Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily
Background 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 sa...
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| Veröffentlicht in: | Alcohol, clinical & experimental research clinical & experimental research, 2023-04, Vol.47 (4), p.786-795 |
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| creator | Casswell, Sally Huckle, Taisia Parker, Karl Graydon‐Guy, Thomas Leung, June Parry, Charles Torun, Perihan Sengee, Gantuya Pham, Cuong Gray‐Phillip, Gaile Callinan, Sarah Chaiyasong, Surasak MacKintosh, Anne Marie Meier, Petra Randerson, Steve |
| description | Background
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 |
| doi_str_mv | 10.1111/acer.15030 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10947406</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2805025398</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4490-7414015b7bbf5be23d06083c43df94b522a68f4cae0571ed93d53eee9fd7bebb3</originalsourceid><addsrcrecordid>eNp9kc1q3DAURkVpaaZpN32AIugmFJxeWZJlr0oYpj8QKIR2LWTpeqzUtlzJnmHevp5MGposqo3QvYfDJz5C3jK4ZMv5aCzGSyaBwzOyYpJDBrlSz8kKmJBZAVCekVcp3QKAKIviJTnjCkqlWLUi_aZp0E5-h9R0NrSho2PovPWYqInLMKVgvZnQ0b2fWhrRzXZ52DCkuR8nHwZq-jBsqcM-bKMZW2_pNoZ5THTfBuqiH37RFs3Od4fX5EVjuoRv7u9z8vPz5sf6a3b9_cu39dV1ZoWoIFOCCWCyVnXdyBpz7qCAklvBXVOJWua5KcpGWIMgFUNXcSc5IlaNUzXWNT8nn07eca57dBaHKZpOj9H3Jh50MF4_3gy-1duw0wwqoQQUi-Hi3hDD7xnTpHufLHadGTDMSeclSMglr8oFff8EvQ1zHJb_HSnFK5Hzo_DDibIxpBSxeUjDQB9r1Mca9V2NC_zu3_wP6N_eFoCdgL3v8PAflb5ab25O0j84VqrK</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2807394236</pqid></control><display><type>article</type><title>Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Casswell, Sally ; Huckle, Taisia ; Parker, Karl ; Graydon‐Guy, Thomas ; Leung, June ; Parry, Charles ; Torun, Perihan ; Sengee, Gantuya ; Pham, Cuong ; Gray‐Phillip, Gaile ; Callinan, Sarah ; Chaiyasong, Surasak ; MacKintosh, Anne Marie ; Meier, Petra ; Randerson, Steve</creator><creatorcontrib>Casswell, Sally ; Huckle, Taisia ; Parker, Karl ; Graydon‐Guy, Thomas ; Leung, June ; Parry, Charles ; Torun, Perihan ; Sengee, Gantuya ; Pham, Cuong ; Gray‐Phillip, Gaile ; Callinan, Sarah ; Chaiyasong, Surasak ; MacKintosh, Anne Marie ; Meier, Petra ; Randerson, Steve</creatorcontrib><description>Background
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.
In 10 diverse countries the IAC Policy Index, which measures the strength of four effective alcohol policies, was found to be associated with the volume of alcohol consumed and the frequency of drinking among their populations. Younger people, who are heavier drinkers, showed the largest decrease in typical occasion quantity as the IAC Policy Index score indicated stronger alcohol control measures and those with low education decreased their consumption to a greater extent relative to those with more years of education.</description><identifier>ISSN: 0145-6008</identifier><identifier>ISSN: 2993-7175</identifier><identifier>EISSN: 1530-0277</identifier><identifier>EISSN: 2993-7175</identifier><identifier>DOI: 10.1111/acer.15030</identifier><identifier>PMID: 37087719</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Alcohol Drinking - epidemiology ; alcohol policy index ; Alcohol use ; Alcoholic beverages ; Behavior, Treatment and Prevention ; Demography ; Drinking behavior ; education ; Educational attainment ; Ethanol ; Female ; Gender differences ; heavy drinking ; high‐middle‐income countries ; Humans ; Income ; Male ; Original ; Public Policy ; Sociodemographics ; Surveys and Questionnaires ; Young Adult ; Young adults ; young people</subject><ispartof>Alcohol, clinical & experimental research, 2023-04, Vol.47 (4), p.786-795</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC on behalf of Research Society on Alcohol.</rights><rights>2023 The Authors. Alcohol: Clinical and Experimental Research published by Wiley Periodicals LLC on behalf of Research Society on Alcohol.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4490-7414015b7bbf5be23d06083c43df94b522a68f4cae0571ed93d53eee9fd7bebb3</citedby><cites>FETCH-LOGICAL-c4490-7414015b7bbf5be23d06083c43df94b522a68f4cae0571ed93d53eee9fd7bebb3</cites><orcidid>0000-0002-2211-7096 ; 0000-0001-9787-2785 ; 0000-0002-0669-0685</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Facer.15030$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Facer.15030$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37087719$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Casswell, Sally</creatorcontrib><creatorcontrib>Huckle, Taisia</creatorcontrib><creatorcontrib>Parker, Karl</creatorcontrib><creatorcontrib>Graydon‐Guy, Thomas</creatorcontrib><creatorcontrib>Leung, June</creatorcontrib><creatorcontrib>Parry, Charles</creatorcontrib><creatorcontrib>Torun, Perihan</creatorcontrib><creatorcontrib>Sengee, Gantuya</creatorcontrib><creatorcontrib>Pham, Cuong</creatorcontrib><creatorcontrib>Gray‐Phillip, Gaile</creatorcontrib><creatorcontrib>Callinan, Sarah</creatorcontrib><creatorcontrib>Chaiyasong, Surasak</creatorcontrib><creatorcontrib>MacKintosh, Anne Marie</creatorcontrib><creatorcontrib>Meier, Petra</creatorcontrib><creatorcontrib>Randerson, Steve</creatorcontrib><title>Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily</title><title>Alcohol, clinical & experimental research</title><addtitle>Alcohol Clin Exp Res (Hoboken)</addtitle><description>Background
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.
In 10 diverse countries the IAC Policy Index, which measures the strength of four effective alcohol policies, was found to be associated with the volume of alcohol consumed and the frequency of drinking among their populations. Younger people, who are heavier drinkers, showed the largest decrease in typical occasion quantity as the IAC Policy Index score indicated stronger alcohol control measures and those with low education decreased their consumption to a greater extent relative to those with more years of education.</description><subject>Alcohol Drinking - epidemiology</subject><subject>alcohol policy index</subject><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Behavior, Treatment and Prevention</subject><subject>Demography</subject><subject>Drinking behavior</subject><subject>education</subject><subject>Educational attainment</subject><subject>Ethanol</subject><subject>Female</subject><subject>Gender differences</subject><subject>heavy drinking</subject><subject>high‐middle‐income countries</subject><subject>Humans</subject><subject>Income</subject><subject>Male</subject><subject>Original</subject><subject>Public Policy</subject><subject>Sociodemographics</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><subject>Young adults</subject><subject>young people</subject><issn>0145-6008</issn><issn>2993-7175</issn><issn>1530-0277</issn><issn>2993-7175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp9kc1q3DAURkVpaaZpN32AIugmFJxeWZJlr0oYpj8QKIR2LWTpeqzUtlzJnmHevp5MGposqo3QvYfDJz5C3jK4ZMv5aCzGSyaBwzOyYpJDBrlSz8kKmJBZAVCekVcp3QKAKIviJTnjCkqlWLUi_aZp0E5-h9R0NrSho2PovPWYqInLMKVgvZnQ0b2fWhrRzXZ52DCkuR8nHwZq-jBsqcM-bKMZW2_pNoZ5THTfBuqiH37RFs3Od4fX5EVjuoRv7u9z8vPz5sf6a3b9_cu39dV1ZoWoIFOCCWCyVnXdyBpz7qCAklvBXVOJWua5KcpGWIMgFUNXcSc5IlaNUzXWNT8nn07eca57dBaHKZpOj9H3Jh50MF4_3gy-1duw0wwqoQQUi-Hi3hDD7xnTpHufLHadGTDMSeclSMglr8oFff8EvQ1zHJb_HSnFK5Hzo_DDibIxpBSxeUjDQB9r1Mca9V2NC_zu3_wP6N_eFoCdgL3v8PAflb5ab25O0j84VqrK</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Casswell, Sally</creator><creator>Huckle, Taisia</creator><creator>Parker, Karl</creator><creator>Graydon‐Guy, Thomas</creator><creator>Leung, June</creator><creator>Parry, Charles</creator><creator>Torun, Perihan</creator><creator>Sengee, Gantuya</creator><creator>Pham, Cuong</creator><creator>Gray‐Phillip, Gaile</creator><creator>Callinan, Sarah</creator><creator>Chaiyasong, Surasak</creator><creator>MacKintosh, Anne Marie</creator><creator>Meier, Petra</creator><creator>Randerson, Steve</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2211-7096</orcidid><orcidid>https://orcid.org/0000-0001-9787-2785</orcidid><orcidid>https://orcid.org/0000-0002-0669-0685</orcidid></search><sort><creationdate>202304</creationdate><title>Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily</title><author>Casswell, Sally ; Huckle, Taisia ; Parker, Karl ; Graydon‐Guy, Thomas ; Leung, June ; Parry, Charles ; Torun, Perihan ; Sengee, Gantuya ; Pham, Cuong ; Gray‐Phillip, Gaile ; Callinan, Sarah ; Chaiyasong, Surasak ; MacKintosh, Anne Marie ; Meier, Petra ; Randerson, Steve</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4490-7414015b7bbf5be23d06083c43df94b522a68f4cae0571ed93d53eee9fd7bebb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Alcohol Drinking - epidemiology</topic><topic>alcohol policy index</topic><topic>Alcohol use</topic><topic>Alcoholic beverages</topic><topic>Behavior, Treatment and Prevention</topic><topic>Demography</topic><topic>Drinking behavior</topic><topic>education</topic><topic>Educational attainment</topic><topic>Ethanol</topic><topic>Female</topic><topic>Gender differences</topic><topic>heavy drinking</topic><topic>high‐middle‐income countries</topic><topic>Humans</topic><topic>Income</topic><topic>Male</topic><topic>Original</topic><topic>Public Policy</topic><topic>Sociodemographics</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><topic>Young adults</topic><topic>young people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Casswell, Sally</creatorcontrib><creatorcontrib>Huckle, Taisia</creatorcontrib><creatorcontrib>Parker, Karl</creatorcontrib><creatorcontrib>Graydon‐Guy, Thomas</creatorcontrib><creatorcontrib>Leung, June</creatorcontrib><creatorcontrib>Parry, Charles</creatorcontrib><creatorcontrib>Torun, Perihan</creatorcontrib><creatorcontrib>Sengee, Gantuya</creatorcontrib><creatorcontrib>Pham, Cuong</creatorcontrib><creatorcontrib>Gray‐Phillip, Gaile</creatorcontrib><creatorcontrib>Callinan, Sarah</creatorcontrib><creatorcontrib>Chaiyasong, Surasak</creatorcontrib><creatorcontrib>MacKintosh, Anne Marie</creatorcontrib><creatorcontrib>Meier, Petra</creatorcontrib><creatorcontrib>Randerson, Steve</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Alcohol, clinical & experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Casswell, Sally</au><au>Huckle, Taisia</au><au>Parker, Karl</au><au>Graydon‐Guy, Thomas</au><au>Leung, June</au><au>Parry, Charles</au><au>Torun, Perihan</au><au>Sengee, Gantuya</au><au>Pham, Cuong</au><au>Gray‐Phillip, Gaile</au><au>Callinan, Sarah</au><au>Chaiyasong, Surasak</au><au>MacKintosh, Anne Marie</au><au>Meier, Petra</au><au>Randerson, Steve</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily</atitle><jtitle>Alcohol, clinical & experimental research</jtitle><addtitle>Alcohol Clin Exp Res (Hoboken)</addtitle><date>2023-04</date><risdate>2023</risdate><volume>47</volume><issue>4</issue><spage>786</spage><epage>795</epage><pages>786-795</pages><issn>0145-6008</issn><issn>2993-7175</issn><eissn>1530-0277</eissn><eissn>2993-7175</eissn><abstract>Background
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.
In 10 diverse countries the IAC Policy Index, which measures the strength of four effective alcohol policies, was found to be associated with the volume of alcohol consumed and the frequency of drinking among their populations. Younger people, who are heavier drinkers, showed the largest decrease in typical occasion quantity as the IAC Policy Index score indicated stronger alcohol control measures and those with low education decreased their consumption to a greater extent relative to those with more years of education.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37087719</pmid><doi>10.1111/acer.15030</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2211-7096</orcidid><orcidid>https://orcid.org/0000-0001-9787-2785</orcidid><orcidid>https://orcid.org/0000-0002-0669-0685</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Alcohol, clinical & experimental research, 2023-04, Vol.47 (4), p.786-795 |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Alcohol Drinking - epidemiology alcohol policy index Alcohol use Alcoholic beverages Behavior, Treatment and Prevention Demography Drinking behavior education Educational attainment Ethanol Female Gender differences heavy drinking high‐middle‐income countries Humans Income Male Original Public Policy Sociodemographics Surveys and Questionnaires Young Adult Young adults young people |
| title | Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily |
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