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Related Experiment Video

Updated: Jun 28, 2026

Modeling Alcohol Consumption in Rodents Using Two-Bottle Choice Home Cage Drinking and Microstructural Analysis
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Global Trends in National Alcohol Control Policies Between 2010-2019.

Hyundam Gu1, Eduardo Fuentes-López2, Francisco Idalsoaga3

  • 1Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.

JHEP Reports : Innovation in Hepatology
|June 26, 2026
PubMed
Summary

Global alcohol policy preparedness improved between 2010-2019, with significant gains in taxation and monitoring. However, national planning and marketing controls lagged, showing uneven progress across regions and highlighting the need for targeted interventions.

Keywords:
alcohol use disorderalcohol-associated liver diseasealcoholic liver diseasecirrhosisethanolneoplasms

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Area of Science:

  • Public Health
  • Health Policy
  • Epidemiology

Background:

  • Alcohol consumption is a major global risk factor for over 200 diseases, mortality, and disability.
  • Understanding global alcohol policy trends is crucial for public health interventions.
  • The Alcohol Preparedness Index (API) provides a framework for assessing national alcohol policies.

Purpose of the Study:

  • To update the Alcohol Preparedness Index (API) and analyze global and regional alcohol policy trends from 2010 to 2019.
  • To identify areas of progress and persistent gaps in alcohol policy implementation worldwide.
  • To inform evidence-based strategies for reducing alcohol-related harm.

Main Methods:

  • Data from 141 countries were compiled using the WHO Global Information System on Alcohol and Health.
  • The API was scored across five domains: policy frameworks, production/pricing/taxation, marketing/availability, drink-driving, and monitoring/surveillance.
  • Trends were analyzed by region, and regression models explored factors influencing API changes.

Main Results:

  • Global API showed a median increase from 2010 to 2016, with a slight decrease by 2019 but remaining above baseline.
  • Production, pricing, and taxation saw the most significant improvement (27% to 78%).
  • Less than 25% of countries had strong national alcohol plans; national planning and marketing controls showed slower progress, especially in low-income regions.

Conclusions:

  • Alcohol policy preparedness has increased globally but remains uneven across different policy domains and geographical regions.
  • Persistent policy gaps necessitate prioritizing evidence-based interventions, particularly in national planning and marketing controls.
  • Translating policy presence into effective implementation is key to reducing alcohol-associated diseases, aligning with the WHO SAFER framework.