Impact of Alcohol Home Delivery on Access, Consumption, and Exposure to Marketing

摘要 在过去的二十年里，酒精消费量一直在增加 在女性、黑人和50岁以上的人群中，这一比例正在大幅上升。 在美国，与酒精有关的死亡是可预防死亡的第三大原因。 尽管有这些趋势，但在COVID-19大流行爆发期间（即，2020年3月，许多国家 放宽酒类销售政策。具体来说，许多州开始允许在家里喝酒。 交付，包括啤酒，葡萄酒和烈酒的包装，有时由第三方交付 实体（例如，Door Dash）。 限制酒精供应是减少酒精相关疾病的循证策略。 危害;家庭交付酒精膨胀可能严重加剧酒精相关的危害 在整个生命周期中。在线订购和送货上门的快速增长是假设 从三个方面增加饮酒风险。首先，酒精监管机构可能没有 提供资源，以监测和执行向私营家庭提供服务时与年龄有关的政策。第二、 在线订购可以增加接收酒精的数字广告的可能性。第三、 送货上门的便利性和匿名性可能会导致更高的酒精消费风险 模式. 我们提出了与这些风险相一致的三个综合目标。(1)评估酒精含量 交付风险和监管违规行为，通过聘请300名年轻人（21-26岁）， 6个州记录发生了什么，以及他们的身份证是否在送货上门时被检查。 (2)描述通过送货上门购买酒精如何增加数字酒精的接收 通过要求来自Aim 1的年轻成年志愿者报告多少酒精， 广告，他们看到之前和之后购买酒精送货上门。(3)描述如何 通过送货上门购买酒精可能与酒精风险增加有关 消费，通过对1430名成年人进行纵向调查， 调查小组在同样的六个州评估酒精购买和酒精消费 两个时间点的风险，间隔六个月。 一个由来自六个国家的酒精政策专家和社区组织组成的咨询小组， 各州将确保调查问题是与酒精最相关的问题， 预防政策制定者。调查结果将通过在线和视频迅速传播 格式，以及在科学期刊。

ABSTRACT Alcohol consumption has been increasing for the last two decades across the population and rates are rising considerably among women, Black individuals, and those over age 50. Alcohol related deaths are the third leading cause of preventable deaths in the United States. Despite these trends, during the COVID-19 pandemic onset (i.e., March 2020) many states relaxed alcohol sales policies. Specifically, many states began to allow alcohol for home delivery, including packages of beer, wine, and spirits, sometimes delivered by third-party entities (e.g., Door Dash). Limiting alcohol availability is an evidence-based strategy for reducing alcohol-related harms; home delivery alcohol expansions may seriously exacerbate alcohol related harms across the lifespan. The rapid growth of online ordering and home delivery of alcohol is posited to increase alcohol risk in three ways. First, alcohol regulatory agencies may not have the resources to monitor and enforce age related policies in delivery to private homes. Second, online ordering may increase the likelihood of receiving digital advertisements for alcohol. Third, the convenience and anonymity of home delivery may contribute to riskier alcohol consumption patterns. We propose three integrated aims aligned with these risks. (1) Assess alcohol home delivery risks and regulatory non-compliance, by engaging 300 young adults (ages 21-26) from 6 states to document what happens and whether their ID was checked during a home delivery. (2) Describe how purchasing alcohol by home delivery may increase receipt of digital alcohol advertising by asking the young adult volunteers from Aim1 to report how much alcohol advertising they see prior and after purchasing alcohol for home delivery. (3) Describe how purchasing alcohol by home delivery may be associated with increased risk of alcohol consumption, by conducting longitudinal surveys among 1430 adults from population-based survey panels in the same six states to assess alcohol purchasing and alcohol consumption risks at two time points, six months apart. An advisory group of alcohol policy experts and community-based organizations from six states will assure that investigative questions are those of greatest interest for alcohol prevention policymakers. Findings will rapidly disseminate results through online and video formats, as well as in scientific journals.