Rehm Jürgen, Reile Rainer, Correia Daniela, Neufeld Maria, Jiang Huan
Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.
Drug Alcohol Rev. 2025 Mar;44(3):891-896. doi: 10.1111/dar.14024. Epub 2025 Feb 17.
Estonia is a Baltic country with high adult alcohol per capita (APC) consumption. Since 2013, its alcohol control policy has been guided by the Green Paper on Alcohol Policy (GP), which is the equivalent of a non-binding national alcohol action plan. This contribution attempts to evaluate the overall impact of the GP on APC.
For the overall evaluation, APC was quantitatively compared for three periods: pre-GP (2000-2012), the core period of the GP (2013-2019) and the COVID-19 phase (2020-2022), using Analysis of Variance.
APC decreased on average by 0.25 L of pure alcohol per year in the 7 years defined as the core period of the GP, whereas it increased in the other periods between 2001 and 2022 (period 2001-2012: +0.47 L; 2020-2022: +0.27 L). These differences were statistically significant (F [1, 18] = 5.22, p = 0.035). Moreover, there was no overall trend of decreasing APC during the core period of the GP in neighbouring countries (Latvia, Lithuania and Poland).
The combination of the various measures of the national alcohol policy was associated with a marked decrease in APC.
爱沙尼亚是一个波罗的海国家，成年人的人均酒精消费量很高。自2013年以来，其酒精控制政策一直以《酒精政策绿皮书》（GP）为指导，该绿皮书相当于一项不具约束力的国家酒精行动计划。本文旨在评估《绿皮书》对人均酒精消费量的总体影响。
为了进行总体评估，使用方差分析对三个时期的人均酒精消费量进行了定量比较：《绿皮书》发布前（2000 - 2012年）、《绿皮书》核心时期（2013 - 2019年）和新冠疫情阶段（2020 - 2022年）。
在被定义为《绿皮书》核心时期的7年里，人均酒精消费量平均每年下降0.25升纯酒精，而在2001年至2022年的其他时期则有所增加（2001 - 2012年期间：增加0.47升；2020 - 2022年期间：增加0.27升）。这些差异具有统计学意义（F [1, 18] = 5.22，p = 0.035）。此外，在邻国（拉脱维亚、立陶宛和波兰），《绿皮书》核心时期人均酒精消费量没有整体下降趋势。
国家酒精政策的各项措施相结合，导致人均酒精消费量显著下降。
