The Impact of Increasing the Minimum Legal Drinking Age from 18 to 20 Years in Lithuania on All-Cause Mortality in Young Adults-An Interrupted Time-Series Analysis
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The Impact of Increasing the Minimum Legal Drinking Age from 18 to 20 Years in Lithuania on All-Cause Mortality in Young Adults-An Interrupted Time-Series Analysis. / Tran, Alexander; Jiang, Huan; Lange, Shannon; Livingston, Michael; Manthey, Jakob; Neufeld, Maria; Room, Robin; Štelemėkas, Mindaugas; Telksnys, Tadas; Petkevičienė, Janina; Radišauskas, Ričardas; Rehm, Jürgen.
In: ALCOHOL ALCOHOLISM, Vol. 57, No. 4, 09.07.2022, p. 513-519.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The Impact of Increasing the Minimum Legal Drinking Age from 18 to 20 Years in Lithuania on All-Cause Mortality in Young Adults-An Interrupted Time-Series Analysis
AU - Tran, Alexander
AU - Jiang, Huan
AU - Lange, Shannon
AU - Livingston, Michael
AU - Manthey, Jakob
AU - Neufeld, Maria
AU - Room, Robin
AU - Štelemėkas, Mindaugas
AU - Telksnys, Tadas
AU - Petkevičienė, Janina
AU - Radišauskas, Ričardas
AU - Rehm, Jürgen
N1 - © The Author(s) 2021. Medical Council on Alcohol and Oxford University Press. All rights reserved.
PY - 2022/7/9
Y1 - 2022/7/9
N2 - AIMS: To determine the effect of an alcohol policy change, which increased the minimum legal drinking age (MLDA) from 18 years of age to 20 years of age on all-cause mortality rates in young adults (18-19 years old) in Lithuania.METHODS: An interrupted time series analysis was conducted on a dataset from 2001 to 2019 (n = 228 months). The model tested the effects of the MLDA on all-cause mortality rates (deaths per 100,000 individuals) in three age categories (15-17 years old, 18-19 years old, 20-22 years old) in order to control for general mortality trends in young adults, and to isolate the effects of the MLDA from other alcohol control policies. Additional models that included GDP as a covariate and a taxation policy were tested as well.RESULTS: There was a significant effect of the MLDA on all-cause mortality rates in those 18-19 years old, when modelled alone. Additional analyses controlling for the mortality rate of other age groups showed similar findings. Inclusion of confounding factors (policies on alcohol taxation, GDP) eliminated the effects of MLDA.CONCLUSIONS: Although there was a notable decline in all-cause mortality rates among young adults in Lithuania, a direct causal impact of MLDA on all-cause mortality rates in young adults was not definitively found.
AB - AIMS: To determine the effect of an alcohol policy change, which increased the minimum legal drinking age (MLDA) from 18 years of age to 20 years of age on all-cause mortality rates in young adults (18-19 years old) in Lithuania.METHODS: An interrupted time series analysis was conducted on a dataset from 2001 to 2019 (n = 228 months). The model tested the effects of the MLDA on all-cause mortality rates (deaths per 100,000 individuals) in three age categories (15-17 years old, 18-19 years old, 20-22 years old) in order to control for general mortality trends in young adults, and to isolate the effects of the MLDA from other alcohol control policies. Additional models that included GDP as a covariate and a taxation policy were tested as well.RESULTS: There was a significant effect of the MLDA on all-cause mortality rates in those 18-19 years old, when modelled alone. Additional analyses controlling for the mortality rate of other age groups showed similar findings. Inclusion of confounding factors (policies on alcohol taxation, GDP) eliminated the effects of MLDA.CONCLUSIONS: Although there was a notable decline in all-cause mortality rates among young adults in Lithuania, a direct causal impact of MLDA on all-cause mortality rates in young adults was not definitively found.
U2 - 10.1093/alcalc/agab076
DO - 10.1093/alcalc/agab076
M3 - SCORING: Journal article
C2 - 34864838
VL - 57
SP - 513
EP - 519
JO - ALCOHOL ALCOHOLISM
JF - ALCOHOL ALCOHOLISM
SN - 0735-0414
IS - 4
ER -