Rehm Jürgen, Lange Shannon, Miščikienė Laura, Jiang Huan
Centre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Drug Alcohol Rev. 2025 Feb;44(2):403-410. doi: 10.1111/dar.13980. Epub 2024 Nov 25.
Although integrated alcohol policies, characterised by being consistent, structurally connected and interdependent, are considered to be best practices, very few evaluations of such policies exist. We evaluated the impact of two phases of integrated alcohol policies implemented in Lithuania in 2008/2009 and 2017/2018 on adult (15+ years of age) alcohol per capita consumption.
Alcohol per capita consumption was the main outcome, based on national data from Statistics Lithuania. Time-series analyses using generalised additive mixed models were used, and unrecorded consumption trends were examined. A sensitivity analysis was conducted with data from the World Health Organization.
The two phases of integrated alcohol policies were associated with average reductions in adult alcohol per capita consumption of almost 1 litre (-0.88 L; 95% confidence interval -1.43; -0.34). Sensitivity analyses with comparable international data on Lithuania yielded similar results.
Integrated alcohol policies had a substantial effect on the average level of consumption. However, the effect of major single policies for Lithuania and other Baltic countries has been estimated to be of about the same magnitude. We conclude that in order to be successful, integrated alcohol policies should include at least one major effective population-based policy.
尽管以一致、结构相连和相互依存为特征的综合酒精政策被视为最佳实践，但对这类政策的评估却非常少。我们评估了立陶宛在2008/2009年和2017/2018年实施的两个阶段综合酒精政策对成年人（15岁及以上）人均酒精消费的影响。
人均酒精消费是主要结果，基于立陶宛统计局的国家数据。使用广义相加混合模型进行时间序列分析，并研究未记录的消费趋势。使用世界卫生组织的数据进行了敏感性分析。
两个阶段的综合酒精政策与成年人平均人均酒精消费量减少近1升有关（-0.88升；95%置信区间-1.43；-0.34）。对立陶宛可比国际数据的敏感性分析得出了类似结果。
综合酒精政策对平均消费水平有重大影响。然而，据估计，立陶宛和其他波罗的海国家主要单一政策的影响幅度大致相同。我们得出结论，为了取得成功，综合酒精政策应至少包括一项主要的基于人群的有效政策。
