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基于主体的建模方法如何为苏格兰最低单位定价的影响提供新的见解?

How can agent-based modelling provide new insights into the impact of minimum unit pricing in Scotland?

机构信息

Salvation Army Centre for Addictions Services and Research, Faculty of Social Sciences, University of Stirling, Stirling, UK.

MRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.

出版信息

Drug Alcohol Rev. 2024 Nov;43(7):1657-1661. doi: 10.1111/dar.13880. Epub 2024 Jun 5.

Abstract

In recent years we have gained insight into the impact of minimum unit pricing (MUP)-a legal floor price below which a given volume of alcohol cannot be sold-on population-level reductions in alcohol sales, consumption and harm. However, several questions remain unanswered including how individual-level purchasing changes impact the local economy (e.g., balance between on-licence and off-licence outlets), lead to long-term population-level trends (e.g., youth drinking) and social harms (e.g., violence). Agent-based modelling captures heterogeneity, emergence, feedback loops and adaptive and dynamic features, which provides an opportunity to understand the nuanced effects of MUP. Agent-based models (ABM) simulate heterogeneous agents (e.g., individuals, organisations) often situated in space and time that interact with other agents and/or with their environment, allowing us to identify the mechanisms underlying social phenomena. ABMs are particularly useful for theory development, and testing and simulating the impacts of policies and interventions. We illustrate how ABMs could be applied to generate novel insights and provide best estimates of social network effects, and changes in purchasing behaviour and social harms, due to the implementation of MUP. ABMs like other modelling approaches can simulate alternative implementations of MUP (e.g., policy intensity [£0.50, £0.60] or spatial scales [local, national]) but can also provide an understanding of the potential impact of MUP on different population groups (e.g., alcohol exposure of young people who are not yet drinking). Using ABMs to understand the impact of MUP would provide new insights to complement those from traditional epidemiological and other modelling methods.

摘要

近年来,我们深入了解了最低单位定价(MUP)——一种低于该价格某一特定酒精量不得销售的法定最低价格——对酒类销售、消费和危害的人群水平降低的影响。然而,仍有几个问题尚未得到解答,包括个人购买行为的变化如何影响当地经济(例如,有照酒铺和无照酒铺之间的平衡)、导致长期的人群水平趋势(例如,青少年饮酒)和社会危害(例如,暴力)。基于主体的建模捕捉了异质性、涌现、反馈循环以及适应性和动态特征,这为理解 MUP 的细微影响提供了机会。基于主体的模型(ABM)模拟了具有异质性的主体(例如个人、组织),这些主体通常处于时空之中,并与其他主体或其环境相互作用,使我们能够识别社会现象的潜在机制。ABM 特别有助于理论发展,以及测试和模拟政策和干预措施的影响。我们举例说明了如何应用 ABM 来生成新的见解,并提供有关社会网络效应变化、购买行为变化和社会危害变化的最佳估计,这些变化是由于 MUP 的实施而产生的。ABM 与其他建模方法一样,可以模拟 MUP 的替代实施方式(例如,政策强度[0.50 英镑、0.60 英镑]或空间尺度[本地、全国]),但也可以了解 MUP 对不同人群群体的潜在影响(例如,尚未饮酒的年轻人的酒精暴露)。使用 ABM 来了解 MUP 的影响将提供新的见解,以补充传统流行病学和其他建模方法的见解。

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