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

摘要 过去二十年来，人口中的酒精消费量一直在增加 女性、黑人和 50 岁以上人群的发病率大幅上升。 酒精相关死亡是美国可预防死亡的第三大原因。 尽管有这些趋势，在 COVID-19 大流行爆发期间（即 2020 年 3 月），许多州 放宽酒类销售政策。具体来说，许多州开始允许家庭饮酒 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（例如门仪表板）。 限制酒精供应是减少酒精相关的循证策略 伤害；酒精送货上门的扩张可能会严重加剧酒精相关的危害 贯穿整个生命周期。在线订购和酒类送货上门预计将快速增长 通过三种方式增加饮酒风险。首先，酒类监管机构可能没有 监测和执行向私人家庭交付的年龄相关政策的资源。第二， 在线订购可能会增加收到酒类数字广告的可能性。三、 送货上门的便利性和匿名性可能会导致饮酒风险增加 模式。 我们提出了与这些风险相一致的三个综合目标。 (1) 在家评估酒精含量 通过让来自 300 名年轻人（21 至 26 岁）参与进来，解决交付风险和监管不合规问题 6 条规定记录发生的情况以及在送货上门期间是否检查了他们的身份证件。 (2) 描述通过送货上门购买酒精如何增加数字酒精的接收量 通过要求 Aim1 的年轻成人志愿者报告酒精含量来进行广告 他们在购买酒类送货上门之前和之后看到的广告。 (3) 描述如何 通过送货上门购买酒精可能会增加酒精风险 消费，通过对 1430 名来自人口的成年人进行纵向调查 在同一六个州的调查小组评估酒精购买和酒精消费 相隔六个月的两个时间点的风险。 由酒精政策专家和来自六个社区的组织组成的咨询小组 各州将确保调查问题是对酒精最感兴趣的问题 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.