A mystery-shopping study to test enforcement of minimum legal purchasing age in Lithuania in 2022

Author:

Miščikienė Laura12ORCID,Tran Alexander3,Petkevičienė Janina14,Rehm Jürgen3567891011ORCID,Vaitkevičiūtė Justina1,Galkus Lukas1,Lange Shannon356,Štelemėkas Mindaugas14

Affiliation:

1. Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences , Kaunas, Lithuania

2. Department of Health Management, Faculty of Public Health, Lithuanian University of Health Sciences , Kaunas, Lithuania

3. Institute for Mental Health Policy Research, Centre for Addiction and Mental Health , Toronto, Canada

4. Department of Preventive Medicine, Faculty of Public Health, Lithuanian University of Health Sciences , Kaunas, Lithuania

5. Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health , Toronto, Canada

6. Department of Psychiatry, University of Toronto , Toronto, Canada

7. Faculty of Medicine, Institute of Medical Science, University of Toronto , Toronto, Canada

8. Dalla Lana School of Public Health, University of Toronto , Toronto, Canada

9. Institute of Clinical Psychology and Psychotherapy & Center of Clinical Epidemiology and Longitudinal Studies (CELOS), Technische Universität Dresden , Dresden, Germany

10. Center for Interdisciplinary Addiction Research (ZIS), Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf (UKE) , Hamburg, Germany

11. Program on Substance Abuse, Public Health Agency of Catalonia, Program on Substance Abuse & designated WHO CC, Public Health Agency of Catalonia , Barcelona, Spain

Abstract

AbstractBackgroundAccording to the Lithuanian law to prevent the sale of alcohol to customers below the legal minimum purchasing age of 20 years, young adults below 25 years must be asked to show an age-verification document when purchasing alcohol. The aim of this study was to assess whether off-premise outlets comply with the law.MethodsIn 2022, mystery-shopping study was carried out in three consecutive phases: (i) in a representative sample (n = 239) of off-premise alcohol outlets covering all Lithuanian district centres, (ii) after lifting the requirement to wear a mask and (iii) after warning the outlets that a mystery-shopping study was ongoing. Phases 2 and 3 were held in two cities. The mystery shopping involved attempts by young, but legally eligible customers to purchase alcohol. Across the three study phases, we compared compliance with the law by measuring overall success of purchase attempts and included situational characteristics (working day or weekend), time of day and number of customers in line as an additional predictor.ResultsOut of 239 attempts to purchase alcohol from off-premise outlets in the main phase of the study, 107 (or 44.8%) were considered to be successful (visits in which staff were willing to sell alcohol). There was a significantly higher chance of success to purchase alcohol with no ID request if a mystery shopper was the only customer in a queue and on weekends.ConclusionsThe results indicate an insufficient level of age-verification control in Lithuania, and that additional action is needed to increase compliance.

Funder

National Institute on Alcohol Abuse and Alcoholism

National Institutes of Health

NIAAA

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

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