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Declining trends in adolescent alcohol consumption and related harms: No room for complacency (an empirical reply to Vieira et al. 2025)

  • Aston University

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Abstract

Vieira et al. report that alcohol-related harms among adolescents have generally declined in high-income countries where youth drinking has decreased, but several methodological choices complicate this conclusion. By performing reproducibility analyses on Vieira et al.'s raw data, we show that their findings are more nuanced and complex. Secondary data analyses reveal that 19–24-year-olds have elevated vulnerability to alcohol-related harms. Any discussion of declining trends in adolescent alcohol consumption and related harms should acknowledge that current prevalence rates and harms remain unacceptably high and require continued public health attention.
Original languageEnglish
JournalAddiction
Early online date30 Mar 2026
DOIs
Publication statusE-pub ahead of print - 30 Mar 2026

Bibliographical note

Copyright © 2026 The Author(s). Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Funding

C.R.P. is supported by an Academy of Medical Sciences (AMS) Springboard Award (REF: SBF0010\1109); M.S. is supported by an Economic and Social Research Council (ESRC) PhD studentship (REF: ES/Y001877/1).

FundersFunder number
Academy of Medical SciencesSBF0010\1109
Economic and Social Research CouncilES/Y001877/1

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • adolescence
    • alcohol consumption
    • alcohol-related harm
    • drinking declines
    • prevalence
    • public health
    • trends

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