Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily.

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dc.citation.issue4
dc.citation.volume47
dc.contributor.authorCasswell S
dc.contributor.authorHuckle T
dc.contributor.authorParker K
dc.contributor.authorGraydon-Guy T
dc.contributor.authorLeung J
dc.contributor.authorParry C
dc.contributor.authorTorun P
dc.contributor.authorSengee G
dc.contributor.authorPham C
dc.contributor.authorGray-Phillip G
dc.contributor.authorCallinan S
dc.contributor.authorChaiyasong S
dc.contributor.authorMacKintosh AM
dc.contributor.authorMeier P
dc.contributor.authorRanderson S
dc.coverage.spatialUnited States
dc.date.accessioned2024-05-24T00:47:58Z
dc.date.available2024-05-24T00:47:58Z
dc.date.issued2023-04-23
dc.description.abstractBACKGROUND: Alcohol policies stand out among other noncommunicable disease-relevant policies for the lack of uptake. Composite indicators have been developed to measure the effects of alcohol control policy. We investigated whether drinking patterns among demographic groups from general population samples of drinkers from diverse countries are associated with alcohol control policy as measured by the International Alcohol Control (IAC) Policy Index. METHODS: Representative samples of adult drinkers from 10 countries (five high-income and five middle-income) were surveyed about alcohol consumption, using beverage and location-specific questions. MEASUREMENTS: The IAC Policy Index was analyzed with frequency, typical occasion quantity, and volume consumed. Analyses used mixed models that included interactions between country IAC Policy Index score and age group, gender, and education level. FINDINGS: Each increase in IAC policy index score (reflecting more effective alcohol policy) was associated with a 13.9% decrease in drinking frequency (p = 0.006) and a 16.5% decrease in volume (p = 0.001). With each increase in IAC Policy Index score, both genders decreased for all three measures, but men less so than women. Women decreased their typical occasion quantity by 1.2% (p = 0.006), frequency by 3.1% (p < 0.001), and total volume by 4.2% (p < 0.001) compared to men. Low and mid-education groups decreased their typical occasion quantity by 2.6% (p < 0.001) and 1.6% (p = 0.001), respectively, compared to high education, while for drinking frequency the low education group increased by 7.0% (p < 0.001). There was an overall effect of age (F = 19.27, p < 0.0001), with 18-19 and 20-24-year-olds showing the largest decreases in typical occasion quantity with increasing IAC policy index score. CONCLUSIONS: The IAC Policy Index, reflecting four effective policies, was associated with volume and frequency of drinking across 10 diverse countries. Each increase in the IAC Policy Index was associated with lower typical quantities consumed among groups reporting heavy drinking: young adults and less well-educated. There is value in implementing such alcohol policies and a need to accelerate their uptake globally.
dc.description.confidentialfalse
dc.format.pagination786-795
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/37087719
dc.identifier.citationCasswell S, Huckle T, Parker K, Graydon-Guy T, Leung J, Parry C, Torun P, Sengee G, Pham C, Gray-Phillip G, Callinan S, Chaiyasong S, MacKintosh AM, Meier P, Randerson S. (2023). Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily.. Alcohol Clin Exp Res (Hoboken). 47. 4. (pp. 786-795).
dc.identifier.doi10.1111/acer.15030
dc.identifier.eissn2993-7175
dc.identifier.elements-typejournal-article
dc.identifier.issn2993-7175
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/69656
dc.languageeng
dc.publisherWiley Periodicals LLC on behalf of Research Society on Alcohol
dc.publisher.urihttps://onlinelibrary.wiley.com/doi/10.1111/acer.15030
dc.relation.isPartOfAlcohol Clin Exp Res (Hoboken)
dc.rights(c) 2023 The Author/s
dc.rightsCC BY 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectalcohol policy index
dc.subjecteducation
dc.subjectheavy drinking
dc.subjecthigh-middle-income countries
dc.subjectyoung people
dc.subjectYoung Adult
dc.subjectHumans
dc.subjectMale
dc.subjectFemale
dc.subjectAlcohol Drinking
dc.subjectPublic Policy
dc.subjectIncome
dc.subjectSurveys and Questionnaires
dc.subjectEthanol
dc.subjectDemography
dc.titleEffective alcohol policies are associated with reduced consumption among demographic groups who drink heavily.
dc.typeJournal article
pubs.elements-id461081
pubs.organisational-groupCollege of Health
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