Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Faculty Publications Conference Paper Faculty Publications- Conference Papers Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Creator An entity primarily responsible for making the resource Swaathi, V.E.; Jayan, Mini; Saleema, J.S. Title A name given to the resource Alcohol-Attributable Liver Disease in India, 20002021: Comparative Analysis Across Alcohol Policy Regimes Using GBD 2021 Date A point or period of time associated with an event in the lifecycle of the resource 01-01-2026 Source A related resource from which the described resource is derived Lecture Notes in Networks and Systems;Volume;1873 LNNS;pp.323-333 Identifier An unambiguous reference to the resource within a given context <a href="https://doi.org/10.1007/978-3-032-19675-0_31" target="_blank" rel="noreferrer noopener">https://doi.org/10.1007/978-3-032-19675-0_31</a> <br /><br /><a href="https://www.scopus.com/pages/publications/105038892948?origin=resultslist" target="_blank" rel="noreferrer noopener">https://www.scopus.com/pages/publications/105038892948?origin=resultslist</a> Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Swaathi V.E., Christ (Deemed to be) University, Karnataka, Bengaluru, India; Jayan M., Christ (Deemed to be) University, Karnataka, Bengaluru, India; Saleema J.S., Christ (Deemed to be) University, Karnataka, Bengaluru, India Description An account of the resource Alcohol use is ranked among the leading causes of liver disease in the world, and the most dreadful consequences of this condition are cirrhosis and hepatic cellular carcinoma (HCC). India has an eclectic policy environment, with bans, regulation, liberal paradigms, and the influence of such policies on the epidemiological process is inadequately studied. Based on the Global Burden of Disease (GBD) 2021 data of nine states (20002021), this study focuses on disability-adjusted life years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs) due to alcohol-related cirrhosis and HCC. States were classified as prohibited (Bihar, Gujarat, Nagaland), regulated (Karnataka, Kerala, Tamil Nadu), and liberal (Goa, Punjab, Sikkim). Liberal states had the highest burdens, with Sikkim leading by approximately (410 per 100,000), followed by Goa (360 per 100,000) and Punjab (290 per 100,000), all above prohibited state averages. In Bihar, there was 27% reduction of DALY, whereas Kerala had the highest increase of 44%. More than 90% of total variation in DALYs was attributed to YLLs, with men also experiencing larger overall burden, ranging between 45 and 811 times during midlife. The panel regression displayed low cohort-level variance (R2= 0.41) but strong state-level effects (R2= 0.98), that signify a high level of heterogeneity. These results show that in addition to policies, variations in implementation, fiscal priorities, and social contexts determine the burden experienced in India, which further points to the need to implement evidence-supported, targeted interventions. The Author(s), under exclusive license to Springer Nature Switzerland AG 2026. Subject The topic of the resource Alcohol policy; DALYs; GBD; India; Liver Disease; YLDs; YLLs Publisher An entity responsible for making the resource available Springer Science and Business Media Deutschland GmbH Relation A related resource ISSN: 23673370; ISBN: 978-303219674-3; Language A language of the resource English Type The nature or genre of the resource Conference paper Rights Information about rights held in and over the resource Restricted Access; Hardcopy may be available in the library Format The file format, physical medium, or dimensions of the resource online