@article{ref1,
title="Alcohol control policy and changes in alcohol-related traffic harm",
journal="Addiction",
year="2019",
author="Manthey, Jakob and Rehm, Jürgen and Lange, Shannon and Badaras, Robertas and Zurlyte, Ingrida and Passmore, Jonathon and Breda, Joao and Ferreira-Borges, Carina and Štelemėkas, Mindaugas",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIMS: To study the impact of alcohol control policy measures (i.e., increases in taxation, restrictions on availability including minimum purchasing age regulations, legislation on drink driving, and advertisement bans) on alcohol-related traffic harm in Lithuania between January 2004 and February 2019. <br><br>DESIGN: Analyses of trend data on the proportion of alcohol-related collisions and crashes, alcohol-related injury and alcohol-related mortality, adjusting for secular trends, seasonality, periods of alcohol control measure implementation, and economic development. Generalized additive mixed models were used. Multiple sensitivity analyses were conducted. SETTING: Lithuania CASES: Monthly number of alcohol-related cases of traffic collisions and crashes, injuries and deaths. INTERVENTIONS AND COMPARATORS: Periods of time during which new alcohol control measures were implemented and/or augmented compared to periods when they were not. MEASUREMENTS: Monthly data for 2004 to 2019 from routine statistics of the Lithuanian Road Police Service. <br><br>FINDINGS: All indicators decreased consistently and significantly after the implementation of alcohol control measures, including increased taxation, reduction of availability, and a ban on advertisement starting in 2014. On average, each implemented policy measure permanently reduced the proportion of alcohol-attributable crashes by 0.55% (95% Confidence Interval (CI): 0.21-0.90%; p=0.002), the proportion of alcohol-attributable injuries by 0.60% (95% CI: 0.24-0.97%; p=0.001) and the proportion of alcohol-attributable deaths by 0.13% (95% CI: 0.10-0.15%; p<0.001). <br><br>CONCLUSIONS: Alcohol control policy measures, including measures to reduce overall level of alcohol consumption, were associated with a marked decrease in alcohol-related traffic harm.<br><br>This article is protected by copyright. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0965-2140",
doi="10.1111/add.14796",
url="http://dx.doi.org/10.1111/add.14796"
}