Evaluation of the impact of alcohol control policies on morbidity and mortality in Lithuania and other Baltic states

项目总结/摘要 酒精使用已被确定为全球死亡、疾病和疾病负担的一个主要风险因素。 损伤鉴于饮酒总量高，有害的饮酒模式， 立陶宛最近实施了三项关于酒精所致死亡率和疾病负担的 最有效的酒精控制政策在很短的时间内：增加税收，减少 酒精饮料的供应，以及禁止广告。第一次， 在酒精控制政策中实施这三个最佳做法可以评估其 对饮酒总量的综合影响，以及因饮酒导致的住院， 这些政策所针对的亚群体的死亡和暴力。它还允许一个 投资回报的综合经济评价-即， 实施和经济效益，由于减少酒精引起的住院， 死亡和暴力-这是以前从未做过的。因此，拟议的研究旨在 衡量在立陶宛实施的干预措施的有效性和经济收益，以及 将立陶宛与其他两个波罗的海国家（爱沙尼亚和拉脱维亚）进行比较，以确保任何变化 在国内观察到的情况并不属于任何区域趋势的一部分， 干预措施。拟议的研究将使用不同的定量和定性方法， 基于高质量的数据。这不仅是第一次，三个最有效的酒精控制 这些政策几乎是同时执行的，但是，鉴于立陶宛的特点， 这种干预措施的效果可以推广到其他高收入国家，如 美国的我们从拟议的研究中学到的东西将为我们提供信息，并提高我们预防的能力， 在美国，酒精导致的死亡、疾病和伤害，包括但不限于 所谓的绝望之死（即，肝硬化、自杀和中毒）。建议提案 涉及一些决策者和酒精政策的利益相关者，他们将错综复杂地参与其中。 解释、出版和宣传调查结果。

PROJECT SUMMARY/ABSTRACT Alcohol use has been identified as a major risk factor for the global burden of death, disease and injury. Given the high levels of overall volume of alcohol use, detrimental drinking patterns, and high levels of alcohol-attributable mortality and burden of disease, Lithuania recently implemented three of the most effective alcohol control policies within a short time span: increase in taxation, reduction of availability of alcoholic beverages, and a ban on advertisement. For the first time ever, the implementation of these three best practices in alcohol control policy allows for an evaluation of their combined effect on total amount of alcohol consumed, as well as alcohol-attributable hospitalizations, deaths and violence in the subpopulations targeted by these policies. It also allows for a comprehensive economic evaluation of the return on investment – that is, a comparison of the cost of implementation and the economic benefits due to a reduction in alcohol-attributable hospitalizations, deaths and violence – which has never been done before. Accordingly, the proposed study intends to measure the effectiveness and economic gains of the interventions implemented in Lithuania, and to compare Lithuania to two other Baltic countries (Estonia and Latvia) to ensure that any changes observed within the country were not part of any regional trends that were independent of the interventions. The proposed study will use a mix of different quantitative and qualitative methods, based on high-quality data. Not only is this the first time that the three most effective alcohol control policies have been implemented almost simultaneously, but, given the characteristics of Lithuania, the effects of such interventions can be generalized to other high-income countries, such as the United States. What we learn from the proposed study will inform and enhance our ability to prevent alcohol-attributable deaths, diseases and injuries in the United States, including but not limited to the so-called deaths of despair (i.e., liver cirrhosis, suicide and poisoning). The proposed proposal involves a number of decision-makers and alcohol policy stakeholders, who will be intricately involved in the interpretation, publishing and publicizing the findings.