Nejvíce citovaný článek - PubMed ID 20149713
Social inequalities in alcohol consumption in the Czech Republic: a multilevel analysis
INTRODUCTION: Research on the effects of the COVID-19 pandemic on alcohol sales and per capita consumption show mixed findings. The present study of alcohol sales in Czechia attempts to account for this heterogeneity by investigating three types of interventions: (i) limits on the movement of people into the country (i.e., tourism); (ii) social mobility and assembly restrictions; and (iii) restrictions on alcohol sales. METHODS: We used general additive models to assess the relationship between alcohol sales and COVID-19-related restrictions that were specific to alcohol outlets and general restrictions measured by the Government Response Stringency Index. New COVID-19 cases and the number of overnight stays by foreign tourists were also included in the models. RESULTS: The analysis of total sales revenues show that the overall amount of alcohol sold in the Czech Republic decreased due to the COVID-19 related measures and the decrease is best explained by the Government Response Stringency Index. We did not find any relationship between alcohol sales and the number of new COVID-19 cases. DISCUSSION AND CONCLUSIONS: The decline in total alcohol sales resulting from the COVID-19 restrictions was not just the result of reduced tourism and restrictions on physical availability of alcohol, but also of restrictions limiting social encounters. This should be considered in future research comparing the trends in different countries and incorporated into plans for controlling the spread of communicable diseases in future epidemics.
- Klíčová slova
- COVID‐19, alcohol availability, alcohol sales, time series, tourism,
- MeSH
- alkoholické nápoje * ekonomika MeSH
- analýza přerušované časové série MeSH
- cestování MeSH
- COVID-19 * epidemiologie MeSH
- lidé MeSH
- obchod * trendy ekonomika statistika a číselné údaje MeSH
- pandemie MeSH
- pití alkoholu * epidemiologie ekonomika MeSH
- turistika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
INTRODUCTION AND AIMS: Globally, Czechia and Lithuania are among the top-ranking countries in terms of high alcohol consumption. This study highlights notable contrasts in temporal trends in alcohol-related mortality and identifies country-specific patterns in educational differences. DESIGN AND METHODS: The study uses harmonised cause-of-death series from the Human Cause of Death Database. Mortality disparities by education were assessed using census-linked mortality data. Directly standardised death rates were used to estimate levels of national and group-specific mortality. Relative and absolute mortality differences by education were assessed by range-type measures (Poisson regression mortality ratios and rate differences) and Gini-type measures. RESULTS: Between 1994-1995 and 2016, the absolute difference between Czechia and Lithuania in terms of alcohol-related age-standardised death rates (per 1 000 000) decreased from 450 for males and 130 for females to 76 in males and 11 in females. In both countries, alcohol-related mortality was markedly higher among persons of lower education levels. Lithuanian males experienced the highest absolute inequalities measured by rate difference between the low and high educated (740 per million), while Lithuanian females showed the most pronounced relative inequalities (6.70-fold difference between low and high educated). The corresponding figures were less than half for Czechia. DISCUSSION AND CONCLUSIONS: Reducing educational disparities in alcohol-related mortality within both countries would have a substantial impact on overall levels. Policies aimed at targeting the lowest priced and illegal alcohols and reducing levels of harmful drinking should be a priority, especially in Lithuania.
- Klíčová slova
- Czech Republic, Eastern Europe, Lithuania, alcohol-related disorders, differential mortality, educational achievement, social determinants of health,
- MeSH
- lidé MeSH
- pití alkoholu * mortalita MeSH
- příčina smrti MeSH
- stupeň vzdělání * MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
- Litva epidemiologie MeSH
BACKGROUND: A youths' neighborhood can play an important role in their physical, health, and emotional development. The prevalence of health risk behavior (HRB) in Czech youth such as smoking, drug and alcohol use is the highest in Europe. AIM: To analyze differences in HRB in youth residents within different types of Prague's neighborhoods in relation to the perception of the built environment, quality of their school and home environments. DATA AND METHODS: The data is based on the on-line survey among elementary school students aged between 14-15 years, which was administered in19 selected schools in Prague, during the months of October 2013 to March 2014. Respondents were asked their opinions on various issues related to their HRB, about their indoor and outdoor housing and school environments. The questionnaire was completed by 407 students. Factor analysis with a principal components extraction was applied to determine the underlying structure in the variables. A consequent field research was conducted to map the opportunity hot spots and critical places around the elementary schools. RESULTS: Binge drinking has been reported mainly by the students living in the housing estates with blocks of flats. The most frequent occurrence of daily smokers was found in the neighborhoods of old city apartment houses. High prevalence of risky marijuana use almost in all the surveyed types of neighborhoods. The respondents were more critical in their evaluation of school characteristics. The neighborhoods critically evaluated by the students as regards the school outdoor environments were the older apartment houses in the historical centre and inner city, the school indoor environment was worst assessed within the housing estate neighborhoods. CONCLUSIONS: Our results suggest that perceptions of problems in both residential and school environment are associated with HRB. This fact makes this issue of a serious importance also from the policy point of view. Mainly the school surroundings have to be better managed by the local authorities responsible for the public space. This research thus forms part of the Sophie project aiming to find the most efficient policies that would tackle with the inequalities in the health and quality of life.
- MeSH
- charakteristiky bydlení * statistika a číselné údaje MeSH
- komunismus * statistika a číselné údaje MeSH
- kouření marihuany etnologie psychologie MeSH
- kouření etnologie psychologie MeSH
- lidé MeSH
- městské obyvatelstvo * statistika a číselné údaje MeSH
- mladiství MeSH
- pilotní projekty MeSH
- pití alkoholu etnologie psychologie MeSH
- riskování * MeSH
- sběr dat metody MeSH
- zdravé chování etnologie MeSH
- životní prostředí * MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika etnologie MeSH