Table 2

Quantitative evaluations of alcohol controls meeting inclusion criteria

Author (year)Country of origin (Indigenous population)Population sizeCategory of alcohol controlLegal instrumentsHealth and social outcomes reportedData collectedTime Horizon of evaluation
May (1975)19United States (Native American)12 000 (Native American)Prohibition of sale, importation or possessionTribally imposed prohibition lawsArrestsTribal Police data3 years (June–July 1969, June–July 1970, June–July 1971)
Schechter (1986)20Greenland (Greenlandic Inuit)50 000 (80% Indigenous)Alcohol rationingRationing ordinance passed by the Greenland Council following public plebisciteAlcohol sales; crimeAlcohol sales or consumption data6 years (1978–1984)
Gallaher et al (1992)27USA (Native American)123 000 (all residents of New Mexico)Prohibition of sale, importation or possessionTribally imposed prohibition lawsUnintentional injuryCause-specific mortality data; Hospital records or medical examiner reports; Traffic accident report files (containing location of Indigenous pedestrian deaths)10 years (January 1 1980 to December 31 1989)
Lee (1993)25USA (Alaska Native)8 Indigenous villages (of 57 in the region)Restrictions on liquor sold, times of sale or mode of sale; traditional forms of controlLocal option lawCrime; Intentional injury (self-harm, attempted suicide or suicide)Crime data for serious or minor offences5 years (1983–1987)
Chiu et al (1997)16USA (Alaska Native)4000 (61% Indigenous)Prohibition of sale, importation or possessionLocal option lawSocial or health service usageAlcohol-related outpatient visit records33 months (November 1993 through July 1996)
Landen et al (1997)24USA (Alaska Native)Dry villages: 63 419 person-years (93% Indigenous)
Wet villages:
38 867 person-years (55% Indigenous)*†
Prohibition of sale, importation or possessionLocal option lawUnintentional injuryCause-specific mortality data3 years (1990-1993)
Landen (1997)23USA (American Indian)Wet reservations:
(1) <5000; (2) 5000–10 000; (3) <5000 (4) 5000–10 000 (5) 5000–10 000
Dry reservations:
(6/7) 10 000 –15 000 10 000–15 000 (8) 5000–10 000
Prohibition of sale, importation or possessionTribally imposed prohibition lawsAlcohol-related mortalityAmerican Indian mortality data by county11 years (1979–1990)
Douglas (1998)17Australia (Aboriginal and or Torres Strait Islander—primarily Kija and Djaru language groups)∼1200 with 3000 from surrounding towns (63% Indigenous)Restrictions on liquor sold, times of sale or mode of saleRegulation instituted by state or territory liquor licensing authoritiesCrime; Social or health service usageAlcohol sales or consumption data3 years (1991–1994)
d'Abbs (1998)29Australia (Aboriginal and Torres Strait Islander)7 Indigenous communities (of total of 8 with licensed clubs)Indigenous-controlled liquor licensingNot statedAlcohol consumptionAlcohol sales or consumption data1 year (1994–1995)
Berman et al (2000)22USA (Alaska Native)29 000 (26 000 in control group)Indigenous-controlled liquor licensing; Prohibition of sale, importation or possessionLocal option lawInjuryLegal determinations classifying injury deaths (data not available to determine whether alcohol-related)13 years (1980–1993)
Gray et al (2000)15Australia (Aboriginal and Torres Strait Islander)∼2700 (all residents of Tennant Creek)Restrictions on liquor sold, times of sale or mode of saleRegulation instituted by state or territory liquor licensing authoritiesAlcohol consumption; hospital admissions; admissions to local women's refuge and sober up shelter; crime;Alcohol sales data, health and social service admissions data; local police data4 years (1994–1998)
Ellis (2003)28USA (American Indian)McKinley County: 43 000 Indigenous
Fremont: 7000 Indigenous
Restrictions on liquor sold, times of sale or mode of sale; local excise tax; enhanced law enforcementLocal option lawCrime; Mortality (motor vehicle accident mortality, homicide, suicide and alcohol-induced causes); Motor vehicle accidentsAlcohol sales or consumption data; adolescent substance use data; Hospital records or medical examiner reports; Traffic accident report files; crime data for serious or minor offences21 years (1974–1995) for annual mortality rates for selected substance abuse-related causes; 1 year (1989–96) for traffic crash rates.
Wood and Gruenewald (2006)8USA (Alaska Native)Dry villages: 165 191 person-years (108 906 with and 56 285 without local police presence)
Wet villages: 67 906 person-years (45 655 person-years with and 22 251 person-years without local police presence)*†
Prohibition of sale, importation or possessionLocal option lawMotor vehicle accidents; Intentional injury (self-harm, attempted suicide or suicide); Intentional injury (self-harm, attempted suicide or suicide)Serious injury data obtained from state trauma registries; data pertaining to police presence (number of months that a village had a police service used as an indicator of police presence)10 years (1991–2000)
Hogan et al (2006)18Australia (Aboriginal and Torres Strait Islander)Not statedRestrictions on liquor sold, times of sale or mode of saleRegulations instituted by state or territory liquor licensing authoritiesAlcohol sales; crime; Social or health service usageAlcohol sales or consumption data; Hospital records or medical examiner reports; Admissions to local Sobering Up shelter; Crime data for serious or minor offences1 year (April 2002—June 2003)
Margolis et al (2008)13Australia (Aboriginal and Torres Strait Islander)4 Indigenous communitiesRestrictions on liquor sold, times of sale or mode of saleAlcohol Management Plan (AMP)Injury; Social or health service usageRoyal Flying Doctor Service trauma retrieval data8 years pre and 2 years post-AMP (1 January 1995–24 November 2005)
Wood (2011)21Canada (First Nation)23 Indigenous communitiesProhibition of sale, importation or possessionLocal option lawCrime data for serious or minor offences21 years (1986—2006)
Margolis et al (2011)14Australia (Aboriginal and Torres Strait Islander)Community A 1129 (1059, 94% Indigenous), community B 1101 (1028, 93% Indigenous), community C 599 (541, 90% Indigenous), community D 644 (580, 90% Indigenous).Prohibition of sale, importation or possession; Restrictions on liquor sold, times of sale or mode of saleAlcohol Management Plan (AMP)Injury; Social or health service usageRoyal Flying Doctor Service trauma retrieval data14.5 years (1 January 1996—31 July 2010)
Berman (2014)26USA (Alaska Native)178 Indigenous communitiesProhibition of sale, importation or possessionLocal option lawIntentional injury (self-harm, attempted suicide or suicide)Cause-specific mortality data27 years (1980-2007)
  • *Person-years: Some studies used person-years to quantify the populations of wet and dry villages where communities changed alcohol status one or more times during the period of the study. For example, in Landen's study, multiple wet and dry villages changed alcohol status. Thus, each month a village was dry, its population contributed one-twelfth of a person-year to the dry total. A similar method was used for wet villages.

  • †.