The Effects of Changes in Local Alcohol Policies and Enforcement on Alcohol Use and Impaired Driving

项目摘要 该项目的目标是评估当地酒精政策和执法的变化如何与 过量饮酒和酒后驾车。我们将采用纵向设计， 跟踪了15年的结果数据，并在两个时间段测量了酒精政策的执行情况。 点我们建议进行一项为期五年的纵向研究，以达致以下具体目的： 个别地方酒精政策与过度饮酒和酒精受损的纵向关联 驾驶;（2）评估当地酒精政策与过量酒精组合的纵向关联 使用和酒精受损驾驶;（3）评估酒精执法的纵向关联， 地方一级的过度饮酒和酒精受损的驾驶，并评估执法如何影响 酒精政策和结果之间的关联（影响修改/相互作用）。该提案涉及 几个国家级机构的建议，为今后的研究提供了一个工具，并将 为决策者提供关于预防和减少健康和社会危害的有效战略的决策信息， 这是由于过度饮酒和驾驶障碍造成的。

Project Summary The goal of this project is to assess how changes in local alcohol policy and enforcement are associated with excessive alcohol use and alcohol-impaired driving. We will use a longitudinal design with local-level policies and outcome data tracked over a 15-year period, and enforcement of alcohol policies measured at two time points. We propose to conduct a 5-year longitudinal study to address the following specific aims: (1) assess the longitudinal associations of individual local alcohol policies with excessive alcohol use and alcohol-impaired driving; (2) assess the longitudinal association of combinations of local alcohol policies with excessive alcohol use and alcohol-impaired driving; and (3) assess the longitudinal association of alcohol enforcement at the local level with excessive alcohol use and alcohol-impaired driving and assess how enforcement influences associations between alcohol policies and outcomes (effect modification/interaction). The proposal addresses recommendations from several national-level institutions, provides a tool for future research studies, and will inform policymakers' decisions about effective strategies to prevent and reduce health and social harms that result from excessive drinking and impaired driving.