Alcohol control policy and alcohol-attributable disease burden in Finland and the Baltic countries: A longitudinal study 1995–2019

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review Pub Date : 2024-07-15 DOI:10.1111/dar.13901

Anastasia Månsson, Lode van der Velde, Thomas Karlsson, Lauri Beekmann, Elsa Jonsson Stenberg, Juanita Haagsma, Giulio Castelpietra, Emilie E. Agardh, Peter Allebeck

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Abstract

Introduction

Alcohol remains a significant contributor to mortality and morbidity in Finland and the Baltic countries, particularly among men. This study aimed to assess alcohol policy restrictiveness in this region from 1995 to 2019 using a modified version of the Bridging the Gap (BtG-M) policy scale and examine its association with alcohol-related disease burden.

Methods

The study utilised national laws to score policy restrictiveness (higher BtG-M scores mean stricter policies) and age-standardised rates of disability-adjusted life years (DALY), years of life lost, years lived with disability and deaths per 100,000 from the 2019 Global Burden of Disease Study (GBD). Spearman correlation tests and panel data regression models were applied to assess the association between policy score and burden of disease.

Results

Finland maintained a high BtG-M score, while the Baltic countries experienced recent increases from initially lower scores. Alcohol-related disease burden showed an inverse association with policy changes in these countries. Strongest association was seen between the BtG-M score and DALY rates attributed to injuries. Premature mortality among men constituted the largest proportion of disease burden.

Discussion and Conclusions

Despite challenges in accessing and comparing policy data over time, we showed a strong association between alcohol policy and alcohol-related harm in Finland and the Baltic countries. This study is one of the first to use the BtG-M scale to monitor changes in alcohol policies over time and their relationship to alcohol-related harm using GBD methodology. The study highlights the effects of national alcohol policies on levels of alcohol-related harm.

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芬兰和波罗的海国家的酒精控制政策与酒精所致疾病负担：1995-2019 年纵向研究。

导言：在芬兰和波罗的海国家，酒精仍然是导致死亡和发病的重要因素，尤其是在男性中。本研究旨在使用 "缩小差距"（BtG-M）政策量表的修订版评估该地区 1995 年至 2019 年的酒精政策限制性，并研究其与酒精相关疾病负担的关系：研究利用国家法律对政策限制性进行评分（BtG-M 评分越高，表示政策越严格），并利用《2019 年全球疾病负担研究》（GBD）中每 10 万人的残疾调整生命年（DALY）、丧失生命年数、残疾生存年数和死亡人数的年龄标准化比率。斯皮尔曼相关检验和面板数据回归模型用于评估政策得分与疾病负担之间的关联：结果：芬兰保持了较高的 BtG-M 分数，而波罗的海国家则从最初的较低分数上升到最近的较高分数。在这些国家，与酒精相关的疾病负担与政策变化呈反向关系。BtG-M 分数与因伤害造成的残疾调整寿命年数之间的关系最为密切。男性过早死亡在疾病负担中所占比例最大：尽管在获取和比较不同时期的政策数据方面存在挑战，但我们发现芬兰和波罗的海国家的酒精政策与酒精相关伤害之间存在密切联系。这项研究是首批使用 BtG-M 量表监测酒精政策随时间推移的变化及其与酒精相关危害之间关系的研究之一。该研究强调了国家酒精政策对酒精相关危害水平的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol review SUBSTANCE ABUSE-

CiteScore

4.80

自引率

10.50%

发文量

151

期刊介绍： Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.