{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:51:22Z","timestamp":1777679482501,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001513","name":"Cancer Society of New Zealand","doi-asserted-by":"publisher","award":["20.02"],"award-info":[{"award-number":["20.02"]}],"id":[{"id":"10.13039\/501100001513","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Alcohol consumption increases longer-term health risks, including cancer. Many adults at midlife in Aotearoa New Zealand drink frequently but may not be aware of such risks. This study examined midlife adults\u2019 awareness of alcohol and health risks and their knowledge of government low-risk drinking guidelines. A convenience sample of 502 adults (aged 40\u201365\u2009years; 70% female) completed an online questionnaire. Almost all respondents reported they were aware of health risks associated with alcohol consumption. When unprompted, 41% of the sample named cancer as a health risk; when asked if they knew that alcohol use was associated with cancer, 61% agreed. For one-third of these respondents, this awareness did not motivate them to drink less. Most knew government drinking guidelines existed although did not know what they were. To support midlife adults to drink less, we need more insight into how they make sense of the long-term health risks of alcohol.<\/jats:p>","DOI":"10.1177\/13591053251341793","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T02:14:47Z","timestamp":1748571287000},"page":"472-482","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Alcohol-related health risks, cancer and government drinking guidelines: Views of adults at midlife in Aotearoa New Zealand"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4254-3268","authenticated-orcid":false,"given":"Antonia","family":"Lyons","sequence":"first","affiliation":[{"name":"University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8897-1949","authenticated-orcid":false,"given":"Kate","family":"Kersey","sequence":"additional","affiliation":[{"name":"University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Stephens","sequence":"additional","affiliation":[{"name":"Massey University, Palmerston North, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7087-5107","authenticated-orcid":false,"given":"Denise","family":"Blake","sequence":"additional","affiliation":[{"name":"Independent researcher"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8173-0552","authenticated-orcid":false,"given":"Jessica","family":"Young","sequence":"additional","affiliation":[{"name":"Victoria University of Wellington, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,29]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agab042"},{"key":"e_1_3_3_3_1","unstructured":"Australian Bureau of Statistics (2023) Alcohol consumption. Available at: https:\/\/www.abs.gov.au\/statistics\/health\/health-conditions-and-risks\/alcohol-consumption\/latest-release (accessed 10 October 2024)."},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12461"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12159"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agx127"},{"key":"e_1_3_3_7_1","unstructured":"Chambers T Mizdrak A Jones AC et al. (2024) Estimated alcohol-attributable health burden in Aotearoa New Zealand. Available at: https:\/\/healthnz.figshare.com\/articles\/report\/Estimated_alcohol-attributable_health_burden_in_Aotearoa_New_Zealand\/27048892\/1?file=49256578 (accessed 15 March 2025)."},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13022"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.13477"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12443"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2023.2245208"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-021-01492-w"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2011.01424.x"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029874"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003374480-17"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0038038520973580"},{"key":"e_1_3_3_17_1","unstructured":"Foundation for Alcohol Research and Education (n.d.) 2020 Annual alcohol poll: Attitudes and behaviours. Available at: https:\/\/fare.org.au\/wp-content\/uploads\/ALCPOLL-2020.pdf. (accessed 1 October 2024)."},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-018-0629-6"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2021.1990331"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2021.103453"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2023.104046"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13610"},{"key":"e_1_3_3_23_1","unstructured":"Ministry of Health\/Manat\u016b Hauora (2023) New Zealand Health Survey. Annual data explorer: December 2023. Available at: https:\/\/minhealthnz.shinyapps.io\/nz-health-survey-2023-24-annual-data-explorer\/ (accessed 12 April 2024)."},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/14461242.2023.2209090"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30752-2"},{"key":"e_1_3_3_26_1","volume-title":"Canada\u2019s Guidance on Alcohol and Health: Final Report","author":"Paradis C","year":"2023","unstructured":"Paradis C, Butt P, Shield K, et al. (2023) Canada\u2019s Guidance on Alcohol and Health: Final Report. Ottawa: Canadian Centre on Substance Use and Addiction."},{"key":"e_1_3_3_27_1","volume-title":"Public awareness of cancer risk factors & support for prevention policies in Aotearoa New Zealand: A focus on alcohol and diet. Te R\u014dp\u016b Rangahau\u014dTe K\u0101hui Matepukupuku (Cancer Society Research Collaboration)","author":"Peniamina R","year":"2023","unstructured":"Peniamina R, McNoe B, Signal L (2023) Public awareness of cancer risk factors & support for prevention policies in Aotearoa New Zealand: A focus on alcohol and diet. Te R\u014dp\u016b Rangahau\u014dTe K\u0101hui Matepukupuku (Cancer Society Research Collaboration). Dunedin: University of Otago."},{"key":"e_1_3_3_28_1","volume-title":"Evaluating the Impact of Minimum Unit Pricing for Alcohol in Scotland","author":"Public Health Scotland","year":"2023","unstructured":"Public Health Scotland (2023) Evaluating the Impact of Minimum Unit Pricing for Alcohol in Scotland. Scotland: Public Health Scotland."},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2023.100704"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.13757"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2006.00295.x"},{"issue":"11","key":"e_1_3_3_32_1","first-page":"2931","article-title":"Knowledge of evidence-based cancer risk factors remains low among New Zealand adults: Findings from two cross-sectional studies, 2001 and 2015","volume":"18","author":"Richards R","year":"2017","unstructured":"Richards R, McNoe B, Iosua E, et al. (2017) Knowledge of evidence-based cancer risk factors remains low among New Zealand adults: Findings from two cross-sectional studies, 2001 and 2015. Asian Pacific Journal of Cancer Prevention 18(11): 2931\u20132936.","journal-title":"Asian Pacific Journal of Cancer Prevention"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdx126"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(21)00279-5"},{"key":"e_1_3_3_35_1","unstructured":"Statistics NZ\/Tatauranga Aotearoa (2024) Household income and housing-cost statistics: Year ended June 2023. Available at: https:\/\/www.stats.govt.nz\/information-releases\/household-income-and-housing-cost-statistics-year-ended-june-2023\/. (accessed 1 October 2024)."},{"key":"e_1_3_3_36_1","unstructured":"Tabbakh T Brennan E Ilchenko E et al. (2021) Knowledge of Alcohol-Related Health Effects Among Victorian (and Australian) Adult Drinkers. CBRC Research Paper Series 51. Melbourne: Cancer Council Victoria."},{"key":"e_1_3_3_37_1","unstructured":"Towers A Sheridan J Newcombe D (2017) The Drinking Patterns of Older New Zealanders: National and International Comparisons. Report for the Health Promotion Agency. Wellington: Health Promotion Agency."},{"key":"e_1_3_3_38_1","unstructured":"Towers A Sheridan J Newcombe D et al. (2018) The Prevalence of Hazardous Drinking in Older New Zealanders. Report for the Health Promotion Agency. Wellington: Health Promotion Agency."},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckaa193"},{"key":"e_1_3_3_40_1","unstructured":"Whitelock V (2023) Cancer Research UK\u2019s September 2023 Cancer Awareness Measure \u2018Plus\u2019 (CAM+). Available at: https:\/\/www.cancerresearchuk.org\/sites\/default\/files\/cam_plus_sept_2023.pdf. (accessed 10 October 2024)."}],"container-title":["Journal of Health Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053251341793","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591053251341793","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053251341793","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:32:39Z","timestamp":1777451559000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591053251341793"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,29]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/13591053251341793"],"URL":"https:\/\/doi.org\/10.1177\/13591053251341793","relation":{},"ISSN":["1359-1053","1461-7277"],"issn-type":[{"value":"1359-1053","type":"print"},{"value":"1461-7277","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,29]]}}}