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This was caused by an average consumption of 6.06\u2009litres of pure alcohol per year (APC; 95% confidence interval 4.46\u20137.84), higher than the global average of 5.45\u2009litres. Trends in APC have varied across subregions: China saw increasing consumption up to 2016, with a marked decrease since then, likely due to an anti\u2010corruption campaign prohibiting consumption in public spaces and during official functions. In other Asian countries, consumption steadily increased until the COVID\u201019 pandemic, then decreased during it, and has now partially returned to pre\u2010pandemic levels. APC in Oceania including Australasia was relatively stable between 2000 and 2020 and has decreased since.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Overall, alcohol use remains high and normalised in the region, necessitating robust alcohol control policies. Strengthening these efforts is particularly critical in some Asian countries that experienced the largest increases in levels of alcohol consumption between 2000 and 2024.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.70215","type":"journal-article","created":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T14:15:33Z","timestamp":1785075333000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol Use and Attributable Burden of Disease in the World Health Organization Western Pacific Region"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5665-0385","authenticated-orcid":false,"given":"J\u00fcrgen","family":"Rehm","sequence":"first","affiliation":[{"name":"Institute for Mental Health Policy Research Centre for Addiction and Mental Health  Toronto Canada"},{"name":"Campbell Family Mental Health Research Institute Centre for Addiction and Mental Health  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