A5046291039- Substance Abuse Treatment and Outcomes
- Alcohol Consumption and Health Effects
- Health disparities and outcomes
- Homelessness and Social Issues
- Prenatal Substance Exposure Effects
- Gestational Diabetes Research and Management
- Smoking Behavior and Cessation
- Global Public Health Policies and Epidemiology
- Suicide and Self-Harm Studies
- Employment and Welfare Studies
- Food Security and Health in Diverse Populations
- Healthcare Policy and Management
- Nutritional Studies and Diet
- Mental Health Treatment and Access
- Opioid Use Disorder Treatment
- Liver Disease Diagnosis and Treatment
- Health Policy Implementation Science
- Treatment of Major Depression
- Alcoholism and Thiamine Deficiency
- Digital Mental Health Interventions
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- HIV/AIDS Impact and Responses
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Chronic Disease Management Strategies
Centre for Addiction and Mental Health
2016-2025
University of Toronto
2018-2025
Heidelberg University
2020-2025
University Hospital Heidelberg
2020-2025
Canada Research Chairs
2024
Mental Health Research Institute
2022
Global Policy Institute
2021
Mental Health Research UK
2021
South African Medical Research Council
2021
VA Center for Clinical Management Research
2020
Alcohol use has increased globally, with varying trends in different parts of the world. This study investigates gender, age, and geographical differences alcohol-attributable burden disease from 2000 to 2016.This comparative risk assessment estimated disease. Population-attributable fractions (PAFs) were by combining alcohol exposure data obtained production taxation statistics national surveys corresponding relative risks meta-analyses cohort studies. Mortality morbidity WHO Global Health...
Alcohol use disorders are among the mental with lowest treatment rates. Increasing rates requires insight on reasons why patients do not seek treatment. This study examined self-reported for seeking and their association alcohol disorder severity primary health care diagnosed an disorder. disorders, service utilization, were assessed via interviews regionally representative samples of from 6 European countries (Italy, Germany, Hungary, Latvia, Poland Spain, total N = 9,098). Additionally,...
<h3>Importance</h3> The World Health Organization is developing a global strategy to eliminate cervical cancer, with goals for screening prevalence among women aged 30 through 49 years. However, evidence on levels of cancer in low- and middle-income countries (LMICs) sparse. <h3>Objective</h3> To determine lifetime LMICs its variation across within world regions countries. <h3>Design, Setting, Participants</h3> Analysis cross-sectional nationally representative household surveys carried out...
Prenatal alcohol exposure may cause a number of health complications for the mother and developing fetus, including Fetal Alcohol Spectrum Disorders (FASD). This study aimed to estimate pooled prevalence i) use (any amount) binge drinking (4 or more standard drinks on single occasion) during pregnancy, ii) Syndrome (FAS) FASD among general Aboriginal populations in Canada United States, based available literature. Comprehensive systematic literature searches meta-analyses, assuming...
Alcohol use during pregnancy is an established cause of fetal alcohol spectrum disorder (FASD), with heavy drinking being explicitly linked to syndrome (FAS). This paper presents recent estimates the prevalence of: (i) any amount pregnancy; (ii) one or more binge episode(s) (4 standard drinks on a single occasion) (iii) FAS; and (iv) FASD among general population globally by World Health Organization region. It apparent, based presented estimates, that occur frequently pregnant women in many...
Alcohol dependence (AD) in Europe is prevalent and causes considerable health burden. Recognition by general practitioners (GPs) provision of or referral to treatment may contribute reduce this This paper studied AD prevalence varying European primary care settings examined who received treatment. In a cross-sectional multi-centre study six countries, 358 assessed 13,003 patients between January 2013 2014, which 8,476 were interviewed, collecting information on socio-demographics, physical...
To determine the prevalence and frequency of using any tobacco product each a detailed set products, how use vary across countries, world regions, World Bank country income groups, socioeconomic demographic gradients within countries.
<h3>Importance</h3> The US has experienced increasing socioeconomic inequalities and stagnating life expectancy. Past studies have not disentangled 2 mechanisms thought to underlie in health, differential exposure vulnerability, that different policy implications. <h3>Objective</h3> To evaluate the extent which association between status (SES) all-cause mortality can be decomposed into a direct effect of SES, indirect effects through lifestyle factors (differential exposure), joint SES with...
<h3>PURPOSE</h3> Although alcohol dependence causes marked mortality and disease burden in Europe, the treatment rate is low. Primary care could play a key role reducing alcohol-attributable harm by screening, brief interventions, initiating or referral to treatment. This study investigates identification of European primary settings. <h3>METHODS</h3> Assessments from 13,003 general practitioners, 9,098 interviews (8,476 joint number interviewed patients with physician's assessment) were...
Low-risk alcohol drinking guidelines require a scientific basis that extends beyond individual or group judgements of risk. Life-time mortality risks, judged against established thresholds for acceptable risk, may provide such guidelines. Therefore, the aim this study was to estimate risks seven European countries based on different average daily consumption amounts.The maximum voluntary premature risk determined be one in 1000, with sensitivity analyses 100. levels were estimated by...
Abstract Aims The aims of the article are (a) to estimate coverage rates (i.e. proportion ‘real consumption’ accounted for by a survey compared with more reliable aggregate consumption data) total, recorded and beverage-specific annual per capita in 23 European countries, (b) investigate differences between regions, other factors which might be associated low (prevalence heavy episodic drinking [HED], methodology). Methods Survey data were derived from Standardised Alcohol Harmonising...
Depressive disorders (DD) and alcohol use (AUD) frequently co-occur. They are key to understanding the current increases in "deaths of despair" among individuals with lower socioeconomic status (SES). The aim this study was assess prospective bidirectional associations between AUD DD, as well effect SES on these two conditions.