1Imperial College London, London, UK.
J Psychopharmacol. 2014 Jan;28(1):3-7. doi: 10.1177/0269881113512038.
Alcohol use is one of the top five causes of disease and disability in almost all countries in Europe, and in the eastern part of Europe it is the number one cause. In the UK, alcohol is now the leading cause of death in men between the ages of 16-54 years, accounting for over 20% of the total. Europeans above 15 years of age in the EU on average consume alcohol at a level which is twice as high as the world average. Alcohol should therefore be a public health priority, but it is not. This paper puts forward a new approach to reduce alcohol use and harms that would have major public health and social impacts. Our approach comprises individual behaviour and policy elements. It is based on the assumption that heavy drinking is key. It is simple, so it would be easy to introduce, and because it lacks stigmatising issues such as the diagnosis of addiction and dependence, it should not be contentious.
在欧洲几乎所有国家，饮酒是导致疾病和残疾的五大原因之一，在东欧更是首要原因。在英国，酒精是 16-54 岁男性人群的首要致死原因，占比超过 20%。欧盟 15 岁以上人群的酒精摄入量平均是世界平均水平的两倍。因此，酒精应当成为公共卫生的重点关注对象，但实际上并非如此。本文提出了一种新的方法来减少饮酒量和降低饮酒危害，这将对公众健康和社会产生重大影响。我们的方法包含个人行为和政策要素。它基于一个假设，即重度饮酒是关键。该方法简单，易于实施，而且由于它不涉及成瘾和依赖等具有污名化问题的诊断，因此应该不会引起争议。
