{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:14:08Z","timestamp":1790129648576,"version":"4.0.1"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T00:00:00Z","timestamp":1696550400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"EU4Health","award":["SANTE\/2022\/SI2.883729"],"award-info":[{"award-number":["SANTE\/2022\/SI2.883729"]}]},{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Alcohol increases cancer risk, but less is known about public awareness of this link. This scoping review summarizes recent findings on the public awareness of alcohol as a cancer risk factor in European Union and UK.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Four databases (Web of Science, MEDLINE, PsycInfo, CINAHL) were searched for papers containing data on awareness of alcohol as cancer risk factor in EU or UK published between January 2017 and December 2022, and complemented with grey literature searches.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In total, 45 studies were included covering 18 EU countries (Austria, Belgium, Cyprus, Czechia, Denmark, Finland, France, Germany, Hungary, Ireland, Italy, Netherlands, Poland, Romania, Slovakia, Slovenia, Spain, Sweden) and UK, presenting data collected between 2009 and 2022. Studies covered general population (17 studied a nationally representative sample), women, health professionals, patients and young people. Awareness of alcohol causing cancer in general was higher and studied more often than awareness of alcohol\u2019s impact on specific cancers. Among the EU general population, awareness of the link between alcohol and breast cancer ranged between 10% and 20%, head and neck cancer 15\u201325%, colorectal and oesophagus cancer 15\u201345% and liver cancer 40%. Awareness was higher among young people and specialized health professions and lower among women (the latter specifically for the breast cancer).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>While awareness rates varied depending on the exact question wording, many studies showed low awareness of the alcohol-cancer link, especially for specific types such as breast and colon cancer. Public should be better informed about alcohol consumption-related cancer risk.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckad141","type":"journal-article","created":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T02:25:30Z","timestamp":1696645530000},"page":"1128-1147","source":"Crossref","is-referenced-by-count":26,"title":["Public awareness of the alcohol-cancer link in the EU and UK: a scoping review"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7260-8064","authenticated-orcid":false,"given":"Da\u0161a","family":"Kokole","sequence":"first","affiliation":[{"name":"WHO Regional Office for Europe, UN City , Copenhagen, Denmark"},{"name":"Department of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University , Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Ferreira-Borges","sequence":"additional","affiliation":[{"name":"WHO Regional Office for Europe, UN City , Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gauden","family":"Galea","sequence":"additional","affiliation":[{"name":"WHO Regional Office for Europe, UN City , Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Tran","sequence":"additional","affiliation":[{"name":"WHO Regional Office for Europe, UN City , Copenhagen, Denmark"},{"name":"Centre for Addiction and Mental Health, Institute for Mental Health Policy Research , Toronto, Ontario, Canada"},{"name":"Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health , Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5665-0385","authenticated-orcid":false,"given":"J\u00fcrgen","family":"Rehm","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health, Institute for Mental Health Policy Research , Toronto, Ontario, Canada"},{"name":"Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health , Toronto, Ontario, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto , Toronto, Ontario, Canada"},{"name":"Centre for Addiction and Mental Health, World Health Organization\/Pan American Health Organization Collaborating Centre , Toronto, Ontario, Canada"},{"name":"Department of Psychiatry, University of Toronto , Toronto, Ontario, Canada"},{"name":"Centre for Interdisciplinary Addiction Research, University of Hamburg , Hamburg, Germany"},{"name":"Institute of Clinical Psychology and Psychotherapy & Center of Clinical Epidemiology and Longitudinal Studies (CELOS), Technische Universit\u00e4t Dresden , Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Neufeld","sequence":"additional","affiliation":[{"name":"WHO Regional Office for Europe, UN City , Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,10,6]]},"reference":[{"key":"2023120922250743200_ckad141-B1","author":"International Agency for Research on Cancer","year":"1988"},{"key":"2023120922250743200_ckad141-B2","first-page":"1","article-title":"Personal habits and indoor combustions. Volume 100 E. A review of human carcinogens","volume":"100(PT E)","author":"IARC Working Group on the Evaluation of Carcinogenic Risks to Humans","year":"2012","journal-title":"IARC Monogr Eval Carcinog Risks Hum"},{"key":"2023120922250743200_ckad141-B3","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1111\/add.13757","article-title":"The relationship between different dimensions of alcohol use and the burden of disease\u2014an update","volume":"112","author":"Rehm","year":"2017","journal-title":"Addiction"},{"key":"2023120922250743200_ckad141-B4","doi-asserted-by":"crossref","first-page":"3173","DOI":"10.3390\/nu13093173","article-title":"Alcohol and cancer: epidemiology and biological mechanisms","volume":"13","author":"Rumgay","year":"2021","journal-title":"Nutrients"},{"key":"2023120922250743200_ckad141-B5","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1038\/bjc.2014.579","article-title":"Alcohol consumption and site-specific cancer risk: a comprehensive dose-response meta-analysis","volume":"112","author":"Bagnardi","year":"2015","journal-title":"Br J Cancer"},{"key":"2023120922250743200_ckad141-B6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000507017","article-title":"Alcohol use and cancer in the European Union","volume":"27","author":"Rehm","year":"2021","journal-title":"Eur Addict Res"},{"key":"2023120922250743200_ckad141-B7"},{"key":"2023120922250743200_ckad141-B8","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1016\/S1470-2045(21)00279-5","article-title":"Global burden of cancer in 2020 attributable to alcohol consumption: a population-based study","volume":"22","author":"Rumgay","year":"2021","journal-title":"Lancet Oncol"},{"key":"2023120922250743200_ckad141-B9","author":"IARC","year":"2023"},{"key":"2023120922250743200_ckad141-B10","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1186\/s12889-018-5581-8","article-title":"Awareness of alcohol as a risk factor for cancer is associated with public support for alcohol policies","volume":"18","author":"Bates","year":"2018","journal-title":"BMC Public Health"},{"key":"2023120922250743200_ckad141-B11","doi-asserted-by":"crossref","first-page":"238","DOI":"10.15288\/jsad.2020.81.238","article-title":"Baseline assessment of alcohol-related knowledge of and support for alcohol warning labels among alcohol consumers in northern Canada and associations with key sociodemographic characteristics","volume":"81","author":"Vallance","year":"2020","journal-title":"J Stud Alcohol Drugs"},{"key":"2023120922250743200_ckad141-B12","doi-asserted-by":"crossref","first-page":"398","DOI":"10.3390\/ijerph17020398","article-title":"Improving knowledge that alcohol can cause cancer is associated with consumer support for alcohol policies: findings from a real-world alcohol labelling study","volume":"17","author":"Weerasinghe","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"2023120922250743200_ckad141-B13","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.amepre.2021.07.005","article-title":"Awareness of alcohol as a carcinogen and support for alcohol control policies","volume":"62","author":"Seidenberg","year":"2022","journal-title":"Am J Prev Med"},{"key":"2023120922250743200_ckad141-B14","year":"2009"},{"key":"2023120922250743200_ckad141-B15","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1158\/1055-9965.EPI-17-0645","article-title":"Awareness of the link between alcohol consumption and cancer across the world: a review","volume":"27","author":"Scheideler","year":"2018","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"2023120922250743200_ckad141-B16","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1186\/s12889-015-2512-9","article-title":"Awareness of risk factors for cancer: a comparative study of Sweden and Denmark","volume":"15","author":"Lagerlund","year":"2015","journal-title":"BMC Public Health"},{"key":"2023120922250743200_ckad141-B17","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1111\/jicd.12158","article-title":"Oral cancer awareness and knowledge among residents in the Oporto city, Portugal","volume":"7","author":"Monteiro","year":"2016","journal-title":"J Investig Clin Dent"},{"key":"2023120922250743200_ckad141-B18","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1634\/theoncologist.2014-0453","article-title":"Poor awareness of risk factors for cancer in Irish Adults: results of a large survey and review of the literature","volume":"20","author":"Ryan","year":"2015","journal-title":"Oncologist"},{"key":"2023120922250743200_ckad141-B19","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1186\/s12889-016-3855-6","article-title":"Public awareness of the link between alcohol and cancer in England in 2015: a population-based survey","volume":"16","author":"Buykx","year":"2016","journal-title":"BMC Public Health"},{"key":"2023120922250743200_ckad141-B20","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s12874-016-0116-4","article-title":"A scoping review on the conduct and reporting of scoping reviews","volume":"16","author":"Tricco","year":"2016","journal-title":"BMC Med Res Methodol"},{"key":"2023120922250743200_ckad141-B21","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1080\/1364557032000119616","article-title":"Scoping studies: towards a methodological framework","volume":"8","author":"Arksey","year":"2005","journal-title":"Int J Soc Res Methodol Theor Pract"},{"key":"2023120922250743200_ckad141-B22","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann Intern Med"},{"key":"2023120922250743200_ckad141-B23","doi-asserted-by":"crossref","first-page":"2585","DOI":"10.1016\/j.ejca.2006.03.017","article-title":"Low levels of breast cancer risk awareness in young women: an international survey","volume":"42","author":"Peacey","year":"2006","journal-title":"Eur J Cancer"},{"key":"2023120922250743200_ckad141-B24","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1136\/tobaccocontrol-2011-050338","article-title":"The history of the discovery of the cigarette\u2013lung cancer link: evidentiary traditions, corporate denial, global toll","volume":"21","author":"Proctor","year":"2012","journal-title":"Tob Control"},{"key":"2023120922250743200_ckad141-B25","author":"National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health","year":"2014"},{"key":"2023120922250743200_ckad141-B26","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1093\/oxfordjournals.aje.a113899","article-title":"Alcoholic beverage consumption and breast cancer in a French case-control study","volume":"120","author":"L\u00ea","year":"1984","journal-title":"Am J Epidemiol"},{"key":"2023120922250743200_ckad141-B27","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1136\/jech.33.2.127","article-title":"Alcohol and oesophageal cancer: an assessment of the evidence from routinely collected data","volume":"33","author":"Chilvers","year":"1979","journal-title":"J Epidemiol Community Health (1978)"},{"key":"2023120922250743200_ckad141-B28","first-page":"2840","article-title":"Epidemiology of alcohol and cancer","volume":"39(7_Part_2)","author":"Tuyns","year":"1979","journal-title":"Cancer Res"},{"key":"2023120922250743200_ckad141-B29","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1111\/dar.12596","article-title":"How alcohol industry organisations mislead the public about alcohol and cancer","volume":"37","author":"Petticrew","year":"2018","journal-title":"Drug Alcohol Rev"},{"key":"2023120922250743200_ckad141-B30","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1093\/alcalc\/agx071","article-title":"Population level effects of a mass media alcohol and breast cancer campaign: a cross-sectional pre-intervention and post-intervention evaluation","volume":"53","author":"Martin","year":"2018","journal-title":"Alcohol Alcohol"},{"key":"2023120922250743200_ckad141-B31","doi-asserted-by":"crossref","first-page":"105722","DOI":"10.1016\/j.ypmed.2019.05.010","article-title":"Can a mass media campaign raise awareness of alcohol as a risk factor for cancer and public support for alcohol related policies?","volume":"126","author":"Christensen","year":"2019","journal-title":"Prev Med"},{"key":"2023120922250743200_ckad141-B32","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1007\/s11845-021-02719-8","article-title":"Health information and warnings on alcohol packaging in Ireland: it is time to progress the Public Health (Alcohol) Act 2018","volume":"191","author":"Critchlow","year":"2022","journal-title":"Ir J Med Sci"},{"key":"2023120922250743200_ckad141-B33","author":"Communication from the Commission to the European Parliament and the council\u2014Europe\u2019s Beating Cancer Plan"},{"key":"2023120922250743200_ckad141-B34","doi-asserted-by":"crossref","first-page":"102666","DOI":"10.1016\/j.drugpo.2020.102666","article-title":"Effects of strengthening alcohol labels on attention, message processing, and perceived effectiveness: a quasi-experimental study in Yukon, Canada","volume":"77","author":"Hobin","year":"2020","journal-title":"Int J Drug Policy"},{"key":"2023120922250743200_ckad141-B35","doi-asserted-by":"crossref","first-page":"225","DOI":"10.15288\/jsad.2020.81.225","article-title":"The effects of alcohol warning labels on population alcohol consumption: an interrupted time series analysis of alcohol sales in Yukon, Canada","volume":"81","author":"Zhao","year":"2020","journal-title":"J Stud Alcohol Drugs"},{"key":"2023120922250743200_ckad141-B36","doi-asserted-by":"crossref","first-page":"284","DOI":"10.15288\/jsad.2020.81.284","article-title":"Cancer warning labels on alcohol containers: a consumer\u2019s right to know, a government\u2019s responsibility to inform, and an industry\u2019s power to thwart","volume":"81","author":"Stockwell","year":"2020","journal-title":"J Stud Alcohol Drugs"},{"key":"2023120922250743200_ckad141-B37","doi-asserted-by":"crossref","first-page":"107004","DOI":"10.1016\/j.addbeh.2021.107004","article-title":"A randomized controlled trial of the effectiveness of combinations of \u2018why to reduce\u2019 and \u2018how to reduce\u2019 alcohol harm-reduction communications","volume":"121","author":"Pettigrew","year":"2021","journal-title":"Addict Behav"},{"key":"2023120922250743200_ckad141-B38","author":"Foucaud","year":"2018"},{"key":"2023120922250743200_ckad141-B39","article-title":"\u201cAlcohol causes cancer\u201d: a difficult message for Australians to swallow","author":"May","year":"2021","journal-title":"Health Promot Int"},{"key":"2023120922250743200_ckad141-B40","doi-asserted-by":"crossref","first-page":"e13075","DOI":"10.1111\/ecc.13075","article-title":"Alcohol use and breast cancer risk: a qualitative study of women\u2019s perspectives to inform the development of a preventative intervention in breast clinics","volume":"28","author":"Chambers","year":"2019","journal-title":"Eur J Cancer Care (Engl)"}],"container-title":["European Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurpub\/article-pdf\/33\/6\/1128\/54194069\/ckad141.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurpub\/article-pdf\/33\/6\/1128\/54194069\/ckad141.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T22:26:05Z","timestamp":1702160765000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurpub\/article\/33\/6\/1128\/7295464"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,6]]},"references-count":40,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,10,6]]},"published-print":{"date-parts":[[2023,12,9]]}},"URL":"https:\/\/doi.org\/10.1093\/eurpub\/ckad141","relation":{},"ISSN":["1101-1262","1464-360X"],"issn-type":[{"value":"1101-1262","type":"print"},{"value":"1464-360X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,12,1]]},"published":{"date-parts":[[2023,10,6]]}}}