Abstract
AbstractAlcohol consumption in the Baltic countries and Poland is among the highest globally, causing high all-cause mortality rates. Contrary to Poland, the Baltic countries have adopted many alcohol control policies, including the World Health Organization (WHO) “best buys”. The aim of this study was to evaluate the impact of these policies, which were implemented between 2001 and 2020, on all-cause mortality. Monthly mortality data for men and women aged 20+ years of age in Estonia, Latvia, Lithuania, and Poland were analysed for 2001 to 2020. A total of 19 alcohol control policies, fulfilling an a-priori defined definition, were implemented between 2001 and 2020 in the countries of interest, and 18 of them could be tested. Interrupted time-series analyses were conducted by employing a generalized additive mixed model (GAMM) for men and women separately. The age-standardized all-cause mortality rate was lowest in Poland and highest in Latvia and had decreased in all countries over the time period. Taxation increases and availability restrictions had short-term effects in all countries, on average reducing the age-standardized all-cause mortality rate among men significantly (a reduction of 2.31% (95% CI 0.71%, 3.93%; p = 0.0045)). All-cause mortality rates among women were not significantly reduced (a reduction of 1.09% (95% CI − 0.02%, 2.20%; p = 0.0554)). In conclusion, the alcohol control policies implemented between 2001 and 2020 reduced all-cause mortality among men 20+ years of age in Baltic countries and Poland, and thus, the practice should be continued.
Funder
National Institute on Alcohol Abuse and Alcoholism
Publisher
Springer Science and Business Media LLC
Reference44 articles.
1. Rehm, J. et al. The relationship between different dimensions of alcohol use and the burden of disease—An update. Addiction 112, 968–1001 (2017).
2. World Health Organization. Global status report on alcohol and health 2018. http://www.who.int/substance_abuse/publications/global_alcohol_report/en/ (2018).
3. World Health Organization. Regional prevalence, AAFs, all-cause deaths (%). The Global Health Observatory https://www.who.int/data/gho/data/indicators/indicator-details/GHO/regional-prevalence-aafs-all-cause-deaths-(-) (2022).
4. World Health Organization. Regional Office for Europe. Making the WHO European Region SAFER: developments in alcohol control policies, 2010–2019. https://apps.who.int/iris/handle/10665/340727 (2021).
5. Nemtsov, A., Neufeld, M. & Rehm, J. Are tends in alcohol consumption and cause-specific mortality in Russia between 1990 and 2017 the result of alcohol policy measures?. J. Stud. Alcohol Drugs 80, 489–498 (2019).
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献