Associations of minimum legal drinking age law with later-life alcohol use and alcohol-attributable mortality from disease and injury: An ecological study.
Jie Li, Peishan Ning, Wanhui Wang, David C Schwebel, Li Li, Zhenzhen Rao, Peixia Cheng, Dan Tian, Guoqing Hu
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引用次数: 0
Abstract
Purpose: To examine associations of minimum legal drinking age (MLDA) laws with later-life alcohol use and alcohol-attributable mortality.
Methods: An ecological study was performed using the free-access data from the United States. Five outcome measures were considered: (1) drinking rate, (2) alcohol consumption per capita, and alcohol-attributable mortality for (3) all diseases and injuries, (4) non-injury diseases, and (5) injuries. Univariate statistical tests compared differences in 5 outcome measures during 1990-2021 across 3 types of states, classified based on different MLDA beer laws in 1970-1988. Multivariable regression examined MLDA laws' associations with 5 outcome variables, adjusting for covariates. Sensitivity analyses used MLDA classifications for wine and spirits.
Results: Based on MLDA beer laws of 1970-1988, the 50 states and the District of Columbia were classified as Type 1 (increasing MLDA), Type 2 (fluctuating MLDA), and Type 3 (steady MLDA of 21). For all years combined, Type 1 and Type 2 states had lower and higher drinking rates (51.05% and 55.20% vs. 53.23%) and alcohol consumption per capita (463.25 and 511.57 vs. 483.92 standard drinks). Compared to Type 2 and Type 3 states, Type 1 states had the highest alcohol-attributable injury mortality for Americans aged 30 years and older (4.30 vs. 3.93 and 3.87 per 100,000). After adjusting for the included covariates, 3 types of states demonstrated differing trends in drinking rate and alcohol-attributable injury mortality but highly similar trends in the other 3 outcome measures. Sensitivity analyses generated similar findings.
Conclusions: MLDA was associated with later-life alcohol use and alcohol-attributable mortality.
期刊介绍：
Chinese Journal of Traumatology (CJT, ISSN 1008-1275) was launched in 1998 and is a peer-reviewed English journal authorized by Chinese Association of Trauma, Chinese Medical Association. It is multidisciplinary and designed to provide the most current and relevant information for both the clinical and basic research in the field of traumatic medicine. CJT primarily publishes expert forums, original papers, case reports and so on. Topics cover trauma system and management, surgical procedures, acute care, rehabilitation, post-traumatic complications, translational medicine, traffic medicine and other related areas. The journal especially emphasizes clinical application, technique, surgical video, guideline, recommendations for more effective surgical approaches.
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