|Titre :||Patterns of change in implementation of state alcohol control policies in the United States, 1999-2011 (2015)|
|Auteurs :||T. F. NELSON ; Z. XUAN ; J. G. BLANCHETTE ; T. C. HEEREN ; T. S. NAIMI|
|Type de document :||Article : Périodique|
|Dans :||Addiction (Vol.110, n°1, January 2015)|
|Article en page(s) :||59-68|
|Note générale :||Commentary: Challenges of adopting and implementing effective alcohol policies. Giesbrecht N., p. 69-70.|
|Discipline :||SAN (Santé publique / Public health)|
Thésaurus TOXIBASEALCOOL ; POLITIQUE ; LEGISLATION ; SANTE PUBLIQUE ; EFFICACITE ; ETUDE LONGITUDINALE ; CONDUITE DE VEHICULE ; EVOLUTION ; POPULATION GENERALE ; AGE MINIMUM LEGAL
Aims: To examine state alcohol control policy implementation by policy efficacy and intent.
Design: A descriptive longitudinal analysis of policy implementation. Setting The United States, 1999-2011.
Participants: Fifty states and the District of Columbia. Measurements Twenty-nine state-level policies were rated based on an implementation rating (IR; range = 0.0-1.0) gathered from the Alcohol Policy Information System, government and industry reports and other sources; and expert judgment about policy efficacy for addressing binge drinking and alcohol-impaired driving among the general population and youth, respectively.
Findings: On average, implementation of the most effective general population policies did not change [mean IR = 0.366 in 1999; 0.375 in 2011; slope for annual change = 0.001; 95% confidence interval (CI) for the slope -0.001, 0.002]. In contrast, implementation increased over time for less effective policies (mean IR = 0.287 in 1999; 0.427 in 2011; slope for annual change compared with most effective policies = 0.009; slope 95% CI = 0.002-0.007), for youth-oriented policies (mean IR = 0.424 in 1999; 0.511 in 2011; slope for annual change compared with most effective policies = 0.007; slope 95% CI = 0.005-0.009), and for impaired driving policies (mean IR = 0.493 in 1999; 0.608 in 2011; slope for annual change compared with most effective policies = 0.0105; slope 95% CI = 0.007-0.014).
Conclusions: Implementation of politically palatable state alcohol policies, such as those targeting youth and alcohol-impaired driving, and less effective policies increased during 1999-2011 in the United States, while the most effective policies that may maximally protect public health remained underused.
|Domaine :||Alcool / Alcohol|
|Refs biblio. :||42|
|Affiliation :||Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA|