Alcohol-attributable mortality and alcohol control policy in the Baltic Countries and Poland in 2001-2020: an interrupted time-series analysis
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Alcohol-attributable mortality and alcohol control policy in the Baltic Countries and Poland in 2001-2020: an interrupted time-series analysis. / Radišauskas, Ričardas; Štelemėkas, Mindaugas; Petkevičienė, Janina; Trišauskė, Justina; Telksnys, Tadas; Miščikienė, Laura; Gobina, Inese; Stoppel, Relika; Reile, Rainer; Janik-Koncewicz, Kinga; Zatonski, Witold; Lange, Shannon; Tran, Alexander; Rehm, Jürgen; Jiang, Huan.
In: SUBST ABUSE TREAT PR, Vol. 18, No. 1, 09.11.2023, p. 65.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Alcohol-attributable mortality and alcohol control policy in the Baltic Countries and Poland in 2001-2020: an interrupted time-series analysis
AU - Radišauskas, Ričardas
AU - Štelemėkas, Mindaugas
AU - Petkevičienė, Janina
AU - Trišauskė, Justina
AU - Telksnys, Tadas
AU - Miščikienė, Laura
AU - Gobina, Inese
AU - Stoppel, Relika
AU - Reile, Rainer
AU - Janik-Koncewicz, Kinga
AU - Zatonski, Witold
AU - Lange, Shannon
AU - Tran, Alexander
AU - Rehm, Jürgen
AU - Jiang, Huan
N1 - © 2023. The Author(s).
PY - 2023/11/9
Y1 - 2023/11/9
N2 - BACKGROUND: The Baltic countries-Lithuania, Latvia and Estonia-are characterized by a high rate of fully alcohol-attributable mortality, compared with Poland. Alcohol control policy measures implemented since 2001 in the Baltic countries included a restriction on availability and an increase in excise taxation, among others. The aim of the current study was to evaluate the relationship between alcohol control policy implementation and alcohol-attributable mortality in the Baltic countries and Poland.METHODS: Alcohol-attributable mortality data for 2001-2020 was defined by codes 100% alcohol-attributable for persons aged 15 years and older in the Baltic countries and Poland. Alcohol control policies implemented between 2001 and 2020 were identified, and their impact on alcohol-attributable mortality was evaluated using an interrupted time-series methodology by employing a generalized additive model.RESULTS: Alcohol-attributable mortality was significantly higher in the Baltic countries, compared with Poland, for both males and females. In the final reduced model, alcohol control policy significantly reduced male alcohol-attributable mortality by 7.60% in the 12 months post-policy implementation. For females, the alcohol control policy mean-shift effect was higher, resulting in a significant reduction of alcohol-attributable mortality by 10.77% in the 12 months post-policy implementation. The interaction effects of countries and policy tested in the full model were not statistically significant, which indicated that the impact of alcohol control policy on alcohol-attributable mortality did not differ across countries for both males and females.CONCLUSIONS: Based on the findings of the current study, alcohol control policy in the form of reduced availability and increased taxation was associated with a reduction in alcohol-attributable mortality among both males and females.
AB - BACKGROUND: The Baltic countries-Lithuania, Latvia and Estonia-are characterized by a high rate of fully alcohol-attributable mortality, compared with Poland. Alcohol control policy measures implemented since 2001 in the Baltic countries included a restriction on availability and an increase in excise taxation, among others. The aim of the current study was to evaluate the relationship between alcohol control policy implementation and alcohol-attributable mortality in the Baltic countries and Poland.METHODS: Alcohol-attributable mortality data for 2001-2020 was defined by codes 100% alcohol-attributable for persons aged 15 years and older in the Baltic countries and Poland. Alcohol control policies implemented between 2001 and 2020 were identified, and their impact on alcohol-attributable mortality was evaluated using an interrupted time-series methodology by employing a generalized additive model.RESULTS: Alcohol-attributable mortality was significantly higher in the Baltic countries, compared with Poland, for both males and females. In the final reduced model, alcohol control policy significantly reduced male alcohol-attributable mortality by 7.60% in the 12 months post-policy implementation. For females, the alcohol control policy mean-shift effect was higher, resulting in a significant reduction of alcohol-attributable mortality by 10.77% in the 12 months post-policy implementation. The interaction effects of countries and policy tested in the full model were not statistically significant, which indicated that the impact of alcohol control policy on alcohol-attributable mortality did not differ across countries for both males and females.CONCLUSIONS: Based on the findings of the current study, alcohol control policy in the form of reduced availability and increased taxation was associated with a reduction in alcohol-attributable mortality among both males and females.
KW - Female
KW - Humans
KW - Male
KW - Poland/epidemiology
KW - Estonia/epidemiology
KW - Latvia
KW - Lithuania
KW - Public Policy
KW - Mortality
U2 - 10.1186/s13011-023-00574-7
DO - 10.1186/s13011-023-00574-7
M3 - SCORING: Journal article
C2 - 37946282
VL - 18
SP - 65
JO - SUBST ABUSE TREAT PR
JF - SUBST ABUSE TREAT PR
SN - 1747-597X
IS - 1
ER -