The impact of an integrated alcohol policy: The example of Lithuania.

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review Pub Date : 2024-11-25 DOI:10.1111/dar.13980

Jürgen Rehm, Shannon Lange, Laura Miščikienė, Huan Jiang

{"title":"The impact of an integrated alcohol policy: The example of Lithuania.","authors":"Jürgen Rehm, Shannon Lange, Laura Miščikienė, Huan Jiang","doi":"10.1111/dar.13980","DOIUrl":null,"url":null,"abstract":"Introduction: Although integrated alcohol policies, characterised by being consistent, structurally connected and interdependent, are considered to be best practices, very few evaluations of such policies exist. We evaluated the impact of two phases of integrated alcohol policies implemented in Lithuania in 2008/2009 and 2017/2018 on adult (15+ years of age) alcohol per capita consumption.Methods: Alcohol per capita consumption was the main outcome, based on national data from Statistics Lithuania. Time-series analyses using generalised additive mixed models were used, and unrecorded consumption trends were examined. A sensitivity analysis was conducted with data from the World Health Organization.Results: The two phases of integrated alcohol policies were associated with average reductions in adult alcohol per capita consumption of almost 1 litre (-0.88 L; 95% confidence interval -1.43; -0.34). Sensitivity analyses with comparable international data on Lithuania yielded similar results.Discussion and conclusions: Integrated alcohol policies had a substantial effect on the average level of consumption. However, the effect of major single policies for Lithuania and other Baltic countries has been estimated to be of about the same magnitude. We conclude that in order to be successful, integrated alcohol policies should include at least one major effective population-based policy.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Drug and alcohol review","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/dar.13980","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Although integrated alcohol policies, characterised by being consistent, structurally connected and interdependent, are considered to be best practices, very few evaluations of such policies exist. We evaluated the impact of two phases of integrated alcohol policies implemented in Lithuania in 2008/2009 and 2017/2018 on adult (15+ years of age) alcohol per capita consumption.

Methods: Alcohol per capita consumption was the main outcome, based on national data from Statistics Lithuania. Time-series analyses using generalised additive mixed models were used, and unrecorded consumption trends were examined. A sensitivity analysis was conducted with data from the World Health Organization.

Results: The two phases of integrated alcohol policies were associated with average reductions in adult alcohol per capita consumption of almost 1 litre (-0.88 L; 95% confidence interval -1.43; -0.34). Sensitivity analyses with comparable international data on Lithuania yielded similar results.

Discussion and conclusions: Integrated alcohol policies had a substantial effect on the average level of consumption. However, the effect of major single policies for Lithuania and other Baltic countries has been estimated to be of about the same magnitude. We conclude that in order to be successful, integrated alcohol policies should include at least one major effective population-based policy.

查看原文本刊更多论文

综合酒精政策的影响：以立陶宛为例。

导言：综合酒精政策具有连贯性、结构性和相互依赖性等特点，被认为是最佳实践，但对此类政策的评估却寥寥无几。我们评估了立陶宛在 2008/2009 年和 2017/2018 年实施的两个阶段的综合酒精政策对成人（15 岁以上）人均酒精消费量的影响：人均酒精消费量是主要结果，基于立陶宛统计局的全国数据。使用广义相加混合模型进行时间序列分析，并对未记录的消费趋势进行研究。利用世界卫生组织的数据进行了敏感性分析：结果：两个阶段的综合酒精政策使成人人均酒精消费量平均减少了近 1 升（-0.88 升；95% 置信区间-1.43；-0.34）。利用立陶宛的可比国际数据进行的敏感性分析也得出了类似的结果：综合酒精政策对平均消费水平产生了重大影响。然而，据估计，立陶宛和其他波罗的海国家的主要单一政策的效果大致相同。我们的结论是，综合酒精政策要想取得成功，至少应包括一项以人口为基础的主要有效政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.