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dc.contributor.authorSordo, Luis 
dc.contributor.authorBarrio, Gregorio 
dc.contributor.authorBravo, María J 
dc.contributor.authorVillalbí, Joan R
dc.contributor.authorEspelt, Albert
dc.contributor.authorNeira, Montserrat
dc.contributor.authorRegidor, Enrique 
dc.date.accessioned2020-05-07T07:09:43Z
dc.date.available2020-05-07T07:09:43Z
dc.date.issued2016
dc.identifier.citationPopul Health Metr. 2016 Jun 2;14:21.es_ES
dc.identifier.issn1478-7954es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/9934
dc.description.abstractBACKGROUND: National estimates on per capita alcohol consumption are provided regularly by various sources and may have validity problems, so corrections are needed for monitoring and assessment purposes. Our objectives were to compare different alcohol availability estimates for Spain, to build the best estimate (actual consumption), characterize its time trend during 2001-2011, and quantify the extent to which other estimates (coverage) approximated actual consumption. METHODS: Estimates were: alcohol availability from the Spanish Tax Agency (Tax Agency availability), World Health Organization (WHO availability) and other international agencies, self-reported purchases from the Spanish Food Consumption Panel, and self-reported consumption from population surveys. Analyses included calculating: between-agency discrepancy in availability, multisource availability (correcting Tax Agency availability by underestimation of wine and cider), actual consumption (adjusting multisource availability by unrecorded alcohol consumption/purchases and alcohol losses), and coverage of selected estimates. Sensitivity analyses were undertaken. Time trends were characterized by joinpoint regression. RESULTS: Between-agency discrepancy in alcohol availability remained high in 2011, mainly because of wine and spirits, although some decrease was observed during the study period. The actual consumption was 9.5 l of pure alcohol/person-year in 2011, decreasing 2.3 % annually, mainly due to wine and spirits. 2011 coverage of WHO availability, Tax Agency availability, self-reported purchases, and self-reported consumption was 99.5, 99.5, 66.3, and 28.0 %, respectively, generally with downward trends (last three estimates, especially self-reported consumption). The multisource availability overestimated actual consumption by 12.3 %, mainly due to tourism imbalance. CONCLUSIONS: Spanish estimates of per capita alcohol consumption show considerable weaknesses. Using uncorrected estimates, especially self-reported consumption, for monitoring or other purposes is misleading. To obtain conservative estimates of alcohol-attributable disease burden or heavy drinking prevalence, self-reported consumption should be shifted upwards by more than 85 % (91 % in 2011) of Tax Agency or WHO availability figures. The weaknesses identified can probably also be found worldwide, thus much empirical work remains to be done to improve estimates of per capita alcohol consumption.es_ES
dc.description.sponsorshipThe authors are grateful to Kathy Fitch for translation. This work was supported by Spanish Health Research and Development Strategy (PI13/00183; PI15CIII/00022), National Plan on Drugs (2015I040). Writing of the paper was also partially supported by a grant of the National Plan on Drugs (Res. 8-7-15. Secretaría de Estado de Servicios Sociales e Igualdad) to the Alcohol Work Group of the Spanish Society of Epidemiology.es_ES
dc.language.isoenges_ES
dc.publisherBMCes_ES
dc.relation.isversionofPublisher's versiones_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectAlcoholes_ES
dc.subjectAvailabilityes_ES
dc.subjectConsumptiones_ES
dc.subjectData sourceses_ES
dc.subjectPopulation surveyses_ES
dc.subjectPurchaseses_ES
dc.subjectSaleses_ES
dc.subjectSelf-reportes_ES
dc.subjectUnderestimationes_ES
dc.titleEstimating average alcohol consumption in the population using multiple sources: the case of Spaines_ES
dc.typeArtículoes_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.pubmedID27257407es_ES
dc.format.volume14es_ES
dc.format.number1es_ES
dc.format.page21es_ES
dc.identifier.doi10.1186/s12963-016-0090-4es_ES
dc.contributor.funderPlan Nacional de Drogas (España)
dc.description.peerreviewedes_ES
dc.relation.publisherversionhttps://doi.org/10.1186/s12963-016-0090-4es_ES
dc.identifier.journalPopulation health metricses_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.institucionISCIIIes_ES
dc.relation.projectIDinfo:eu_repo/grantAgreement/ES/PI13/00183es_ES
dc.relation.projectIDinfo:eu_repo/grantAgreement/ES/PI15CIII/00022es_ES
dc.relation.projectIDinfo:eu_repo/grantAgreement/ES/2015I040es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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