The African countries show a more mixed tendency, but there is a worrying trend of an increasing consumption in several low- and middle-income countries in South-East Asia and the Pacific Region, most likely as a result of the economic development [ 13 , 21 ].
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Alcohol as a risk factor for cancer: existing evidence in a global perspective.
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Epidemiological studies focusing specifically on low and middle-income countries are required, as the evidence from these countries is limited compared to studies in high-income countries, and as there seems to be an increasing trend in alcohol intake here.