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  1. Article ; Online: Affordability of Alcoholic Beverages in the European Union.

    Kilian, Carolin / Manthey, Jakob / Neufeld, Maria / Rehm, Jürgen

    European addiction research

    2022  Volume 29, Issue 1, Page(s) 63–66

    Abstract: Background: From a public health perspective, alcohol taxation should be designed to reduce alcohol affordability and thus alcohol consumption and related harms.: Objectives: In this brief report, we estimate alcohol affordability in European Union ... ...

    Abstract Background: From a public health perspective, alcohol taxation should be designed to reduce alcohol affordability and thus alcohol consumption and related harms.
    Objectives: In this brief report, we estimate alcohol affordability in European Union Member States and associated countries and investigate whether affordability is related to national alcohol excise duties.
    Method: Beverage-specific affordability for beer, wine, and spirits were estimated based on the number of standard drinks a household could purchase based on their median monthly disposable household income in 2020. To determine the pooled affordability of alcohol, the beverage-specific estimates were weighted by the share of the beverage-specific per capita consumption in total recorded consumption. Pearson and Spearman rank correlations were calculated to establish the association between alcohol affordability and alcohol excise duty rates. All data were retrieved from official sources.
    Results: On average, a European household can purchase 1,628 standard drinks of alcohol with its monthly income, with affordability being highest in Germany, Austria, France, and Luxembourg. The affordability of spirits, but not that of beer or wine, was inversely correlated with the beverage-specific excise duty rates.
    Conclusions: Alcohol is affordable in the Member States of the European Union and associated countries, and low levels of excise duties on beer and wine appear to be unrelated to their affordability. Alcohol taxes should be increased to effectively reduce the affordability of alcoholic beverages in order to lower the alcohol-related health burden in Europe.
    MeSH term(s) Humans ; European Union ; Alcoholic Beverages ; Beer ; Wine ; Alcohol Drinking/epidemiology ; Ethanol ; Costs and Cost Analysis
    Chemical Substances Ethanol (3K9958V90M)
    Language English
    Publishing date 2022-10-14
    Publishing country Switzerland
    Document type News
    ZDB-ID 1215786-7
    ISSN 1421-9891 ; 1022-6877
    ISSN (online) 1421-9891
    ISSN 1022-6877
    DOI 10.1159/000527096
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  2. Article ; Online: Cultural adaptation and validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for Brazil.

    Araújo, Agostinho Antônio Cruz / Godoy, Simone de / Maia, Natália Maria Freitas E Silva / Trevelin, Maria Eduarda Bonissoni / Vedana, Kelly Graziani Giacchero / Neufeld, Carmem Beatriz / Freire, Neyson Pinheiro / Ventura, Carla Aparecida Arena / McAleer, Patricia / Mendes, Isabel Amélia Costa

    Revista brasileira de enfermagem

    2024  Volume 77, Issue 1, Page(s) e20230356

    Abstract: Objectives: to carry out the cultural adaptation and evaluation of validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for use in Brazil.: Methods: psychometric study, conducted from the stages of translation, synthesis, back- ... ...

    Abstract Objectives: to carry out the cultural adaptation and evaluation of validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for use in Brazil.
    Methods: psychometric study, conducted from the stages of translation, synthesis, back-translation, review by a committee of seven experts, pre-test and evaluation of measurement properties with 32 and 238 nursing students, respectively. Descriptive statistics, Exploratory Factor Analysis (EFA), and Confirmatory Factor Analysis (CFA) were performed. The reliability of the instrument was estimated using McDonald's Omega (ω).
    Results: EFA subsidized the distribution of the fifteen SNS-15 items into four factors. Using AFC, satisfactory fit indices were achieved (Comparative Fit Index = 0.94; Tucker-Lewis Index = 0.93; Root Mean Square Error of Approximation = 0.06; Standardized Root Mean Square Residual = 0.16) and ω = 0.86.
    Conclusions: the Brazilian version of the SNS-15 presents evidence that confirms its validity and reliability.
    MeSH term(s) Humans ; Brazil ; Students, Nursing ; Reproducibility of Results ; Surveys and Questionnaires ; Factor Analysis, Statistical ; Psychometrics
    Language Portuguese
    Publishing date 2024-03-15
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 731983-6
    ISSN 1984-0446 ; 0034-7167
    ISSN (online) 1984-0446
    ISSN 0034-7167
    DOI 10.1590/0034-7167-2023-0356
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  3. Article ; Online: How much do Europeans know about the link between alcohol use and cancer? Results from an online survey in 14 countries.

    Neufeld, Maria / Kokole, Daša / Correia, Daniela / Ferreira-Borges, Carina / Olsen, Aleksandra / Tran, Alexander / Rehm, Jürgen

    BMC research notes

    2024  Volume 17, Issue 1, Page(s) 56

    Abstract: Objective: In the EU, which has the highest drinking levels worldwide, cancer is the primary cause of alcohol-attributable deaths. Existing studies show gaps in public knowledge, but there is lack of systematic appraisal. The report presents original ... ...

    Abstract Objective: In the EU, which has the highest drinking levels worldwide, cancer is the primary cause of alcohol-attributable deaths. Existing studies show gaps in public knowledge, but there is lack of systematic appraisal. The report presents original data from a cross-sectional survey conducted within the framework of an online experimental study in 14 European countries, which among other things assessed baseline knowledge of the alcohol-NCD link, particularly cancer.
    Methods: Online questionnaire among adults who consume alcohol conducted in 14 countries in 2022-2023 using different recruitment strategies and applying population weights for the final sample. Baseline assessments measured participants' knowledge of alcohol-attributable health issues (with a specific focus on cancer).
    Results: Baseline knowledge assessment showed that 90% indicated a causal role of alcohol for liver disease, 68% for heart diseases, and only 53% for cancer. Knowledge of specific alcohol-attributable cancer types was lower, with 39% aware of the link between alcohol use and colon cancer, 28% regarding oral cancer, and only 15% regarding female breast cancer. Knowledge levels varied across different countries and population groups.
    Conclusion: Most Europeans do not know which cancers can be caused by alcohol use and knowledge is low specifically for female breast cancer. More awareness raising and prevention efforts are needed, such as the placement of cancer-specific health warnings on alcohol container labels.
    MeSH term(s) Adult ; Humans ; Female ; Alcohol Drinking/epidemiology ; Cross-Sectional Studies ; Breast Neoplasms ; Surveys and Questionnaires ; Europe/epidemiology
    Language English
    Publishing date 2024-02-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2413336-X
    ISSN 1756-0500 ; 1756-0500
    ISSN (online) 1756-0500
    ISSN 1756-0500
    DOI 10.1186/s13104-024-06707-w
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  4. Article ; Online: Public awareness of the alcohol-cancer link in the EU and UK: a scoping review.

    Kokole, Daša / Ferreira-Borges, Carina / Galea, Gauden / Tran, Alexander / Rehm, Jürgen / Neufeld, Maria

    European journal of public health

    2023  Volume 33, Issue 6, Page(s) 1128–1147

    Abstract: Background: Alcohol increases cancer risk, but less is known about public awareness of this link. This scoping review summarizes recent findings on the public awareness of alcohol as a cancer risk factor in European Union and UK.: Methods: Four ... ...

    Abstract Background: Alcohol increases cancer risk, but less is known about public awareness of this link. This scoping review summarizes recent findings on the public awareness of alcohol as a cancer risk factor in European Union and UK.
    Methods: Four databases (Web of Science, MEDLINE, PsycInfo, CINAHL) were searched for papers containing data on awareness of alcohol as cancer risk factor in EU or UK published between January 2017 and December 2022, and complemented with grey literature searches.
    Results: In total, 45 studies were included covering 18 EU countries (Austria, Belgium, Cyprus, Czechia, Denmark, Finland, France, Germany, Hungary, Ireland, Italy, Netherlands, Poland, Romania, Slovakia, Slovenia, Spain, Sweden) and UK, presenting data collected between 2009 and 2022. Studies covered general population (17 studied a nationally representative sample), women, health professionals, patients and young people. Awareness of alcohol causing cancer in general was higher and studied more often than awareness of alcohol's impact on specific cancers. Among the EU general population, awareness of the link between alcohol and breast cancer ranged between 10% and 20%, head and neck cancer 15-25%, colorectal and oesophagus cancer 15-45% and liver cancer 40%. Awareness was higher among young people and specialized health professions and lower among women (the latter specifically for the breast cancer).
    Conclusions: While awareness rates varied depending on the exact question wording, many studies showed low awareness of the alcohol-cancer link, especially for specific types such as breast and colon cancer. Public should be better informed about alcohol consumption-related cancer risk.
    MeSH term(s) Humans ; Female ; Adolescent ; Italy ; European Union ; Spain ; Breast Neoplasms ; United Kingdom/epidemiology ; Europe/epidemiology
    Language English
    Publishing date 2023-10-06
    Publishing country England
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1129243-x
    ISSN 1464-360X ; 1101-1262
    ISSN (online) 1464-360X
    ISSN 1101-1262
    DOI 10.1093/eurpub/ckad141
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    Zs.A 3499: Show issues Location:
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  5. Article: Unraveling the gut-brain axis: the impact of steroid hormones and nutrition on Parkinson's disease.

    Neufeld, Paula Maria / Nettersheim, Ralf A / Matschke, Veronika / Vorgerd, Matthias / Stahlke, Sarah / Theiss, Carsten

    Neural regeneration research

    2023  Volume 19, Issue 10, Page(s) 2219–2228

    Abstract: This comprehensive review explores the intricate relationship between nutrition, the gut microbiome, steroid hormones, and Parkinson's disease within the context of the gut-brain axis. The gut-brain axis plays a pivotal role in neurodegenerative diseases ...

    Abstract This comprehensive review explores the intricate relationship between nutrition, the gut microbiome, steroid hormones, and Parkinson's disease within the context of the gut-brain axis. The gut-brain axis plays a pivotal role in neurodegenerative diseases like Parkinson's disease, encompassing diverse components such as the gut microbiota, immune system, metabolism, and neural pathways. The gut microbiome, profoundly influenced by dietary factors, emerges as a key player. Nutrition during the first 1000 days of life shapes the gut microbiota composition, influencing immune responses and impacting both child development and adult health. High-fat, high-sugar diets can disrupt this delicate balance, contributing to inflammation and immune dysfunction. Exploring nutritional strategies, the Mediterranean diet's anti-inflammatory and antioxidant properties show promise in reducing Parkinson's disease risk. Microbiome-targeted dietary approaches and the ketogenic diet hold the potential in improving brain disorders. Beyond nutrition, emerging research uncovers potential interactions between steroid hormones, nutrition, and Parkinson's disease. Progesterone, with its anti-inflammatory properties and presence in the nervous system, offers a novel option for Parkinson's disease therapy. Its ability to enhance neuroprotection within the enteric nervous system presents exciting prospects. The review addresses the hypothesis that α-synuclein aggregates originate from the gut and may enter the brain via the vagus nerve. Gastrointestinal symptoms preceding motor symptoms support this hypothesis. Dysfunctional gut-brain signaling during gut dysbiosis contributes to inflammation and neurotransmitter imbalances, emphasizing the potential of microbiota-based interventions. In summary, this review uncovers the complex web of interactions between nutrition, the gut microbiome, steroid hormones, and Parkinson's disease within the gut-brain axis framework. Understanding these connections not only offers novel therapeutic insights but also illuminates the origins of neurodegenerative diseases such as Parkinson's disease.
    Language English
    Publishing date 2023-12-21
    Publishing country India
    Document type Journal Article
    ZDB-ID 2388460-5
    ISSN 1876-7958 ; 1673-5374
    ISSN (online) 1876-7958
    ISSN 1673-5374
    DOI 10.4103/1673-5374.391304
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  6. Article ; Online: Potenzielle Auswirkungen erhöhter Alkoholsteuern auf die alkoholbedingte Krankheitslast in Deutschland: Eine Modellierungsstudie.

    Kilian, Carolin / Rovira, Pol / Neufeld, Maria / Manthey, Jakob / Rehm, Jürgen

    Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz

    2022  Volume 65, Issue 6, Page(s) 668–676

    Abstract: Background: In 2019, Germany was among the countries with the highest alcohol per capita consumption in the world, which contributes significantly to the burden of disease.: Aim: In this modelling study, we estimate how many alcohol-attributable ... ...

    Title translation Potential impact of increased alcohol taxes on the alcohol-attributable burden of disease in Germany: a modelling study.
    Abstract Background: In 2019, Germany was among the countries with the highest alcohol per capita consumption in the world, which contributes significantly to the burden of disease.
    Aim: In this modelling study, we estimate how many alcohol-attributable diseases and deaths in Germany could have been avoided in 2019 if current alcohol excise taxes were increased by 20%, 50%, and 100%.
    Methods: The starting point for the modelling was the national beverage-specific alcohol taxes. Three scenarios were modelled under the assumption that the resulting tax increase would be fully transferred to the retail prices. Beverage-specific price elasticities were used. Based on the estimated resulting decline in annual per capita consumption and the disease-specific risk functions, we modelled the avoidable incidence and mortality for alcohol-attributable diseases for 2019. Alcohol-attributable diseases of the cardiovascular and digestive systems, alcohol dependence, epilepsy, and infectious diseases as well as injuries and accidents were considered.
    Results: Overall, doubling the beverage-specific alcohol taxes could have avoided up to 200,400 alcohol-attributable cases of disease and injury as well as 2800 deaths in Germany in 2019. This corresponds to just under 7% of the modelled new alcohol-attributable cases of disease and death in Germany.
    Discussion: Alcohol-attributable diseases and injuries are preventable and an increase in the alcohol taxes could substantially reduce the alcohol-attributable burden of disease in Germany.
    MeSH term(s) Alcohol Drinking/epidemiology ; Alcohol-Related Disorders ; Alcoholic Beverages ; Cost of Illness ; Germany/epidemiology ; Humans ; Taxes
    Language German
    Publishing date 2022-04-19
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1461973-8
    ISSN 1437-1588 ; 1436-9990
    ISSN (online) 1437-1588
    ISSN 1436-9990
    DOI 10.1007/s00103-022-03528-9
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  7. Article ; Online: The Impact of Unrecorded Alcohol Use on Health: What Do We Know in 2020?

    Lachenmeier, Dirk W / Neufeld, Maria / Rehm, Jürgen

    Journal of studies on alcohol and drugs

    2021  Volume 82, Issue 1, Page(s) 28–41

    Abstract: Objective: About 25% of global alcohol consumption is unrecorded, that is, concerns alcohol not registered in the country where it is consumed. Unrecorded alcohol includes homemade, illicit, or surrogate alcohols. The aim of this review is to update the ...

    Abstract Objective: About 25% of global alcohol consumption is unrecorded, that is, concerns alcohol not registered in the country where it is consumed. Unrecorded alcohol includes homemade, illicit, or surrogate alcohols. The aim of this review is to update the evidence on unrecorded alcohol and its impact on health.
    Method: A narrative review and qualitative synthesis of scientific literature (English and Russian) for the period 2016-2020 was conducted.
    Results: A total of 100 articles were included in the synthesis. The most harm because of unrecorded alcohol seems to be caused by ethanol, although single and mass methanol poisonings constitute exceptions. Nevertheless, unrecorded consumption is associated with disproportionate harm that goes beyond toxicity, which is linked to hazardous drinking patterns of unrecorded alcohol, and its association with alcohol use disorders and social marginalization. The online sale of unrecorded alcohol, which circumvents alcohol availability regulations, is an emerging and not yet well-explored issue.
    Conclusions: Policy options include restricting access to methanol, increasing taxation, denaturing ethanol-containing liquids that could be used as surrogates, introducing more effective and less toxic denaturizing additives, and improving monitoring systems for fraud, tax evasion, and local sales restrictions, including raising the minimum legal drinking age. These measures should be implemented within a holistic policy framework to avoid unintended effects, such as an increase in total alcohol consumption, shifts from certain types of unrecorded products to potentially toxic alternatives, or limiting economic activity and jeopardizing the livelihoods of vulnerable populations (e.g., women comprise the majority of those making homebrew in some countries).
    MeSH term(s) Alcohol Drinking/economics ; Alcohol Drinking/epidemiology ; Alcoholic Beverages/economics ; Alcoholism/epidemiology ; Commerce ; Ethanol/administration & dosage ; Female ; Humans ; Policy ; Taxes
    Chemical Substances Ethanol (3K9958V90M)
    Language English
    Publishing date 2021-02-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2266450-6
    ISSN 1938-4114 ; 1934-2683 ; 1937-1888 ; 0096-882X
    ISSN (online) 1938-4114 ; 1934-2683
    ISSN 1937-1888 ; 0096-882X
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  8. Article ; Online: Newest policy developments regarding surrogate alcohol consumption in Russia.

    Neufeld, Maria / Rehm, Jürgen

    The International journal on drug policy

    2018  Volume 54, Page(s) 58–59

    MeSH term(s) Alcohol Drinking/prevention & control ; Alcoholic Beverages/adverse effects ; Drug and Narcotic Control/legislation & jurisprudence ; Humans ; Policy Making ; Russia
    Language English
    Publishing date 2018-02-08
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2010000-0
    ISSN 1873-4758 ; 0955-3959
    ISSN (online) 1873-4758
    ISSN 0955-3959
    DOI 10.1016/j.drugpo.2017.11.013
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  9. Article ; Online: Prisons need to be included in global and national vaccinations effort against COVID-19.

    Neufeld, Maria / Alves da Costa, Filipa / Ferreira-Borges, Carina

    The Lancet regional health. Europe

    2021  Volume 4, Page(s) 100088

    Language English
    Publishing date 2021-03-21
    Document type Journal Article
    ISSN 2666-7762
    ISSN (online) 2666-7762
    DOI 10.1016/j.lanepe.2021.100088
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  10. Article ; Online: Implementing Health Warnings on Alcoholic Beverages: On the Leading Role of Countries of the Commonwealth of Independent States.

    Neufeld, Maria / Ferreira-Borges, Carina / Rehm, Jürgen

    International journal of environmental research and public health

    2020  Volume 17, Issue 21

    Abstract: Despite being a psychoactive substance and having a major impact on health, alcohol has to date escaped the required labeling regulations for either psychoactive substances or food. The vast majority of the countries in the WHO European Region have ... ...

    Abstract Despite being a psychoactive substance and having a major impact on health, alcohol has to date escaped the required labeling regulations for either psychoactive substances or food. The vast majority of the countries in the WHO European Region have stricter labeling requirements for bottled water and health warning provisions for over-the-counter medications than for alcoholic beverages. However, more progress in implementing health warnings has been made in the eastern part of the WHO European Region, largely because of the recent technical regulation put in place by the newly formed Eurasian Economic Union. The present contribution provides an overview of the existing legislation regarding the placement of alcohol health warnings on advertisements and labels on alcohol containers in the countries of the Commonwealth of Independent States (CIS; Armenia, Azerbaijan, Belarus, Kazakhstan, Kyrgyzstan, Moldova, Russia, Tajikistan, Turkmenistan, and Uzbekistan) and discusses their potential gaps and shortfalls. It also reviews the evolution of the Eurasian Economic Union Technical Regulation 047/2018, which is, to date, the only international document to impose binding provisions on alcohol labeling. The technical regulation's developmental process demonstrates how the comprehensive messages and strong requirements for health warnings that were suggested initially were watered down during the consultation process.
    MeSH term(s) Adolescent ; Alcoholic Beverages ; Azerbaijan ; Child ; Commonwealth of Independent States ; Female ; Humans ; Kazakhstan ; Product Labeling ; Russia ; Tajikistan ; Uzbekistan
    Language English
    Publishing date 2020-11-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph17218205
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