Mats Ramstedt

Mats Ramstedt
Karolinska Institutet | KI · Centrum för psykiatriforskning

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106
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Publications

Publications (106)
Article
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Introduction: Understanding how the mean consumption per drinker and rates of non-drinking interplay to form overall per capita alcohol consumption is imperative for our understanding of population drinking. The aim of the present study is to examine the association between rates of non-drinkers and per drinker mean alcohol consumption in the Swed...
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To examine and compare trends in drinking prevalence in nationally representative samples of Swedish 9th and 11th grade students between 2000 and 2018. A further aim is to compare drinking behaviours in the two age groups during years with similar drinking prevalence. Data were drawn from annual surveys of a nationally representative sample of stud...
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Introduction: The aim of this study was to replicate earlier studies suggesting that changes in parenting have contributed to the recent decline in youth drinking by comparing parenting in a country experiencing a sharp decline in youth drinking (Sweden) with a country with only a small decline (Denmark). Data and analysis: Data stem from self-repo...
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Introduction: There is limited knowledge about how individual experiences of harm from others' drinking are influenced by heavy episodic drinking (HED) at the country level. The present study aimed to assess (1) the association between the country-level prevalence of HED and the risk of experiencing harm from others' drinking-related aggression an...
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Introduction To estimate the prevalence of children with problem drinking parents in Sweden and the extent to which they have an elevated risk of poor health, social relationships and school situation in comparison with other children. Methods Survey with a nationally representative sample of Swedish youth aged 15–16 years (n = 5576) was conducted...
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Aim This study estimated (i) the risk function between different indicators of alcohol use and long-term sickness absence, adjusting for possible confounding factors, (ii) whether the risk function between average volume of consumption and sickness absence is modified by heavy episodic drinking (HED), and (iii) to what extent the risk for sickness...
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Aims: Many studies have shown that changes in alcohol prices have a significant effect on total sales. However, few studies have focused on youth, particularly in different socioeconomic groups. This study examined the effect of changes in the price of alcohol on consumption levels and binge drinking among 15 to 16 year old students in Sweden, both...
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Introduction and Aims The gender difference in alcohol use seems to have narrowed in the Nordic countries, but it is not clear to what extent this may have affected differences in levels of harm. We compared gender differences in all‐cause and cause‐specific alcohol‐attributed disease burden, as measured by disability‐adjusted life‐years (DALY), in...
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Introduction and Aims Despite the fact that many studies have focused on harm from others' drinking, there is a lack of knowledge regarding severe forms of these harms. This study aimed to assess sex differences in the prevalence of severe harm from others' drinking and sex‐specific associations with one's own drinking. Design and Methods The dat...
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Objective: A key assumption in Finnish alcohol policy is that the officially registered alcohol consumption (i.e., alcohol sales) is closely related to alcohol-related harm. During the last two decades, a sizable part of total alcohol consumption, however, comprises unrecorded consumption, which may potentially make alcohol sales less powerful as...
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Introduction and Aims Results from previous research are inconsistent regarding the association between socioeconomic status (SES) and cannabis use among adolescents. Since there are risks associated with cannabis use, a social gradient in cannabis use may contribute to reproducing socioeconomic differences in life opportunities. The aim of this st...
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Background Youth unemployment remains at a high stable level in many countries making it a public health problem of importance. The aim was to examine the short-term effect of unemployment at a young age (aged 17–29 years) on self-reported binge drinking and alcohol-related problems. Methods We used data from a cross-sectional national study that...
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Introduction: This study investigates how alcohol use contributes to the social gradient in sickness absence. Other factors assessed include lifestyle factors (smoking, physical activity and body mass index), physical and psychosocial working conditions. Methods: The study used baseline data from the Stockholm public health cohort 2006, with an...
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Aim: To test if exposure to unemployment in young adulthood is associated with an increased risk of later alcohol-related morbidity. Design: A nationwide register-linked longitudinal population-based study. Setting: Sweden. Participants: A total of 16 490 individuals born between 1967 and 1978, who had participated in the Labour Force Survey...
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Background: Alcohol telephone helplines targeting alcohol consumers in the general population can extend thereach of brief interventions while preserving in-person counselling. So far, studies of client outcomes in the settingof alcohol helplines are scarce. This study aims to compare the 6-months alcohol-related outcomes of twocounselling models d...
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Aims: To examine concurrent use of addictive substances among alcohol drinkers in the Swedish general population and to assess to what extent this increases the risk of alcohol problems. Methods: Data were retrieved from a nationally representative survey from 2013 on use of and problems related to alcohol, tobacco, illicit drugs and non-prescri...
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Objective: Increased alcohol availability influences drinking behavior; however, little is known about the effect of availability changes on subsequent generations. This study examined whether exposure to increased alcohol availability while pregnant is associated with criminal behavior in subsequent generations. Method: A register-linked study...
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Background Government alcohol monopolies were created in North America and Scandinavia to limit health and social problems. The Swedish monopoly, Systembolaget, reports to a health ministry and controls the sale of all alcoholic beverages with > 3.5% alcohol/volume for off-premise consumption, within a public health mandate. Elsewhere, alcohol mono...
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Background and aims: During 10 weeks in the summer 2014 opening hours in nightclubs in Visby (Sweden) were extended by 1 hour, postponing the permitted closing time from 2 to 3 a.m. A number of preventive efforts such as Responsible Server Training, and an intensified cooperation between the police and the nightclubs were strengthened in connectio...
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Objective: Recent studies have suggested a weakening of the relationship between population drinking and harm in Sweden. The aim of the present article was to estimate this association on the basis of more recent Swedish time-series data. Method: The Swedish state monopoly's (Systembolaget) alcohol sales were used as a proxy for population drink...
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Aims: To examine if changes in alcohol consumption are associated with changes in cannabis use among Swedish adolescents in a period of diverging trends, and to investigate if cannabis and alcohol act as complements or substitutes. Design, setting, participants and measurements: Data comprise a nationally representative annual school survey of a...
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Objective: Systematic reviews and meta-analyses were completed studying the effect of changes in the physical availability of take-away alcohol on per capita alcohol consumption. Previous reviews examining this topic have not focused on off-premise outlets where take-away alcohol is sold and have not completed meta-analyses. Method: Systematic r...
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Aims: Statistics on drug-related deaths (DRD) provide crucial information on the drug situation. The European Monitoring Centre for Drug and Drug Addiction (EMCDDA) has published a specification for extracting DRD from national mortality registers to be used in international comparisons. However, surprisingly little is known of the accuracy of DRD...
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Background: Adopting healthy behaviours may facilitate the transition from hazardous to non-hazardous use of alcohol, yet, longitudinal studies of health behaviours in relation to the cessation of hazardous alcohol use are rare. We addressed this question using data from a large population-based cohort of adults in Sweden (Stockholm Public Health...
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Background A strict high legal age limit for alcohol purchases decreases adolescents’ access to alcohol, but little is known about long-term health effects. The aim was to estimate the effect of increased alcohol availability during adolescence on alcohol-related morbidity and mortality. Methods A nationwide register-based study using data from a...
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Background Hazardous and harmful consumption of alcohol is a leading cause of preventable disease and premature deaths. Modifying the amount and pattern of risky alcohol consumption conveys substantial benefits to individuals and to society at large. Telephone helplines provide a feasible alternative to face-to-face counselling in order to increase...
Data
Table S1 Hazard ratios (HRs) with 95% confidence intervals (CIs) for the associations between increased alcohol availability during adolescence and disability pension due to all‐cause, alcohol use disorders, mental disorders and any diagnosis. Table S2 Results from the additional sensitivity analysis comparing individuals from Gothenburg county (i...
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Introduction and aims: This study assessed the comparability of estimates of alcohol's harm to others across different administration modes in Swedish general population surveys. Harm was categorised as harm from strangers' drinking and harm from heavy drinkers known to the respondent. Design and methods: Three surveys were conducted in 2011/201...
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AimTo test if being exposed to increased alcohol availability during adolescence is associated with an increased risk of receiving disability pension due to all-cause, alcohol use disorders and mental disorders. DesignRegister-based population-based study using a natural experiment setting, the alcohol policy change in Sweden (1967-68), with increa...
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Background There is a renewed interest in alcohol's harm to others (AHTO), and survey studies in the general population are often used to estimate the extent of harm, to address the severity and variety of harms, and to identify the victims of such harm. While cross-sectional survey studies are attractive in several respects, they also entail sever...
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Aims: To compare alcohol-attributed disease burden in four Nordic countries 1990-2013, by overall disability adjusted life years (DALYs), and separated by premature mortality (YLL), and health loss to non-fatal conditions (YLD), 2) to examine whether changes in alcohol consumption informs alcohol-attributed disease burden and 3) to compare the dis...
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Background: Epidemiological research on alcohol-related harm has long given priority to studies on harm to the drinker. A limitation with this perspective is that it neglects the harm drinking causes to people around the drinker, and thus, it fails to give a full picture of alcohol-related harm in society. Aim: The aim was to compare the prevale...
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Objective: This study addresses how experienced harm from other people's drinking varies between six Northern European countries by comparing 1) the prevalence of experienced harm and 2) the correlates of harm. Method: The data comprise 18-69-year olds who participated in general population surveys in Denmark, Finland, Iceland, Norway, Sweden, a...
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Aims: The 12-item Cigarette Dependence Scale (CDS-12) is an instrument suitable to assess tobacco dependence in non-clinical populations. The aim of this study was twofold: a) to evaluate the scale's performance in a smoking population including non-daily smokers; b) to explore the scale's adaptation to the assessment of dependence on smokeless to...
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The present study examined the prevalence of Swedish children living with at least one parent whom has a substance use disorder (SUD), i.e. either an alcohol use disorder (AUD) or a drug use disorder (DUD). A 2013 cross-sectional survey of a nationally representative sample (n = 15,576) of the Swedish adult population 17-84 years of age was used. T...
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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:...
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Background Increasing alcohol consumption and related harms have been reported among the elderly population of Europe. Consequently, it is important to monitor patterns of alcohol use, and to use a valid and reliable tool when screening for risky consumption in this age group. The aim was to evaluate the internal consistency reliability and constru...
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Aims We analyse the association between public opinions and political decisions on alcohol policy in Sweden during the last decades. Methods Reviews of existing Swedish surveys on public opinion and recent data on the opinion of decision-makers. Results Restrictive alcohol policy measures have much support in Sweden and this support has increased...
Article
During the spring of 2007, the police reported a marked increase in violence and binge drinking related to high school student graduation parties on weekday nights at restaurants in Stockholm city. This spurred a multi-component community intervention project to reduce these problems. This study aims to evaluate the impact of the intervention on yo...
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Aims: This study aimed to analyse if changes in drinking in Sweden have been similar in different population subgroups between 2004 and 2011, a period when per capita consumption declined significantly. Method: The analysis starts out from monthly alcohol survey data including 1500 telephone interviews every month. The population is divided into...
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Aims: The study tests the effects of reductions in alcohol taxation and increases in travellers’ allowances on alcohol consumption and related harm in Denmark, Finland, and southern Sweden. In late 2003 and early 2004, taxes on alcoholic beverages were reduced in Denmark and Finland, and the abolition of quantitative quotas on alcohol import for pe...
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Purpose: The present article investigated individual and aggregated effects of cannabis-related perceptions and other cannabis-related indicators on 12-month cannabis use prevalence and frequency among 15-16 year olds using multilevel analysis across 32 European countries. Methods: Data on cannabis use, perceptions of availability, risks and fri...
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The aim of this study was to determine if spirits consumption is more harmful than consuming milder beverage types in Sweden, using monthly survey data for the period 2005-2009. Logistic regression modeling was performed to estimate the association between different beverages and harmful drinking, controlling for gender, age, and socioeconomic fact...
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Despite a significant amount of research on alcohol and homicide in Australia, as yet there has been no study of the association at the aggregate level to reveal where Australia fits in with respect to the cultural differences found in the international research of this association. Aims. To analyse the temporal association between population drink...
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AIMS – This paper explores different approaches to quantify the human costs related to drug use. DATA AND METHODS – The data come from a representative survey of 3092 respondents above the age of 18 in four Nordic capitals: Copenhagen, Helsinki, Oslo and Stockholm. RESULTS – The results show that in most Nordic capitals more than half of the respon...
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Denmark decreased its tax on spirits by 45% on 1 October 2003. Shortly thereafter, on 1 January 2004, Sweden increased its import quotas of privately imported alcohol, allowing travellers to bring in much larger amounts of alcohol from other European Union countries. Although these changes were assumed to increase alcohol-related harm in Sweden, pa...
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AIMS This study aimed at describing the effects of missing data when surveying alcohol consumption using a Random Digit Dialling procedure. Methods Data was part of the Monitor project including repeated monthly data on the alcohol habits in the general Swedish population. Non-respondents during four months were followed up a year later and asked...
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To examine the potential effects of replacing the Swedish alcohol retail system with a private licensing system on alcohol consumption and alcohol-related harm. Two possible scenarios were analysed: (1) replacing the current alcohol retail monopoly with private licensed stores that specialize in alcohol sales or (2) making all alcohol available in...
Article
A question that has not been addressed in the literature is whether the population level association between alcohol and harm differs between men and women. The main aim of this article is to fill this gap by analysing recently collected time series data of male and female self-reported drinking in relation to gender-specific harm indicators in Swe...
Article
Over the past two decades, alcohol consumption in Sweden has grown by 20 per cent as a result of an increasing consumption of wine and strong beer. The rise is driven by a combination of factors such as the higher physical availability and lower real prices of alcohol, which suggests that alcohol has become much more affordable. In addition, the po...
Article
The Centre for Social Research on Alcohol and Drugs (SoRAD) was established as a national research centre and department within the Faculty of Social Science at Stockholm University in 1997, following a Government Report and with the aim to strengthen social alcohol and drug research. Initially, core funding came from the Swedish Council for Workin...
Article
Unrecorded alcohol has increased in the Nordic countries during recent years, above all in terms of cross-border trade. This implies that trends and levels of per capita consumption would look different without estimates of this source of alcohol, estimates that in Sweden and other countries are made through surveys. The overall aim is to analyse t...
Article
Over the past two decades, alcohol consumption in Sweden has grown by 20 per cent as a result of an increasing consumption of wine and strong beer. The rise is driven by a combination of factors such as the higher physical availability and lower real prices of alcohol, which suggests that alcohol has become much more affordable. In addition, the po...
Article
The term ‘saturation’ has often been used when alcohol consumption in a region stays the same despite there having been reason to expect an increase, e.g. after a decrease of taxation. However, the term ‘saturation’ has been used only descriptively, and in different ways. We therefore propose a wider-ranging framework for understanding and explaini...
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M. Ramstedt: Alcohol use and related harms among older people in Sweden – not a marginal issue anymore There has been an increasing interest in drinking among older people in Sweden in recent years as today's older people drink more than previous generations and also constitute a larger part of the population. This paper examines survey data on dri...
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The decline in cardiovascular mortality in Russia following the Soviet anti-alcohol campaign of 1985-1988 and the subsequent increase when these extreme alcohol controls were repealed suggested that alcohol consumption is responsible for a substantial number of ischaemic heart disease (IHD) deaths in Russia. To examine whether a similar conclusion...
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Aims: To examine drinking habits and experiences of adverse consequences of drinking among men and women in Ireland 2002 and to compare some results with earlier European studies using similar data and methods. Methods: Data on self‐reported drinking habits and experiences of alcohol‐related problems were obtained from a general population survey u...
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Aim The aim of this study is to illuminate: 1. If the increases in travellers' allowances in 2002, 2003 and 2004 have been associated with increasing travellers' imports in Sweden? 2. How the (conceivable) effect was distributed during the following year? 3. If there were regional and beverage-specific variations in these effects? 4. How the patter...
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M. Ramstedt: Alcohol use and related harms among older people in Sweden - not a marginal issue anymore.
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To estimate the association between per capita alcohol consumption and fatal accidents in the United States and to compare the outcome with findings from Europe and Canada. Yearly data on fatal accidents by gender and age were analysed in relation to per capita alcohol consumption for 1950-2002 using the Box-Jenkins technique for time series analys...
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Background and Aim During recent years unregistered alcohol consumption has increased markedly in Sweden, and the market share of the State Monopoly (Systembolaget) has decreased. The sales through Systembolaget are regulated by strict rules. Further, previous research suggests that the intake of unregistered alcohol is associated with a more risky...
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This article estimates the societal cost of alcohol consumption in Sweden in 2002, as well as the effects on health and quality of life. The estimation includes direct costs, indirect costs and intangible costs. Relevant cost-of-illness methods are applied using the human capital method and prevalence-based estimates, as suggested in existing inter...
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To analyse the relationship between population drinking and liver cirrhosis mortality in eastern European countries and compare it with similar findings from western Europe. Yearly data, from the approximate period 1960-2002, on liver cirrhosis mortality in total and by gender were analysed in relation to per capita alcohol consumption in nine east...
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Aims The main aim of the present paper was to describe and analyse the recent development regarding differences in alcohol-related mortality between the Nordic countries. To what extent do various forms of alcohol-related mortality differ between the Nordic countries, and is a similar cross-national pattern found for men and women? Do differences i...
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Aims The main aim of this paper is to analyse the development in alcohol-related mortality and other indicators of alcohol-related harm for the period 1990–2005 but with focus on the recent period of rising population drinking. Data The harm indicators included are various forms of alcohol-related mortality (accidents, cirrhosis, suicide, homicide...
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The objective of this study was to analyse the population level association between alcohol consumption and ischaemic heart disease (IHD) mortality in Canada. Yearly changes in IHD mortality rates from 1950 to 1998 were analysed in relation to yearly changes in alcohol consumption, employing the Box & Jenkins technique for time-series analyses. All...
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To estimate drug policy expenditures in Sweden for 2002. The various governmental agencies with drug policy responsibilities were identified and then requested to provide information on their actual spending on these activities. For most agencies additional information was obtained from special studies or expert opinion. Drug policy expenditures ar...
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Background Hospitalisations with explicit mention of alcohol poisoning are common in Sweden with around 13 000 recorded cases for 2004. Despite the extent and seriousness of this alcohol-related consequence surprisingly few studies have used hospitalisation data in analysing alcohol poisonings. This paper examines trends in alcohol poisonings in Sw...