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Various studies have examined trends in specific measures of consumption or harm, but a comprehensive analysis of trends is needed to understand the changing impact of alcohol in Australia. The current study synthesised data across multiple national indicators to assess long\u2010term trends in alcohol consumption and related harms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Publicly accessible data were compiled from 2010 to 2023 (or until the most recent year available) and categorised into the following: non\u2010survey consumption measures (i.e., alcohol available for consumption and wastewater estimates); survey consumption measures (i.e., three nationally representative surveys); and alcohol\u2010related harm measures (i.e., deaths, hospitalisations, ambulance attendances, injuries, random breath tests and alcohol treatment episodes). Data were analysed using joinpoint regression analysis to assess trends and quantify annual percentage change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Survey and wastewater measures of alcohol consumption generally declined from 2010 onwards, while per\u2010capita consumption as measured via tax and import data slightly increased. Rates of most alcohol\u2010related harms increased substantially over the same period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Alcohol\u2010related harms in Australia have generally increased over the past 15\u2009years. This trend, alongside declines in survey\u2010measures of consumption and relative stability in tax\u2010based estimates of per\u2010capita consumption raises potential concerns about the ongoing validity of population surveys as tools to measure consumption trends. Increasing harms also point to the urgent need for evidence\u2010based interventions in Australian alcohol policy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.70261","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T07:11:40Z","timestamp":1792393900000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Australian Alcohol Consumption and Related Harms, 2010\u20132023"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0786-056X","authenticated-orcid":false,"given":"Emma","family":"Vieira","sequence":"first","affiliation":[{"name":"National Drug Research Institute Curtin University  Melbourne Australia"},{"name":"Burnet Institute  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0755-8624","authenticated-orcid":false,"given":"Mia","family":"Miller","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre UNSW Sydney  Sydney Australia"},{"name":"Menzies School of Health Research Charles Darwin University  Darwin Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5705-2026","authenticated-orcid":false,"given":"Amy","family":"Peacock","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre UNSW Sydney  Sydney Australia"},{"name":"School of Psychology University of Tasmania  Hobart Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2224-9301","authenticated-orcid":false,"given":"Nicola","family":"Man","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre UNSW Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8995-9386","authenticated-orcid":false,"given":"Michael","family":"Livingston","sequence":"additional","affiliation":[{"name":"National Drug Research Institute Curtin University  Melbourne Australia"},{"name":"Burnet Institute  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31310-2"},{"key":"e_1_2_11_3_1","volume-title":"Alcohol, Tobacco & Other Drugs in Australia","author":"Australian Institute of Health and Welfare","year":"2025"},{"key":"e_1_2_11_4_1","volume-title":"Organisation for Economic Co\u2010Operation and Development (OECD). 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