Development of the International Alcohol Policy and Injury Index
Rev Panam Salud Publica
; 42, mar. 2018
Artigo
em Inglês
| PAHO-IRIS
| ID: phr-34925
Biblioteca responsável:
US1.1
ABSTRACT
[ABSTRACT]. Objective. To develop a new index to measure the effectiveness of alcohol control policies on selected indicators of alcohol-related injuries. Methods. We used the World Health Organization Global Information System on Alcohol and Health (GISAH) for cross-sectional data from 156 countries for this analysis. Five policy domains were selected physical availability, drinking context, pricing, advertising, and vehicular. Injury mortality and alcohol-attributable fractions (AAFs) for vehicular deaths were also used for the same countries. We created a new composite indicator, the International Alcohol Policy Injury Index (IAPII), in order to assess the association between policy and deaths due to alcohol-related injury. Results. After we controlled for per-capita alcohol consumption, we found that injury deaths and AAF deaths were inversely associated with four of the five policy domains. The domains were weighted according to effectiveness and used to construct the IAPII, which produced acceptable sensitivity and specificity. Regression results, controlling for consumption, demonstrated that the IAPII was significantly associated with AAF vehicular injury death for males, AAF vehicular injury death for females, and overall injury death at p < 0.01. Conclusions. Our findings support the IAPII as a reliable indicator of the relationship between alcohol policies and injury deaths the stronger the policy, the less the likelihood of both overall and vehicular injury death. Future work should test the effectiveness of the IAPII in reducing alcohol-related injury morbidity, which accounts for a larger share of the global burden of disease than alcohol-related injury mortality does.
Texto completo:
Disponível
Coleções:
Bases de dados de organismos internacionais
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.6 Reduzir as mortes e traumatismos por acidentes de transito
Problema de saúde:
Objetivo 6: Sistemas de informação em saúde
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Meta 3.6: Reduzir as mortes e traumatismos por acidentes de transito
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Meta 3.8 Atingir a cobertura universal de saúde
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Abuso de Substâncias e Acidentes Rodoviários
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Políticas de Segurança Rodoviária
Base de dados:
PAHO-IRIS
Assunto principal:
Ferimentos e Lesões
/
Estudo de Avaliação
/
Morte
/
Etanol
/
Políticas
Tipo de estudo:
Estudo prognóstico
Idioma:
Inglês
Ano de publicação:
2018
Tipo de documento:
Artigo