Alcohol and Public Health in Latin America: how to prevent a health disaster?

Authors

  • Maristela G. Monteiro Asesora Principal para Alcohol y Abuso de Sustancias. Organización Panamericana de la Salud. Senior Advisor, Alcohol and Substance Abuse Pan American Health Organization 525 23rd St. NW, Washington DC 20037, United States of America Tel. (1) 202 974 31 08 Fax. (1) 202 974 36 45

DOI:

https://doi.org/10.20882/adicciones.56

Keywords:

Alcohol, public health, Latin America, public policies

Abstract

Alcohol consumption is a public health problem in Latin America, beingresponsible for thousands of annual deaths and millions of healthy life years lost to acute and chronic conditions caused by alcohol. Consumptionis higher and more prevalent among men, but women and adolescent girlsare increasing their consumption more rapidly than men and adolescent boys. Beer is the alcoholic beverage most consumed, followed by distilledspirits; however, there are countries differences as some countries drinkmostly wine. The industry which produces, distributes and sells alcoholicbeverages is powerful, mostly globalized and with great political influence,so the current situation favors commercial interests at the expense of public health. Public policies in Latin America are insufficient to respond to the situation at national level, with little o no regulatory control of the availability of alcoholic beverages, prices and taxation policies or government control of marketing and promotion. There is limited researchwhich can inform policy actions. Gaps in prevention and treatment of alcohol consumption and related problems are discussed as well as some perspectives for the future.

References

Babor, T. F., Stenius, K., Savva, S. y O’Reilly, J. (Eds.) (2009) Publishing

Addiction Science: a guide to the perplexed (second edition).

Brentwood, RU: Multi-Science Publishing Company Ltd. Babor, T.,Caetano, R., Casswell, S., Edwards, G., Giesbrecht, N., Graham, K.,… Rossow, I. (2010) El alcohol: un producto de consumo no ordinario. Investigación y políticas públicas. Washington D. C.: Organización Panamericana de la Salud (versión en inglés publicadapor Oxford Univesity Press, 2010)

Center for Disease Control and Prevention (2013) Global School-based

Student Health Survey (GSHS). Atlanta,GA: Center for Disease

Control and Prevention.

Graham, K., Bernards, S., Munné, M. y Wilsnack, S. (Eds) (2008) Unhappy hours: alcohol and partner violence in the Americas, Washington D. C.: Organización Panamericana de la Salud.

Klingemann, H. y Gmel, G. (2001) Mapping the social consequences of

alcohol consumption. Dordrecht: Kluwer Academic Publishers.

Lim, S.S., Vos, T., Flaxman, A. D., Danaei, G., Shibuya, K., Adair-Rohani,

H.,… Memish, Z. A. (2012). A comparative risk assessment of burden of disease and injury attributable to 67 risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 380, 2224-2260.

Monteiro, M. (2007) Alcohol y Salud Pública en las Américas; un caso para la acción. Organización Panamericana de la Salud, Washington D.C.: Organización Panamericana de la Salud.

Monteiro, M. (2009) Como Responder a los problemas relacionados con el consumo de alcohol en la comunidad. En: J. Rodriguez (Eds.) Salud Mental en la Comunidad, segunda edición (pp. 297-310). Washington D.C.: Organización Panamericana de la Salud.

Obot, I. y Room, R. (Eds.) (2005) Alcohol, gender and drinking problems.

Perspectives from low and middle income countries. Ginebra: Organización Mundial de la Salud.

Organización Mundial de la Salud (2004) Global status report on alcohol. Ginebra, Suiza: Organización Mundial de la Salud.

Organización Mundial de la Salud (2004a) Global school-based student

health survey (GSHS). Ginebra, Suiza: Organización Mundial de la Salud. http://www.who.int/chp/gshs/en/

Organización Mundial de la Salud (2007) WHO Expert Committee on problems related to alcohol consumption. WHO Technical Report Series 944. Ginebra, Suiza: Organización Mundial de la Salud.

Organización Mundial de la Salud (2009).Global Health Risks. Mortality

and burden of disease attributable to selected major risks. Ginebra,

Suiza: Organización Mundial de la Salud.

Organización Mundial de la Salud (2010) Global strategy to reduce the harmful use of alcohol. Ginebra, Suiza: Organización Mundial de la Salud. http://www.who.int/substance_abuse/activities/globalstrategy/en/index.html

Organización Mundial de la Salud (2011) Global status report on alcohol and health. Ginebra, Suiza: Organización Mundial de la Salud.

Organización Mundial de la Salud (2012) Guía de intervención mh-GAP para los trastornos mentales, neurológicos y por uso de sustancias en el nivel de la salud no especializada. Ginebra: Organización Mundial de la Salud.

Organización Panamericana de la Salud (2012) Salud en las Américas.

Washington D. C.: Organización Panamericana de la Salud.

Rehm , J. y Monteiro, M. (2005) Alcohol consumption and burden of disease in the Americas –implications for alcohol policy. PanAmerican Journal of Public Health, 18 (4/5), 241-248.

Rehm, J., Baliunas, D., Borges, G. L. G., Graham, K., Irving, H. M.,Kehoe, T.,… Taylor, B. (2010) The relation between different dimensions of alcohol consumption and burden of disease - An overview. Addiction, 105, 817-843.

Rehm, J., Monteiro, M., Room, R., Gmel, G., Jernigan, D., Frick,U. y Graham, K. (2001) Steps towards constructing a global comparative risk analysis for alcohol consumption: determining indicators and empirical weights for patterns of drinking, deciding about theoretical minimum, and dealing with different consequences. Eur Addiction Res, 7,138-147.

Rehm, J., Rehn, N., Room, R., Monteiro, M., Gmel, G., Jernigan, D. y Frick, U. (2003) The global distribution of average volume of alcohol consumption and patterns of drinking. Eur Addiction Res, 9, 147-156.

Taylor, B., Rehm, J., Caldera, J. T., Bejarano, J., Cayetano, C., Kerr-

Correa, F.,… Wilsnack, S. (2007) Alcohol, gender, culture and harms in the Americas. : PAHO multicentric study final report. Washington D. C.: Organización Panamericana de la Salud.

Published

2013-07-01

Issue

Section

Editorial