Hazardous alcohol use and alcohol-related harm in rural and remote communities: a scoping review

Affiliations

¹ Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada; Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada; ICES, Toronto, ON, Canada. Electronic address: erik.friesen@mail.utoronto.ca.
² Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
³ Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.
⁴ Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada.
⁵ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
⁶ Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada.
⁷ Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada; Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; ICES, Toronto, ON, Canada; Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
⁸ Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada; ICES, Toronto, ON, Canada.

PMID: 34774200
DOI: 10.1016/S2468-2667(21)00159-6

Free article

Hazardous alcohol use and alcohol-related harm in rural and remote communities: a scoping review

Erik Loewen Friesen et al. Lancet Public Health. 2022 Feb.

Free article

. 2022 Feb;7(2):e177-e187.

doi: 10.1016/S2468-2667(21)00159-6. Epub 2021 Nov 10.

Authors

Affiliations

¹ Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada; Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada; ICES, Toronto, ON, Canada. Electronic address: erik.friesen@mail.utoronto.ca.
² Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
³ Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.
⁴ Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada.
⁵ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
⁶ Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada.
⁷ Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada; Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; ICES, Toronto, ON, Canada; Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
⁸ Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada; ICES, Toronto, ON, Canada.

PMID: 34774200
DOI: 10.1016/S2468-2667(21)00159-6

Abstract

Alcohol use is a major risk factor for death and disease worldwide and alcohol-related harms appear to be more prevalent in rural and remote, relative to urban, communities. This Review synthesised international research on rural-urban disparities in hazardous and harmful alcohol use and risk factors for these outcomes within rural and remote communities. 280 studies from 49 countries were included in the Scoping Review. Most studies (60%) found rural, relative to urban, residence to be associated with an increased likelihood of hazardous alcohol use or alcohol-related harm. This proportion increased between 1990 and 2019 and varied by country, age group, and outcome type, being highest in Australia, among young adults, and for more severe alcohol-related harms, such as drink driving and alcohol-related suicide. Improved public health strategies to reduce the burden of alcohol use in rural communities are required but their efficacy will depend on how well they are tailored to the unique needs of the region they are implemented in.

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Conflict of interest statement

Declaration of interests ELF is supported by the Frederick Banting and Charles Best Canada Graduate Scholarship—Doctoral Award from the Canadian Institutes of Health Research. PS has received speaking honoraria from the Fundamentals of Addiction Medicine TeleECHO Clinic. All other authors declare no competing interests.

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Hazardous alcohol use and alcohol-related harm in rural and remote communities: a scoping review

Affiliations

Hazardous alcohol use and alcohol-related harm in rural and remote communities: a scoping review

Authors

Affiliations

Abstract

Conflict of interest statement

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical