Kilian Carolin, Lemp Julia M, Kerr William C, Mulia Nina, Rehm Jürgen, Ye Yu, Probst Charlotte
Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Heidelberg Institute of Global Health (HIGH), Medical Faculty and University Hospital, Heidelberg University, Heidelberg, Germany.
Int J Ment Health Addict. 2024 Mar 7. doi: 10.1007/s11469-024-01267-3.
We examined socioeconomic variations in the association of off-premises Sunday alcohol sales bans and alcohol consumption and alcohol-attributable mortality in the United States. We analyzed associations between Sunday sales ban presence and alcohol consumption patterns, allowing for a differential effect by education in fixed-effects regression models using data from the 2000-2019 Behavioral Risk Factor Surveillance System. Mortality data from the National Vital Statistics System (2000-2019) were analyzed in interrupted time-series analysis to test the effect of lifting the Sunday sales ban in Minnesota (07/01/2017) on alcohol-attributable mortality. Regression analyses indicated lower alcohol consumption when Sunday sales bans were in place, with an overall stronger effect on those with high education. The repeal of the Minnesota ban resulted in a significant mortality increase, especially among individuals with high education. While overall effective, off-premises Sunday alcohol sales bans appear inadequate to address socioeconomic inequalities in the alcohol-attributable health burden.
我们研究了美国非店内周日酒精销售禁令与酒精消费及酒精所致死亡率之间关联的社会经济差异。我们利用2000 - 2019年行为风险因素监测系统的数据，在固定效应回归模型中分析周日销售禁令的存在与酒精消费模式之间的关联，并考虑教育程度的差异影响。在中断时间序列分析中，我们分析了国家生命统计系统（2000 - 2019年）的死亡率数据，以检验明尼苏达州（2017年7月1日）取消周日销售禁令对酒精所致死亡率的影响。回归分析表明，实施周日销售禁令时酒精消费量较低，且对高学历人群的总体影响更强。明尼苏达州禁令的废除导致死亡率显著上升，尤其是在高学历人群中。虽然总体上有效，但非店内周日酒精销售禁令似乎不足以解决酒精所致健康负担方面的社会经济不平等问题。
