Abstract

AbstractThe epidemiology and prevention of alcohol problems were advanced significantly by the discovery of the important relationships among alcohol availability, per capita consumption and alcohol‐related problems such as cirrhosis. Recently, however, alcohol‐related problems have declined in some areas more than would be predicted by changes in consumptions. These declines may represent important opportunities for understanding the prevention of alcohol problems. For example, in recent work we have observed associations between declines in cirrhosis rates and increases in treatment for alcohol abuse and AA membership. The opportunities and challenges in examining the effects of various prevention measures on aggregate problem data are discussed.

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