Alcohol-attributable mortality and alcohol control policy in the Baltic Countries and Poland in 2001–2020 : an interrupted time-series analysis
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Date
2023-11-09
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Abstract
Background: The Baltic countries–Lithuania, Latvia and Estonia–are characterized by a high rate of fully alcohol-attributable mortality, compared with Poland. Alcohol control policy measures implemented since 2001 in the Baltic countries included a restriction on availability and an increase in excise taxation, among others. The aim of the current study was to evaluate the relationship between alcohol control policy implementation and alcohol-attributable mortality in the Baltic countries and Poland. Methods: Alcohol-attributable mortality data for 2001–2020 was defined by codes 100% alcohol-attributable for persons aged 15 years and older in the Baltic countries and Poland. Alcohol control policies implemented between 2001 and 2020 were identified, and their impact on alcohol-attributable mortality was evaluated using an interrupted time-series methodology by employing a generalized additive model. Results: Alcohol-attributable mortality was significantly higher in the Baltic countries, compared with Poland, for both males and females. In the final reduced model, alcohol control policy significantly reduced male alcohol-attributable mortality by 7.60% in the 12 months post-policy implementation. For females, the alcohol control policy mean-shift effect was higher, resulting in a significant reduction of alcohol-attributable mortality by 10.77% in the 12 months post-policy implementation. The interaction effects of countries and policy tested in the full model were not statistically significant, which indicated that the impact of alcohol control policy on alcohol-attributable mortality did not differ across countries for both males and females. Conclusions: Based on the findings of the current study, alcohol control policy in the form of reduced availability and increased taxation was associated with a reduction in alcohol-attributable mortality among both males and females.
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Publisher Copyright: © 2023, The Author(s).
Keywords
Alcohol control policy, Alcohol-attributable mortality, Baltic countries, Poland, Sex, Shift-mean effect, Public Policy, Humans, Mortality, Male, Poland/epidemiology, Latvia, Female, Lithuania, Estonia/epidemiology, 3.3 Health sciences, 5.1 Psychology, 1.1. Scientific article indexed in Web of Science and/or Scopus database, Health Policy, Psychiatry and Mental health, SDG 3 - Good Health and Well-being
Citation
Radišauskas, R, Štelemėkas, M, Petkevičienė, J, Trišauskė, J, Telksnys, T, Miščikienė, L, Gobina, I, Stoppel, R, Reile, R, Janik-Koncewicz, K, Zatonski, W, Lange, S, Tran, A, Rehm, J & Jiang, H 2023, 'Alcohol-attributable mortality and alcohol control policy in the Baltic Countries and Poland in 2001–2020 : an interrupted time-series analysis', Substance Abuse: Treatment, Prevention, and Policy, vol. 18, no. 1, 65. https://doi.org/10.1186/s13011-023-00574-7