Jonas Raninen1,2, Janne Härkönen3, Jonas Landberg1,2. 1. Swedish Council for Information on Alcohol and Other Drugs (CAN), Karolinska Institutet, Department of Clinical Neuroscience, Stockholm, Sweden. 2. Karolinska Institutet, Department of Clinical Neuroscience, Stockholm, Sweden. 3. (THL) The National Institute for Health and Welfare, Helsinki, Finland.
Abstract
AIMS: To assess long-term effects of alcohol policy in Sweden by estimating the differences between cohorts growing up during periods with liberal alcohol policies and a cohort growing up during a period with restrictive alcohol policy. DESIGN: The data come from repeated cross-sectional surveys conducted in Sweden between 2002 and 2013, and were collected monthly using telephone interviews with a nationally representative sample. Cohorts were constructed by identifying periods when alcohol policy differed between being more liberal or more restrictive. The liberal-period cohorts were merged into one and compared with the restrictive-period cohort. SETTING: Sweden. PARTICIPANTS: A total of 127 480 adult Swedes born between 1951 and 1989. MEASUREMENTS: Monthly volume of alcohol consumption in litres of pure alcohol derived from a beverage-specific graduated quantity-frequency scale. FINDINGS: Relative to the liberal-period reference cohorts (who turned 15 between 1966 and 1977 or 1992 and 2004), the cohort that grew up during a period with restrictive alcohol policy (turning 15 between 1978 and 1991) was found to have lower alcohol consumption (coeff. = -0.039: confidence interval -0.050 to -0.027: P < 0.001). The mean volume for the liberal and restrictive cohorts across all survey years was 0.42 and 0.38 litres of pure alcohol, respectively. Consumption development for the period 2002-13 was, however, the same for both cohort groups. CONCLUSIONS: Men and women in Sweden who grew up during a period with more restrictive alcohol policies currently drink less alcohol than those who grew up during periods with more liberal policies.
AIMS: To assess long-term effects of alcohol policy in Sweden by estimating the differences between cohorts growing up during periods with liberal alcohol policies and a cohort growing up during a period with restrictive alcohol policy. DESIGN: The data come from repeated cross-sectional surveys conducted in Sweden between 2002 and 2013, and were collected monthly using telephone interviews with a nationally representative sample. Cohorts were constructed by identifying periods when alcohol policy differed between being more liberal or more restrictive. The liberal-period cohorts were merged into one and compared with the restrictive-period cohort. SETTING: Sweden. PARTICIPANTS: A total of 127 480 adult Swedes born between 1951 and 1989. MEASUREMENTS: Monthly volume of alcohol consumption in litres of pure alcohol derived from a beverage-specific graduated quantity-frequency scale. FINDINGS: Relative to the liberal-period reference cohorts (who turned 15 between 1966 and 1977 or 1992 and 2004), the cohort that grew up during a period with restrictive alcohol policy (turning 15 between 1978 and 1991) was found to have lower alcohol consumption (coeff. = -0.039: confidence interval -0.050 to -0.027: P < 0.001). The mean volume for the liberal and restrictive cohorts across all survey years was 0.42 and 0.38 litres of pure alcohol, respectively. Consumption development for the period 2002-13 was, however, the same for both cohort groups. CONCLUSIONS:Men and women in Sweden who grew up during a period with more restrictive alcohol policies currently drink less alcohol than those who grew up during periods with more liberal policies.
Authors: Emelie Thern; Jeroen de Munter; Tomas Hemmingsson; George Davey Smith; Mats Ramstedt; Per Tynelius; Finn Rasmussen Journal: Addiction Date: 2017-02-07 Impact factor: 6.526
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