Are alcohol policies associated with alcohol consumption in low- and middle-income countries?
Are alcohol policies associated with alcohol consumption in low- and middle-income countries?
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DOI：
10.1111/add.12571
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发表时间：
2014-07-01
期刊：
影响因子：
6
通讯作者：
Greenfield, Thomas K.
中科院分区：
文献类型：
--
作者：
Cook, Won Kim;Bond, Jason;Greenfield, Thomas K.
目的研究酒精控制政策在四个监管领域与低收入和中等收入国家（LAMICs）的酒精消费之间的关联，控制国家一级的生活水平和饮酒模式。设计横截面分析个人层面的酒精消费调查数据和国家层面的酒精政策，使用多层次建模。数据来自性别、酒精和文化：国际研究（GENACIS）数据集中收集的15个LAMIC。参与者年龄在18- 65岁之间的个人。世界卫生组织汇编的酒精政策数据;个人一级的当前饮酒状况、通常饮酒量和频率、狂饮频率和总饮酒量;基于人均购买力平价的国内生产总值;有害饮酒模式量表;以及年龄和性别作为个人一级的协变量。结果-酒精的政策，规范酒精的物理可用性，特别是那些关于营业时间或涉及许可制度的场外酒精零售，以及最低法律的饮酒年龄，是最一致的预测酒精消费。总的相对酒精价格水平与所有饮酒变量呈负相关（P
Aims To examine the associations between alcohol control policies in four regulatory domains with alcohol consumption in low- and middle-income countries (LAMICs), controlling for country-level living standards and drinking patterns. Design Cross-sectional analyses of individual-level alcohol consumption survey data and country-level alcohol policies using multi-level modeling. Setting Data from 15 LAMICs collected in the Gender, Alcohol, and Culture: an International Study (GENACIS) data set. Participants Individuals aged 18-65years. Measurements Alcohol policy data compiled by the World Health Organization; individual-level current drinking status, usual quantity and frequency of drinking, binge drinking frequency and total drinking volume; gross domestic product based on purchasing power parity (GDP-PPP) per capita; detrimental drinking pattern scale; and age and gender as individual-level covariates. Findings Alcohol policies regulating the physical availability of alcohol, particularly those concerning business hours or involving a licensing system for off-premises alcohol retail sales, as well as minimum legal drinking age, were the most consistent predictors of alcohol consumption. Aggregate relative alcohol price levels were associated inversely with all drinking variables (P