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Effect of Monitoring the Compliance of Banning Alcohol Sales to Minors in the Volume of Underage Acute Alcohol Intoxication Cases in Mexico: A Controlled ITSA Analysis

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Abstract

In México, underage alcohol consumption is a major public health problem. Notwithstanding the complex character of alcohol consumption, evidence indicates that enforcing the policies aimed to control the availability of alcohol has produced positive outcomes and has proved to be one of the most cost-effective strategies for curbing consumption, as well as they have succeeded in reducing health and social problems associated to alcohol use. Evaluate the effect of enforcing compliance with minimum-age restrictions for the sale of alcoholic beverages in the number of cases of acute alcohol intoxication in underage population in México. A controlled interrupted time series analysis (ITSA) model was resorted in order to assess the effect of enforcing the ban of alcohol sales to underage individuals at national level in Mexico. The outcome variable was cases of acute alcohol intoxication (F10.0) discharged in emergency services in the group from 10 to 19 years of age. We found a statistically significant drop (16.4%) in the cases of acute alcohol intoxication immediately after the program implementation. This result suggests that monitoring and enforcing strategies to ban alcohol sales to underage individuals can provide an effective tool to reduce the negative outcomes of underage alcohol consumption.

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Notes

  1. “Current consumption” refers to the consumption of at least one standard drink of alcohol over the previous month.

  2. “Excessive alcohol consumption” refers to the consumption of at least five standard drinks for males or four standard drinks for females over the previous month.

  3. Mexican law classifies supplying alcoholic beverages to underage individuals as corruption of minors, a criminal offense punishable by imprisonment and with a fine that came up to US$47,000.

  4. This group contains the following IDC-10 criteria: F11.0 acute opioid intoxication, F12.0 acute cannabinoid intoxication, F13.0 acute intoxication by sedatives or hypnotics, F14.0 acute cocaine intoxication, F15.0 acute intoxication by other stimulants, F16.0 acute intoxication by hallucinogens, F17.0 acute intoxication by tobacco, F18.0 acute intoxication by volatile solvents, and F19.0 acute intoxication by multiple drugs and other psychotropic substances.

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Acknowledgements

We wish to thank Patricia E. Solis, Michael H. Sumner and Luis Cejudo Espinoza fortheir valuable support in text editing and style correction. A very special thanks to the State Commissionersagainst Addictions (Comisionados Estatales contra las Adicciones), to the state heads ofaddictions(Coordinadores Estatales del Programa de Alcohol), to the state heads of health risks(Coordinadores Estatales contra Riesgos Sanitarios) and to all the verification and promoter personnel(Personal verificador de las COEPRISES y promotores de los CAPA), for their effort and commitment,since without you, this work would not have been possible.

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Authors and Affiliations

  1. Comisión Nacional contra las Adicciones (CONADIC), Secretaría de Salud, Ciudad de Mexico, Mexico

    Norberto Francisco Hernández-Llanes, Juan Arturo Sabines Torres & Gady Zabicky Sirot

  2. Centro Nacional de Excelencia Tecnológica en Salud (CENETEC), Secretaría de Salud, Ciudad de México, México

    Eduardo Pérez-Pérez

  3. Jurisdicción Sanitaria No. 4, Instituto de Salud del Estado de México (ISEM), Tenango del Valle, Estado de México, Mexico

    Verónica Lozano Morales

  4. Universidad Tecnológica de México (UNITEC), Campus Toluca, Toluca, Estado de México, Mexico

    Verónica Lozano Morales

  5. Instituto Nacional de Psiquiatría “Ramón de la Fuente Muñiz” (INPRFM), Secretaría de Salud, Ciudad de Mexico, Mexico

    Gady Zabicky Sirot

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  1. Norberto Francisco Hernández-Llanes
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Correspondence to Norberto Francisco Hernández-Llanes.

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Hernández-Llanes, N.F., Pérez-Pérez, E., Lozano Morales, V. et al. Effect of Monitoring the Compliance of Banning Alcohol Sales to Minors in the Volume of Underage Acute Alcohol Intoxication Cases in Mexico: A Controlled ITSA Analysis. Int J Ment Health Addiction 18, 347–357 (2020). https://doi.org/10.1007/s11469-019-00161-7

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