酒精容器标签对消费行为、知识和标签支持的影响:系统综述。

IF 25.4 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Lancet Public Health Pub Date : 2024-07-01 DOI:10.1016/S2468-2667(24)00097-5
Alexandra M E Zuckermann, Kate Morissette, Laura Boland, Alejandra Jaramillo Garcia, Francesca Reyes Domingo, Tim Stockwell, Erin Hobin
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引用次数: 0

摘要

酒精容器标签可能会减少人群中与酒精相关的危害,但对其有效性的调查在方法和质量上各不相同。我们需要进行系统的综合研究,以调整这些差异,并为制定政策提供依据。我们的目标是确定带有一个或多个健康警示、标准饮酒信息或低风险饮酒指导的酒精容器标签对饮酒行为、标签信息知识和标签支持的影响。我们按照 Cochrane 和不进行荟萃分析的综合标准完成了一项系统综述。我们纳入了从 1989 年 1 月 1 日到 2024 年 3 月 6 日以英语、法语、德语或西班牙语发表的所有同行评议研究和灰色文献,这些研究和文献调查了在任何人群中,与无标签或现有标签对照组相比,酒精容器标签对酒精消费行为、标签信息知识或对标签支持的影响。数据以影响声明的形式进行了叙述性综合,并对证据的偏倚风险和确定性进行了评估。研究方案已预先注册(PROSPERO CRD42020168240)。我们确定了 40 篇出版物,研究了 31 个标签,产生了 17 份影响声明。40 篇出版物中有 24 篇(60%)关注消费行为,22 项结果中有 13 项(59%)的确定性较低或非常低。带有健康警示的酒精容器标签可能会降低酒精消费率(低度确定性)、减少酒精饮料的选择(中度确定性)、减少孕期消费(低度确定性)和减少驾车前消费(中度确定性)。使用多种类型的旋转式酒精容器标签进行干预,可能会大大减少酒精的使用(中等确定性)并减少酒精的销售(高度确定性)。据我们所知,这是首次对多种类型的酒精容器标签进行系统综述,评估其效果的证据确定性。局限性包括标签设计和结果测量的异质性。酒精容器标签可能会影响一些饮酒行为,其中多重轮换信息尤其有效,尽管效果可能因个人健康素养或饮酒行为而异。因此,酒精容器标签可能是旨在解决人群酒精相关危害的政策的有效组成部分。
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The effects of alcohol container labels on consumption behaviour, knowledge, and support for labelling: a systematic review.

Alcohol container labels might reduce population-level alcohol-related harms, but investigations of their effectiveness have varied in approach and quality. A systematic synthesis is needed to adjust for these differences and to yield evidence to inform policy. Our objectives were to establish the effects of alcohol container labels bearing one or more health warnings, standard drink information, or low-risk drinking guidance on alcohol consumption behaviour, knowledge of label message, and support for labels. We completed a systematic review according to Cochrane and synthesis without meta-analysis standards. We included all peer-reviewed studies and grey literature published from Jan 1, 1989, to March 6, 2024, in English, French, German, or Spanish that investigated the effects of alcohol container labels compared with no-label or existing label control groups in any population on alcohol consumption behaviour, knowledge of label message, or support for labels. Data were synthesised narratively as impact statements and assessed for risk of bias and certainty in the evidence. A protocol was preregistered (PROSPERO CRD42020168240). We identified 40 publications that studied 31 labels and generated 17 impact statements. 24 (60%) of 40 publications focused on consumption behaviour and we had low or very low certainty in 13 (59%) of 22 outcomes. Alcohol container labels bearing health warnings might slow the rate of alcohol consumption (low certainty), reduce alcoholic beverage selection (moderate certainty), reduce consumption during pregnancy (low certainty), and reduce consumption before driving (moderate certainty). Interventions with multiple types of rotating alcohol container labels likely substantially decrease alcohol use (moderate certainty) and reduce alcohol sales (high certainty). To the best of our knowledge, this is the first systematic review on multiple types of alcohol container labels assessing their effects for certainty in the evidence. Limitations included heterogeneity in label designs and outcome measurements. Alcohol container labels probably influence some alcohol consumption behaviour, with multiple rotating messages being particularly effective, although effects might vary depending on individual health literacy or drinking behaviour. Alcohol container labels might therefore be effective components of policies designed to address population-level alcohol-related harms.

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来源期刊
Lancet Public Health
Lancet Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
55.60
自引率
0.80%
发文量
305
审稿时长
8 weeks
期刊介绍: The Lancet Public Health is committed to tackling the most pressing issues across all aspects of public health. We have a strong commitment to using science to improve health equity and social justice. In line with the values and vision of The Lancet, we take a broad and inclusive approach to public health and are interested in interdisciplinary research. We publish a range of content types that can advance public health policies and outcomes. These include Articles, Review, Comment, and Correspondence. Learn more about the types of papers we publish.
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