Alcohol control policy measures and all-cause mortality in Lithuania: an interrupted time-series analysis.
Alcohol
alcohol control policy
all-cause
best buys
death
mortality
Journal
Addiction (Abingdon, England)
ISSN: 1360-0443
Titre abrégé: Addiction
Pays: England
ID NLM: 9304118
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
revised:
24
11
2020
received:
26
06
2020
accepted:
24
02
2021
pubmed:
23
3
2021
medline:
30
9
2021
entrez:
22
3
2021
Statut:
ppublish
Résumé
Alcohol use has been identified as a major risk factor for burden of mortality and disease, particularly for countries in eastern Europe. During the past two decades, several countries in this region have implemented effective alcohol policy measures to combat this burden. The aim of the current study was to measure the association between Lithuania's alcohol control policies and adult all-cause mortality. Interrupted time-series methodology by means of general additive models. Lithuania. Adult population of Lithuania, aged 20 years and older. Alcohol control policies were ascertained via a document review of relevant legislation materials. Policy effects were evaluated as follows: (1) slope changes in periods of legislative (non-)activity with regard to alcohol control policy (analysis 1); (2) level changes of three interventions following recommendations of the World Health Organization (analysis 2); and (3) level changes of seven interventions judged a priori by an international panel of experts (analysis 3). Mortality was measured by sex-stratified and total monthly age-standardized rates of all-cause mortality for the adult population. During the period 2001-18, effective alcohol control policy measures were implemented on several occasions, and in those years the all-cause mortality rate declined by approximately 3.2% more than in years without such policies. In particular, the implementation of increased taxation in 2017 was associated with reduced mortality over and above the general trend for men and in total for all analyses, which amounted to 1452 deaths avoided (95% confidence interval = -166 to -2739) in the year following the implementation of the policy. Alcohol control policies in Lithuania appear to have reduced the overall adult all-cause mortality over and above secular trends.
Sections du résumé
BACKGROUND AND AIMS
Alcohol use has been identified as a major risk factor for burden of mortality and disease, particularly for countries in eastern Europe. During the past two decades, several countries in this region have implemented effective alcohol policy measures to combat this burden. The aim of the current study was to measure the association between Lithuania's alcohol control policies and adult all-cause mortality.
DESIGN
Interrupted time-series methodology by means of general additive models.
SETTING
Lithuania.
PARTICIPANTS
Adult population of Lithuania, aged 20 years and older.
MEASUREMENTS
Alcohol control policies were ascertained via a document review of relevant legislation materials. Policy effects were evaluated as follows: (1) slope changes in periods of legislative (non-)activity with regard to alcohol control policy (analysis 1); (2) level changes of three interventions following recommendations of the World Health Organization (analysis 2); and (3) level changes of seven interventions judged a priori by an international panel of experts (analysis 3). Mortality was measured by sex-stratified and total monthly age-standardized rates of all-cause mortality for the adult population.
FINDINGS
During the period 2001-18, effective alcohol control policy measures were implemented on several occasions, and in those years the all-cause mortality rate declined by approximately 3.2% more than in years without such policies. In particular, the implementation of increased taxation in 2017 was associated with reduced mortality over and above the general trend for men and in total for all analyses, which amounted to 1452 deaths avoided (95% confidence interval = -166 to -2739) in the year following the implementation of the policy.
CONCLUSIONS
Alcohol control policies in Lithuania appear to have reduced the overall adult all-cause mortality over and above secular trends.
Identifiants
pubmed: 33751693
doi: 10.1111/add.15470
pmc: PMC8873029
mid: NIHMS1779810
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2673-2684Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Organisme : NIAAA NIH HHS
ID : R01 AA028224
Pays : United States
Organisme : National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health (NIAAA)
ID : 1R01AA028224-01
Informations de copyright
© 2021 Society for the Study of Addiction.
Références
Int J Drug Policy. 2020 Jun;80:102636
pubmed: 32417670
Int J Environ Res Public Health. 2020 May 15;17(10):
pubmed: 32429171
Lancet. 2020 Oct 17;396(10258):1223-1249
pubmed: 33069327
Int J Environ Res Public Health. 2021 Mar 02;18(5):
pubmed: 33801260
J Stud Alcohol Drugs. 2021 Jan;82(1):9-17
pubmed: 33573718
Lancet Public Health. 2020 Jan;5(1):e51-e61
pubmed: 31910980
Alcohol Alcohol. 2013 Mar-Apr;48(2):222-30
pubmed: 23299570
J Stud Alcohol Drugs. 2018 Jul;79(4):514-522
pubmed: 30079865
Lancet. 1997 Aug 9;350(9075):383-8
pubmed: 9259651
Addiction. 2019 Oct;114(10):1866-1884
pubmed: 31058392
Alcohol. 2017 Jun;61:9-15
pubmed: 28599715
Am J Public Health. 2010 Nov;100(11):2270-8
pubmed: 20864710
Drug Alcohol Rev. 2005 Nov;24(6):537-47
pubmed: 16361210
Alcohol Alcohol. 2019 Jan 1;54(1):112-118
pubmed: 30260375
BMJ. 2019 Sep 25;366:l5274
pubmed: 31554617
Addiction. 2017 Jan;112 Suppl 1:21-27
pubmed: 27327239
J Psychiatr Res. 2020 Dec;131:138-143
pubmed: 32971357
Soc Sci Med. 2015 Apr;131:131-46
pubmed: 25771482
J Stud Alcohol Drugs. 2019 Sep;80(5):489-498
pubmed: 31603746
Eur J Public Health. 2017 Aug 1;27(4):736-741
pubmed: 28379485
Subst Abuse Treat Prev Policy. 2016 Oct 28;11(1):37
pubmed: 27793173
Lancet. 2009 Jun 27;373(9682):2223-33
pubmed: 19560604
Addiction. 2005 Jun;100(6):767-76
pubmed: 15918807
Addiction. 2020 Apr;115(4):655-665
pubmed: 31475395
Drug Alcohol Rev. 2020 Nov;39(7):818-826
pubmed: 32196816
Subst Abuse Treat Prev Policy. 2009 Nov 25;4:20
pubmed: 19939238