Effects of local alcohol prevention initiatives in Swedish municipalities, 2006–2014

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Effects of local alcohol prevention initiatives in Swedish municipalities, 2006–2014

Nilsson, T. (author)

Norström, Thor (author): Stockholms universitet,Institutet för social forskning (SOFI),Karolinska Institutet, Sweden

Andréasson, S. (author): Karolinska Institutet

Guldbrandsson, K. (author): Karolinska Institutet

Allebeck, P. (author): Karolinska Institutet

Leifman, H. (author): Karolinska Institutet

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(creator_code:org_t)

2020-02-06
2020
English.
In: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 55:6, s. 1008-1020

Related links:: https://doi.org/10.1...; show more...; https://www.tandfonl...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Background: Several components of the Swedish alcohol policy, e.g., pricing and availability, weakened when Sweden joined the EU in 1995. To counteract the possible negative effects of this, emphasis was placed on the local level as an important arena of alcohol prevention. Thus, considerable efforts were made to strengthen alcohol prevention in Swedish municipalities. Objectives: The aim of this study was to examine whether local alcohol prevention reduced consumption and alcohol-related harm in Swedish municipalities. Methods: Alcohol prevention was monitored using a composite measure called the Alcohol Prevention Magnitude Measure (APMM), with subcategories of staff and budget, inspections and licenses, policy, activities, and cooperation. APMM and its categories were analysed in relation to alcohol consumption and harm over time, 2006–2014. A fixed effects model was used with 63% (N¼182, consumption) and 71% (N¼207, harm) of 290 Swedish municipalities, respectively, included in the analyses. Results: The main results suggest that when APMM increases with 1 percent, the alcohol-related mortality decreases with 0.26 percent, controlled for changes in population size, median income, unemployment, and post-secondary education. In light of this result, the estimated effect of APMM on alcohol consumption (sales) is small (0.02 percent decrease); possible explanations for this are discussed in the article. Conclusion:The overall results indicate that local alcohol prevention initiatives in Sweden have reduced some forms of alcohol-related harm, not least alcohol-related mortality, during the period 2006–2014. Further studies are needed to assess the generalizability of the present study.

Subject headings

SAMHÄLLSVETENSKAP -- Sociologi -- Sociologi (hsv//swe)
SOCIAL SCIENCES -- Sociology -- Sociology (hsv//eng)

Keyword

Alcohol
composite
measure
index
prevention
policy
municipality

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor: Nilsson, T.; Norström, Thor; Andréasson, S.; Guldbrandsson, K ...; Allebeck, P.; Leifman, H.

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Sociology; and Sociology

Articles in the publication: Substance Use & ...

By the university: Stockholm University; Karolinska Institutet

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