Evaluation of the national alcohol control strategy (Green Paper on Alcohol Policy) of Estonia

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review Pub Date : 2025-02-17 DOI:10.1111/dar.14024

Jürgen Rehm, Rainer Reile, Daniela Correia, Maria Neufeld, Huan Jiang

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Abstract

Introduction

Estonia is a Baltic country with high adult alcohol per capita (APC) consumption. Since 2013, its alcohol control policy has been guided by the Green Paper on Alcohol Policy (GP), which is the equivalent of a non-binding national alcohol action plan. This contribution attempts to evaluate the overall impact of the GP on APC.

Methods

For the overall evaluation, APC was quantitatively compared for three periods: pre-GP (2000–2012), the core period of the GP (2013–2019) and the COVID-19 phase (2020–2022), using Analysis of Variance.

Results

APC decreased on average by 0.25 L of pure alcohol per year in the 7 years defined as the core period of the GP, whereas it increased in the other periods between 2001 and 2022 (period 2001–2012: +0.47 L; 2020–2022: +0.27 L). These differences were statistically significant (F [1, 18] = 5.22, p = 0.035). Moreover, there was no overall trend of decreasing APC during the core period of the GP in neighbouring countries (Latvia, Lithuania and Poland).

Discussion and Conclusions

The combination of the various measures of the national alcohol policy was associated with a marked decrease in APC.

Abstract Image

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对爱沙尼亚国家酒精控制战略（酒精政策绿皮书）的评价。

爱沙尼亚是一个波罗的海国家，成人酒精的人均消费量很高。自2013年以来，其酒精控制政策一直以《酒精政策绿皮书》为指导，该绿皮书相当于一项不具约束力的国家酒精行动计划。这篇文章试图评估GP对APC的总体影响。方法：采用方差分析方法，对GP前期（2000-2012年）、GP核心期（2013-2019年）和COVID-19阶段（2020-2022年）三个时期的APC进行定量比较，进行综合评价。结果：在GP核心期的7年中，APC平均每年减少0.25 L纯酒精，而在2001年至2022年期间的其他时期APC平均每年增加(2001-2012年期间：+0.47 L；2020-2022年：+0.27 L)，差异有统计学意义（F [1,18] = 5.22, p = 0.035）。此外，在GP的核心时期，邻国（拉脱维亚、立陶宛和波兰）的APC总体上没有下降的趋势。讨论和结论：国家酒精政策各项措施的结合与APC的显著下降有关。

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.