Effectiveness

Mixed Evidence

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Mixed Evidence

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Description

Programs aimed at restricting the sales hours of alcoholic beverages impose limitations on the times, days, and places where alcoholic beverages may be sold, which may be adopted at the municipal, regional, or national level. The goal is to reduce alcohol sales and consumption and, consequently, to raise awareness that excessive consumption in itself can cause serious damage to health or safety, such as accidents, individual injuries, silent disturbances, or interpersonal violence.

Country of application
  • Brazil
  • Colombia
  • United States
Evidence

According to the Crime Reduction Toolkit platform, four systematic reviews were conducted on these types of programs. Overall, there is no evidence of statistically significant effects in terms of reducing crime and violence, but there are other benefits, such as significant decreases in risk factors and harms related to alcohol consumption.
In the first review, based on four studies in the United Kingdom, it was reported that, when on-premise alcohol sales hours were extended, there was an increase in interpersonal violence. In 11 other studies reviewed, it was verified that, in a context of longer alcohol sales hours, there was a significant increase in harm and hazardous alcohol consumption rates, versus a significant decrease in harm when hourly limitation measures were implemented. Three other studies showed no effect or decrease in crime with longer hours of sale [1].
The second review verified that the addition of two hours to alcohol sales hours in stores increased consumption-related harm: driving under the influence of alcohol, accidents, and violent crimes. It was also found that an extension of less than two hours does not produce a significant effect [2].
In the third review, conducted in Australia, it was reported that the permission to sell alcohol on Sundays has significantly increased accidents, vehicle losses, and arrests for drunk driving. In the same review, studies conducted in the United States and Sweden reported that, with the permission to sell on weekends, there was an increase in alcohol-related crashes, while a decrease in aggression against women was reported, but without a more detailed explanation for the latter case [3].
The fourth review identified 44 studies on the density of alcohol POSs and 15 studies on sales hours and days. The review concluded that restricting alcohol availability is an effective measure to prevent alcohol-attributable harm, as most of the studies reviewed found that such strategies had a positive impact on one or more of the three main outcome variables analyzed (overall alcohol consumption, drinking patterns, and alcohol-related harm) [4].
However, the Crime Reduction Toolkit platform pointed out that there is a high possibility of statistical bias in all four systematic reviews. Thus, the platform points out that further studies with better control techniques are still needed to draw more reliable conclusions regarding the effectiveness of such programs.

Bibliography

[1] Stockwell, T., Chikritzhs, T. (2009). Do relaxed trading hours for bars and clubs mean more relaxed drinking? A review of international research on the impacts of changes to permitted hours of drinking. Crime Prevention and Community Safety, 11(3), 153-170. https://documents.parliament.qld.gov.au/com/LACSC-4B8C/LFTLRTRAB2-57E8/…

[2] Hahn, R. A., Kuzara, J. L., Elder, R., Brewer, R., Chattopadhyay, S., Fielding, J., Naimi, T. S., Toomey, T., Middleton, J. C., Lawrence, B. (2010). Effectiveness of Policies Restricting Hours of Alcohol Sales in Preventing Excessive Alcohol Consumption and Related Harms. American Journal of Preventative Medicine, 39(6), 590-604. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3712516/

[3] Middleton, J. C., Hahn, R., Kuzara, J. L., Elder, R., Brewer, R., Chattopadhyay, S., Fielding, J., Naimi, T. S., Toomey, T., Lawrence, B. (2010). Effectiveness of Policies Maintaining or Restricting Days of Alcohol Sales on
Excessive Alcohol Consumption and Related Harms. American Journal of Preventative Medicine, 39(6), 575-589. https://psycnet.apa.org/record/2010-23796-015

[4] Popova, S., Giesbrecht, N., Bekmuradov, D., Patra, J. (2009). Hours and Days of Sale and Density of Alcohol Outlets: Impacts on Alcohol Consumption
and Damage: A Systematic Review. Alcohol & Alcoholism, 44(5), 500-516. https://pubmed.ncbi.nlm.nih.gov/19734159/

Information Source

Evaluated cases

Why might the cases evaluated have different levels of effectiveness in relation to their respective type of solution?
Click here to understand why.

Some cases were not included in the evidence bank due to deficiencies detected in the methodology of their impact evaluations.
Click here to see the list

 

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