Alcohol and Health Promotion Policy Research Unit and Social Pharmacy Research Unit, Faculty of Pharmacy, Mahasarakham University, Mahasarakham 44150, Thailand.
International Health Policy Program, Ministry of Public Health, Nonthaburi 11000, Thailand.
Int J Environ Res Public Health. 2022 Aug 4;19(15):9623. doi: 10.3390/ijerph19159623.
This study aimed to assess the impacts of achieving a 10% alcohol reduction target and different alcohol policy interventions on NCD premature deaths during 2010-2025 in Thailand. The researchers estimated the impacts on three main NCDs: cancers, cardiovascular diseases, and diabetes. These represent two ideal scenarios, which are the target reduction and five intervention scenarios. These intervention scenarios comprise taxation with 50% price increases, a total ban on advertisements, availability restriction by shortening sales times, early psychological intervention, and combined interventions. Consumption data and mortality trends were obtained from available national data. Relative risks and intervention effects were derived from the literature. Achieving a 10% reduction target would lead to 3903-7997 avoidable NCD deaths. Taxation was the most effective intervention, with the highest number of avoidable NCD deaths, followed by early psychological intervention, availability restriction, and an advertisement ban. A combination of these four interventions would reduce 13,286 NCD deaths among men and 4994 NCD deaths among women, accounting for 46.8% of the NCD mortality target. This study suggests using Thailand as an example for low- and middle-income countries to enhance implementation and enforcement of the recommended effective alcohol policies for achieving the global targets.
本研究旨在评估在 2010-2025 年期间，泰国实现 10%酒精削减目标和不同酒精政策干预对非传染性疾病（NCD）过早死亡的影响。研究人员估计了三种主要 NCD 的影响：癌症、心血管疾病和糖尿病。这代表了两种理想情况，即目标削减和五种干预情况。这些干预情况包括税收增加 50%、全面禁止广告、通过缩短销售时间限制供应、早期心理干预以及联合干预。消费数据和死亡率趋势来自可用的国家数据。相对风险和干预效果来自文献。实现 10%的削减目标将避免 3903-7997 例可预防的 NCD 死亡。税收是最有效的干预措施，可避免的 NCD 死亡人数最多，其次是早期心理干预、供应限制和广告禁令。这四种干预措施的结合将减少男性 13286 例和女性 4994 例 NCD 死亡，占 NCD 死亡率目标的 46.8%。本研究建议将泰国作为一个低中收入国家的例子，以加强实施和执行建议的有效酒精政策，以实现全球目标。
