Comparative Analysis of Alcohol Control Policies in 30 Countries

BACKGROUND. Alcohol consumption causes an estimated 4% of the global disease burden, prompting governments to impose regulations to mitigate the adverse effects of alcohol. To assist public health leaders and policymakers, we developed a composite indicator¿the Alcohol Policy Index¿to gauge the strength of a country's alcohol control policies. METHODOLOGY/PRINCIPAL FINDINGS. The Index generates a score based on policies from 5 regulatory domains¿physical availability of alcohol, drinking context, alcohol prices, alcohol advertising, and operation of motor vehicles. We applied the Index to the 30 countries comprising the Organization for Economic Cooperation and Development and used regression analysis to examine the relationship between policy score and per capita alcohol consumption. Countries attained a median score of 42.4 of a possible 100 points, ranging from 14.5 (Luxem-bourg) to 67.3 (Norway). The analysis revealed a strong negative correlation between score and consumption (r = 0.57; p = 0.001): a 10-point increase in the score was associated with a 1 liter decrease in absolute alcohol consumption per person per year (95% confidence interval, 0.4 to 1.5 liters). A sensitivity analysis demonstrated the robustness of the Index by showing that countries' scores and ranks remained relatively stable in response to variations in methodological assumptions. CONCLUSIONS/SIGNIFICANCE. The strength of alcohol control policies, as estimated by the Alcohol Policy Index, varied widely among 30 countries located in Europe, Asia, North America, and Australia. The study revealed a clear inverse relationship between policy strength and alcohol consumption. The Index provides a straightforward tool for facilitating international comparisons. In addition, it can help policymakers review and strengthen existing regulations aimed at minimizing alcohol-related harm and estimate the likely impact of policy changes.

BRAND Donald A.;  SAISANA Michaela;  RYNN Lisa A.;  PENNONI Fulvia;  LOWENFELS Albert B.; 

2007-12-05

PUBLIC LIBRARY SCIENCE

JRC41780

1549-1277,   

medicine.plosjournals.org/,    https://publications.jrc.ec.europa.eu/repository/handle/JRC41780,   

10.1371/journal.pmed.0040151,