Effect of a small increase in off-premises trading hours on alcohol sales in Norway: A stepped-wedge cluster-randomized controlled trial.

IF 5.2 1区 医学 Q1 PSYCHIATRY Addiction Pub Date : 2024-10-07 DOI:10.1111/add.16683
Daniel Bergsvik, Maja Weemes Grøtting, Ingeborg Rossow
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Abstract

Background and aims: Evidence of the effect of limiting off-premises alcohol trading hours is still scarce. This study tested the effect of a small extension in trading hours on alcohol sales in alcohol monopoly outlets in Norway.

Design: The extension of trading hours was implemented within a stepped-wedge cluster-randomized trial design. Eligible state monopoly outlets (n = 229) were clustered into trade districts (n = 62), which were block-randomized to one of three sequences regarding date of implementation: 1 September 2020 (n = 21 districts, 82 outlets), 1 December 2020 (n = 21 districts, 73 outlets) and 1 March 2021 (n = 20 districts, 74 outlets). Outcomes were followed-up for a 1-year period.

Setting and participants: Study participants were state monopoly outlets in urban and rural trade districts in all parts of Norway.

Measurements: Monthly alcohol sales in litres of pure alcohol per trade district and per outlet were measured from March 2020 to March 2022 (primary outcome). We applied a linear mixed-effect model with two-way fixed effects within a difference-in-difference framework. As a robustness check we considered the effects of cross-border trade and effects in subgroups of outlets. Trading hours in monopoly outlets were extended by 1 hour on Saturdays. The extension was permanent. Pre-intervention periods and not-yet-treated units served as control conditions.

Findings: We did not find a statistically significant effect of the small extension in trading hours on monthly alcohol sales (i) per trade district [average treatment effect: -185.5 litres, 95% confidence interval (CI) = -1159.9, 788.9] and (ii) per outlet (-35.3 litres, 95% CI = -142.1, 72.0). These findings were consistent across estimation methods and model specifications.

Conclusion: There is no clear evidence that a small extension in off-premises trading hours affected alcohol sales in monopoly outlets in Norway.

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在挪威,小幅增加店外营业时间对酒类销售的影响:阶梯式群组随机对照试验。
背景和目的:有关限制店外酒类交易时间的效果的证据仍然很少。本研究测试了小幅延长营业时间对挪威酒类专卖店酒类销售的影响:设计:延长营业时间是在阶梯式群组随机试验设计中实施的。符合条件的国营专卖店(n = 229)被集中到贸易区(n = 62),这些贸易区在实施日期方面被分块随机分配到三个序列中的一个:2020年9月1日(21个地区,82个网点)、2020年12月1日(21个地区,73个网点)和2021年3月1日(20个地区,74个网点)。对结果进行为期 1 年的跟踪调查:研究参与者为挪威各地城乡贸易区的国家专卖店:2020年3月至2022年3月期间,对每个贸易区和每个销售点的月酒精销售量(以升为单位的纯酒精)进行测量(主要结果)。我们在差分框架内采用了带有双向固定效应的线性混合效应模型。作为稳健性检验,我们考虑了跨境贸易的影响和销售点分组的影响。垄断性商店的营业时间在周六延长 1 小时。延长时间是永久性的。干预前的时间段和尚未接受干预的单位作为对照条件:我们没有发现小幅延长营业时间对(i) 每个商圈的每月酒类销售量[平均治疗效果:-185.5 升,95% 置信区间 (CI) = -1159.9, 788.9]和(ii) 每个销售点的每月酒类销售量(-35.3 升,95% 置信区间 = -142.1, 72.0)有显著的统计影响。这些结果在不同的估算方法和模型规格中都是一致的:没有明确证据表明,小幅延长店外营业时间会影响挪威专卖店的酒类销售。
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来源期刊
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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