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Prof. Thomas F. Babor, Ph.D, M.P.H. Professor and Chairman of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, CT, USA:

Communicating About Alcohol:
Educational and Regulatory Policies

(Power Point presentation)

Text Version

Some Conclusions:  

The impact of education and persuasion programs tends to be small at best.
When positive effects are found, they do not persist.
Among the hundreds of studies, only two show significant lasting effects (after 3 years), and the significance of these is questionable when reanalyzed (Foxcroft et al. 2003).
The time is past for arguments on behalf of substituting education for other, more effective approaches.
If educational approaches are to be used, they should be implemented within the framework of broader environmental interventions that address availability of alcohol.
Exposure to repeated high-level alcohol promotion inculcates pro-drinking attitudes and increases the likelihood of heavier drinking.
Alcohol advertising predisposes minors to drinking well before legal age of purchase.
Advertising has been found to promote and reinforce perceptions of drinking as positive, glamorous, and relatively risk-free.

Legislation restricting alcohol advertising:

A well-established precaution used by governments throughout the world, despite opposition from the alcoholic beverage industry.

•Findings suggest that while the restrictions have not achieved a major reduction in drinking and related harms in the short-term, countries with greater restrictions on advertising have less drinking and fewer alcohol-related problems (Saffer, 1991).

Industry Self-regulation Codes:
•Self-regulation tends to be fragile and largely ineffective
•These codes may work best where the media, advertising, and alcohol industries are all involved, and an independent body has powers to approve or veto advertisements, rule on complaints, and impose sanctions.
•Few countries currently have all these components.

Best Practices:

•Minimum legal purchase age
•Government monopoly  of retail
    sales
•Restriction on hours or days of sale
•Outlet density restrictions
•Alcohol taxes
•Sobriety check points
•Lowered BAC limits
•Administrative license suspension
•Graduated licensing for novice 
      drivers
•Brief interventions for hazardous
      drinkers


Least effective Practices:

•Voluntary codes of bar practice
•Promoting alcohol-free activities
•Alcohol education in schools
•College student education
•Public service messages
•Warning labels
•Designated drivers and ride services

Conclusions:

•Opportunities for effective, evidence-based alcohol policies are more available than ever to better serve the public good.

•Popular policy options (e.g., school-based alcohol education) have relatively small or zero effects on population rates of alcohol-related morbidity and mortality. 

•Unpopular policy options (e.g., alcohol taxes, availability restrictions) can have substantial effects.

•The Precautionary Principle suggests that alcohol promotion communications should be limited in the interests of public health, and that alcohol education should not be a substitute for more effective strategies.

•There are still too many instances of policy vacuums filled by unevaluated or ineffective strategies and interventions.

•Industry-sponsored education programs should not be used until they have been systematically evaluated by independent researchers.

•Industry compliance with self-regulation advertising codes should be evaluated regularly for both exposure and content guidelines.

Additional remarks: (H.T. Meyer)

Science based facts on alcohol problems and prevention seem to be so clear that it is hard to understand how difficult it is still to formulate an effective alcohol policy in each country and even coordinate it internationally. The main reason is: In many countries economic interests are still more important to politicians than Public Health. The cost are paid by the people. Fortunately it seems that more and more persons accept that "Health generates Wealth". (David Byrne, EU-Commissionar for Health and Consumer Protection in his reflexion paper in July 04)


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