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

摘要 在过去的二十年里，整个人口的饮酒量一直在增加 在女性、黑人和50岁以上的人中，这一比例正在显著上升。 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，在新冠肺炎大流行爆发期间(即2020年3月)，许多州 放宽酒类销售政策。具体地说，许多州开始允许家庭饮酒 递送，包括啤酒、葡萄酒和烈性酒的包裹，有时由第三方递送 实体(例如，门仪表盘)。 限制酒精供应是减少酒精相关疾病的循证策略 危害；送货上门的酒精膨胀可能会严重加剧与酒精相关的伤害 在整个生命周期内。网上订酒和送货上门的快速增长被认为是 通过三种方式增加饮酒风险。首先，酒精监管机构可能没有 资源，以监督和执行与年龄有关的政策，向私营院舍提供服务。第二, 在线订购可能会增加收到酒类数字广告的可能性。第三, 送货上门的便利性和匿名性可能会导致饮酒风险更高 模式。 我们提出了与这些风险相一致的三个综合目标。(1)在家中评估酒精含量 通过邀请300名年轻人(21-26岁)了解交付风险和监管不合规情况 6个州记录发生了什么，以及他们的身份证在送货上门期间是否被检查过。 (2)描述通过送货上门购买酒类如何增加数字酒类的接收 通过要求Aim1的年轻成年志愿者报告酒精含量来做广告 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类可能与饮酒风险增加有关 消费，通过对1430名成年人进行纵向调查，以人口为基础 同一六个州的调查小组评估酒精购买和酒精消费 两个时间点的风险，相隔六个月。 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，以及在科学期刊上。

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.