Dataset Information

Efficacy and the strength of evidence of U.S. alcohol control policies.

ABSTRACT:

Background

Public policy can limit alcohol consumption and its associated harm, but no direct comparison of the relative efficacy of alcohol control policies exists for the U.S.

Purpose

To identify alcohol control policies and develop quantitative ratings of their efficacy and strength of evidence.

Methods

In 2010, a Delphi panel of ten U.S. alcohol policy experts identified and rated the efficacy of alcohol control policies for reducing binge drinking and alcohol-impaired driving among both the general population and youth, and the strength of evidence informing the efficacy of each policy. The policies were nominated on the basis of scientific evidence and potential for public health impact. Analysis was conducted in 2010-2012.

Results

Panelists identified and rated 47 policies. Policies limiting price received the highest ratings, with alcohol taxes receiving the highest ratings for all four outcomes. Highly rated policies for reducing binge drinking and alcohol-impaired driving in the general population also were rated highly among youth, although several policies were rated more highly for youth compared with the general population. Policy efficacy ratings for the general population and youth were positively correlated for reducing both binge drinking (r=0.50) and alcohol-impaired driving (r=0.45). The correlation between efficacy ratings for reducing binge drinking and alcohol-impaired driving was strong for the general population (r=0.88) and for youth (r=0.85). Efficacy ratings were positively correlated with strength-of-evidence ratings.

Conclusions

Comparative policy ratings can help characterize the alcohol policy environment, inform policy discussions, and identify future research needs.

SUBMITTER: Nelson TF

PROVIDER: S-EPMC3708657 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature

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Publications

Efficacy and the strength of evidence of U.S. alcohol control policies.

Nelson Toben F TF Xuan Ziming Z Babor Thomas F TF Brewer Robert D RD Chaloupka Frank J FJ Gruenewald Paul J PJ Holder Harold H Klitzner Michael M Mosher James F JF Ramirez Rebecca L RL Reynolds Robert R Toomey Traci L TL Churchill Victoria V Naimi Timothy S TS

American journal of preventive medicine 20130701 1

<h4>Background</h4>Public policy can limit alcohol consumption and its associated harm, but no direct comparison of the relative efficacy of alcohol control policies exists for the U.S.<h4>Purpose</h4>To identify alcohol control policies and develop quantitative ratings of their efficacy and strength of evidence.<h4>Methods</h4>In 2010, a Delphi panel of ten U.S. alcohol policy experts identified and rated the efficacy of alcohol control policies for reducing binge drinking and alcohol-impaired ...[more]

PMID: 23790985

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Project description:BACKGROUND:The 2010 World Health Organization Global Strategy to Reduce the Harmful Use of Alcohol recommends countries adopt evidence-based interventions. AIM:To update, summarize, and appraise the methodological rigour of systematic reviews of selected alcohol control interventions in the Strategy. METHODS:We searched for systematic reviews across PUBMED, EMBase and The Cochrane Library in 2016 and updated in 2017 with no language limits. Two investigators independently in duplicate conducted screening, eligibility, data extraction, and quality assessment using the ROBIS tool. We categorised interventions according to the WHO recommendations, and rated reviews as at high, low or unclear risk of bias. We applied a hierarchical approach to summarising review results. Where overlap existed we report results of high quality reviews and if none existed, by most recent date of publication. We integrated the ROBIS rating with the results to produce a benefit indication. RESULTS:We identified 42 systematic reviews from 5,282 records. Almost all eligible reviews were published in English, one in German and one in Portuguese. Most reviews identified only observational studies (74%; 31/42) with no studies from low or lower-middle income (LMIC) countries. Ten reviews were rated as low risk of bias. Methodological deficiencies included publication and language limits, no duplicate assessment, no assessment of study quality, and no integration of quality into result interpretation. We evaluated the following control measures as possibly beneficial: 1) community mobilization; 2) multi-component interventions in the drinking environment; 3) restricting alcohol advertising; 4) restricting on- and off-premise outlet density; 5) police patrols and ignition locks to reduce drink driving; and 6) increased price and taxation including minimum unit pricing. CONCLUSIONS:Robust and well-reported research synthesis is deficient in the alcohol control field despite the availability of clear methodological guidance. The lack of primary and synthesis research arising from LMIC should be prioritised globally.

Dataset Information

Efficacy and the strength of evidence of U.S. alcohol control policies.

Background

Purpose

Methods

Results

Conclusions

Publications

Efficacy and the strength of evidence of U.S. alcohol control policies.

Similar Datasets

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