© 2009 American Public Health Association DOI: 10.2105/AJPH.2007.120212
Kypros Kypri is with the School of Medicine and Public Health, University of Newcastle, Callaghan, Australia. Gabrielle Davie, John Langley, and Dorothy Begg are with the Injury Prevention Research Unit, University of Otago, Dunedin, New Zealand. Robert Voas is with the Pacific Institute for Research and Evaluation, Calverton, MD. Correspondence: Requests for reprints should be sent to Kypros Kypri, PhD, School of Medicine and Public Health, University of Newcastle, 2308 NSW Australia (e-mail: kypros.kypri{at}newcastle.edu.au).
We used the recent lowering of the alcohol purchasing age in New Zealand to examine the proposition that routinely collected data are often insufficient in evaluating important policy changes. We estimated prechange and postchange incidence rate ratios for actual and hypothetical population sizes and hospital admissions related to alcohol poisoning and assaults. Even with a hypothetical youth population 10 times larger than New Zealand's actual youth population, comparisons were underpowered because there were too few observations. Governments should use the enactment of health legislation as an opportunity to build the research evidence base by ensuring that evaluations are initiated in advance.
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