The Relationship Between the U.S. State Alcohol Policy Environment and Individualsâ Experience of Secondhand Effects: Alcohol Harms Due to Othersâ Drinking
Original Article
Abstract
Background
Although restrictive state alcohol policy environments are protective for individualsâ binge alcohol use, research is sparse on the effect of alcohol policies on alcohol’s harms to others (AHTO).
The researchers examined the lagged links between efficacy of U.S. state alcohol policies and number of harms from othersâ alcohol use 1Â year later.
Methods
Individuals with AHTO data in a nationally representative sample of U.S. adults (analytic sample n = 26,744) that pooled the 2000, 2005, 2010, and 2015 National Alcohol Surveys and a 2015 National Alcohol’s Harm to Others Survey were linked with priorâyear state policy measures. The researchers used 2 measures from the Alcohol Policy Scale (APS), that is effectiveness in reducing
- binge alcohol use, and
- impaired driving, based on expertsâ efficacy judgments regarding 29 state alcohol policies.
Three 12âmonth AHTO measures (due to another alcohol user) were:
- experiencing either family/marriage difficulties or financial troubles;
- being assaulted or vandalized; and
- passenger with driver under the influence of alcohol or traffic accident.
Multilevel models accounting for clustering within states and stratified by ageâgroups (<40 vs. âĽ40) examined associations between the APS and AHTO measures, controlling for individual covariates (gender, race, education, employment and marital status, family problemâalcohol use history) of the victim.
Results
Only for those aged <40, the lagged Alcohol Policy ScaleâBinge alcohol use and Alcohol Policy ScaleâImpaired driving scores were each inversely associated with aggressionârelated harms and, separately, with DUIârelated harm from someone else’s alcohol use.
Family/financial harms were not associated with Alcohol Policy Scale scores for either ageâgroup.
Composite AHTO measures (any of 3 harmâtypes) also were inversely associated with stronger state alcohol policy environments.
Conclusions
State alcohol policies may be effective in reducing, to a meaningful degree, aggressionârelated harms and vehicular hazards due to other alcohol users, but mainly in those under 40.
States that enact more restrictive, stronger alcohol policies may be able to drop the level of harm that younger people are experiencing, especially in those jurisdictions that now have weaker, less effective laws,” said lead author Thomas Greenfield, Ph.D., of the Alcohol Research Group, per Medical Express.