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In recent years, the reduction of alcohol-related harm has emerged as a major policy issue across Europe. Public health advocates, supported by the World Health Organisation, have challenged an approach that targets problem-drinking individuals, calling instead for governments to control consumption across whole populations through a combination of pricing strategies, restrictions on retail availability and marketing regulations. Alcohol, Power and Public Health explores the emergence of the public health perspective on alcohol policy in Europe, the strategies alcohol control policy advocates have adopted, and the challenges they have faced in the political context of both individual states and the European Union. The book provides a historical perspective on the development of alcohol policy in Europe using four case studies – Denmark, England, Scotland and Ireland. It explores the relationship between evidence, values and power in a key area of political decision-making and considers what conditions create – or prevent – policy change. The case studies raise questions as to who sets policy agendas, how social problems are framed and defined, and how governments can balance public health promotion against both commercial interests and established cultural practices. This book will be of interest to academics and researchers in policy studies, public health, social science, and European Union studies.
Alcohol has been central to social, religious and personal use throughout the history. Alcohol drinking goes back almost as far as the human race does. A hundred years, therefore, may be seen as only a flash. The past century, however, has witnessed a fundamental change in dealing with alcohol problems. Hence, to give an overview of a hundred years of alcohol polices is a rather ambitious task and the contributions to this book shed only some light on the way in which alcohol policy issues have changed in this period. This authoritative volume is relevant to both scientists and policy makers providing a state of the art in alcohol policy from different perspectives, covering both science/research/treatment and prevention practice and linking these areas.
The problem: Young people and their decisions about whether to consume alcohol are significantly affected by the environment in which they live, learn and play. Environments that normalize alcohol consumption –termed alcogenic environments– include, for example, unregulated advertising and marketing of alcoholic beverages, higher alcohol outlet density, products designed to facilitate accessibility and cheap prices of alcoholic beverages. The evidence: A significant body of research evidence has emerged related to the measurement, functional significance and consequences of living in alcogenic environments. This includes findings on the complex and bidirectional interactions creating and perpetuating alcogenic environments among the local context and alcohol acceptability, availability and affordability. The know-how: Comprehensive and enforced alcohol control policies are effective at delaying the age of onset and lowering alcohol prevalence and frequency in young people. Experiences from Colombia, Japan, Nigeria, Norway, Sweden, the United States, Thailand and Uganda shed light on the multiple channels in which alcogenic environments normalize and increase exposure of young people to alcohol and how civil society organizations initiatives have counteracted this. The way forward: Evidence consistently confirms the effectiveness of designing and implementing alcohol control policies that regulate upstream the drivers of alcogenic environment, including alcohol availability, acceptability and affordability.
The report provides an overview of alcohol consumption and harms in relation to the UN Sustainable Development Goals (Chapter 1) presents global strategies action plans and monitoring frameworks (Chapter 2) gives detailed information on: the consumption of alcohol in populations (Chapter 3); the health consequences of alcohol consumption (Chapter 4); and policy responses at national level (Chapter 5). In its final chapter 6 the imperative for reducing harmful use of alcohol in a public health perspective is presented. In addition the report contains country profiles for WHO Member States and appendices with statistical annexes a description of the data sources and methods used to produce the estimates and references.