A composite index of provincial alcohol control policy implementation capacity in Thailand.

Jankhotkaew J; Casswell S; Huckle T; Chaiyasong S; Kalapat R; Waleewong O; Parker K

A composite index of provincial alcohol control policy implementation capacity in Thailand.

dc.citation.volume	130
dc.contributor.author	Jankhotkaew J
dc.contributor.author	Casswell S
dc.contributor.author	Huckle T
dc.contributor.author	Chaiyasong S
dc.contributor.author	Kalapat R
dc.contributor.author	Waleewong O
dc.contributor.author	Parker K
dc.coverage.spatial	Netherlands
dc.date.accessioned	2024-08-26T01:56:53Z
dc.date.available	2024-08-26T01:56:53Z
dc.date.issued	2024-06-26
dc.description.abstract	BACKGROUND: There is a well-published literature on the effectiveness and stringency of alcohol control policies, but not many studies focus on policy implementation, where policies transform into impact. The objective of this study is to create a composite index that measures the capacity for implementing effective alcohol control policies across all provinces in Thailand. METHODS: Based on the international literature, we developed a list of key indicators for tracking the implementation of alcohol policies at the subnational level. To ensure these indicators were relevant to the Thai context, we obtained feedback from Thai experts. We collected primary data according to the developed indicators using questionnaires filled in by key informants at the implementing agencies and gathered secondary data at the provincial level. On this basis, we developed indices that reflect the status of alcohol control policy implementation. We then investigated the association between the indices and the prevalence and pattern of alcohol consumption and alcohol-related harms while adjusting for potential confounders using multiple linear regression and negative binomial regression, respectively. RESULTS: Scores on the Provincial Alcohol Policy Implementation Capacity (PAPIC) Index ranged between 39 and 79. We found that each 1-point increase in PAPIC score was associated with a 1.98 % reduction in the quantity of alcohol consumed in grams per day (coefficient: -0.02; 95 %CI: -0.03, -0.00; p-value<0.05; e-0.02= 0.9802). We also found that for each 1-point increase in PAPIC score, the proportion of regular drinkers reduced by 0.30 per cent (coefficient: -0.30; 95 %CI: -0.55, -0.05; p-value<0.05). However, we did not find any association between the indices and alcohol-related harms. CONCLUSION: The level of implementation of alcohol control policy at the sub-national level is associated with alcohol consumption levels. The findings suggest the value of allocating resources to the implementation of alcohol control policy.
dc.description.confidential	false
dc.edition.edition	August 2024
dc.format.pagination	104504-
dc.identifier.author-url	https://www.ncbi.nlm.nih.gov/pubmed/38936218
dc.identifier.citation	Jankhotkaew J, Casswell S, Huckle T, Chaiyasong S, Kalapat R, Waleewong O, Parker K. (2024). A composite index of provincial alcohol control policy implementation capacity in Thailand.. Int J Drug Policy. 130. (pp. 104504-).
dc.identifier.doi	10.1016/j.drugpo.2024.104504
dc.identifier.eissn	1873-4758
dc.identifier.elements-type	journal-article
dc.identifier.issn	0955-3959
dc.identifier.number	104504
dc.identifier.pii	S0955-3959(24)00189-0
dc.identifier.uri	https://mro.massey.ac.nz/handle/10179/71378
dc.language	eng
dc.publisher	Elsevier B.V.
dc.publisher.uri	https://www.sciencedirect.com/science/article/pii/S0955395924001890
dc.relation.isPartOf	Int J Drug Policy
dc.rights	(c) 2024 The Author/s
dc.rights	CC BY 4.0
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/
dc.subject	Alcohol control policy
dc.subject	Implementation
dc.subject	Index
dc.subject	Provincial level
dc.subject	Thailand
dc.title	A composite index of provincial alcohol control policy implementation capacity in Thailand.
dc.type	Journal article
pubs.elements-id	489457
pubs.organisational-group	College of Health