Alcohol control policy measures and all-cause mortality in Lithuania: an interrupted time-series analysis.
Alcohol control policy measures and all-cause mortality in Lithuania: an interrupted time-series analysis.
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DOI：
10.1111/add.15470
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Rehm J
中科院分区：
文献类型：
--
作者：
Štelemėkas M;Manthey J;Badaras R;Casswell S;Ferreira-Borges C;Kalėdienė R;Lange S;Neufeld M;Petkevičienė J;Radišauskas R;Room R;Telksnys T;Zurlytė I;Rehm J
饮酒已被确定为死亡率和疾病负担的一个主要风险因素，特别是在东欧国家。在过去20年中，该区域的一些国家实施了有效的酒精政策措施，以减轻这一负担。目前研究的目的是衡量立陶宛的酒精控制政策与成人全因死亡率之间的关联。一般加性模型中断时间序列方法。立陶宛.立陶宛20岁及以上的成年人口。通过对相关立法材料的文件审查，确定了酒精控制政策。政策效果评估如下：（1）在酒精控制政策方面立法（非）活动期间的斜率变化（分析1）;（2）根据世界卫生组织的建议，三项干预措施的水平变化（分析2）;（3）由国际专家小组先验判断的七项干预措施的水平变化（分析3）。死亡率是通过成年人口全因死亡的性别分层率和每月总年龄标准化率来衡量的。在2001- 2018年期间，多次实施了有效的酒精控制政策措施，在这些年里，全因死亡率比没有此类政策的年份下降了约3.2%。特别是，2017年增加税收的实施与男性死亡率的下降有关，超过了所有分析的总体趋势，在政策实施后的一年内避免了1452例死亡（95%置信区间=-166至2739）。立陶宛的酒精控制政策似乎降低了成人全因死亡率，超过了长期趋势。
Alcohol use has been identified as a major risk factor for burden of mortality and disease, particularly for countries in eastern Europe. During the past two decades, several countries in this region have implemented effective alcohol policy measures to combat this burden. The aim of the current study was to measure the association between Lithuania’s alcohol control policies and adult all-cause mortality. Interrupted time–series methodology by means of general additive models. Lithuania. Adult population of Lithuania, aged 20 years and older. Alcohol control policies were ascertained via a document review of relevant legislation materials. Policy effects were evaluated as follows: (1) slope changes in periods of legislative (non-)activity with regard to alcohol control policy (analysis 1); (2) level changes of three interventions following recommendations of the World Health Organization (analysis 2); and (3) level changes of seven interventions judged a priori by an international panel of experts (analysis 3). Mortality was measured by sex-stratified and total monthly age-standardized rates of all-cause mortality for the adult population. During the period 2001–18, effective alcohol control policy measures were implemented on several occasions, and in those years the all-cause mortality rate declined by approximately 3.2% more than in years without such policies. In particular, the implementation of increased taxation in 2017 was associated with reduced mortality over and above the general trend for men and in total for all analyses, which amounted to 1452 deaths avoided (95% confidence interval = −166 to −2739) in the year following the implementation of the policy. Alcohol control policies in Lithuania appear to have reduced the overall adult all-cause mortality over and above secular trends.
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DOI：
10.1016/s0140-6736(20)30925-9
发表时间：
2020-10-17
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2019 Diseases and Injuries Collaborators
通讯作者：
GBD 2019 Diseases and Injuries Collaborators
影响因子：
4.4
作者：
Liutkute, Vaida;Veryga, Aurelijus;Midttun, Nijole Gostautaite
通讯作者：
Midttun, Nijole Gostautaite
影响因子：
2.8
作者：
Neufeld, Maria;Rehm, Juergen
通讯作者：
Rehm, Juergen
影响因子：
6
作者：
Norström, T;Skog, OJ
通讯作者：
Skog, OJ
影响因子：
2.8
作者：
Rehm, J.;Stelemekas, M.;Badaras, R.
通讯作者：
Badaras, R.