Villalbí Joan R, Bosque-Prous Marina, Gili-Miner Miquel, Espelt Albert, Brugal M Teresa
Rev Esp Salud Publica. 2014 Aug;88(4):515-28. doi: 10.4321/S1135-57272014000400006.
The impact on health of alcohol in a given society is mainly related with the volume and pattern of drinking, and these are related with individual factors, but also with environmental factors, among which public policies are important determinants. Public policies may favour or reduce alcohol use, and thus have a substantial preventive capacity. The effectiveness of policies to prevent the harm caused by alcohol has been reviewed in recent documents, which provide evidence to extract recommendations. This paper reviews the most effective policies to reduce the harm caused by alcohol, with an emphasis in the use of taxes to increase its cost, availability regulation, and policies on drinking and driving. The regulation of alcohol promotion and publicity is also assessed, as well as the detection and treatment of alcohol abuse and dependence. The state of alcohol related policies in Spain is analysed, as well as the obstacles, for the adoption of policies more prone to prevention, and recommendations for the future are made.
在特定社会中,酒精对健康的影响主要与饮酒量和饮酒模式有关,而这些既与个体因素有关,也与环境因素有关,其中公共政策是重要的决定因素。公共政策可能会促进或减少酒精消费,因此具有很大的预防能力。近期的文件对预防酒精危害政策的有效性进行了审查,这些文件提供了提取建议的证据。本文回顾了减少酒精危害的最有效政策,重点是利用税收提高酒精成本、供应管制以及酒驾政策。还评估了酒精促销和宣传的监管,以及酒精滥用和依赖的检测与治疗。分析了西班牙与酒精相关政策的现状,以及采用更倾向于预防的政策所面临的障碍,并对未来提出了建议。