In:
Addiction, Wiley, Vol. 110, No. 1 ( 2015-01), p. 59-68
Kurzfassung:
To examine state alcohol control policy implementation by policy efficacy and intent. Design A descriptive longitudinal analysis of policy implementation. Setting The U nited S tates, 1999–2011. Participants Fifty states and the D istrict of C olumbia. Measurements Twenty‐nine state‐level policies were rated based on an implementation rating ( IR ; range = 0.0–1.0) gathered from the A lcohol P olicy I nformation S ystem, 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 U nited States , while the most effective policies that may maximally protect public health remained underused.
Materialart:
Online-Ressource
ISSN:
0965-2140
,
1360-0443
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2015
ZDB Id:
2002997-4
