Risk and protective factors for alcohol and tobacco related disorders: An umbrella review of observational studiesShow others and affiliations
2021 (English)In: Neuroscience and Biobehavioral Reviews, ISSN 0149-7634, E-ISSN 1873-7528, Vol. 121, p. 20-28Article, review/survey (Refereed) Published
Abstract [en]
The credibility of evidence of various environmental risk factors for alcohol and tobacco use disorders (AUD/TUD) needs to be graded to identify groups to target with selective prevention. A systematic umbrella review was conducted (PubMed/PsycINFO), grading credibility of meta-analyses of prospective/retrospective observational cohort studies assessing risk/protective factors for AUD/TUD, applying established quantitative criteria. Sensitivity analyses were conducted. Quality of eligible meta-analyses was assessed with AMSTAR-2. Out of 8464 unique references, 80 full text articles were scrutinized, and 12 meta-analyses, corresponding to 21 individual estimates of 12 putative risk/protective factors (n = 241,300), were included. In main analyses no association had convincing nor highly suggestive evidence for AUD/TUD. Six associations had suggestive evidence for AUD, two for TUD. Among these, in sensitivity analyses without >1000 cases criterion, convincing evidence emerged for parental alcohol supply, and impulsivity traits in college students for AUD, and attention-deficit/hyperactivity disorder for TUD. Other associations were supported by weak evidence/were not nominally significant. Few risk factors identified at-risk groups where selective preventative strategies could be developed to prevent AUD/TUD.
Place, publisher, year, edition, pages
PERGAMON-ELSEVIER SCIENCE LTD , 2021. Vol. 121, p. 20-28
Keywords [en]
Umbrella review; Alcohol; Tobacco; Smoking; Risk factor; Prevention; Systematic review; Meta-analysis; Substance use
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-174147DOI: 10.1016/j.neubiorev.2020.11.010ISI: 000611799000004PubMedID: 33248149OAI: oai:DiVA.org:liu-174147DiVA, id: diva2:1537228
Note
Funding Agencies|LundbeckLundbeck Corporation
2021-03-152021-03-152021-03-15