Heidelberg Institute of Global Health, Universitätsklinikum Heidelberg, 69120 Heidelberg, Germany.
Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario M5S 2S1, Canada.
Int J Environ Res Public Health. 2020 May 14;17(10):3423. doi: 10.3390/ijerph17103423.
The Global Action Plan for the Prevention and Control of Noncommunicable Diseases set the target of an "at least 10% relative reduction in the harmful use of alcohol, as appropriate, within the national context". This study investigated progress in the World Health Organization (WHO) European Region towards this target based on two indicators: (a) alcohol per capita consumption (APC) and (b) the age-standardized prevalence of heavy episodic drinking (HED).
Alcohol exposure data for the years 2010-2017 were based on country-validated data and statistical models.
Between 2010 and 2017, the reduction target for APC has been met with a decline by -12.4% (95% confidence interval (CI) -17.2, -7.0%) in the region. This progress differed greatly across the region with no decline for the EU-28 grouping (-2.4%; 95% CI -12.0, 7.8%) but large declines for the Eastern WHO EUR grouping (-26.2%; 95% CI -42.2, -8.1%). Little to no progress was made concerning HED, with an overall change of -1.7% (-13.7% to 10.2%) in the WHO European Region.
The findings indicate a divergence in alcohol consumption reduction in Europe, with substantial progress in the Eastern part of the region and very modest or no progress in EU countries.
《全球预防和控制非传染性疾病行动计划》设定了一个目标，即在“国家背景下，适当减少有害饮酒，至少减少 10%”。本研究根据两个指标调查了世界卫生组织（WHO）欧洲区域在实现这一目标方面的进展：（a）人均酒精消费量（APC）和（b）重度间歇性饮酒（HED）的年龄标准化流行率。
2010-2017 年的酒精暴露数据基于国家验证数据和统计模型。
2010 年至 2017 年间，该区域 APC 的减少目标已经实现，下降了-12.4%（95%置信区间（CI）-17.2，-7.0%）。这一进展在该区域差异很大，欧盟 28 国集团没有下降（-2.4%；95%CI-12.0，7.8%），而世卫组织欧洲东部区域集团则大幅下降（-26.2%；95%CI-42.2，-8.1%）。HED 几乎没有取得进展，世卫组织欧洲区域总体变化为-1.7%（-13.7%至 10.2%）。
研究结果表明，欧洲的酒精消费减少情况出现了分化，该区域东部地区取得了实质性进展，而欧盟国家的进展微不足道或没有进展。
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