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- Title
Alcohol-attributable mortality and alcohol control policy in the Baltic Countries and Poland in 2001–2020: an interrupted time-series analysis.
- Authors
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
- Abstract
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.
- Subjects
POLAND; LATVIA; ESTONIA; TIME series analysis; ALCOHOL; MORTALITY; COUNTRIES
- Publication
Substance Abuse Treatment, Prevention & Policy, 2023, Vol 18, Issue 1, p1
- ISSN
1747-597X
- Publication type
Article
- DOI
10.1186/s13011-023-00574-7