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Updated: Feb 4, 2026
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The Motivation for Alcohol Reward: Predictors of Progressive-Ratio Intravenous Alcohol Self-Administration in Humans
Published on: April 28, 2022
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Coming to Terms with the Alcohol-Cancer Link: A Work in Progress.
William M P Klein1, Emma Jesch1,2
1Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland.
Summary
Most US cancer centers recognize their duty to inform the public about alcohol-related cancer risks. However, many lack policies to reduce alcohol at events and question the evidence, hindering cancer prevention efforts.
Area of Science:
- Oncology
- Public Health
- Cancer Prevention
Background:
- Substantial evidence links alcohol consumption to multiple cancers, including breast and colorectal.
- Public awareness of alcohol's cancer risks in the US is suboptimal.
- Industry resistance and lack of awareness impede alcohol use reduction in cancer prevention.
Purpose of the Study:
- To assess the views of National Cancer Institute-Designated Cancer Centers on educating the public about alcohol-related cancer harms.
- To identify current practices and perceived barriers among cancer centers regarding alcohol policies and education.
- To explore potential strategies for improving alcohol de-emphasis in cancer prevention initiatives.
Main Methods:
- Survey of NCI-Designated Cancer Centers regarding their perceived obligation to educate on alcohol-cancer links.
- Inquiry into current policies on de-emphasizing alcohol at sponsored events.
- Assessment of cancer center staff's views on the definitiveness of current alcohol-cancer literature.
Main Results:
- 86% of surveyed cancer centers believe they should educate the public on alcohol's cancer harms.
- Nearly half of cancer centers lack policies to de-emphasize alcohol at sponsored events.
- Approximately half of the centers questioned the certainty of current alcohol-cancer evidence, but peer influence could sway opinions.
Conclusions:
- While cancer centers acknowledge an educational obligation, significant barriers like policy gaps and literature skepticism persist.
- Progress in addressing alcohol use in cancer prevention is feasible but requires overcoming these challenges.
- Parallels with tobacco control history highlight the complexity of policy change and public education in cancer prevention.
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