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Global Trends in Alcohol Control Policies Between 2010-2019
Juan Pablo Arab1, Luis Antonio Díaz2, Hyundam Gu3
1Virginia Commonwealth University School of Medicine.
Background & Aims:
Alcohol is a leading global risk factor, over 200 diseases and injuries, but policy adoption varies. We updated the Alcohol Preparedness Index (API) to track global and regional policy trends from 2010-2019.
Methods:
Using WHO GISAH data for 141 countries, we scored five domains (policy frameworks; production/pricing/taxation; marketing/availability; drink-driving; monitoring/surveillance). The primary endpoint was % change in API. Trends were summarized by WHO region and correlates tested in adjusted regression.
Results:
In 2019, <25% of countries had a strong national alcohol plan and 40% had none. Production/pricing/taxation increased most (27%→78%); monitoring/surveillance reached strong levels in 47.5%. Median API increased from 57.0 [39.0-82.0] (2010) to 74.8 [58.3-83.5] (2016) and stayed above baseline in 2019 (67.8 [51.2-83.8]). Larger population predicted less API gain (β=-19.1, p<0.05); HDI and per-capita consumption did not.
Conclusions:
Global alcohol policy preparedness increased from 2010-2019.
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