Effective alcohol policies and lifetime abstinence An analysis of the International Alcohol Control policy index



Leung J, Casswell S, Parker K, Huckle T, Romeo J, Graydon‐Guy T, Byron K, Callinan S, Chaiyasong S, Gordon R, Harker N, MacKintosh AM, Meier P, Paraje G & Parry CD (2022) Effective alcohol policies and lifetime abstinence An analysis of the International Alcohol Control policy index. Drug and Alcohol Review.

Introduction Alcohol abstinence remains common among adults globally, although low and middle-income countries are experiencing declines in abstention. The effect of alcohol policies on lifetime abstinence is poorly understood. The International Alcohol Control (IAC) policy index was developed to benchmark and monitor the uptake of effective alcohol policies and has shown strong associations with alcohol per capita consumption and drinking patterns. Uniquely, the index incorporates both policy ‘stringency’ and ‘impact’, reflecting policy implementation and enforcement, across effective policies. Here we assessed the association of the IAC policy index with lifetime abstinence in a diverse sample of jurisdictions. Methods We conducted a cross-sectional analysis of the relationship between the IAC policy index score, and its components, and lifetime abstinence among adults (15+ years) in 13 high and middle-income jurisdictions. We examined the correlations for each component of the index and stringency and impact separately. Results Overall, the total IAC policy index scores were positively correlated with lifetime abstinence (r = 0.76), as were both the stringency (r = 0.62) and impact (r = 0.82) scores. Marketing restrictions showed higher correlations with lifetime abstinence than other policy domains (r = 0.80), including restrictions on physical availability, pricing policies and drink-driving prevention. Discussion and Conclusion Our findings suggest that restricting alcohol marketing could be an important policy for the protection of alcohol abstention. The IAC policy index may be a useful tool to benchmark the performance of alcohol policy in supporting alcohol abstention in high and middle-income countries.

abstention; abstinence; alcohol; alcohol policy; policy index; alcohol marketing; policy stringency; impact

Output Status: Forthcoming/Available Online

Drug and Alcohol Review

StatusIn Press
FundersThe Health Research Council of New Zealand, International Development Research Centre, World Health Organisation and MRC Medical Research Council
Publication date online24/11/2022
Date accepted by journal03/11/2022

People (2)


Ms Anne Marie MacKintosh

Ms Anne Marie MacKintosh

Senior Researcher, Institute for Social Marketing

Professor Petra Meier

Professor Petra Meier

Honorary Professor, Institute for Social Marketing

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