The International Scientific Forum on Alcohol Research (ISFAR) critiques of alcohol research: Promoting health benefits and downplaying harms.

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Title: The International Scientific Forum on Alcohol Research (ISFAR) critiques of alcohol research: Promoting health benefits and downplaying harms.
Authors: Clay, James M. (AUTHOR), Stockwell, Tim (AUTHOR), Golder, Su (AUTHOR), Lawrence, Keegan (AUTHOR), McCambridge, Jim (AUTHOR), Vishnevsky, Nicole (AUTHOR), Zuckermann, Alexandra (AUTHOR), Naimi, Timothy (AUTHOR)
Source: Addiction. Nov2025, Vol. 120 Issue 11, p2319-2328. 10p.
Subjects: Prevention of alcoholism, Alcoholism risk factors, Risk assessment, Data analysis, Logistic regression analysis, Descriptive statistics, Mann Whitney U Test, Research bias, Odds ratio, Harm reduction, Conflict of interests, Statistics, Health behavior, Health promotion, Confidence intervals, Sentiment analysis
Abstract: Background and Aims: The International Scientific Forum on Alcohol Research (ISFAR), many of whose members are linked to the alcohol industry, has published over 280 critiques on alcohol and health research. This study investigated whether ISFAR critiques favour studies reporting alcohol's health benefits while being more critical of those identifying harms. We also examined whether industry‐funded studies are more likely to report benefits, and whether ISFAR's critiques reflect the methodological rigor of the studies they assess. Methods: We analysed 268 ISFAR critiques published between April 2010 and January 2024, manually coding each underlying study for its content (whether the original study reported alcohol‐related health benefits or harms) and each critique for its tone (positive or negative). Sentiment analysis (SA) algorithms were applied to critique summaries to assess tone using automated methods. Study authors were examined for prior receipt of alcohol industry funding. AMSTAR‐2 and ROBIS tools evaluated risk of bias in 36 systematic reviews and meta‐analyses favoured (n = 24) or criticised (n = 12) by ISFAR. Results: Studies reporting health benefits had higher odds of receiving positive reviews from ISFAR [odds ratio (OR) = 6.50, 95% confidence interval (95% CI) = (3.62–12.00)], as did studies minimising alcohol harms [OR = 2.47, 95% CI = (1.40–4.45)]. Studies reporting health harms had higher odds of receiving negative critiques [OR = 0.29, 95% CI = (0.15–0.14)], as did studies minimising health benefits [OR = 0.21, 95% CI = (0.10–0.41)]. Algorithmic SA replicated these patterns, though the correlation with manual coding was modest [r = 0.20, 95% CI = (0.08–0.32)]. Studies with industry ties had higher odds of minimising alcohol‐related harms [OR = 1.90, 95% CI = (1.04–3.50)], and those co‐authored by ISFAR members had higher odds of reporting a J‐shaped relationship between alcohol use and health [OR = 2.52, 95% CI = (1.00–6.48)]. No association was found between ISFAR sentiment and study quality as independently assessed by AMSTAR‐2 and ROBIS (BF01 = 6.13–6.21). Conclusion: Critiques from The International Scientific Forum on Alcohol Research (ISFAR) consistently promote alcohol's purported health benefits while minimising evidence of harm, regardless of study quality. These patterns provide a valuable resource for industry actors to shape public perception, downplay risk and influence policy—using strategies that closely resemble those historically employed by the tobacco industry. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The International Scientific Forum on Alcohol Research (ISFAR) critiques of alcohol research: Promoting health benefits and downplaying harms.
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  Data: <searchLink fieldCode="AR" term="%22Clay%2C+James+M%2E%22">Clay, James M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stockwell%2C+Tim%22">Stockwell, Tim</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Golder%2C+Su%22">Golder, Su</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lawrence%2C+Keegan%22">Lawrence, Keegan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCambridge%2C+Jim%22">McCambridge, Jim</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vishnevsky%2C+Nicole%22">Vishnevsky, Nicole</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zuckermann%2C+Alexandra%22">Zuckermann, Alexandra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Naimi%2C+Timothy%22">Naimi, Timothy</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Nov2025, Vol. 120 Issue 11, p2319-2328. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Prevention+of+alcoholism%22">Prevention of alcoholism</searchLink><br /><searchLink fieldCode="DE" term="%22Alcoholism+risk+factors%22">Alcoholism risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Research+bias%22">Research bias</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Harm+reduction%22">Harm reduction</searchLink><br /><searchLink fieldCode="DE" term="%22Conflict+of+interests%22">Conflict of interests</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Sentiment+analysis%22">Sentiment analysis</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background and Aims: The International Scientific Forum on Alcohol Research (ISFAR), many of whose members are linked to the alcohol industry, has published over 280 critiques on alcohol and health research. This study investigated whether ISFAR critiques favour studies reporting alcohol's health benefits while being more critical of those identifying harms. We also examined whether industry‐funded studies are more likely to report benefits, and whether ISFAR's critiques reflect the methodological rigor of the studies they assess. Methods: We analysed 268 ISFAR critiques published between April 2010 and January 2024, manually coding each underlying study for its content (whether the original study reported alcohol‐related health benefits or harms) and each critique for its tone (positive or negative). Sentiment analysis (SA) algorithms were applied to critique summaries to assess tone using automated methods. Study authors were examined for prior receipt of alcohol industry funding. AMSTAR‐2 and ROBIS tools evaluated risk of bias in 36 systematic reviews and meta‐analyses favoured (n = 24) or criticised (n = 12) by ISFAR. Results: Studies reporting health benefits had higher odds of receiving positive reviews from ISFAR [odds ratio (OR) = 6.50, 95% confidence interval (95% CI) = (3.62–12.00)], as did studies minimising alcohol harms [OR = 2.47, 95% CI = (1.40–4.45)]. Studies reporting health harms had higher odds of receiving negative critiques [OR = 0.29, 95% CI = (0.15–0.14)], as did studies minimising health benefits [OR = 0.21, 95% CI = (0.10–0.41)]. Algorithmic SA replicated these patterns, though the correlation with manual coding was modest [r = 0.20, 95% CI = (0.08–0.32)]. Studies with industry ties had higher odds of minimising alcohol‐related harms [OR = 1.90, 95% CI = (1.04–3.50)], and those co‐authored by ISFAR members had higher odds of reporting a J‐shaped relationship between alcohol use and health [OR = 2.52, 95% CI = (1.00–6.48)]. No association was found between ISFAR sentiment and study quality as independently assessed by AMSTAR‐2 and ROBIS (BF01 = 6.13–6.21). Conclusion: Critiques from The International Scientific Forum on Alcohol Research (ISFAR) consistently promote alcohol's purported health benefits while minimising evidence of harm, regardless of study quality. These patterns provide a valuable resource for industry actors to shape public perception, downplay risk and influence policy—using strategies that closely resemble those historically employed by the tobacco industry. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/add.70132
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 2319
    Subjects:
      – SubjectFull: Prevention of alcoholism
        Type: general
      – SubjectFull: Alcoholism risk factors
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Research bias
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Harm reduction
        Type: general
      – SubjectFull: Conflict of interests
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Sentiment analysis
        Type: general
    Titles:
      – TitleFull: The International Scientific Forum on Alcohol Research (ISFAR) critiques of alcohol research: Promoting health benefits and downplaying harms.
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            – D: 01
              M: 11
              Text: Nov2025
              Type: published
              Y: 2025
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