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    PublicationOpen Access
    Alcohol Consumption and Stroke Mortality: Global Patterns, Risks and Public Health Implications
    (Springer, 2025-05-07) Kolonne, T; Mudalige, K; Dissanayaka, G; Rathnayake, K; Jayathilaka, R; Rajamanthri, L; Wickramaarachchi, C
    Globally, stroke remains a leading cause of mortality and disability, while alcohol consumption continues to vary widely across regions, prompting concern over its health impacts. This study examines the association between different alcoholic beverages and stroke mortality, using secondary data from 1990 to 2020. Alcohol consumption and stroke death rates across 189 countries were categorized into five levels, from very high to very low, and averaged over two periods (1990–1999 and 2011–2020). Multiple Correspondence Analysis (MCA) was applied to assess relationships among four categorical variables. The findings indicate a significant association between very high alcohol consumption and increased stroke mortality, with eight countries showing elevated death rates. Conversely, moderate beer consumption was linked to reduced stroke mortality, suggesting nuanced effects based on beverage type and quantity. These insights offer a foundation for targeted public health policies and emphasize the need for further investigation into the mechanisms driving alcohol-related stroke risks.
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    PublicationOpen Access
    Investigating the Associations Between Alcohol Consumption and Prevalence of Anxiety Using Multiple Correspondence Analysis
    (Springer Nature, 2025-10-13) Kolonne, T; Mudalige, K; Dissanayaka, G; Rathnayake, K; Jayathilaka, R; Rajamanthri, L; Wickramaarachchi, C
    The prevalence of a specific link between alcohol consumption and anxiety is the basis of this study. The primary aim is to identify how different types of alcohol link with different levels of anxiety disorder. This study is based on secondary data spanning two decades from 1990 to 1999 and 2010 to 2019. Before the primary analysis, the variables were categorised relative to their maximum and minimum values to identify countries with high anxiety prevalence. The MCA (multiple correspondence analysis) included four different types of alcohol and the prevalence of anxiety as variables. This methodology was utilised to determine the associations across 189 countries. The results reveal that anxiety rates are rising worldwide, with 17 countries identified to have prevalent high levels of anxiety. Most countries that exhibited a high prevalence of anxiety were based in the European region. The study emphasises a bi-directional association between anxiety and alcohol disorders, with diverse associations for various alcohol categories. Lower levels of consumption of alcoholic drinks with a high percentage of alcohol are associated with a greater incidence of anxiety, except beer, where consuming more beer is associated with a higher anxiety incidence. Similarly, a reciprocal relationship can be identified between these variables. The study emphasises that the consumption of alcohol can be detrimental to mental health and advises anxiety-prone individuals to exercise caution and restraint when imbibing.
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    PublicationOpen Access
    Evaluating the synergy: anxiety prevalence and alcohol consumption patterns in high-income countries using Granger causality analysis
    (Springer Nature, 2025-01-20) Senarathne, B; Palliyaguru, D; Oshini, A; Gamage, J; Jayathilaka, R; Rajamanthri, L; Wickramarachchi, C
    Background Alcohol consumption frequently experiences episodes of severe anxiety. This study set out to explore the long-term efects of alcohol consumption on anxiety, revealing insights into how alcohol consumption uniquely impact anxiety, aiming to inform mental health and public health approaches. This research paper explores the complex relationship between the prevalence of anxiety and the consumption patterns of wine, beer, and spirits across ffty-two high-income countries with a continental analysis. Method By employing signifcant secondary data taken from the World Health Organization and Our World in Data online databases and covering the period from 1990 to 2019, this study seeks to explore various causality relationships over this period. Its primary objective is to fll the empirical gap in existing research by using Granger causality analysis to reveal the dynamic relationships between the consumption of alcohol and the prevalence of anxiety. This study endeavours to provide a continental analysis of the high-income countries, which allows for including a comprehensive viewpoint in the context of a single investigation. Results The fndings demonstrate a variety of patterns of causality in alcohol consumption and anxiety prevalence in a one-way causal relationship across specifc continents, a bidirectional relationship in others, and no apparent causal relationship in several countries. Conclusion The inference made from the study’s results goes beyond scholarly curiosity; it establishes the foundation for further investigations and the development of customised policies aimed at reducing the mutually reinforcing dangers of alcohol consumption and anxiety disorders.
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    PublicationOpen Access
    Socio-Economic and Demographic Characteristics of Poor Alcohol Consumers in Sri Lanka
    (Population Association of Sri Lanka, 2016-04) Jayathilaka, R
    : The investigation of the link between poverty and alcohol consumption plays an important role in designing poverty reduction strategies in some African and Asian developing countries. In this study, Sri Lanka used as a case study to analysis the socioeconomic and demographic characteristics of Alcohol Consuming Households (ACHs) and Non-Alcohol Consuming Households (NACHs) focusing on poverty. This study used data from the most reliable survey, which was Household Income and Expenditure Survey (HIES) 2006/07, conducted by the Department of Census and Statistics in Sri Lanka. This study used the cost of basic needs approach poverty line to capture the number of poor, depth and severity of poverty among ACHs and NACHs. The basic statistical techniques, measurements of poverty were used in the study, and found that the social characteristics related to the ACHs were significantly different from other households. For instance headship, average number of younger and elderly people, education attainment, marital status and usual activities were significantly different in poor ACHs. This study also found that ACHs had a relatively higher percentage of dependents and a lower percentage of working persons. It recognised that illegal alcohol consumption is popular in the rural and estate sector and that legal alcohol consumption is popular in the urban sector. Furthermore poor ACHs and households belonging to the lowest income (expenditure) deciles tended to consume more kasippu and toddy. In addition, this study concluded that kasippu and toddy consuming households faced a relatively higher incidence, depth and severity of poverty
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    PublicationOpen Access
    Socio-Economic And Demographic Characteristics Of Poor Alcohol Consumers In Sri Lanka
    (Population Association of Sri Lank, 2016-04) Jayathilaka, R
    The investigation of the link between poverty and alcohol consumption plays an important role in designing poverty reduction strategies in some African and Asian developing countries. In this study, Sri Lanka used as a case study to analysis the socioeconomic and demographic characteristics of Alcohol Consuming Households (ACHs) and Non-Alcohol Consuming Households (NACHs) focusing on poverty. This study used data from the most reliable survey, which was Household Income and Expenditure Survey (HIES) 2006/07, conducted by the Department of Census and Statistics in Sri Lanka. This study used the cost of basic needs approach poverty line to capture the number of poor, depth and severity of poverty among ACHs and NACHs. The basic statistical techniques, measurements of poverty were used in the study, and found that the social characteristics related to the ACHs were significantly different from other households. For instance headship, average number of younger and elderly people, education attainment, marital status and usual activities were significantly different in poor ACHs. This study also found that ACHs had a relatively higher percentage of dependents and a lower percentage of working persons. It recognised that illegal alcohol consumption is popular in the rural and estate sector and that legal alcohol consumption is popular in the urban sector. Furthermore poor ACHs and households belonging to the lowest income (expenditure) deciles tended to consume more kasippu and toddy. In addition, this study concluded that kasippu and toddy consuming households faced a relatively higher incidence, depth and severity of poverty.
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    PublicationOpen Access
    Changing Patterns of Alcohol Use and Poverty
    (Sri Lanka Economic Association, 2017-06) Jayathilaka, R
    Concerns surrounding alcohol consumption and poverty have a long history, with both recognised to be important phenomena in current socio-economic policy analysis. In order to examine the impact of household level alcohol consumption on poverty, data from four micro-level surveys conducted by the Department of Census and Statistics (DCS) was used. The main aim of this study is to measure the effects of alcohol consumption on the level of poverty in a systematic way. Using Sri Lanka as a case study, this paper demonstrates that consumption of alcoholic beverages has a significant positive impact on the incidence of poverty, particularly the illegal beverages. Although national poverty decreased to 8.9 per cent in 2009/10, if households consumed illegal alcoholic beverages, the probability of poverty increasing at the national level rose by 1 to 2 percentage points. This suggests the illegal alcohol consumption was also found to be highly sensitive to the changes in the incidence of poverty at the national level
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    PublicationOpen Access
    Is there a link between alcohol consumption and the level of poverty?
    (Taylor & Francis Group, 2015-11-24) Jayathilaka, R; Selvanathan, S; Jayatilleke, S. B
    In many developing countries, in addition to household income, there are a number of other socio-economic determinants of poverty. One such hidden socio-economic factor is alcohol consumption and some studies argue that there is a link between alcohol consumption and poverty. The main aim of this study is to measure the effects of alcohol consumption on the level of poverty in a systematic way. Using Sri Lanka as a case study, this article demonstrates that the consumption of various types of alcoholic beverages, particularly, the illegal beverages, has a significant positive association with the level of poverty. The findings of this study suggest that, in Sri Lanka, the consumption of illegal alcoholic beverages increases the likelihood of being in a poor household by 2–3%. The results of this study also find that households who are characterized as nonpoor but are just above the poverty line behave more like the poor rather than the nonpoor in terms of alcohol consumption. Some of the conclusions from this Sri Lankan case study can be applied to other developing countries.