Whose drinking does the liberalization of alcohol policy increase? Change in alcohol consumption by the initial level in the Finnish panel survey in 1968 and 1969
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1Alcohol and Drug Research Group, STAKES, Helsinki, Finland. pia.makela@stakes.fi
Aims:
To study how the annual volume of alcohol consumed changed among population groups in different categories of initial consumption in a situation where per capita consumption strongly increased due to a new alcohol law.
Design:
A post-hoc quasi-experiment with a two-wave panel study. The regression to the mean effect was accounted for by using reference data from two auxiliary panel studies.
Setting:
Finland in 1968 and 1969, when per capita consumption increased by 46% in a year. Reference data come from Norway in 1975 and 1976, and the United States in 1993 and 1994.
Participants:
General population sample of 1720 (1292 men) aged 15-69 (response rate 91.4%). REFERENCE DATA: General population surveys in a Norwegian town (n=254) and in the United States (n=658).
Measurements:
Annual volume of alcohol consumed.
Findings:
In Finland, the greatest change in observed consumption levels occurred among those with moderate consumption levels, but the same phenomenon was observed in the reference data. A comparison between the Finnish and the reference data indicated that in Finland consumption increased at all levels, and the higher the initial consumption level, the greater the increase.
Conclusions:
A best estimate for the differential impact of future increases in alcohol consumption is that moderate and particularly heavy drinkers will be affected to a greater extent than will light drinkers or abstainers.
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