We examined socioeconomic variations in the association of off-premises Sunday alcohol sales bans and alcohol consumption and alcohol-attributable mortality in the United States. We analyzed associations between Sunday sales ban presence and alcohol consumption patterns, allowing for a differential effect by education in fixed-effects regression models using data from the 2000–2019 Behavioral Risk Factor Surveillance System. Mortality data from the National Vital Statistics System (2000–2019) were analyzed in interrupted time-series analysis to test the effect of lifting the Sunday sales ban in Minnesota (07/01/2017) on alcohol-attributable mortality. Regression analysis indicated lower alcohol consumption when Sunday sales bans were in place, with an overall stronger effect on those with high education. The repeal of the Minnesota ban resulted in a significant mortality increase, especially among individuals with high education. While overall effective, off-premises Sunday alcohol sales bans appear inadequate to address socioeconomic inequalities in the alcohol-attributable health burden.

我们研究了美国周日场外酒精销售禁令与酒精消费和酒精所致死亡率之间关系的社会经济变化。我们分析了周日销售禁令的存在与饮酒模式之间的关联，并使用 2000-2019 年行为风险因素监测系统的数据，在固定效应回归模型中考虑到教育的差异效应。采用断续时间序列分析方法对国家生命统计系统（2000-2019）的死亡率数据进行分析，以测试明尼苏达州取消周日销售禁令（2017年7月1日）对酒精所致死亡率的影响。回归分析表明，周日销售禁令实施时，酒精消费量较低，总体上对受过高等教育的人影响更大。明尼苏达州禁令的废除导致死亡率显着增加，尤其是受过高等教育的人。虽然总体有效，但周日场外酒类销售禁令似乎不足以解决因酒精造成的健康负担方面的社会经济不平等问题。