International Alcohol Control Study: Analyses from the first wave

Casswell, Sally

doi:10.1111/dar.12637

Cited by 1 publication

(2 citation statements)

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Section: Discussionmentioning

confidence: 99%

“…The countries vary in education level according to the Education index of the Human Development Index (Casswell, 2018 ) and respondents' years of education interacted with the Index scores. As seen in previous research (Huckle et al, 2010 ), those in our study with lower educational status reported drinking larger typical quantities (Probst et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

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Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily

Casswell

Huckle

Parker

et al. 2023

Alcohol: Clinical and Experimental Research

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Background Alcohol policies stand out among other noncommunicable disease‐relevant policies for the lack of uptake. Composite indicators have been developed to measure the effects of alcohol control policy. We investigated whether drinking patterns among demographic groups from general population samples of drinkers from diverse countries are associated with alcohol control policy as measured by the International Alcohol Control (IAC) Policy Index. Methods Representative samples of adult drinkers from 10 countries (five high‐income and five middle‐income) were surveyed about alcohol consumption, using beverage and location‐specific questions. Measurements The IAC Policy Index was analyzed with frequency, typical occasion quantity, and volume consumed. Analyses used mixed models that included interactions between country IAC Policy Index score and age group, gender, and education level. Findings Each increase in IAC policy index score (reflecting more effective alcohol policy) was associated with a 13.9% decrease in drinking frequency (p = 0.006) and a 16.5% decrease in volume (p = 0.001). With each increase in IAC Policy Index score, both genders decreased for all three measures, but men less so than women. Women decreased their typical occasion quantity by 1.2% (p = 0.006), frequency by 3.1% (p < 0.001), and total volume by 4.2% (p < 0.001) compared to men. Low and mid‐education groups decreased their typical occasion quantity by 2.6% (p < 0.001) and 1.6% (p = 0.001), respectively, compared to high education, while for drinking frequency the low education group increased by 7.0% (p < 0.001). There was an overall effect of age (F = 19.27, p < 0.0001), with 18–19 and 20–24‐year‐olds showing the largest decreases in typical occasion quantity with increasing IAC policy index score. Conclusions The IAC Policy Index, reflecting four effective policies, was associated with volume and frequency of drinking across 10 diverse countries. Each increase in the IAC Policy Index was associated with lower typical quantities consumed among groups reporting heavy drinking: young adults and less well‐educated. There is value in implementing such alcohol policies and a need to accelerate their uptake globally.

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Section: Discussionmentioning

confidence: 99%