Evaluating the impact of health reforms in the Netherlands: Assessing the impact of an alcohol ban on sexually transmitted infections in national surveillance data
| Autor: | C den Daas, B. H. B. van Benthem, F van Aar |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Surveillance data Adolescent Alcohol Drinking Sexually Transmitted Diseases Alcohol Health Promotion Public awareness campaign Rate ratio Ambulatory Care Facilities 03 medical and health sciences chemistry.chemical_compound Young Adult 0302 clinical medicine Sexually transmitted infections Medicine Humans 030212 general & internal medicine Health reforms Heterosexuality Netherlands Chlamydia Alcohol ban business.industry 030503 health policy & services Health Policy Confounding Interrupted Time Series Analysis Chlamydia Infections Partner notification medicine.disease Confidence interval chemistry Routine surveillance data Female 0305 other medical science business Alcohol consumption Demography |
| Zdroj: | Health policy (Amsterdam, Netherlands). 123(10) |
| ISSN: | 1872-6054 |
| Popis: | Background On 1 January 2014, the minimum age to buy alcohol increased (16–18 years), accompanied by a public awareness campaign (NIX18). Decreases in alcohol consumption are associated with less risky sexual behaviour. This study analyzed the association between the health reforms andChlamydia trachomatis infections (chlamydia) among young heterosexual people. Methods Chlamydia positivity rates, age, and gender from all STI-clinic attendees between 16 and 19 years old in the Netherlands of 2010 to 2016 were obtained. Interrupted time-series assessed immediate and gradual trends in chlamydia rates. Results Among the control group (18–19 year olds) chlamydia rates increased 0.5% each post-ban month (95% Confidence Interval [CI] 1.002–1.008, p = .001). Among 16–17 year olds there was no monthly increase post-ban (Rate Ratio 1.000, 95% CI 0.993–1.007, p = .948). In terms of confounders, only controlling for partner notification dissolved these time trends. Conclusions We found that chlamydia rates after the alcohol ban differed between 16–17 year olds and 18–19 year olds. This demonstrates that the health reforms might have affected this secondary outcome, but obtaining certainty using national surveillance data is difficult. Specific studies should be designed, as now changes in chlamydia over time could be explained by STI-clinic policy changes, by changes on an individual level including reduced alcohol consumption or most likely by the combination of these factors. |
| Databáze: | OpenAIRE |
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