Behavioral Research Program, Division of Cancer Control & Population Sciences, National Cancer Institute, Rockville, Maryland.
Department of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, Virginia.
Am J Prev Med. 2022 Feb;62(2):174-182. doi: 10.1016/j.amepre.2021.07.005. Epub 2021 Oct 13.
Alcohol use increases cancer risk, yet awareness of this association is low. Alcohol control policies have the potential to reduce alcohol-caused cancer morbidity and mortality. Research outside the U.S. has found awareness of the alcohol-cancer link to be associated with support for alcohol control policies. The purpose of this study is to estimate the prevalence of support for 3 communication-focused alcohol policies and examine how awareness of the alcohol-cancer link and drinking status are associated with policy support among U.S. residents.
Investigators analyzed data from the 2020 Health Information National Trends Survey 5 Cycle 4. Analyses were performed in 2021. The proportion of Americans who supported banning outdoor alcohol advertising and adding warning labels and drinking guidelines to alcohol containers was estimated. Weighted multivariable logistic regression was used to examine how awareness of the alcohol-cancer link and drinking status were associated with policy support.
Most Americans supported adding warning labels (65.1%) and drinking guidelines (63.9%), whereas only 34.4% supported banning outdoor alcohol advertising. Americans reporting that alcohol had no effect/decreased cancer risk had lower odds of support for advertising ban (OR=0.56), warning labels (OR=0.43), and guidelines (OR=0.46) than Americans aware of the alcohol-cancer link. Moreover, heavier drinkers had lower odds of support for advertising ban (OR=0.41), warning labels (OR=0.59), and guidelines (OR=0.60) than nondrinkers.
Awareness of the alcohol-cancer link was associated with policy support. Increasing public awareness of the alcohol-cancer link may increase support for alcohol control policies.
饮酒会增加癌症风险，但人们对此认识不足。控制酒精的政策有可能降低酒精引起的癌症发病率和死亡率。美国以外的研究发现，人们对酒精与癌症之间关联的认识与对酒精控制政策的支持程度有关。本研究旨在估计美国居民对 3 项以沟通为重点的酒精政策的支持率，并探讨对酒精与癌症之间关联的认识和饮酒状况与政策支持之间的关系。
研究人员分析了 2020 年健康信息国家趋势调查 5 周期 4 的数据。分析于 2021 年进行。估计了美国居民支持禁止户外酒精广告以及在酒精容器上添加警告标签和饮酒指南的比例。采用加权多变量逻辑回归分析了对酒精与癌症之间关联的认识和饮酒状况与政策支持之间的关系。
大多数美国人支持添加警告标签（65.1%）和饮酒指南（63.9%），而只有 34.4%的人支持禁止户外酒精广告。报告称酒精没有影响/降低癌症风险的美国人，对广告禁令（OR=0.56）、警告标签（OR=0.43）和指南（OR=0.46）的支持率较低，而对酒精与癌症之间关联有认识的美国人。此外，与不饮酒者相比，饮酒量较大的人对广告禁令（OR=0.41）、警告标签（OR=0.59）和指南（OR=0.60）的支持率较低。
对酒精与癌症之间关联的认识与政策支持有关。提高公众对酒精与癌症之间关联的认识可能会增加对酒精控制政策的支持。
