Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, Toronto, ON M5S 2S1, Canada.
Campbell Family Mental Health Research Institute, CAMH, 250 College Street, Toronto, ON M5T 1R8, Canada.
Int J Environ Res Public Health. 2021 Mar 2;18(5):2419. doi: 10.3390/ijerph18052419.
Due to the high levels of alcohol use, alcohol-attributable mortality and burden of disease, and detrimental drinking patterns, Lithuania implemented a series of alcohol control policies within a relatively short period of time, between 2008 and 2019. Based on their expected impact on alcohol consumption and alcohol-attributable harm, as well as their target population, these policies have been classified using a set of objective criteria and expert opinion. The classification criteria included: positive vs. negative outcomes, mainly immediate vs. delayed outcomes, and general population vs. specific group outcomes. The judgement of the alcohol policy experts converged on the objective criteria, and, as a result, two tiers of intervention were identified: Tier 1-highly effective general population interventions with an anticipated immediate impact; Tier 2-other interventions aimed at the general population. In addition, interventions directed at specific populations were identified. This adaptable methodological approach to alcohol control policy classification is intended to provide guidance and support for the evaluation of alcohol policies elsewhere, to lay the foundation for the critical assessment of the policies to improve health and increase life expectancy, and to reduce crime and violence.
由于酒精使用水平高、与酒精相关的死亡率和疾病负担以及有害的饮酒模式，立陶宛在相对较短的时间内（2008 年至 2019 年）实施了一系列酒精控制政策。基于这些政策对酒精消费和与酒精相关的伤害的预期影响，以及其目标人群，根据一套客观标准和专家意见对这些政策进行了分类。分类标准包括：积极与消极结果、主要是即时与延迟结果以及普通人群与特定人群结果。酒精政策专家的判断与客观标准一致，因此确定了两个干预级别：一级——对普通人群具有高度预期即时影响的高效干预措施；二级——针对普通人群的其他干预措施。此外，还确定了针对特定人群的干预措施。这种灵活的酒精控制政策分类方法旨在为其他地方的酒精政策评估提供指导和支持，为关键评估政策以改善健康和延长预期寿命以及减少犯罪和暴力奠定基础。
