Text version of PRISMA flow diagram of the study selection process for correlates, consequences, treatment, and prevention of alcohol misuse in older women

Flow diagram. Top level title: Identification of studies via databases and registers. Second level title: Identification. Records (N = 4,565) identified from: Embase (n = 2, 297), PubMed/Medline (n = 2,079), PsycInfo (n = 189). Records removed before screening: Duplicate records removed by automation tools (n = 1,986). Third level title: Screening. Records screened (n = 2,579); Reports excluded (n = 695). Reports sought for retrieval (n = 1,884); Reports not retrieved (n = 0). Reports assessed for eligibility (n = 1,884); Reports excluded (n = 1,757): General Eligibility Criteria: 1. Not in English (n = 4), 2. Year of publication exclusion 2003 and earlier (n = 109); Articles Relevant in Topic (But Excluded Due to): 3. Mixed sex/age Sample, without sex and/or age analyses (n = 516), 4. No age-by-sex (interaction) analyses (n = 222), 5. Entire sample under age 50 or male sex (n = 27), 6. Not relevant for women age 50 or postmenopausal (n = 93), 7. Not peer reviewed (n = 26), 8. Review article (n = 127); Articles Excluded (Not Relevant): 9. Not alcohol focused (n = 97), 10. Epidemiological study or reports prevalence only (n = 108), 11. Mortality estimates, without focus on cause (n = 18), 12. Public policy focus (n = 30), 13. Nonalcohol health service utilization focus (n = 28), 14. Psychometric study (n = 27), 15. Outcome a nonclinical, nonspecific mechanism (n = 38), 16. Clinical outcome not within review’s scope (n = 27), 17. Event-specific outcomes (COVID-19, natural disaster) (n = 35), 18. Controlled feeding/alcohol administration study (n = 11); Articles Excluded (Methodological Reasons): 19. Very low alcohol use in female participants (n = 53), 20. Alcohol a yes/no variable or only assesses very recent use (n = 24), 21. Idiosyncratic, nongeneralizable sample (n = 17), 22. Insufficient information to determine eligibility (n = 82), 23. Other methodological issues (n = 11); Articles Excluded (Breast Cancer Literature Only): 24. Outdated breast cancer literature, included in meta-analyses (n = 18), 25. Breast cancer literature outside scope of review (n = 9). Fourth level title: Included. Studies included in review (n = 127).

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