title: Alcohol and burden of disease in Australia: the challenge in assessing consumption.
abstract: OBJECTIVE
  Alcohol consumption is one of the major avoidable risk factors for disease, illness and injury in the Australian community. Population health scientists and economists use estimates of alcohol consumption in burden of disease frameworks to estimate the impact of alcohol on disease, illness and injury. This article highlights challenges associated with estimating alcohol consumption in these models and provides a series of recommendations to improve estimates.
  
  
  METHODS
  Key challenges in measuring alcohol consumption at the population level are identified and discussed with respect to how they apply to burden of disease frameworks.
  
  
  RESULTS
  Methodological advances and limitations in the estimation of alcohol consumption are presented with respect to use of survey data, population distributions of alcohol consumption, consideration of 'patterns' of alcohol use including 'bingeing', and capping exposure. Key recommendations for overcoming these limitations are provided. Implications and conclusion: Alcohol-related burden has a significant impact on the health of the Australian population. Improving estimates of alcohol related consumption will enable more accurate estimates of this burden to be determined to inform future alcohol policy by legislators.
authors.affiliation: Eastern Health Clinical School, Monash University, Victoria; Turning Point, Eastern Health, Victoria.
authors.forename: Rowan P
authors.initials: RP
authors.lastname: Ogeil
authors.forename: Robin
authors.initials: R
authors.lastname: Room
authors.forename: Sharon
authors.initials: S
authors.lastname: Matthews
authors.forename: Belinda
authors.initials: B
authors.lastname: Lloyd
mesh_terms: D000428:Alcohol Drinking / Q000009:adverse effects / Q000191:economics* / Q000453:epidemiology; D020751:Alcohol-Induced Disorders / Q000191:economics* / Q000453:epidemiology; D019973:Alcohol-Related Disorders / Q000191:economics* / Q000453:epidemiology; D001315:Australia / Q000453:epidemiology; D002908:Chronic Disease; D017281:Cost of Illness; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires
keywords: alcohol; burden of disease; consumption; methodology