Impact of banning alcohol on outpatient visits in Barrow, Alaska.
Context. - Community availability of alcohol affects alcohol consumption patterns and alcohol-related health and social problems.
In Barrow, Alaska, an isolated community at the northernmost reaches of the United States, during a 33-month period, possession and importation of alcohol were legal, completely banned, made legal again, and then banned again.
- To determine the impact of these public policy changes on alcohol-related outpatient visits at the area hospital.
- Retrospective review of outpatient records ; time-series analysis of alcohol-related visits with respect to community alcohol policy.
Main Outcome Measures
- Total monthly outpatient visits for alcohol-related problems.
- There was a substantial decrease in the number of alcohol-related outpatient visits when the ban on possession and importation was imposed compared with baseline.
When the ban was lifted, outpatient visits increased ; when the ban was reimposed, the number of outpatient visits again decreased.
Interrupted time-series analyses confirm that the alcohol ban, its lifting, and its reimposition had a statistically significant and negative effect on the number of alcohol-related outpatient visits (P<. 05).
- In a geographically isolated community, the prohibition of alcohol can be an effective public health intervention, reducing the health problems associated with alcohol use.
Mots-clés Pascal : Alcoolisme, Prévention, Complication, Effet biologique, Incidence, Maladie, Etude statistique, Homme, Alaska, Etats Unis, Amérique du Nord, Amérique, Toxicomanie, Interdiction
Mots-clés Pascal anglais : Alcoholism, Prevention, Complication, Biological effect, Incidence, Disease, Statistical study, Human, Alaska, United States, North America, America, Drug addiction
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0041592
Code Inist : 002B30A01C. Création : 17/04/1998.