TY  - JOUR
PY  - 2022//
TI  - Effective alcohol policies and lifetime abstinence: an analysis of the International Alcohol Control policy index
JO  - Drug and alcohol review
A1  - Harker, Nadine
A1  - Gordon, Ross
A1  - Chaiyasong, Surasak
A1  - Callinan, Sarah
A1  - Casswell, Sally
A1  - Leung, June
A1  - Byron, Karimu
A1  - Graydon-Guy, Thomas
A1  - Romeo, Jose
A1  - Huckle, Taisia
A1  - Parker, Karl
A1  - van Dalen, Wim
A1  - Torun, Perihan
A1  - Sengee, Gantuya
A1  - Schelleman-Offermans, Karen
A1  - Randerson, Stephen
A1  - Williams, Petal Petersen
A1  - Pham, Cuong
A1  - Parry, Charles D.
A1  - Paraje, Guillermo
A1  - Meier, Petra
A1  - MacKintosh, Anne Marie
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: Alcohol abstinence remains common among adults globally, although low and middle-income countries are experiencing declines in abstention. The effect of alcohol policies on lifetime abstinence is poorly understood. The International Alcohol Control (IAC) policy index was developed to benchmark and monitor the uptake of effective alcohol policies and has shown strong associations with alcohol per capita consumption and drinking patterns. Uniquely, the index incorporates both policy 'stringency' and 'impact', reflecting policy implementation and enforcement, across effective policies. Here we assessed the association of the IAC policy index with lifetime abstinence in a diverse sample of jurisdictions. <br><br>METHODS: We conducted a cross-sectional analysis of the relationship between the IAC policy index score, and its components, and lifetime abstinence among adults (15+ years) in 13 high and middle-income jurisdictions. We examined the correlations for each component of the index and stringency and impact separately. <br><br>RESULTS: Overall, the total IAC policy index scores were positively correlated with lifetime abstinence (r = 0.76), as were both the stringency (r = 0.62) and impact (r = 0.82) scores. Marketing restrictions showed higher correlations with lifetime abstinence than other policy domains (r = 0.80), including restrictions on physical availability, pricing policies and drink-driving prevention. <br><br>DISCUSSION AND CONCLUSION: Our findings suggest that restricting alcohol marketing could be an important policy for the protection of alcohol abstention. The IAC policy index may be a useful tool to benchmark the performance of alcohol policy in supporting alcohol abstention in high and middle-income countries.<p />  <p>Language: en</p>
LA  - en
SN  - 0959-5236
UR  - http://dx.doi.org/10.1111/dar.13582
ID  - ref1
ER  -