Rapidly Increasing Trend of Recorded Alcohol Consumption Since the End of the Armed Conflict in Sri Lanka
Rapidly Increasing Trend of Recorded Alcohol Consumption Since the End of the Armed Conflict in Sri Lanka
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DOI：
10.1093/alcalc/agx044
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发表时间：
2017-09-01
影响因子：
2.8
通讯作者：
Langley, Tessa
中科院分区：
文献类型：
--
作者：
Nugawela, Manjula D.;Lewis, Sarah;Langley, Tessa
目的：评估1998-2013年武装冲突期间和之后斯里兰卡记录的酒精消费量的时间变化。方法：整个研究期间（1998-2013年）的地区级酒精销售和年中人口数据均可从25个地区中的18个地区的税务部门和人口普查和统计部门获得。这些数据被用来估计没有直接受到武装冲突影响地区的人均消费记录。采用了中断时间序列设计来估计武装冲突结束对18个地区人口人均酒精消费量记录的影响。结果：1998年，生活在18个区的斯里兰卡人的成人人均酒精消费量为1.59升纯酒精。2009年增加到2.07升，2013年增加到2.55升。在2009年冲突结束之前，记录的成人人均纯酒精消费量每年增加了0.051升（95%置信区间：0.029-0.074,P < 0.001）；2009年后为每年0.166升（95% CI: 0.095-0.236, P < 0.001）。与其他饮料相比，啤酒消费量的人均增长率最高。结论：在冲突结束后，生活在没有直接接触冲突地区的斯里兰卡人中，有记录的成人人均酒精消费量显著增加。社会经济的快速发展、酒精工业的渗透以及冲突后时期酒精控制战略的缺乏可能推动了这一增长。简要总结：2009年冲突结束后，生活在没有直接受到武装冲突影响的18个地区的斯里兰卡人的成人人均酒精消费量显著增加，人均啤酒消费量的趋势急剧加速。
Aim: To evaluate temporal changes in recorded alcohol consumption in Sri Lanka during and after the armed conflict 1998-2013.Methods: District level alcohol sales, and mid-year population data for the whole study period (1998-2013) were consistently available from the Department of Excise and the Department of Census and Statistics for 18 of 25 districts. These data were used to estimate the recorded per capita consumption for the areas that were not directly exposed to the armed conflict. An interrupted time series design was employed to estimate the impact of the end of the armed conflict on recorded adult per capita alcohol consumption of population lived in the 18 districts.Results: Adult per capita recorded alcohol consumption among Sri Lankans living in the 18 districts was 1.59 l of pure alcohol in 1998. This increased up to 2.07 l in 2009 and 2.55 l in 2013. Prior to the end of the conflict in 2009 adult per capita recorded consumption increased by 0.051 l of pure alcohol per year (95% CI: 0.029-0.074, P < 0.001); after 2009 this was 0.166 l per year (95% CI: 0.095-0.236, P < 0.001). Beer consumption showed the highest per capita growth compared with other beverages.Conclusions: Adult per capita recorded alcohol consumption among Sri Lankans living in areas that were not directly exposed to the conflict increased markedly after the end of the conflict. Rapid socio-economic development, alcohol industry penetration and lack of alcohol control strategies during the post-conflict period may have driven this increase.Short summary: Adult per capita recorded alcohol consumption among Sri Lankans living in 18 districts that were not directly exposed to the armed conflict increased markedly after the end of the conflict in 2009, with a dramatic acceleration in the trend of per capita beer consumption.