Estimated changes in hospital admissions for alcohol intoxication after partial bans on off-premises sales of alcoholic beverages in the canton of Vaud, Switzerland: an interrupted time-series analysis.

Details

Serval ID
serval:BIB_A23A73D5087A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Estimated changes in hospital admissions for alcohol intoxication after partial bans on off-premises sales of alcoholic beverages in the canton of Vaud, Switzerland: an interrupted time-series analysis.
Journal
Addiction
Author(s)
Wicki M., Bertholet N., Gmel G.
ISSN
1360-0443 (Electronic)
ISSN-L
0965-2140
Publication state
Published
Issued date
08/2020
Peer-reviewed
Oui
Volume
115
Number
8
Pages
1459-1469
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
To estimate age-specific changes in hospital admissions for alcohol intoxication following two consecutive restrictions on off-premises alcohol sales introduced in the canton of Vaud, Switzerland.
Primary analyses used interrupted autoregressive integrated moving average (ARIMA) time-series analyses (repeated cross-sectional), with Lausanne and Vaud as experimental sites and the rest of Switzerland as the control. Secondary analyses used, for example, a different control site (other French-speaking cantons only) or a different statistical model.
Switzerland between 2010 and 2016.
In-patients (i.e. patients assigned a bed overnight) hospitalized between 8 p.m. and 6 a.m. (n = 1 261 564), as documented in the Swiss Hospital Statistics.
Ban 1, only effective in the canton's capital, Lausanne, prohibited off-premises sales of all alcoholic beverages after 8 p.m. on Fridays and Saturdays from September 2013 to June 2015. In July 2015, Ban 2 replaced this, covered the whole canton and affected off-premises sales of beer and spirits (but not wine) after 9 p.m. (8 p.m. in Lausanne) every night of the week.
Proportions of monthly hospital admissions for alcohol intoxication (ICD-10 diagnoses F10.0/F10.1, T51.0) per 1000 monthly overall admissions.
Proportions of overall hospitalizations for alcohol intoxication declined after both bans in Lausanne [ω <sub>Ban1</sub> = -0.017, 95% confidence interval (CI) = -0.025, -0.008; ω <sub>Ban2</sub> = -0.021, 95% CI = -0.030, -0.013] but only after Ban 2 in the remainder of the canton of Vaud (ω <sub>Ban2</sub> = -0.008, 95% CI = -0.014, -0.002). Estimated changes in % were largest among 16-19-year-olds. However, as admission rates for alcohol intoxication were more frequent in adulthood than adolescence, the estimated change in number of cases was also relevant to public health among 20-69-year-olds. Secondary analyses supported the findings of the primary analyses.
Even partial restrictions of off-premises sales of alcohol in Switzerland (only 2 days per week or only for beer and spirits) appeared to reduce hospital admissions for alcohol intoxication across a wide age range (ages 16-69 years).
Keywords
Adolescent, Adult, Age Factors, Aged, Alcoholic Beverages/legislation & jurisprudence, Alcoholic Intoxication/epidemiology, Commerce/legislation & jurisprudence, Cross-Sectional Studies, Female, Hospitalization/statistics & numerical data, Humans, Interrupted Time Series Analysis, Male, Middle Aged, Switzerland/epidemiology, Young Adult, ARIMA, Alcohol, Switzerland, alcohol intoxication, hospitalization, off-premises, policy change, reduced availability, sales restrictions
Pubmed
Web of science
Create date
17/01/2020 17:34
Last modification date
22/05/2021 6:34
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