A rapid evidence review of the effectiveness and cost-effectiveness of alcohol control policies: an English perspective

被引:230
作者
Burton, Robyn [1 ,4 ]
Henn, Clive [1 ]
Lavoie, Don [1 ]
O'Connor, Rosanna [1 ]
Perkins, Clare [1 ]
Sweeney, Kate [1 ]
Greaves, Felix [1 ,2 ]
Ferguson, Brian [1 ,3 ]
Beynon, Caryl [1 ]
Belloni, Annalisa [1 ]
Musto, Virginia [1 ]
Marsden, John [1 ,4 ]
Sheron, Nick [1 ,5 ]
机构
[1] Publ Hlth England, Skipton House, London SE1 6LH, England
[2] Imperial Coll London, Dept Primary Care & Publ Hlth, London, England
[3] Univ York, Dept Hlth Sci, York, N Yorkshire, England
[4] Kings Coll London, Inst Psychiat Psychol Neurosci, Addict Dept, London, England
[5] Univ Southampton, Fac Med, Southampton SO9 5NH, Hants, England
基金
英国医学研究理事会;
关键词
MASS-MEDIA CAMPAIGNS; OFF-TRADE ALCOHOL; BRIEF INTERVENTIONS; EMERGENCY-DEPARTMENTS; POTENTIAL BENEFITS; PRICE ELASTICITIES; NATURAL EXPERIMENT; LICENSED PREMISES; OUTLET DENSITY; GREAT-BRITAIN;
D O I
10.1016/S0140-6736(16)32420-5
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
This paper reviews the evidence for the effectiveness and cost-effectiveness of policies to reduce alcohol-related harm. Policies focus on price, marketing, availability, information and education, the drinking environment, drink-driving, and brief interventions and treatment. Although there is variability in research design and measured outcomes, evidence supports the effectiveness and cost-effectiveness of policies that address affordability and marketing. An adequate reduction in temporal availability, particularly late night on-sale availability, is effective and cost-effective. Individually-directed interventions delivered to at-risk drinkers and enforced legislative measures are also effective. Providing information and education increases awareness, but is not sufficient to produce long-lasting changes in behaviour. At best, interventions enacted in and around the drinking environment lead to small reductions in acute alcohol-related harm. Overall, there is a rich evidence base to support the decisions of policy makers in implementing the most effective and cost-effective policies to reduce alcohol-related harm.
引用
收藏
页码:1558 / 1580
页数:23
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