© 2015 the Nordic Societies of Public Health
DOI: 10.1177/1403494815576268
Scandinavian Journal of Public Health, 1–4
Introduction
Per capita alcohol consumption in Sweden increased
by approximately 13% between 2001 and 2013 from
8.8 to 9.9 litres of pure alcohol [1], and by 4% between
2009 and 2013. These consumption trends are based
on sales data and estimates of unrecorded alcohol con-
sumption from surveys. One limitation of these data is
that they cannot identify the characteristics of certain
risk groups. However, this is important from a preven-
tion perspective and for public health. The Alcohol
Use Disorders Identification Test (AUDIT) [2] is a
self-report questionnaire designed to assess problem-
atic drinking habits. When used at the population
level, it enables problem drinking in specific age and
sex groups to be estimated.
In Sweden, the AUDIT has been used to screen
problematic drinking in the adult population on five
occasions during the harmonisation process with the
EU, between 1997 and 2009 [3]. The results
highlighted two important changes. First, the initial
increase in alcohol availability was associated with a
significant increase in consumption among middle-
aged women in particular (commencing from a low
level), but not among men [4]. This convergence
between male and female consumption habits has
been referred to as ‘the convergence effect’ [5], and
postulates that increased alcohol consumption has
followed increased social equality among women.
Second, Källmén et al. [3] showed that there was a
significant decrease in alcohol consumption between
2005 and 2009 among both men and women aged
17–27 years, a finding supported by other studies [6].
The aim of this study was to evaluate whether the
consumption trends shown in previous AUDIT stud-
ies have continued through to 2014, and if other
groups have changed their consumption significantly.
Another aim was to evaluate whether the stability in
Changes in alcohol consumption between 2009 and 2014 assessed with
the AUDIT
HÅKAN KÄLLMÉN
1
, P. WENNBERG
2
, M. RAMSTEDT
3
& M. HALLGREN
4
1
STAD, Centre for Psychiatry Research, Department of Clinical Neuroscience Karolinska Institutet, Sweden,
2
Department
of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Sweden and Centre for Social Research on
Alcohol and Drugs, Stockholm University, Sweden,
3
The Swedish Council for Information on Alcohol and Other Drugs
(CAN), Sweden, and
4
Department of Public Health Sciences, Division of Epidemiology and Public Health Intervention
Research (EPHIR), Karolinska Institutet, Sweden
Abstract
Background: Alcohol habits in Sweden, assessed as sales and estimates of unrecorded consumption, have changed since joining
the EU. Earlier studies using the Alcohol Use Disorders Identification Test (AUDIT) showed that reported consumption
is consistent with sales data, which makes it possible to assess consumption according to sex and age. Aims: This study
reports the changes in alcohol habits between 2009 and 2014, a period starting a couple of years after Sweden joined the
EU. Method: The AUDIT was sent to a random sample of the Swedish population aged between 17 and 80 years old. Results:
No statistically significant changes were shown in six age and sex groups. Conclusions: Alcohol habits have stabilised in
Sweden but on a higher consumption level than before.
Key Words: Alcohol consumption, Alcohol Use Disorders Identiication Test, Swedish population
Correspondence: Håkan Källmén, STAD, Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet,
Norra stationsgatan 69, Stockholm, 11364, Sweden. E-mail: hakan.kallmen@sll.se
(Accepted 13 February 2015)
576268SJP 0 0 10.1177/1403494815576268H. Källmén et al.Changes in alcohol consumption between 2009 and 2014 assessed with the AUDIT
research-article 2015
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