%0 Journal Article
%T Alcohol control policy and changes in alcohol-related traffic harm
%J Addiction
%D 2019
%A Manthey, Jakob
%A Rehm, Jürgen
%A Lange, Shannon
%A Badaras, Robertas
%A Zurlyte, Ingrida
%A Passmore, Jonathon
%A Breda, Joao
%A Ferreira-Borges, Carina
%A Štelemėkas, Mindaugas
%V ePub
%N ePub
%P ePub-ePub
%X 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>
%G en
%I John Wiley and Sons
%@ 0965-2140
%U http://dx.doi.org/10.1111/add.14796