Alcohol control policy measures and all-cause mortality in Lithuania. An interrupted time-series analysis.
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Alcohol control policy measures and all-cause mortality in Lithuania. An interrupted time-series analysis. / Štelemėkas, Mindaugas; Manthey, Jakob; Badaras, Robertas; Casswell, Sally; Ferreira-Borges, Carina; Kalėdienė, Ramunė; Lange, Shannon; Neufeld, Maria; Petkevičienė, Janina; Radišauskas, Ričardas; Room, Robin; Telksnys, Tadas; Zurlytė, Ingrida; Rehm, Jürgen.
In: ADDICTION, Vol. 116, No. 10, 10.2021, p. 2673-2684.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Alcohol control policy measures and all-cause mortality in Lithuania. An interrupted time-series analysis.
AU - Štelemėkas, Mindaugas
AU - Manthey, Jakob
AU - Badaras, Robertas
AU - Casswell, Sally
AU - Ferreira-Borges, Carina
AU - Kalėdienė, Ramunė
AU - Lange, Shannon
AU - Neufeld, Maria
AU - Petkevičienė, Janina
AU - Radišauskas, Ričardas
AU - Room, Robin
AU - Telksnys, Tadas
AU - Zurlytė, Ingrida
AU - Rehm, Jürgen
N1 - © 2021 Society for the Study of Addiction.
PY - 2021/10
Y1 - 2021/10
N2 - BACKGROUND AND AIMS: Alcohol use has been identified as a major risk factor for burden of mortality and disease, particularly for countries in eastern Europe. During the past two decades, several countries in this region have implemented effective alcohol policy measures to combat this burden. The aim of the current study was to measure the association between Lithuania's alcohol control policies and adult all-cause mortality.DESIGN: Interrupted time-series methodology by means of general additive models.SETTING: Lithuania.PARTICIPANTS: Adult population of Lithuania, aged 20 years and older.MEASUREMENTS: Alcohol control policies were ascertained via a document review of relevant legislation materials. Policy effects were evaluated as follows: (1) slope changes in periods of legislative (non-)activity with regard to alcohol control policy (analysis 1); (2) level changes of three interventions following recommendations of the World Health Organization (analysis 2); and (3) level changes of seven interventions judged a priori by an international panel of experts (analysis 3). Mortality was measured by sex-stratified and total monthly age-standardized rates of all-cause mortality for the adult population.FINDINGS: During the period 2001-18, effective alcohol control policy measures were implemented on several occasions, and in those years the all-cause mortality rate declined by approximately 3.2% more than in years without such policies. In particular, the implementation of increased taxation in 2017 was associated with reduced mortality over and above the general trend for men and in total for all analyses, which amounted to 1452 deaths avoided (95% confidence interval = -166 to -2739) in the year following the implementation of the policy.CONCLUSIONS: Alcohol control policies in Lithuania appear to have reduced the overall adult all-cause mortality over and above secular trends.
AB - BACKGROUND AND AIMS: Alcohol use has been identified as a major risk factor for burden of mortality and disease, particularly for countries in eastern Europe. During the past two decades, several countries in this region have implemented effective alcohol policy measures to combat this burden. The aim of the current study was to measure the association between Lithuania's alcohol control policies and adult all-cause mortality.DESIGN: Interrupted time-series methodology by means of general additive models.SETTING: Lithuania.PARTICIPANTS: Adult population of Lithuania, aged 20 years and older.MEASUREMENTS: Alcohol control policies were ascertained via a document review of relevant legislation materials. Policy effects were evaluated as follows: (1) slope changes in periods of legislative (non-)activity with regard to alcohol control policy (analysis 1); (2) level changes of three interventions following recommendations of the World Health Organization (analysis 2); and (3) level changes of seven interventions judged a priori by an international panel of experts (analysis 3). Mortality was measured by sex-stratified and total monthly age-standardized rates of all-cause mortality for the adult population.FINDINGS: During the period 2001-18, effective alcohol control policy measures were implemented on several occasions, and in those years the all-cause mortality rate declined by approximately 3.2% more than in years without such policies. In particular, the implementation of increased taxation in 2017 was associated with reduced mortality over and above the general trend for men and in total for all analyses, which amounted to 1452 deaths avoided (95% confidence interval = -166 to -2739) in the year following the implementation of the policy.CONCLUSIONS: Alcohol control policies in Lithuania appear to have reduced the overall adult all-cause mortality over and above secular trends.
KW - Adult
KW - Alcohol Drinking
KW - Humans
KW - Interrupted Time Series Analysis
KW - Lithuania/epidemiology
KW - Male
KW - Mortality
KW - Public Policy
KW - Taxes
U2 - 10.1111/add.15470
DO - 10.1111/add.15470
M3 - SCORING: Journal article
C2 - 33751693
VL - 116
SP - 2673
EP - 2684
JO - ADDICTION
JF - ADDICTION
SN - 0965-2140
IS - 10
ER -