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Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Public awareness of the link between alcohol and cancer in England in 2015: a population-based survey

Authors: Penny Buykx, Jessica Li, Lucy Gavens, Lucie Hooper, Melanie Lovatt, Elena Gomes de Matos, Petra Meier, John Holmes

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Public knowledge of the association between alcohol and cancer is reported to be low. We aimed to provide up-to-date evidence for England regarding awareness of the link between alcohol and different cancers and to determine whether awareness differs by demographic characteristics, alcohol use, and geographic region.

Methods

A representative sample of 2100 adults completed an online survey in July 2015. Respondents were asked to identify which health outcomes, including specific cancers, may be caused by alcohol consumption. Logistic regressions explored whether demographic, alcohol use, and geographic characteristics predicted correctly identifying alcohol-related cancer risk.

Results

Unprompted, 12.9% of respondents identified cancer as a potential health outcome of alcohol consumption. This rose to 47% when prompted (compared to 95% for liver disease and 73% for heart disease). Knowledge of the link between alcohol and specific cancers varied between 18% (breast) and 80% (liver). Respondents identified the following cancers as alcohol-related where no such evidence exists: bladder (54%), brain (32%), ovarian (17%). Significant predictors of awareness of the link between alcohol and cancer were being female, more highly educated, and living in North-East England.

Conclusion

There is generally low awareness of the relationship between alcohol consumption and cancer, particularly breast cancer. Greater awareness of the relationship between alcohol and breast cancer in North-East England, where a mass media campaign highlighted this relationship, suggests that population awareness can be influenced by social marketing.
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Literature
1.
go back to reference International Agency for Research into Cancer. Monographs on the evaluation of carcinogenic risks to humans. Volume 44 Alcohol drinking. Lyon: IARC, World Health Organization; 1988. International Agency for Research into Cancer. Monographs on the evaluation of carcinogenic risks to humans. Volume 44 Alcohol drinking. Lyon: IARC, World Health Organization; 1988.
2.
go back to reference Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, Scotti L, Jenab M, Turati F, Pasquali E, et al. Alcohol consumption and site-specific cancer risk: a comprehensive dose–response meta-analysis. Br J Cancer. 2015;112:580–93.CrossRefPubMed Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, Scotti L, Jenab M, Turati F, Pasquali E, et al. Alcohol consumption and site-specific cancer risk: a comprehensive dose–response meta-analysis. Br J Cancer. 2015;112:580–93.CrossRefPubMed
3.
go back to reference Corrao G, Bagnardi V, Zambon A, La Vecchia C. A meta-analysis of alcohol consumption and the risk of 15 diseases. Prev Med. 2004;38(5):613–9.CrossRefPubMed Corrao G, Bagnardi V, Zambon A, La Vecchia C. A meta-analysis of alcohol consumption and the risk of 15 diseases. Prev Med. 2004;38(5):613–9.CrossRefPubMed
4.
go back to reference World Cancer Research Fund International/American Institute for Cancer Research. Continuous update project report: diet, nutrition, physical activity and stomach cancer. 2016. World Cancer Research Fund International/American Institute for Cancer Research. Continuous update project report: diet, nutrition, physical activity and stomach cancer. 2016.
5.
go back to reference Zhao J, Stockwell T, Roemer A, Chikritzhs T. Is alcohol consumption a risk factor for prostate cancer? A systematic review and meta–analysis. BMC Cancer. 2016;16(1):845.CrossRefPubMedPubMedCentral Zhao J, Stockwell T, Roemer A, Chikritzhs T. Is alcohol consumption a risk factor for prostate cancer? A systematic review and meta–analysis. BMC Cancer. 2016;16(1):845.CrossRefPubMedPubMedCentral
6.
go back to reference Praud D, Rota M, Rehm J, Shield K, Zatoński W, Hashibe M, La Vecchia C, Boffetta P. Cancer incidence and mortality attributable to alcohol consumption. Int J Cancer. 2016;138(6):1380–7.CrossRefPubMed Praud D, Rota M, Rehm J, Shield K, Zatoński W, Hashibe M, La Vecchia C, Boffetta P. Cancer incidence and mortality attributable to alcohol consumption. Int J Cancer. 2016;138(6):1380–7.CrossRefPubMed
8.
go back to reference Sanderson SC, Waller J, Jarvis MJ, Humphries SE, Wardle J. Awareness of lifestyle risk factors for cancer and heart disease among adults in the UK. Patient Educ Couns. 2009;74(2):221–7.CrossRefPubMed Sanderson SC, Waller J, Jarvis MJ, Humphries SE, Wardle J. Awareness of lifestyle risk factors for cancer and heart disease among adults in the UK. Patient Educ Couns. 2009;74(2):221–7.CrossRefPubMed
9.
go back to reference Buykx P, Gilligan C, Ward B, Kippen R, Chapman K. Public support for alcohol policies associated with knowledge of cancer risk. Int J Drug Policy. 2015;26(4):371–9.CrossRefPubMed Buykx P, Gilligan C, Ward B, Kippen R, Chapman K. Public support for alcohol policies associated with knowledge of cancer risk. Int J Drug Policy. 2015;26(4):371–9.CrossRefPubMed
10.
go back to reference Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Waller J, Hiom S, Wardle J. Public awareness of cancer in Britain: a population-based survey of adults. Br J Cancer. 2009;101 Suppl 2:S18–23.CrossRefPubMedPubMedCentral Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Waller J, Hiom S, Wardle J. Public awareness of cancer in Britain: a population-based survey of adults. Br J Cancer. 2009;101 Suppl 2:S18–23.CrossRefPubMedPubMedCentral
11.
go back to reference Lyratzopoulos G, Abel G, Brown C, Rous B, Vernon S, Roland M, Greenberg D. Socio-demographic inequalities in stage of cancer diagnosis: evidence from patients with female breast, lung, colon, rectal, prostate, renal, bladder, melanoma, ovarian and endometrial cancer. Ann Oncol. 2013;24(3):843–50.CrossRefPubMed Lyratzopoulos G, Abel G, Brown C, Rous B, Vernon S, Roland M, Greenberg D. Socio-demographic inequalities in stage of cancer diagnosis: evidence from patients with female breast, lung, colon, rectal, prostate, renal, bladder, melanoma, ovarian and endometrial cancer. Ann Oncol. 2013;24(3):843–50.CrossRefPubMed
12.
go back to reference Bowden J, Delfabbro P, Room R, Miller C, Wilson C. Alcohol consumption and NHMRC guidelines: has the message got out, are people conforming and are they aware that alcohol causes cancer? Aust N Z J Public Health. 2014;38(1):66–72.CrossRefPubMed Bowden J, Delfabbro P, Room R, Miller C, Wilson C. Alcohol consumption and NHMRC guidelines: has the message got out, are people conforming and are they aware that alcohol causes cancer? Aust N Z J Public Health. 2014;38(1):66–72.CrossRefPubMed
13.
go back to reference HSCIC. Statistics on Alcohol, England, 2015. In: Health and Social Care Information Centre. 2015. HSCIC. Statistics on Alcohol, England, 2015. In: Health and Social Care Information Centre. 2015.
14.
go back to reference Department of Health. UK Chief Medical Officers’ Alcohol Guidelines Review: Summary of the proposed new guidelines. 2016. Department of Health. UK Chief Medical Officers’ Alcohol Guidelines Review: Summary of the proposed new guidelines. 2016.
15.
go back to reference Dixon H, Pratt I, Scully M, Miller J, Patterson C, Hood R, Slevin T. Using a mass media campaign to raise women’s awareness of the link between alcohol and cancer: cross-sectional pre-intervention and post-intervention evaluation surveys. BMJ Open. 2015;5:e006511.CrossRefPubMedPubMedCentral Dixon H, Pratt I, Scully M, Miller J, Patterson C, Hood R, Slevin T. Using a mass media campaign to raise women’s awareness of the link between alcohol and cancer: cross-sectional pre-intervention and post-intervention evaluation surveys. BMJ Open. 2015;5:e006511.CrossRefPubMedPubMedCentral
16.
go back to reference Martin N. Personal Communication with representative of Balance North East. In. Edited by Buykx P; 2016. Martin N. Personal Communication with representative of Balance North East. In. Edited by Buykx P; 2016.
19.
go back to reference Balance. A spot of lunch. 2015. Retrieved from YouTube May 2016: https://www.youtube.com/watch?v = UTTdY_Hok_Y. Balance. A spot of lunch. 2015. Retrieved from YouTube May 2016: https://​www.​youtube.​com/​watch?​v = UTTdY_Hok_Y.
21.
go back to reference Michie S, van Stralen M, West R. The behviour change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6(42):1–11. Michie S, van Stralen M, West R. The behviour change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6(42):1–11.
23.
go back to reference Department for Communities and Local Government. The English Indices of Deprivation 2015 - Frequently Asked Questions (FAQs). 2015. Department for Communities and Local Government. The English Indices of Deprivation 2015 - Frequently Asked Questions (FAQs). 2015.
24.
go back to reference Bush K, Kivlahan D, McDonnell M, Fihn S, Bradley K. The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Arch Intern Med. 1998;158(16):1789–95.CrossRefPubMed Bush K, Kivlahan D, McDonnell M, Fihn S, Bradley K. The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Arch Intern Med. 1998;158(16):1789–95.CrossRefPubMed
26.
go back to reference Hosmer D, Lemeshow S, Sturdivant R. Applied Logistic Regression. New York: Wiley; 2013.CrossRef Hosmer D, Lemeshow S, Sturdivant R. Applied Logistic Regression. New York: Wiley; 2013.CrossRef
27.
go back to reference Office for National Statistics. Local Area Analysis of Qualifications Across England and Wales. 2014. Office for National Statistics. Local Area Analysis of Qualifications Across England and Wales. 2014.
28.
go back to reference Johnston DW, Lordan G, Shields MA, Suziedelyte A. Education and health knowledge: Evidence from UK compulsory schooling reform. Soc Sci Med. 2015;127:92–100.CrossRefPubMed Johnston DW, Lordan G, Shields MA, Suziedelyte A. Education and health knowledge: Evidence from UK compulsory schooling reform. Soc Sci Med. 2015;127:92–100.CrossRefPubMed
29.
go back to reference Milton B, Moonan M, Taylor-Robinson D, Whitehead M. How can the health equity impact of universal policies be evaluated, Insights into approaches and next steps WHO Collaborating Centre for Policy Research on Social Determinants of Health. 2011. Milton B, Moonan M, Taylor-Robinson D, Whitehead M. How can the health equity impact of universal policies be evaluated, Insights into approaches and next steps WHO Collaborating Centre for Policy Research on Social Determinants of Health. 2011.
30.
go back to reference Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, Scotti L, Jenab M, Turati F, Pasquali E, et al. Light alcohol drinking and cancer: a meta-analysis. Ann Oncol. 2013;24(2):301–8.CrossRefPubMed Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, Scotti L, Jenab M, Turati F, Pasquali E, et al. Light alcohol drinking and cancer: a meta-analysis. Ann Oncol. 2013;24(2):301–8.CrossRefPubMed
31.
go back to reference Seitz HK, Pelucchi C, Bagnardi V, La Vecchia C. Epidemiology and pathophysiology of alcohol and breast cancer: Update 2012. Alcohol Alcohol. 2012;47(3):204–12.CrossRefPubMed Seitz HK, Pelucchi C, Bagnardi V, La Vecchia C. Epidemiology and pathophysiology of alcohol and breast cancer: Update 2012. Alcohol Alcohol. 2012;47(3):204–12.CrossRefPubMed
32.
go back to reference Meng Y, Hill-Mcmanus D, Holmes J, Brennan A, Meier P. Trend analysis and modelling of gender specific age, period and birth cohort effects on alcohol abstention and consumption level for drinkers in Great Britain using the General Lifestyle Survey 1984–2009. Addiction. 2013;109(2):206–15.CrossRefPubMedPubMedCentral Meng Y, Hill-Mcmanus D, Holmes J, Brennan A, Meier P. Trend analysis and modelling of gender specific age, period and birth cohort effects on alcohol abstention and consumption level for drinkers in Great Britain using the General Lifestyle Survey 1984–2009. Addiction. 2013;109(2):206–15.CrossRefPubMedPubMedCentral
34.
go back to reference Field A. Discovering Statistics Using SPSS 3rd Edition. London: SAGED Publications Ltd; 2009. Field A. Discovering Statistics Using SPSS 3rd Edition. London: SAGED Publications Ltd; 2009.
35.
go back to reference Lipworth WL, Davey HM, Carter SM, Hooker C, Hu W. Beliefs and beyond: what can we learn from qualitative studies of lay people’s understandings of cancer risk? Health Expect. 2010;13(2):113–24.CrossRefPubMedPubMedCentral Lipworth WL, Davey HM, Carter SM, Hooker C, Hu W. Beliefs and beyond: what can we learn from qualitative studies of lay people’s understandings of cancer risk? Health Expect. 2010;13(2):113–24.CrossRefPubMedPubMedCentral
36.
go back to reference Miller ER, Ramsey IJ, Baratiny GY, Olver IN. Message on a bottle: are alcohol warning labels about cancer appropriate? BMC Public Health. 2016;16(1):1. Miller ER, Ramsey IJ, Baratiny GY, Olver IN. Message on a bottle: are alcohol warning labels about cancer appropriate? BMC Public Health. 2016;16(1):1.
Metadata
Title
Public awareness of the link between alcohol and cancer in England in 2015: a population-based survey
Authors
Penny Buykx
Jessica Li
Lucy Gavens
Lucie Hooper
Melanie Lovatt
Elena Gomes de Matos
Petra Meier
John Holmes
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3855-6

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