Relationships Between Alcohol Policies and Infant Morbidities and Injuries.

Autor: Schulte A; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, Oakland, California. Electronic address: alex.schulte@ucsf.edu., Liu G; Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania., Subbaraman MS; Behavioral Health and Recovery Studies, Public Health Institute, Emeryville, California., Kerr WC; Alcohol Research Group, Public Health Institute, Emeryville, California., Leslie D; Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania., Roberts SCM; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, Oakland, California.
Jazyk: angličtina
Zdroj: American journal of preventive medicine [Am J Prev Med] 2024 Jun; Vol. 66 (6), pp. 980-988. Date of Electronic Publication: 2024 Feb 08.
DOI: 10.1016/j.amepre.2024.01.003
Abstrakt: Introduction: Previous research has found that policies specifically focused on pregnant people's alcohol use are largely ineffective. Therefore, the purpose of this study is to analyze the relationships between general population policies regulating alcohol physical availability and outcomes related to pregnant people's alcohol use, specifically infant morbidities and injuries.
Methods: Outcome data were obtained from Merative MarketScan, a longitudinal commercial insurance claims data set. Policy data were obtained from the National Institute on Alcohol Abuse and Alcoholism's Alcohol Policy Information System, the National Alcohol Beverage Control Association, and Liquor Handbooks and merged using policies in effect during the estimated year of conception. Relationships between state-level policies regulating sites, days/hours, and government monopoly of liquor sales and infant morbidities and injuries were examined. Analyses used logistic regression with individual controls, fixed effects for state and year, state-specific time trends, and SEs clustered by state. The study analysis was conducted from 2021 to 2023.
Results: The analytic sample included 1,432,979 infant-birthing person pairs, specifically people aged 25-50 years who gave birth to a singleton between 2006 and 2019. A total of 3.1% of infants had a morbidity and 2.1% of infants had an injury. State government monopoly on liquor sales was associated with reduced odds of infant morbidities and injuries, whereas gas station liquor sales were associated with increased odds of infant morbidities and injuries. Allowing liquor sales after 10PM was associated with increased odds for infant injuries. No effect was found for allowing liquor sales in grocery stores or on Sundays.
Conclusions: Findings suggest that limiting alcohol availability for the general population may help reduce adverse infant outcomes related to pregnant people's alcohol use.
(Copyright © 2024 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: