Reduction in Suicide Mortality Following a New National Alcohol Policy in Slovenia: An Interrupted Time-Series Analysis
Reduction in Suicide Mortality Following a New National Alcohol Policy in Slovenia: An Interrupted Time-Series Analysis
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DOI：
10.2105/ajph.2008.146183
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发表时间：
2009-05-01
影响因子：
12.7
通讯作者：
Snowden, Aleksandra J.
中科院分区：
文献类型：
--
作者：
Pridemore, William Alex;Snowden, Aleksandra J.
目标.我们评估了斯洛文尼亚限制酒精供应的新国家政策对自杀死亡率的影响。我们获得了1997年1月至2005年12月期间斯洛文尼亚的每月总自杀人数，男性和女性自杀人数，然后采用自回归综合移动平均（ARIMA）技术对酒精政策（2003年3月实施）的影响进行建模。该政策实施后，每月自杀总数大幅减少。随后的分析显示，这种关联完全是由对男性自杀的影响造成的。具体而言，每月男性自杀率立即和永久性地减少了3.6例（95%置信区间=-0.4，-6.9），约为干预前平均水平的10%。该政策对女性自杀没有统计学显著影响。我们的研究结果表明，这一具体政策在减少斯洛文尼亚男性自杀的有效性，也暗示了公共政策在更普遍地减少酒精相关伤害的公共卫生负担方面的潜力。(Am J公共卫生。2009;99：915-920. doi：10.2105/AJPH.2008.146183）
Objectives. We assessed the impact on suicide mortality of a new national policy in Slovenia that limits the availability of alcohol.Methods. We obtained monthly total, male, and female suicide counts in Slovenia between January 1997 and December 2005 and then employed autoregressive integrated moving average (ARIMA) techniques to model the effect of the alcohol policy (implemented in March 2003).Results. There was a significant decrease in the total number of monthly suicides following the policy's implementation. Subsequent analyses revealed this association to be caused solely by the impact on male suicides. Specifically, there was an immediate and permanent reduction of 3.6 male suicides per month (95% confidence interval = -0.4,-6.9), or approximately 10% of the preintervention average. The policy had no statistically significant effect on female suicides.Conclusions. Our results show the effectiveness of this specific policy in reducing male suicides in Slovenia and also hint at the potential of public policy in reducing the public health burden of alcohol-related harm more generally. (Am J Public Health. 2009;99:915-920. doi: 10.2105/AJPH.2008.146183)