero Cahuana-Hurtado; Bianca Calabria; Ismael R. Campos-Nonato; Julio Cesar Campuzano Rincon; Giulia Carreras; Juan J. Carrero; Felix Carvalho; Carlos A. Castaneda-Orjuela; Jacqueline Castillo Rivas; Ferran Catala-Lopez; Jung-Chen Chang; Fiona J. Charlson; Aparajita Chattopadhyay; Pankaj Chaturvedi; Rajiv Chowdhury; Devasahayam J. Christopher; Sheng-Chia Chung; Liliana G. Ciobanu; Rafael M. Claro; Sara Conti; Ewerton Cousin; Michael H. Criqui; Berihun Assefa Dachew; Paul Dargan; Ahmad Daryani; Jose Das Neves; Kairat Davletov; Filipa De Castro; Barbora De Courten; Jan-Walter De Neve; Louisa Degenhardt; Gebre Teklemariam Demoz; Don C. Des Jarlais; Subhojit Dey; Rupinder Singh Dhaliwal; Samath Dhamminda Dharmaratne; Meghnath Dhimal; David Teye Doku; Kerrie E. Doyle; Manisha Dubey; Eleonora Dubljanin; Bruce B. Duncan; Hedyeh Ebrahimi; Dumessa Edessa; Maysaa El Sayed Zaki; Sergei Petrovich Ermakov; Holly E. Erskine; Alireza Esteghamati; Mahbobeh Faramarzi; Andrea Farioli; Andre Faro; Maryam S. Farvid; Farshad Farzadfar; Valery L. Feigin; Mariana Santos Felisbino-Mendes; Eduarda Fernandes; Alize J. Ferrari; Cleusa P. Ferri; Daniel Obadare Fijabi; Irina Filip; Jonas David Finger; Florian Fischer; Abraham D. Flaxman; Richard Charles Franklin; Neal D. Futran; Silvano Gallus; Morsaleh Ganji; Fortune Gbetoho Gankpe; Gebremedhin Berhe Gebregergs; Tsegaye Tewelde Gebrehiwot; Johanna M. Geleijnse; Reza Ghadimi; Lilian A. Ghandour; Mamata Ghimire; Paramjit Singh Gill; Ibrahim Abdelmageed Ginawi; Ababi Zergaw Z. Giref; Philimon N. Gona; Sameer Vali Gopalani; Carolyn C. Gotay; Alessandra C. Goulart; Felix Greaves; Giuseppe Grosso; Yuming Guo; Rahul Gupta; Rajeev Gupta; Vipin Gupta; Reyna Alma Gutierrez; Murthy Gvs; Nima Hafezi-Nejad; Tekleberhan Beyene Hagos; Gessessew Bugssa Hailu; Randah R. Hamadeh; Samer Hamidi; Graeme J. Hankey; Hilda L. Harb; Sivadasanpillai Harikrishnan; Josep Maria Haro; Hamid Yimam Hassen; Rasmus Havmoeller; Simon Hay; Behzad Heibati; Andualem Henok; Ileana Heredia-Pi; Norberto Francisco Hernandez-Llanes; Claudiu Herteliu; Desalegn Ts Tsegaw Hibstu; Praveen Hoogar; Nobuyuki Horita; H. Dean Hosgood; Mostafa Hosseini; Mihaela Hostiuc; Guoqing Hu; Hsiang Huang; Abdullatif Husseini; Bulat Idrisov; Bogdan Vasile Ileanu; Olayinka Stephen Ilesanmi; Seyed Sina Naghibi Irvani; Sheikh Mohammed Shariful Islam; Maria D. Jackson; Mihajlo Jakovljevic; Achala Upendra Jayatilleke; Ravi Prakash Jha; Jost B. Jonas; Jacek Jerzy Jozwiak; Zubair Kabir; Rajendra Kadel; Amaha Kahsay; Umesh Kapil; Amir Kasaeian; Tesfaye D. Dessale Kassa; Srinivasa Vittal Katikireddi; Norito Kawakami; Seifu Kebede; Adane Teshome Kefale; Peter Njenga Keiyoro; Andre Pascal Kengne; Yousef Khader; Morteza Abdullatif Khafaie; Ibrahim A. Khalil; Md Nuruzzaman Khan; Young-Ho Khang; Mona M. Khater; Jagdish Khubchandani; Cho-Il Kim; Daniel Kim; Yun Jin Kim; Ruth W. Kimokoti; Adnan Kisa; Mika Kivimaki; Sonali Kochhar; Soewarta Kosen; Parvaiz A. Koul; Ai Koyanagi; Kewal Krishan; Barthelemy Kuate Defo; Burcu Kucuk Bicer; Veena S. Kulkarni; Pushpendra Kumar; Alessandra Lafranconi; Arjun Lakshmana Balaji; Ratilal Lalloo; Tea Lallukka; Hilton Lam; Faris Hasan Lami; Qing Lan; Justin J. Lang; Sonia Lansky; Anders O. Larsson; Arman Latifi; Janet L. Leasher; Paul H. Lee; James Leigh; Mall Leinsalu; Janni Leung; Miriam Levi; Yichong Li; Lee-Ling Lim; Shai Linn; Shiwei Liu; Andrea Lobato-Cordero; Paulo A. Lotufo; Erlyn Rachelle King Macarayan; Isis Eloah Machado; Fabiana Madotto; Hassan Magdy Abd El Razek; Muhammed Magdy Abd El Razek; Marek Majdan; Reza Majdzadeh; Azeem Majeed; Reza Malekzadeh; Deborah Carvalho Malta; Chabila Christopher Mapoma; Jose Martinez-Raga; Pallab K. Maulik; Mohsen Mazidi; Martin Mckee; Varshil Mehta; Toni Meier; Tesfa Mekonen; Kidanu Gebremariam Meles; Addisu Melese; Peter T. N. Memiah; Walter Mendoza; Desalegn Tadese Mengistu; George A. Mensah; Tuomo J. Meretoja; Haftay Berhane Mezgebe; Tomasz Miazgowski; Ted R. Miller; G. K. Mini; Andreea Mirica; Erkin M. Mirrakhimov; Babak Moazen; Karzan Abdulmuhsin Mohammad; Noushin Mohammadifard; Shafiu Mohammed; Lorenzo Monasta; Paula Moraga; Lidia Morawska; Moti Tolera Jalu; Seyyed Meysam Mousavi; Satinath Mukhopadhyay; Kamarul Imran Musa; Aliya Naheed; Gurudatta Naik; Farid Najafi; Vinay Nangia; Jobert Richie Nansseu; Mudavath Siva Durga Prasad Nayak; Chakib Nejjari; Subas Neupane; Sudan Prasad Neupane; Josephine W. Ngunjiri; Cuong Tat Nguyen; Long Hoang Nguyen; Trang Huyen Nguyen; Dina Nur Anggraini Ningrum; Yirga Legesse Nirayo; Jean Jacques Noubiap; Richard Ofori-Asenso; Felix Akpojene Ogbo; In-Hwan Oh; Olanrewaju Oladimeji; Andrew T. Olagunju; Pedro R. Olivares; Bolajoko Olubukunola Olusanya; Jacob Olusegun Olusanya; Anu Mary Oommen; Eyal Oren; Heather M. Orpana; Doris D. Ortega-Altamirano; Justin R. Ortiz; Erika Ota; Mayowa Ojo Owolabi; Abayomi Samuel Oyekale; P. A. Mahesh; Adrian Pana; Eun-Kee Park; Charles D. H. Parry; Hadi Parsian; Ajay Patle; George C. Patton; Deepak Paudel; Max Petzold; Michael R. Phillips; Julian David Pillay; Maarten J. Postma; Farshad Pourmalek; Dorairaj Prabhakaran; Mostafa Qorbani; Amir Radfar; Anwar Rafay; Alireza Rafiei; Fakher Rahim; Afarin Rahimi-Movaghar; Mahfuzar Rahman; Muhammad Aziz Rahman; Rajesh Kumar Rai; Sasa Rajsic; Sree Bhushan Raju; Usha Ram; Saleem M. Rana; Chhabi Lal Ranabhat; David Laith Rawaf; Salman Rawaf; Robert C. Reiner; Cesar Reis; Andre M. N. Renzaho; Mohammad Sadegh Rezai; Leonardo Roever; Luca Ronfani; Robin Room; Gholamreza Roshandel; Ali Rostami; Gregory A. Roth; Ambuj Roy; Yogesh Damodar Sabde; Basema Saddik; Saeid Safiri; Amirhossein Sahebkar; Zikria Saleem; Joshua A. Salomon; Sundeep Santosh Salvi; Juan Sanabria; Maria Dolores Sanchez-Nino; Damian Francesco Santomauro; Itamar S. Santos; Milena M. M. Santric Milicevic; Abdur Razzaque Sarker; Rodrigo Sarmiento-Suarez; Nizal Sarrafzadegan; Benn Sartorius; Maheswar Satpathy; Monika Sawhney; Sonia Saxena; Mete Saylan; Michael P. Schaub; Maria Ines Schmidt; Ione J. C. Schneider; Ben Schoettker; Aletta Elisabeth Schutte; Falk Schwendicke; Sadaf G. Sepanlou; Masood A. Ali Shaikh; Mehdi Sharif; Jun She; Aziz Sheikh; Jiabin Shen; Mekonnen Sisay Shiferaw; Mika Shigematsu; Rahman Shiri; Kawkab Shishani; Ivy Shiue; Sharvari Rahul Shukla; Inga Dora Sigfusdottir; Diego Augusto Santos Silva; Natacha Torres Da Silva; Dayane Gabriele Alves Silveira; Dhirendra Narain Narain Sinha; Freddy Sitas; Adauto Martins Soares Filho; Moslem Soofi; Reed J. D. Sorensen; Joan B. Soriano; Chandrashekhar T. Sreeramareddy; Nadine Steckling; Dan J. Stein; Mu'awiyyah Babale Sufiyan; Patrick J. Sur; Bryan L. Sykes; Rafael Tabares-Seisdedos; Takahiro Tabuchi; Mohammad Tavakkoli; Arash Tehrani-Banihashemi; Merhawi Gebremedhin Tekle; Subash Thapa; Nihal Thomas; Roman Topor-Madry; Fotis Topouzis; Bach Xuan Tran; Christopher E. Troeger; Thomas Clement Truelsen; Nikolaos Tsilimparis; Stefanos Tyrovolas; Kingsley Nnanna Ukwaja; Irfan Ullah; Olalekan A. Uthman; Pascual R. Valdez; Job F. M. Van Boven; Tommi Juhani Vasankari; Narayanaswamy Venketasubramanian; Francesco S. Violante; Sergey Konstantinovitch Vladimirov; Vasily Vlassov; Stein Emil Vollset; Theo Vos; Fasil Wagnew Shiferaw Wagnew; Yasir Waheed; Yuan-Pang Wang; Elisabete Weiderpass; Fitsum Weldegebreal; Kidu Gidey Weldegwergs; Andrea Werdecker; Ronny Westerman; Harvey A. Whiteford; Justyna Widecka; Tissa Wijeratne; Grant M. A. Wyper; Gelin Xu; Tomohide Yamada; Yuichiro Yano; Pengpeng Ye; Ebrahim M. Yimer; Paul Yip; Biruck Desalegn Yirsaw; Engida Yisma; Naohiro Yonemoto; Seok-Jun Yoon; Marcel Yotebieng; Mustafa Z. Younis; Geevar Zachariah; Zoubida Zaidi; Mohammad Zamani; Xueying Zhang; Sanjay Zodpey; Ali H. Mokdad; Mohsen Naghavi; Christopher J. L. Murray; Emmanuela Gakidou; GBD 2016 Alcohol Collaborators

doi:10.1016/S0140-6736(18)31310-2

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Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016

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Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016

Max G. Griswold, Nancy Fullman, Caitlin Hawley, Nicholas Arian, Stephanie R. M. Zimsen, Hayley D. Tymeson, Vidhya Venkateswaran, Austin Douglas Tapp, Mohammad H. Forouzanfar, Joseph S. Salama, …

The Lancet (British edition), Vol.392(10152), pp.1015-1035

2018

DOI: https://doi.org/10.1016/S0140-6736(18)31310-2

PMID: 30146330

Abstract

General & Internal Medicine

Life Sciences & Biomedicine

Medicine, General & Internal

Science & Technology

Background Alcohol use is a leading risk factor for death and disability, but its overall association with health remains complex given the possible protective effects of moderate alcohol consumption on some conditions. With our comprehensive approach to health accounting within the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we generated improved estimates of alcohol use and alcohol-attributable deaths and disability-adjusted life-years (DALYs) for 195 locations from 1990 to 2016, for both sexes and for 5-year age groups between the ages of 15 years and 95 years and older. Methods Using 694 data sources of individual and population-level alcohol consumption, along with 592 prospective and retrospective studies on the risk of alcohol use, we produced estimates of the prevalence of current drinking, abstention, the distribution of alcohol consumption among current drinkers in standard drinks daily (defined as 10 g of pure ethyl alcohol), and alcohol-attributable deaths and DALYs. We made several methodological improvements compared with previous estimates: first, we adjusted alcohol sales estimates to take into account tourist and unrecorded consumption; second, we did a new meta-analysis of relative risks for 23 health outcomes associated with alcohol use; and third, we developed a new method to quantify the level of alcohol consumption that minimises the overall risk to individual health. Findings Globally, alcohol use was the seventh leading risk factor for both deaths and DALYs in 2016, accounting for 2.2% (95% uncertainty interval [UI] 1.5-3.0) of age-standardised female deaths and 6.8% (5.8-8.0) of age-standardised male deaths. Among the population aged 15-49 years, alcohol use was the leading risk factor globally in 2016, with 3.8% (95% UI 3.2-4-3) of female deaths and 12.2% (10.8-13-6) of male deaths attributable to alcohol use. For the population aged 15-49 years, female attributable DALYs were 2.3% (95% UI 2.0-2.6) and male attributable DALYs were 8.9% (7.8-9.9). The three leading causes of attributable deaths in this age group were tuberculosis (1.4% [95% UI 1. 0-1. 7] of total deaths), road injuries (1.2% [0.7-1.9]), and self-harm (1.1% [0.6-1.5]). For populations aged 50 years and older, cancers accounted for a large proportion of total alcohol-attributable deaths in 2016, constituting 27.1% (95% UI 21.2-33.3) of total alcohol-attributable female deaths and 18.9% (15.3-22.6) of male deaths. The level of alcohol consumption that minimised harm across health outcomes was zero (95% UI 0.0-0.8) standard drinks per week. Interpretation Alcohol use is a leading risk factor for global disease burden and causes substantial health loss. We found that the risk of all-cause mortality, and of cancers specifically, rises with increasing levels of consumption, and the level of consumption that minimises health loss is zero. These results suggest that alcohol control policies might need to be revised worldwide, refocusing on efforts to lower overall population-level consumption.

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Title: Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
Creators: Max G. Griswold - University of Washington
Nancy Fullman - University of Washington
Caitlin Hawley - University of Washington
Nicholas Arian - University of Washington
Stephanie R. M. Zimsen - University of Washington
Hayley D. Tymeson - University of Washington
Vidhya Venkateswaran - Harvard University
Austin Douglas Tapp - University of Washington
Mohammad H. Forouzanfar - Seattle Genet, Seattle, WA USA
Joseph S. Salama - University of Washington
Kalkidan Hassen Abate - Jimma University
Degu Abate - Haramaya University
Solomon M. Abay - Addis Ababa University
Cristiana Abbafati - Univ Roma La Sapienza, Dept Law Philosophy & Econ Studies, Rome, Italy
Rizwan Suliankatchi Abdulkader - Minist Hlth, Dept Publ Hlth, Riyadh, Saudi Arabia
Zegeye Abebe - University of Gondar
Victor Aboyans - Dupuytren Univ Hosp, Dept Cardiol, Limoges, France
Mohammed Mehdi Abrar - Addis Ababa University
Pawan Acharya - Nepal Dev Soc, Chitwan, Nepal
Olatunji O. Adetokunboh - Stellenbosch University
Tara Ballav Adhikari - Ctr Social Sci & Publ Hlth Res Nepal, Nepal Hlth Res Environm, Kathmandu, Nepal
Jose C. Adsuar - Universidad de Extremadura
Mohsen Afarideh - University of Tehran
Emilie Elisabet Agardh - Karolinska Institutet
Gina Agarwal - McMaster University
Sargis Aghasi Aghayan - Yerevan State University
Sutapa Agrawal - PHFI, Gurugram, India
Muktar Beshir Ahmed - Jimma University
Mohammed Akibu - Dept Midwifery, Lexington, KY USA
Tomi Akinyemiju - University of Kentucky
Nadia Akseer - University of Toronto
Deena H. Al Asfoor - Minist Hlth, Off Undersecretary Hlth Affairs, Riyadh, Saudi Arabia
Ziyad Al-Aly - College Station Medical Center
Fares Alahdab - Mayo Clin Fdn Med Educ & Res, Evidence Based Pract Ctr, Rochester, MN USA
Khurshid Alam - University of Western Australia
Ammar Albujeer - College Station Medical Center
Kefyalew Addis Alene - University of Gondar
Raghib Ali - University of Oxford
Syed Danish Ali - University of London
Mehran Alijanzadeh - College Station Medical Center
Syed Mohamed Aljunid - Kuwait University
Ala'a Alkerwi - Luxembourg Inst Hlth, Dept Populat Hlth, Strassen, Luxembourg
Peter Allebeck - Karolinska Institutet
Nelson Alvis-Guzman - University of Cartagena
Azmeraw T. Amare - University of South Australia
Leopold N. Aminde - University of Queensland
Walid Ammar - Fed Minist Hlth, Beirut, Lebanon
Yaw Ampem Amoako - College Station Medical Center
Gianna Gayle Herrera Amul - Supreme Council Of Health
Catalina Liliana Andrei - College Station Medical Center
Colin Angus - University of Sheffield
Mustafa Geleto Ansha - Dept Publ Hlth, Lexington, KY USA
Carl Abelardo T. Antonio - University of the Philippines Manila
Olatunde Aremu - Birmingham City University
Johan Arnlov - Karolinska Institutet
Al Artaman - University of Manitoba
Krishna K. Aryal - ABT Associates Nepal, Monitoring Evaluat & Operat Res Project, DFID Nepal Hlth Sect Programme 3, Lalitpur, Nepal
Reza Assadi - College Station Medical Center
Marcel Ausloos - University of Leicester
Leticia Avila-Burgos - Natl Inst Publ Hlth, Ctr Hlth Syst Res, Cuernavaca, Morelos, Mexico
Euripide F. G. A. Avokpaho - Benin Clin Res Inst IRCB, Project Deworm3, Calavi, Benin
Ashish Awasthi - PHFI, Gurugram, India
Henok Tadesse Ayele - McGill University
Rakesh Ayer - The University of Tokyo
Tambe B. Ayuk - College Station Medical Center
Peter S. Azzopardi - College Station Medical Center
Hamid Badali - College Station Medical Center
Alaa Badawi - University of Toronto
Maciej Banach - College Station Medical Center
Suzanne Lyn Barker-Collo - University of Auckland
Lope H. Barrero - Pontificia Univ Javeriana, Dept Ind Engn, Bogota, Colombia
Huda Basaleem - University of Aden
Estifanos Baye - Wollo University
Shahrzad Bazargan-Hejazi - Drew University
Neeraj Bedi - College Station Medical Center
Yannick Bejot - Univ Hosp Dijon, Dept Neurol, Dijon, France
Abate Bekele Belachew - Mekelle University
Saba Abraham Belay - Dr Tewelde Legesse Hlth Sci Coll, Mekelle, Ethiopia
Derrick A. Bennett - University of Oxford
Isabela M. Bensenor - University of Sao Paulo
Eduardo Bernabe - Kings Coll London, Dent Inst, London, England
Robert S. Bernstein - Emory University
Addisu Shunu Beyene - Haramaya University
Tina Beyranvand - College Station Medical Center
Soumyadeeep Bhaumik - George Institute for Global Health
Zulfiqar A. Bhutta - University of Toronto
Belete Biadgo - University of Gondar
Ali Bijani - College Station Medical Center
Nigus Bililign - Woldia University
Sait Mentes Birlik - University of Bologna
Charles Birungi - UCL, UCL Ctr Global Hlth Econ, London, England
Hailemichael Bizuneh - Millennium Engineering and Integration
Peter Bjerregaard - University of Southern Denmark
Tone Bjorge - University of Bergen
Guilherme Borges - Natl Inst Psychiat Ramon de la Fuente Muniz, Dept Epidemiol & Psychosocial Res, Mexico City, DF, Mexico
Cristina Bosetti - IRCCS, Dept Oncol, Mario Negri Inst Pharmacol Res, Milan, Italy
Soufiane Boufous - UNSW Sydney
Nicola Luigi Bragazzi - University of Genoa
Hermann Brenner - Heidelberg
Zahid A. Butt - University of British Columbia
Lucero Cahuana-Hurtado - Natl Inst Publ Hlth, Ctr Hlth Syst Res, Cuernavaca, Morelos, Mexico
Bianca Calabria - ACT
Ismael R. Campos-Nonato - Natl Inst Publ Hlth, Cuernavaca, Morelos, Mexico
Julio Cesar Campuzano Rincon - Natl Inst Publ Hlth, Cuernavaca, Morelos, Mexico
Giulia Carreras - Florence
Juan J. Carrero - Karolinska Institutet
Felix Carvalho - Universidade do Porto
Carlos A. Castaneda-Orjuela - Natl Inst Hlth, Colombian Natl Hlth Observ, Bogota, Colombia
Jacqueline Castillo Rivas - Costa Rican Dept Social Secur, San Jose, Costa Rica
Ferran Catala-Lopez - Supreme Council Of Health
Jung-Chen Chang - College Station Medical Center
Fiona J. Charlson - University of Washington
Aparajita Chattopadhyay - Int Inst Populat Sci, Dept Dev Studies, Bombay, Maharashtra, India
Pankaj Chaturvedi - Mécanique et Engrenage Moderne
Rajiv Chowdhury - University of Cambridge
Devasahayam J. Christopher - College Station Medical Center
Sheng-Chia Chung - UCL, Dept Hlth Informat, London, England
Liliana G. Ciobanu - University of Adelaide
Rafael M. Claro - Univ Fed Minas Gerais, Dept Nutr, Belo Horizonte, MG, Brazil
Sara Conti - University of Milano-Bicocca
Ewerton Cousin - Univ Fed Rio Grande do Sul, Postgrad Program Epidemiol, Porto Alegre, RS, Brazil
Michael H. Criqui - College Station Medical Center
Berihun Assefa Dachew - University of Gondar
Paul Dargan - College Station Medical Center
Ahmad Daryani - College Station Medical Center
Jose Das Neves - Universidade do Porto
Kairat Davletov - Alma
Filipa De Castro - Natl Inst Publ Hlth, Cuernavaca, Morelos, Mexico
Barbora De Courten - Monash University
Jan-Walter De Neve - Heidelberg University
Louisa Degenhardt - University of Washington
Gebre Teklemariam Demoz - Addis Ababa University
Don C. Des Jarlais - Supreme Council Of Health
Subhojit Dey - Disha Fdn, Gurgaon, India
Rupinder Singh Dhaliwal - College Station Medical Center
Samath Dhamminda Dharmaratne - University of Washington
Meghnath Dhimal - Nepal Hlth Res Council, Hlth Res Sect, Kathmandu, Nepal
David Teye Doku - University of Cape Coast
Kerrie E. Doyle - RMIT University
Manisha Dubey - World Food Programme
Eleonora Dubljanin - University of Belgrade
Bruce B. Duncan - Univ Fed Rio Grande do Sul, Postgrad Program Epidemiol, Porto Alegre, RS, Brazil
Hedyeh Ebrahimi - University of Tehran
Dumessa Edessa - Haramaya University
Maysaa El Sayed Zaki - Mansoura University
Sergei Petrovich Ermakov - Russian Acad Sci, Lab Socioecon Issues Human Dev & Qual Life, Moscow, Russia
Holly E. Erskine - University of Queensland
Alireza Esteghamati - University of Tehran
Mahbobeh Faramarzi - College Station Medical Center
Andrea Farioli - University of Bologna
Andre Faro - Univ Fed Sergipe, Dept Psychol, Sao Cristovao, Brazil
Maryam S. Farvid - Harvard University
Farshad Farzadfar - University of Tehran
Valery L. Feigin - University of Washington
Mariana Santos Felisbino-Mendes - Univ Fed Minas Gerais, Dept Maternal & Child Nursing & Publ Hlth, Belo Horizonte, MG, Brazil
Eduarda Fernandes - Universidade do Porto
Alize J. Ferrari - University of Queensland
Cleusa P. Ferri - Univ Fed Sao Paulo, Sao Paulo, Brazil
Daniel Obadare Fijabi - Brandeis University
Irina Filip - Kaiser Permanente
Jonas David Finger - Robert Koch Institute
Florian Fischer - Bielefeld University
Abraham D. Flaxman - University of Washington
Richard Charles Franklin - James Cook University
Neal D. Futran - University of Washington
Silvano Gallus - IRCCS, Dept Environm Hlth Sci, Mario Negri Inst Pharmacol Res, Milan, Italy
Morsaleh Ganji - University of Tehran
Fortune Gbetoho Gankpe - ACT
Gebremedhin Berhe Gebregergs - Mekelle University
Tsegaye Tewelde Gebrehiwot - Jimma University
Johanna M. Geleijnse - Wageningen University & Research
Reza Ghadimi - College Station Medical Center
Lilian A. Ghandour - Amer Univ Beirut, Dept Epidemiol & Populat Hlth, Beirut, Lebanon
Mamata Ghimire - University of Tsukuba
Paramjit Singh Gill - University of Warwick
Ibrahim Abdelmageed Ginawi - University of Ha'il
Ababi Zergaw Z. Giref - Addis Ababa University
Philimon N. Gona - Univ Massachusetts, Coll Nursing & Hlth Sci, Boston, MA 02125 USA
Sameer Vali Gopalani - University of Oklahoma
Carolyn C. Gotay - University of British Columbia
Alessandra C. Goulart - University of Sao Paulo
Felix Greaves - Imperial Coll London, Dept Primary Care & Publ Hlth, London, England
Giuseppe Grosso - Univ Hosp Polyclin Vittorio Emanuele, Integrated Tumor Registry, Catania, Italy
Yuming Guo - Monash University
Rahul Gupta - West Virginia Bur Publ Hlth, Commissioner Publ Hlth, Charleston, WV USA
Rajeev Gupta - West Virginia Bur Publ Hlth, Commissioner Publ Hlth, Charleston, WV USA
Vipin Gupta - University of Delhi
Reyna Alma Gutierrez - Natl Inst Psychiat Ramon de la Fuente Muniz, Dept Epidemiol & Psychosocial Res, Mexico City, DF, Mexico
Murthy Gvs - Publ Hlth Fdn India, Indian Inst Publ Hlth, Hyderabad, India
Nima Hafezi-Nejad - University of Tehran
Tekleberhan Beyene Hagos - Mekelle University
Gessessew Bugssa Hailu - Mekelle University
Randah R. Hamadeh - Arabian Gulf University
Samer Hamidi - Hamdan Bin Mohammed Smart University
Graeme J. Hankey - University of Western Australia
Hilda L. Harb - Minist Publ Hlth, Dept Vital & Hlth Stat, Beirut, Lebanon
Sivadasanpillai Harikrishnan - College Station Medical Center
Josep Maria Haro - Parc Sanit St Joan de Deu CIBERSAM, Res & Dev Unit, St Boi De Llobregat, Spain
Hamid Yimam Hassen - Mizan Tepi University
Rasmus Havmoeller - Karolinska Univ Hosp, Stockholm, Sweden
Simon Hay - University of Washington
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Andualem Henok - Mizan Tepi University
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Norberto Francisco Hernandez-Llanes - Natl Commission Against Addict, Secretary Hlth, Subdirectorate Regulat Guidelines & Tech Procedur, Mexico City, DF, Mexico
Claudiu Herteliu - Bucharest Univ Econ Studies, Dept Stat & Econometr, Bucharest, Romania
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Praveen Hoogar - Manipal Univ, Transdisciplinary Ctr Qualitat Methods, Manipal, Karnataka, India
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H. Dean Hosgood - Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA
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Mihaela Hostiuc - College Station Medical Center
Guoqing Hu - Cent South Univ, Xiangya Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Changsha, Hunan, Peoples R China
Hsiang Huang - Cambridge Hlth Alliance, Dept Psychiat, Cambridge, MA USA
Abdullatif Husseini - Birzeit University
Bulat Idrisov - UFA
Bogdan Vasile Ileanu - Bucharest Univ Econ Studies, Bucharest, Romania
Olayinka Stephen Ilesanmi - University of Liberia
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Maria D. Jackson - Univ West Indies, Dept Community Hlth & Psychiat, Jamaica, NY USA
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Achala Upendra Jayatilleke - University of Colombo
Ravi Prakash Jha - Banaras Hindu University
Jost B. Jonas - Heidelberg University
Jacek Jerzy Jozwiak - Czestochowa Tech Univ, Inst Hlth & Nutr Sci, Czestochowa, Poland
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Rajendra Kadel - Supreme Council Of Health
Amaha Kahsay - Mekelle University
Umesh Kapil - College Station Medical Center
Amir Kasaeian - University of Tehran
Tesfaye D. Dessale Kassa - Mekelle University
Srinivasa Vittal Katikireddi - University of Glasgow
Norito Kawakami - The University of Tokyo
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Adane Teshome Kefale - Mizan Tepi University
Peter Njenga Keiyoro - University of Nairobi
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Yousef Khader - College Station Medical Center
Morteza Abdullatif Khafaie - College Station Medical Center
Ibrahim A. Khalil - University of Washington
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Young-Ho Khang - College Station Medical Center
Mona M. Khater - Cairo University
Jagdish Khubchandani - Ball State University
Cho-Il Kim - Korea Hlth Ind Dev Inst, Cheongju, South Korea
Daniel Kim - Northeastern Univ, Dept Hlth Sci, Boston, MA 02115 USA
Yun Jin Kim - Xiamen University Malaysia
Ruth W. Kimokoti - Simmons Coll, Dept Nutr, Boston, MA 02115 USA
Adnan Kisa - University of Oslo
Mika Kivimaki - UCL, Dept Epidemiol & Publ Hlth, London, England
Sonali Kochhar - University of Washington
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Ai Koyanagi - Parc Sanit St Joan de Deu CIBERSAM, Res & Dev Unit, St Boi De Llobregat, Spain
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Burcu Kucuk Bicer - Ankara
Veena S. Kulkarni - Arkansas State University
Pushpendra Kumar - Int Inst Populat Sci, Bombay, Maharashtra, India
Alessandra Lafranconi - University of Milano-Bicocca
Arjun Lakshmana Balaji - Rajiv Gandhi University
Ratilal Lalloo - University of Queensland
Tea Lallukka - University of Helsinki
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Qing Lan - NCI, Div Canc Epidemiol & Genet, Rockville, MD USA
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Sonia Lansky - Municipal Hlth Dept Belo Horizonte, Belo Horizonte City Hall, Belo Horizonte, MG, Brazil
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Arman Latifi - Supreme Council Of Health
Janet L. Leasher - Nova Southeastern University
Paul H. Lee - Supreme Council Of Health
James Leigh - University of Sydney
Mall Leinsalu - Södertörn University
Janni Leung - University of Queensland
Miriam Levi - Florence
Yichong Li - Shenzen Inst Cardiovasc Dis, Dept Clin & Epidemiol Res, Shenzhen, Peoples R China
Lee-Ling Lim - Univ Malaya, Dept Med, Kuala Lumpur, Malaysia
Shai Linn - University of Haifa
Shiwei Liu - Ctr Chron Dis Control, Beijing, Peoples R China
Andrea Lobato-Cordero - Natl Inst Energy Efficiency & Renewable Energies, Quito, Ecuador
Paulo A. Lotufo - University of Sao Paulo
Erlyn Rachelle King Macarayan - Harvard University
Isis Eloah Machado - Supreme Council Of Health
Fabiana Madotto - University of Milano-Bicocca
Hassan Magdy Abd El Razek - Damietta University
Muhammed Magdy Abd El Razek - College Station Medical Center
Marek Majdan - Trnava Univ, Dept Publ Hlth, Trnava, Slovakia
Reza Majdzadeh - University of Tehran
Azeem Majeed - Imperial Coll London, Dept Primary Care & Publ Hlth, London, England
Reza Malekzadeh - University of Tehran
Deborah Carvalho Malta - Univ Fed Minas Gerais, Dept Maternal & Child Nursing & Publ Hlth, Belo Horizonte, MG, Brazil
Chabila Christopher Mapoma - University of Zambia
Jose Martinez-Raga - Doctor Peset Univ Hosp, Psychiat Dept, Valencia, Spain
Pallab K. Maulik - George Institute for Global Health
Mohsen Mazidi - Chalmers University of Technology
Martin Mckee - Supreme Council Of Health
Varshil Mehta - College Station Medical Center
Toni Meier - Martin Luther University Halle-Wittenberg
Tesfa Mekonen - Bahir Dar University
Kidanu Gebremariam Meles - Mekelle University
Addisu Melese - Debre Tabor University
Peter T. N. Memiah - Univ West Florida, Dept Publ Hlth, Pensacola, FL USA
Walter Mendoza - United Nations
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George A. Mensah - University of Cape Town
Tuomo J. Meretoja - University of Helsinki
Haftay Berhane Mezgebe - College Station Medical Center
Tomasz Miazgowski - College Station Medical Center
Ted R. Miller - Pacific Inst Res & Evaluat, Calverton, MD USA
G. K. Mini - College Station Medical Center
Andreea Mirica - Bucharest Univ Econ Studies, Dept Stat & Econometr, Bucharest, Romania
Erkin M. Mirrakhimov - College Station Medical Center
Babak Moazen - Heidelberg Univ, Inst Publ Hlth, Heidelberg, Germany
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Shafiu Mohammed - Heidelberg Univ, Inst Publ Hlth, Heidelberg, Germany
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Paula Moraga - Lancaster University Ghana
Lidia Morawska - Queensland University of Technology
Moti Tolera Jalu - Haramaya University
Seyyed Meysam Mousavi - University of Tehran
Satinath Mukhopadhyay - College Station Medical Center
Kamarul Imran Musa - Supreme Council Of Health
Aliya Naheed - Int Ctr Diarrhoeal Dis Res, Initiat Non Commun Dis, Dhaka, Bangladesh
Gurudatta Naik - University of Alabama
Farid Najafi - College Station Medical Center
Vinay Nangia - Suraj Eye Institute
Jobert Richie Nansseu - Minist Publ Hlth, Dept Dis Epidem & Pandem Control, Lebanon, NH USA
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Chakib Nejjari - Univ Sidi Mohammed Ben Abdellah, Dept Epidemiol & Publ Hlth, Fes, Morocco
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Sudan Prasad Neupane - University of Oslo
Josephine W. Ngunjiri - University of Embu
Cuong Tat Nguyen - Duy Tan University
Long Hoang Nguyen - Duy Tan University
Trang Huyen Nguyen - Duy Tan University
Dina Nur Anggraini Ningrum - Semarang State Univ, Publ Hlth Dept, Kota Semarang, Indonesia
Yirga Legesse Nirayo - Mekelle University
Jean Jacques Noubiap - University of Cape Town
Richard Ofori-Asenso - Monash University
Felix Akpojene Ogbo - Western Sydney University
In-Hwan Oh - Kyung Hee University
Olanrewaju Oladimeji - HSRC, HIV AIDS STIs & TB HAST Programme, Durban, South Africa
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Anu Mary Oommen - College Station Medical Center
Eyal Oren - University of Washington
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Doris D. Ortega-Altamirano - Natl Inst Publ Hlth, Ctr Hlth Syst Res, Cuernavaca, Morelos, Mexico
Justin R. Ortiz - University of Washington
Erika Ota - St Lukes Int Univ, Global Hlth Nursing, Chuo Ku, Tokyo, Japan
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Abayomi Samuel Oyekale - North West Univ, Agr Econ Grp, Mafikeng, South Africa
P. A. Mahesh - JSS Academy of Higher Education and Research
Adrian Pana - Bucharest Univ Econ Studies, Dept Stat & Econometr, Bucharest, Romania
Eun-Kee Park - Kosin University
Charles D. H. Parry - Stellenbosch University
Hadi Parsian - College Station Medical Center
Ajay Patle - Int Inst Populat Sci, Bombay, Maharashtra, India
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Deepak Paudel - Save Children, Hlth Nutr & HIV AIDS Program, Kathmandu, Nepal
Max Petzold - University of Gothenburg
Michael R. Phillips - Shanghai Jiao Tong University
Julian David Pillay - Durban University of Technology
Maarten J. Postma - University of Groningen
Farshad Pourmalek - University of British Columbia
Dorairaj Prabhakaran - PHFI, Gurugram, India
Mostafa Qorbani - College Station Medical Center
Amir Radfar - AT Still Univ, Mesa, AZ USA
Anwar Rafay - Contech
Alireza Rafiei - College Station Medical Center
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Afarin Rahimi-Movaghar - University of Tehran
Mahfuzar Rahman - Deakin University
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Rajesh Kumar Rai - Soc Hlth & Demog Surveillance, Suri, India
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David Laith Rawaf - Imperial Coll London, WHO Collaborating Ctr Publ Hlth Educ & Training, London, England
Salman Rawaf - Imperial Coll London, Dept Primary Care & Publ Hlth, London, England
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Robin Room - La Trobe University
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Ali Rostami - College Station Medical Center
Gregory A. Roth - University of Washington
Ambuj Roy - AIIMS, Dept Cardiol, New Delhi, India
Yogesh Damodar Sabde - College Station Medical Center
Basema Saddik - Univ Sharjah, Coll Med, Sharjah, U Arab Emirates
Saeid Safiri - Supreme Council Of Health
Amirhossein Sahebkar - College Station Medical Center
Zikria Saleem - University of the Punjab
Joshua A. Salomon - Stanford University
Sundeep Santosh Salvi - Chest Res Fdn, Clin Res Div, Pune, Maharashtra, India
Juan Sanabria - Marshall University
Maria Dolores Sanchez-Nino - Nephrol Grp, LIS Fdn Jimenez Diaz, Madrid, Spain
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Itamar S. Santos - University of Sao Paulo
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Nizal Sarrafzadegan - University of British Columbia
Benn Sartorius - University of KwaZulu-Natal
Maheswar Satpathy - Utkal University
Monika Sawhney - Univ North Carolina Charlotte, Dept Publ Hlth Sci, Charlotte, NC USA
Sonia Saxena - Supreme Council Of Health
Mete Saylan - Bayer, Market Access, Istanbul, Turkey
Michael P. Schaub - University of Zurich
Maria Ines Schmidt - Univ Fed Rio Grande do Sul, Postgrad Program Epidemiol, Porto Alegre, RS, Brazil
Ione J. C. Schneider - Univ Fed Santa Catarina, Hlth Sci Dept, Florianopolis, SC, Brazil
Ben Schoettker - Heidelberg
Aletta Elisabeth Schutte - College Station Medical Center
Falk Schwendicke - College Station Medical Center
Sadaf G. Sepanlou - University of Tehran
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Mehdi Sharif - Islamic Azad University
Jun She - Fudan University
Aziz Sheikh - Harvard University
Jiabin Shen - Nationwide Children sHosp, Res Inst, Columbus, OH USA
Mekonnen Sisay Shiferaw - Haramaya University
Mika Shigematsu - Natl Inst Infect Dis, Tokyo, Japan
Rahman Shiri - Finnish Inst Occupat Hlth, Helsinki, Finland
Kawkab Shishani - Washington State University
Ivy Shiue - Martin Luther University Halle-Wittenberg
Sharvari Rahul Shukla - Symbiosis Int Univ, Symbiosis Inst Hlth Sci, Pune, Maharashtra, India
Inga Dora Sigfusdottir - Reykjavík University
Diego Augusto Santos Silva - Univ Fed Santa Catarina, Hlth Sci Dept, Florianopolis, SC, Brazil
Natacha Torres Da Silva - Portuguese Inst Sport & Youth, Lisbon, Portugal
Dayane Gabriele Alves Silveira - Fed Minist Hlth, Dept Hlth Ind Complex & Innovat Hlth, Brasilia, DF, Brazil
Dhirendra Narain Narain Sinha - Supreme Council Of Health
Freddy Sitas - UNSW Sydney
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Reed J. D. Sorensen - University of Washington
Joan B. Soriano - Univ Hosp Princess IISP, Pneumol Serv, Res Inst, Madrid, Spain
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Nadine Steckling - Univ Hosp Munich, Inst & Outpatient Clin Occupat Social & Environm, Munich, Germany
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Patrick J. Sur - University of Washington
Bryan L. Sykes - Univ Calif Irvine, Dept Criminol Law & Soc, Irvine, CA USA
Rafael Tabares-Seisdedos - Universitat de València
Takahiro Tabuchi - Osaka Int Canc Inst, Canc Control Ctr, Osaka, Japan
Mohammad Tavakkoli - New York Medical College
Arash Tehrani-Banihashemi - College Station Medical Center
Merhawi Gebremedhin Tekle - Haramaya University
Subash Thapa - University of Southern Denmark
Nihal Thomas - College Station Medical Center
Roman Topor-Madry - Jagiellonian University
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Bach Xuan Tran - Hanoi University
Christopher E. Troeger - University of Washington
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Kingsley Nnanna Ukwaja - Fed Teaching Hosp, Dept Internal Med, Abakaliki, Nigeria
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Pascual R. Valdez - College Station Medical Center
Job F. M. Van Boven - University of Groningen
Tommi Juhani Vasankari - UKK Inst, Tampere, Finland
Narayanaswamy Venketasubramanian - Supreme Council Of Health
Francesco S. Violante - University of Bologna
Sergey Konstantinovitch Vladimirov - Minist Hlth FRIHOI, Fed Res Inst Hlth Org & Informat, Moscow, Russia
Vasily Vlassov - Supreme Council Of Health
Stein Emil Vollset - University of Washington
Theo Vos - University of Washington
Fasil Wagnew Shiferaw Wagnew - Debre Markos University
Yasir Waheed - College Station Medical Center
Yuan-Pang Wang - University of Sao Paulo
Elisabete Weiderpass - Karolinska Institutet
Fitsum Weldegebreal - Haramaya University
Kidu Gidey Weldegwergs - Mekelle University
Andrea Werdecker - Fed Inst Populat Res, Demog Change & Ageing Res Area, Wiesbaden, Germany
Ronny Westerman - Cohort
Harvey A. Whiteford - University of Washington
Justyna Widecka - College Station Medical Center
Tissa Wijeratne - University of Melbourne
Grant M. A. Wyper - National Health Service Scotland
Gelin Xu - Nanjing University
Tomohide Yamada - The University of Tokyo
Yuichiro Yano - University of Mississippi
Pengpeng Ye - Chinese Ctr Dis Control & Prevent, Div Injury Prevent & Mental Hlth Provement, Beijing, Peoples R China
Ebrahim M. Yimer - Mekelle University
Paul Yip - University of Hong Kong
Biruck Desalegn Yirsaw - University of South Australia
Engida Yisma - Addis Ababa University
Naohiro Yonemoto - Kyoto University
Seok-Jun Yoon - Korea Univ, Dept Prevent Med, Seoul, South Korea
Marcel Yotebieng - The Ohio State University
Mustafa Z. Younis - Jackson State University
Geevar Zachariah - Mother Hosp, Dept Cardiol, Trichur, India
Zoubida Zaidi - College Station Medical Center
Mohammad Zamani - College Station Medical Center
Xueying Zhang - Univ Texas Houston, Houston, TX USA
Sanjay Zodpey - PHFI, Indian Inst Publ Hlth, Gurugram, India
Ali H. Mokdad - University of Washington
Mohsen Naghavi - University of Washington
Christopher J. L. Murray - University of Washington
Emmanuela Gakidou - University of Washington
GBD 2016 Alcohol Collaborators
Publication Details: The Lancet (British edition), Vol.392(10152), pp.1015-1035
Publisher: Elsevier
Number of pages: 21
Date published: 2018
Grant note: 16H02643 / Grants-in-Aid for Scientific Research; Ministry of Education, Culture, Sports, Science and Technology, Japan (MEXT); Japan Society for the Promotion of Science; Grants-in-Aid for Scientific Research (KAKENHI) MR/K010174/1 / MRC; UK Research & Innovation (UKRI); Medical Research Council UK (MRC) Bill & Melinda Gates Foundation; CGIAR
Identifiers: 99777874702346
Academic Unit: School of Sustainability, Civil and Environmental Engineering
Language: English
Resource Type: Journal article

Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016

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