The increasing global health priority of substance use in young people

The Lancet Psychiatry, Journal Year: 2016, Volume and Issue: 3(3), P. 251 - 264

Published: Feb. 20, 2016

Language: Английский

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Do alcohol control policies work? An umbrella review and quality assessment of systematic reviews of alcohol control interventions (2006 – 2017)

PLoS ONE, Journal Year: 2019, Volume and Issue: 14(4), P. e0214865 - e0214865

Published: April 10, 2019

Background The 2010 World Health Organization Global Strategy to Reduce the Harmful Use of Alcohol recommends countries adopt evidence-based interventions. Aim To update, summarize, and appraise methodological rigour systematic reviews selected alcohol control interventions in Strategy. Methods We searched for across PUBMED, EMBase Cochrane Library 2016 updated 2017 with no language limits. Two investigators independently duplicate conducted screening, eligibility, data extraction, quality assessment using ROBIS tool. categorised according WHO recommendations, rated as at high, low or unclear risk bias. applied a hierarchical approach summarising review results. Where overlap existed we report results high if none existed, by most recent date publication. integrated rating produce benefit indication. Results identified 42 from 5,282 records. Almost all eligible were published English, one German Portuguese. Most only observational studies (74%; 31/42) lower-middle income (LMIC) countries. Ten Methodological deficiencies included publication limits, assessment, study quality, integration into result interpretation. evaluated following measures possibly beneficial: 1) community mobilization; 2) multi-component drinking environment; 3) restricting advertising; 4) on- off-premise outlet density; 5) police patrols ignition locks reduce drink driving; 6) increased price taxation including minimum unit pricing. Conclusions Robust well-reported research synthesis is deficient field despite availability clear guidance. lack primary arising LMIC should be prioritised globally.

Language: Английский

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Prices, taxes and alcohol use: a systematic umbrella review

Addiction, Journal Year: 2022, Volume and Issue: 117(12), P. 3004 - 3023

Published: June 6, 2022

To measure the impact of taxes and prices on alcohol use with particular attention to different context rising consumption in low- middle-income countries.

Language: Английский

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Alcohol control policy and changes in alcohol‐related traffic harm

Addiction, Journal Year: 2019, Volume and Issue: 115(4), P. 655 - 665

Published: Sept. 2, 2019

Abstract Aims To study the impact of alcohol control policy measures (i.e. increases in taxation, restrictions on availability, including minimum purchasing age regulations, legislation drink driving and advertisement bans) alcohol‐related traffic harm Lithuania between January 2004 February 2019. Design Analyses trend data proportion collisions crashes, injury mortality, adjusting for secular trends, seasonality, periods measure implementation economic development. Generalized additive mixed models were used. Multiple sensitivity analyses conducted. Setting Lithuania. Cases Monthly number cases injuries deaths. Interventions comparators Periods time during which new implemented and/or augmented compared to when they not. Measurements 2019 from routine statistics Lithuanian Road Police Service. Findings All indicators decreased consistently significantly after measures, increased reduction availability a ban advertisement, starting 2014. On average, each permanently reduced alcohol‐attributable crashes by 0.55% [95% confidence interval (CI) = 0.21–0.90%; P 0.002], 0.60% (95% CI 0.24–0.97%; 0.001) deaths 0.13% 0.10–0.15%; < 0.001). Conclusions Alcohol reduce overall level consumption, associated with marked decrease harm.

Language: Английский

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The country‐level effects of drinking, heavy drinking and drink prices on pre‐drinking: An international comparison of 25 countries

Drug and Alcohol Review, Journal Year: 2017, Volume and Issue: 36(6), P. 742 - 750

Published: March 13, 2017

Abstract Introduction and Aims. The practice adverse consequences of pre‐drinking have been documented within a dozen countries, but little remains known about the differences between countries or country‐specific determinants pre‐drinking. This study aims to estimate percentage pre‐drinkers in different impact country‐level indicators such as price alcohol prevalence drinkers heavy drinkers. Design Methods. Using data from Global Drug Survey, was estimated for 25 65 126 respondents. Bivariate multivariate multilevel models were used model on‐premise/off‐premise drinks ratio, current on pre‐drinkers. Results. per country ranged 17.7% (Greece) 85.4% (Ireland). Across all higher drinkers, In addition, an interaction ratio found. with low opposite effect observed high ratios. Discussion Conclusions. Pre‐drinking appears be worldwide phenomenon. significant effects three demonstrate role underpinning across countries. Policy makers could use reported findings initiating campaigns reduce behaviour. [Labhart F, Ferris J, Winstock A, Kuntsche E. drinking, drinking drink prices pre‐drinking: An international comparison

Language: Английский

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A Web-Based Computer-Tailored Alcohol Prevention Program for Adolescents: Cost-Effectiveness and Intersectoral Costs and Benefits

Journal of Medical Internet Research, Journal Year: 2016, Volume and Issue: 18(4), P. e93 - e93

Published: April 21, 2016

Preventing excessive alcohol use among adolescents is important not only to foster individual and public health, but also reduce alcohol-related costs inside outside the health care sector. Computer tailoring can be both effective cost-effective for working with many lifestyle behaviors, yet available information on cost-effectiveness of computer reducing by limited as benefits pertaining sectors sector, known intersectoral (ICBs).The aim was assess a Web-based computer-tailored intervention binge drinking from perspective (excluding ICBs) societal (including ICBs).Data used were Alcoholic Alert study, cluster randomized controlled trial randomization at level schools into two conditions. Participants either played game tailored feedback awareness after baseline assessment (intervention condition) or received usual (CAU), meaning that they had opportunity play subsequent final measurement (waiting list control condition). Data recorded (T0=January/February 2014) 4 months (T1=May/June calculate incremental ratios (ICERs), perspective. Stochastic uncertainty in data dealt using nonparametric bootstraps (5000 simulated replications). Additional sensitivity analyses conducted based excluding cost outliers. Subgroup several background variables, including gender, age, educational level, religion, ethnicity.From outcome measures, more costly comparison CAU. ICERs differed perspectives, namely €40 €79 €62 €144 per reduction one glass week occasion 30 days, respectively. showed, perspectives older (aged 17-19 years) those lower and, perspective, male nonreligious adolescent subgroups.Computer-tailored could way target adolescents. Including ICBs economic evaluation an impact results analysis. It worthwhile specifically specific subgroups.Nederlands Trial Register: NTR4048; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4048 (Archived Webcite http://www.webcitation.org/6c7omN8wG).

Language: Английский

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What is the best indicator of the harmful use of alcohol? A narrative review

Drug and Alcohol Review, Journal Year: 2020, Volume and Issue: 39(6), P. 624 - 631

Published: April 6, 2020

Abstract Issues The monitoring of the harmful use alcohol is a key focus global health efforts, including Sustainable Development Goals. current indicator for Goals national adult (15+ years) per capita consumption (APC) in litres pure alcohol. Recently, age‐standardised prevalence heavy episodic drinking (HED) has been advanced as an alternative indicator. Approach This narrative review composed advantages and disadvantages both indicators empirical analysis their associations with alcohol‐attributable harm. Key findings APC greatly associated harm available almost all countries on yearly basis it largely derived from routinely collected statistics. HED based responses to population surveys not performed most countries. These commonly exclude populations (e.g. army personnel, institutionalised, homeless). Even when included within sampling frame, drinkers are less likely participate than other groups. questions used measure susceptible biases due issues respondents' comprehension, recall misreporting. Furthermore, regression 182 countries, was better at predicting HED. also correlated changes burden disease (from 2010 2016), while not. Implications Based these factors, found be preferred Conclusions should retained main

Language: Английский

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Age, Period, and Cohorot Effects in Alochol Use in the United States in the 20th and 21st Centuries

Alcohol research, Journal Year: 2021, Volume and Issue: 42(1)

Published: Jan. 1, 2021

This article is part of a Festschrift commemorating the 50th anniversary National Institute on Alcohol Abuse and Alcoholism (NIAAA).Established in 1970, first as Mental Health later an independent institute Institutes Health, NIAAA today world's largest funding agency for alcohol research.In addition to its own intramural research program, supports entire spectrum innovative basic, translational, clinical advance diagnosis, prevention, treatment use disorder alcohol-related problems.To

Language: Английский

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Association of alcohol control policies with adolescent alcohol consumption and with social inequality in adolescent alcohol consumption: A multilevel study in 33 countries and regions

International Journal of Drug Policy, Journal Year: 2020, Volume and Issue: 84, P. 102854 - 102854

Published: July 24, 2020

Background Previous research found inconsistent associations between alcohol control policies and socioeconomic inequality with adolescent drinking outcomes. This study expands the focus beyond individual to examine whether a combination of is related in outcomes this relationship varies across survey years. Methods Multilevel modelling 4 waves repeat cross-sectional data (2001/02, 2005/06, 2009/10, 2013/14) from Health Behaviour School-aged Children (HBSC) was carried out. The sample composed 671,084 adolescents (51% girls) aged 11, 13, 15 (mean age=13.58; SD=1.65) 33 European North American countries/regions. dependent variables were lifetime consumption, weekly drunkenness. Independent three types: individual-level (age, sex, Family Affluence Scale, Perceived Wealth), time-level variable (survey year), context-level (minimum legal age, physical availability, advertising restrictions, total policy index, affordability alcohol). Results index showed negative both consumption. Higher higher consumption Scale positively all measures Wealth negatively drunkenness, these increasing buffered Conclusion A more effective reducing than single measures. Reducing stood out as most successful measure. Socioeconomic inequalities (i.e. drunkenness family affluence perceiving their families be poor) have persisted even increased combined can help tackling them.

Language: Английский

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Alcohol consumption by youth: Peers, parents, or prices?

Economics & Human Biology, Journal Year: 2016, Volume and Issue: 23, P. 76 - 83

Published: Aug. 3, 2016

Language: Английский

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