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 过度饮酒和酒后驾车。我们将使用纵向设计和地方性政策 以及在15年期间跟踪的结果数据，以及两次衡量酒精政策的执行情况 积分。我们建议进行一项为期5年的纵向研究，以达致以下具体目标：(1)评估 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的组合的纵向关联 使用和酒精损害驾驶；以及(3)评估酒精强制执行的纵向关联 地方层面的过度饮酒和酒后驾车，并评估执法如何影响 酒精政策与结果之间的关联(效果修改/相互作用)。该提案涉及 来自几个国家级机构的建议，为未来的研究提供了工具，并将 向政策制定者提供关于预防和减少健康和社会危害的有效战略的决定 这是由于酗酒和驾驶受损造成的。

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.