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Background and Aims  A ban on multi‐buy discounts of off‐trade alcohol was introduced as part of the  A lcohol  A ct in  S cotland in  O ctober 2011. The aim of this study was to assess the impact of this legislation on alcohol sales, which provide the best indicator of population consumption.    Design, Setting and Participants  Interrupted time–series regression was used to assess the impact of the  A lcohol  A ct on alcohol sales among off‐trade retailers in  S cotland. Models accounted for underlying seasonal and secular trends and were adjusted for disposable income, alcohol prices and substitution effects. Data for off‐trade retailers in  E ngland and  W ales combined ( EW ) provided a control group.    Measurements  Weekly data on the volume of pure alcohol sold by off‐trade retailers in Scotland and  EW  between  J anuary 2009 and  S eptember 2012.    Findings  The introduction of the legislation was associated with a 2.6% (95%  CI  = −5.3 to 0.2%,  P  = 0.07) decrease in off‐trade alcohol sales in  S cotland, but not in  EW  (−0.5%, 95%  CI  = −4.6 to 3.9%,  P  = 0.83). A statistically significant reduction was observed in  S cotland when  EW  sales were adjusted for in the analysis (−1.7%, 95%  CI  = −3.1 to −0.3%,  P  = 0.02). The decline in  S cotland was driven by reduced off‐trade sales of wine (−4.0%, 95%  CI  = −5.4 to −2.6%,  P  < 0.001) and pre‐mixed beverages (−8.5%, 95%  CI  = −12.7 to −4.1%,  P  < 0.001). There were no associated changes in other drink types in Scotland, or in sales of any drink type in  EW .    Conclusions  The introduction of the  A lcohol  A ct in Scotland in 2011 was associated with a decrease in total off‐trade alcohol sales in  S cotland, largely driven by reduced off‐trade wine sales.

Evaluating the impact of the alcohol act on off‐trade alcohol sales: a natural experiment in S cotland