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Comparative analysis of alcohol control policies in 30 countries.
PLoS Med. 2007 Apr; 4(4):e151.PM

Abstract

BACKGROUND

Alcohol consumption causes an estimated 4% of the global disease burden, prompting governments to impose regulations to mitigate the adverse effects of alcohol. To assist public health leaders and policymakers, the authors developed a composite indicator-the Alcohol Policy Index-to gauge the strength of a country's alcohol control policies.

METHODS AND FINDINGS

The Index generates a score based on policies from five regulatory domains-physical availability of alcohol, drinking context, alcohol prices, alcohol advertising, and operation of motor vehicles. The Index was applied to the 30 countries that compose the Organization for Economic Cooperation and Development and regression analysis was used to examine the relationship between policy score and per capita alcohol consumption. Countries attained a median score of 42.4 of a possible 100 points, ranging from 14.5 (Luxembourg) to 67.3 (Norway). The analysis revealed a strong negative correlation between score and consumption (r = -0.57; p = 0.001): a 10-point increase in the score was associated with a one-liter decrease in absolute alcohol consumption per person per year (95% confidence interval, 0.4-1.5 l). A sensitivity analysis demonstrated the robustness of the Index by showing that countries' scores and ranks remained relatively stable in response to variations in methodological assumptions.

CONCLUSIONS

The strength of alcohol control policies, as estimated by the Alcohol Policy Index, varied widely among 30 countries located in Europe, Asia, North America, and Australia. The study revealed a clear inverse relationship between policy strength and alcohol consumption. The Index provides a straightforward tool for facilitating international comparisons. In addition, it can help policymakers review and strengthen existing regulations aimed at minimizing alcohol-related harm and estimate the likely impact of policy changes.

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Authors+Show Affiliations

Brand DA
Department of Medicine, New York Medical College, Valhalla, New York, United States of America.
Saisana M
No affiliation info available
Rynn LA
No affiliation info available
Pennoni F
No affiliation info available
Lowenfels AB
No affiliation info available

MeSH

Alcohol DrinkingAlcohol-Related DisordersAlcoholic BeveragesCross-Sectional StudiesGlobal HealthHealth PolicyHumansWorld Health Organization

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

17455992

Citation

Brand, Donald A., et al. "Comparative Analysis of Alcohol Control Policies in 30 Countries." PLoS Medicine, vol. 4, no. 4, 2007, pp. e151.
Brand DA, Saisana M, Rynn LA, et al. Comparative analysis of alcohol control policies in 30 countries. PLoS Med. 2007;4(4):e151.
Brand, D. A., Saisana, M., Rynn, L. A., Pennoni, F., & Lowenfels, A. B. (2007). Comparative analysis of alcohol control policies in 30 countries. PLoS Medicine, 4(4), e151.
Brand DA, et al. Comparative Analysis of Alcohol Control Policies in 30 Countries. PLoS Med. 2007;4(4):e151. PubMed PMID: 17455992.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparative analysis of alcohol control policies in 30 countries. AU - Brand,Donald A, AU - Saisana,Michaela, AU - Rynn,Lisa A, AU - Pennoni,Fulvia, AU - Lowenfels,Albert B, PY - 2006/10/05/received PY - 2007/02/22/accepted PY - 2007/4/26/pubmed PY - 2007/7/20/medline PY - 2007/4/26/entrez SP - e151 EP - e151 JF - PLoS medicine JO - PLoS Med VL - 4 IS - 4 N2 - BACKGROUND: Alcohol consumption causes an estimated 4% of the global disease burden, prompting governments to impose regulations to mitigate the adverse effects of alcohol. To assist public health leaders and policymakers, the authors developed a composite indicator-the Alcohol Policy Index-to gauge the strength of a country's alcohol control policies. METHODS AND FINDINGS: The Index generates a score based on policies from five regulatory domains-physical availability of alcohol, drinking context, alcohol prices, alcohol advertising, and operation of motor vehicles. The Index was applied to the 30 countries that compose the Organization for Economic Cooperation and Development and regression analysis was used to examine the relationship between policy score and per capita alcohol consumption. Countries attained a median score of 42.4 of a possible 100 points, ranging from 14.5 (Luxembourg) to 67.3 (Norway). The analysis revealed a strong negative correlation between score and consumption (r = -0.57; p = 0.001): a 10-point increase in the score was associated with a one-liter decrease in absolute alcohol consumption per person per year (95% confidence interval, 0.4-1.5 l). A sensitivity analysis demonstrated the robustness of the Index by showing that countries' scores and ranks remained relatively stable in response to variations in methodological assumptions. CONCLUSIONS: The strength of alcohol control policies, as estimated by the Alcohol Policy Index, varied widely among 30 countries located in Europe, Asia, North America, and Australia. The study revealed a clear inverse relationship between policy strength and alcohol consumption. The Index provides a straightforward tool for facilitating international comparisons. In addition, it can help policymakers review and strengthen existing regulations aimed at minimizing alcohol-related harm and estimate the likely impact of policy changes. SN - 1549-1676 UR - https://www.unboundmedicine.com/medline/citation/17455992/Comparative_analysis_of_alcohol_control_policies_in_30_countries_ L2 - https://dx.plos.org/10.1371/journal.pmed.0040151 DB - PRIME DP - Unbound Medicine ER -