许可场所的酒精预防计划的长期影响:瑞典20年后续研究
Tobias H Elgán1, Sven Andréasson2, Johanna Gripenberg1
1STAD, Centre for Psychiatry Research, Department of Clinical Neuroscience, Stockholm Health Care Services, Karolinska Institutet, & Region Stockholm, Stockholm, Sweden.
Frontiers in public health
|August 22, 2024
概括
负责饮料服务 (RBS) 计划显著减少了对醉酒客户的过度饮酒,其影响持续了20年. 这种以社区为基础的干预表明,在促进更安全的酒精服务实践方面取得了长期成功.
科学领域:
- 公共卫生 公共卫生
- 药物滥用预防 药物滥用预防
- 社区干预 社区干预
背景情况:
- 1996年,在斯德哥尔摩实施了一项多组成部分的负责任饮料服务 (RBS) 计划.
- 该计划涉及社区动员,培训和STAD (斯德哥尔摩预防酒精和毒品问题) 的执法.
- 之前的评估显示,对醉酒客户的酒精服务减少,暴力减少,节省成本比例为1:39.
研究的目的:
- 在20年的时间内评估RBS计划的长期影响.
- 评估在斯德哥尔摩的授权场所对明显醉酒的顾客过度供应酒精的持续影响.
主要方法:
- 一项长达20年的后续研究采用了与以前评估相同的方法.
- 专业演员 (伪导演) 模拟了明显酒精中毒的标准化场景.
- 在斯德哥尔摩有146个许可的场所被随机选择,并于2016年访问以进行评估.
主要成果:
- 醉酒伪顾客的酒精服务拒绝率在2016年仍然很高,为76.7%,与2001年的70%一致.
- 服务人员表现出更多地使用积极干预技术 (例如,拒绝服务) 和减少被动技术 (例如,忽视顾客).
结论:
- 负责任饮料服务计划在20多年中展示了独特的,持续的长期效应.
- 高度的制度化和持续的社区利益相关者承诺是该计划持久成功的关键.
- 调查结果支持将这个多元组件计划传播到其他国际环境.
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