accoe ou un45opmatuu - who/europe · jeücmeust no npo6nemam ank020n11 na mecmnom u mynuuunanbnom...

200
AJLKO éE?O]lb u cpeôcmea accoe ou un45opMatuu PerKoxa.nbxbie ny6.nHxaIiHH B03 EBponeiicxax cepnx N2 62

Upload: votram

Post on 07-Feb-2019

218 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

AJLKOéE?O]lb

u cpeôcmeaaccoe ou

un45opMatuu

PerKoxa.nbxbie ny6.nHxaIiHH B03EBponeiicxax cepnx N2 62

Page 2: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CepHa ny6.nHKannH no EsponeHcxoMy n.nany AeHcTBHH no 6opb6e cnoTpe6.nenHeM a.nxoro.nx

Onenxa u Konmponb deücmeuü no anxozonm, Peter Anderson H Juhani Lehto.

Iloôxoàbz x nonumuKe KOnmponst 1-tad anxozoneM, Juhani Lehto.

AKO1-LOmuKa anKozonbnoü nonumuKu, Juhani Lehto.

AnKozonb u cpeâcmea Maccoeoü uny6opManuu, Marjatta Montonen.

JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne,Bruce Ritson.

An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson.

Tepane6mu26ecxue nodxoCÎb2 K anxozonbnbl,Nt npo6neMaM, Nick Heather.

Mono6bze nloâu u anxozonb, napKOmuKU u ma6aK, Kellie Anderson.

AJdKOZOnb u pa6ouee Mecmo, Marion Henderson, Graeme Hutcheson H John Davies.

BceMHpnaA opraHH3annsl 3,gpaBOOxpaneTlHA - cnermaAH3Hposanrroe ynpexc,geHHeOpraHH3aIlHH O6-beAHHeHHbIX HaIHH, OCHOBHaA (1)yHKI{HA KOTOpOrO COCrOHT BpelIIenHH McNytyHapo,QHbIX np06AeM 3apaBOOXpaHeHHA H OXpaHbl 3,4OpOBbAHaceAeHHA. C nOMOH1blO 3T0H OpraHH3auHH, KOTopaA 6bIAa CO3AaHa B 1948 r.,pa60THHKH 3,qpaBOOXpaHeHHA 60Aee 180 CTpa.H 06MeHHBaK)TCA 31 laHnAMH HOHbITOM 4A51 TOrO, tITO6b1 c,geAaTb BO3M0>KHbIM ,QOCTH>KeHHe BceMH >KHTeAAMH3eMAH TaKOrO ypOBHA 340p0BbA, KOTOpbIH 1103BOAHT 14M BeCTH >KH3Hb,nOAHOL[eHHyTO B COHHaAbHOM H HKOIIOMH IeCKOM OTHOBICHHH.

EBpOneHCKoe perHOHaAbHOe 61(p0 B03 ABAAeTCA Op,HHM 143 LHeCIHperHOHaAbHbIX 6Top0, Ka>K,QOe 143 KOTOpbIX HpOBO411T CO6cTBeHHyI0 HpOrpaMMy,HanpaBAeHHyTO Ha pemeHHe KOHKpeTHbIX IIp06AeM 3,apaBOOXpaHeHHA06cAy>KHBaeMbIX HM cTpaH. EBponeHCKHH perHOH C HaceAeHHeM B 850 MAH.t1eAOBeK npOCTHpaeTcH OT 1lpeHAaHaHH ria CeBepe II Cpe,QH3eMT-IorO MOM Ha Tore ,QOTHXOOKeaHCKHX 6eperOB POCCHH. H()TOMy IlpOrpaMMa EBponeHCKOr(> perHOHaB03 rAaBHOe BHHMaHHe y,QeAAeT KaK npo6AeMaM, XapaKTepHbIM AAAHH4yCTpHaAbHOrO H nOCTHH,1kycTpHâAbHOrO o61ITecTBa, Talc H IIp06AeMaMHaXOj414II3,HXCA B HpOneCCe CraHOBAeHHA ,QeMOKpaTHH cTpan lIeHTpaAbHOH HBOCTMIHOH EBpOI1bI H 6bIBIIIerO COBeTCKOrO COIo3a. B CBOeH cTpaTerHH/40CTH>KeH1434 3,4OpOBbA ,QAA BceX PerHOHaAbHOe 61Opo OcymeCTBAAeT ,QeATeAbHOCTbIIO TM OCHOBHbIM HanpaBAeHHAM: 06eCne`IenHe 06pa3a >KH3HH, cII0006CTByK)L.nerOCOXpaHeHHIO H yKpeHAeHHIO 340p0BbA, 3,4op0B0H OKpy>KaIOn[eH Cpe,QbI NCOOTBeTCTByIOIIZHX CAy>K.6 IIpo(pHAaKTHKH, AegeHHA H yXO,Qa.

AA EBpOHeHCKOrO perHOHa XapaKTepIlbl TaK>Ke IIaAHeIHe 60AbIIIOro nHCAa513b1KOB, Ha KOTOpbIX rOBOpAT HaceAAtUn[He ero HapOJn,I, H CBA3aHHble cTHMTpyQHOCTH paCllpOCTpaHeHHA HH(pOpMaIiHH Cpe/m TeX, KTO B Hei Hy>K,d,aeTCA.PerHoHaAbHOe 6K)p0 OXOTHO yZ[OBAeTBOpAeT IIpoCb6bl O npe,QOCTaBAeHHH npaB HanepeBO,Q cBOHX KHHr Ha ApyrHe A3bIKH.

Page 3: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BceMHpxaA opranH3auxx 3ApaBOOxpaxenxxEBponeHcxoe perxoxa.nbxoe 6Fopo

KoneHrareH

AI[KoroJm H cpeAcTBaMaccosog HxciclopMauHH

Marjatta MontonenYxaepcumem a Xenbcuxxu

0uXnfZHÔuSI

IZy6rrxxauxH PerHoxanbnoro 6ropo B03, EsponeïicxaA cep Na 62

Page 4: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

ISBN 92 890 4326 1ISSN 0258 -4972

Esponeïicxoe per}1oxanblloe 61opo BceMHpxoH opraxH3au}1H 3npaso-oxpaxeHHS1 OXOTHO yAosneTSopxer o6palueHHx c 11poc1,60ii pa3peHIHTbnepenegaTKy nH6o nepesou ny6nxxauHH tiaCTHSHO HJIH nonxocTblo.3axaneHHS H 3anpocbi cneuyer HanpasnslTb B fiIOpo ny6nHKauHHEBponeilcxoro per}1ollanbxoro 6iopo B03 no anpecy: Sherfigsvej 8, DK-2100 Copenhagen, Denmark. Elopo OXOTHO npenocrasHT nocnenHloioHH(pOpMauHIO O KaKHX-31}160 H3MeHeHHSIX B TeKCTe, 0 rUIaHaX HOBbIXH3naHHH, a TaKxCe o6 rice HMeKHIZHXCâ nepeneLIaTKaX H nepesOnax.

BceMHpHaA OpraHH3auHSI 3jTpaBoOXpaHeHHA, 1998 r.

Ha rry6nHKauHH BCeMHpHOH opraHH3auHH 3upaBOOxpaxeHl-IS1 pacnpo-crpaHSnorcA, c Coxpaxex}1eM 3a Heil Bcex npas, nonoxceHHA nporoxona 2BceM1WxoH KOIIBCHUHH no oxpaHe asTOpCKHx npas.

O6o3HatieHHA, Hcnonb3yeMble B HacTOSIIIje}i IIy6nHKauHH, H npHBeneHHble BHe1i MaTepHanbl He oTpa)KaloT MHeHHe CexpeTapHaTa BceMHpxo}iopraHH3auHH 3npasooxpaxeHHA o IopH.gmecxoM craryce Kaxog-nH6oCTpaHbl, TeppHTOpHH, ropOna nH6o pariOHa H Hx opraxos BnaCTH RH60B3rJIAnbI O J.[enHMHTauHH HX rpaHHU. Ha3BaH1151 CTpaH HRH TeppHTOpHH,HCnORb3yeMble B HaCTOSIIL[eÎ1 ny6nHKauH}1, COOTBeTCTByiOT Ha3BaHHSIM,1,13BeCTHbIM B nepxoA nOnrOTOBKH H3,TTaHHA naHHOH KHHrH Ha 513bIKeopHrHHana.

YnOMHHaHHe KOHKpeTHbIX KOMnaH}1ti H31H npO,TTyKuHH OTne31bHbIX

H3rOTOBHTeneii He 03HaLIaeT, tiro BCeMHpHâA opraHH3aUHA 3,TTpa-

BOOXpaHeHHA nOjljlep)KiiBaeT H31}1 peKOMeHnyeT HX HRH OTnaCT HMnpejTnoLiTeHHe nepen npyrHlvlH KOMnaHHSIMH HnH H3rOTOBHTeJIAMH, HeynOMAHyTbIMH B TeKCTe. 3a HCKRK)LIeHHCM 0III1460K H npOnyCKOS, Ha3BaHHA

nareHTOBaHHbIX npO,TTyKTOS BbInen5I10TC5I HâYanbHblMH npO1IHCHbIMH

6yxsaMH.

B3rnA,ITbI, BblpaxCeHlbIe B HacTOAHTe1ï Iry6nxxauliH, ABJIHIOTCA B3rn5InaMHa9ropa H He o6A3aTenbxo OrpaxcaloT pemeHHA HJmH o(i)HuxanbHylo nonHTHKyBCeMHpxorl opraHH3alul}1 3npasooxpaxeHHA.

HAIIELIATAHO B gAHHI4

Page 5: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

C epwa Hit eC1111J.

1. AJIKOI'OJIbHASI IIOJIHTHKA H CPEACTBAMACCOBOÏi HHOOPMAII;HH 1

IIPHHLjHIIbI COLjHAAbHOï-i IIPOïIATAHAbI 4IIPOCBELuEHHE, PEKJIAMA H IIOJIHTHKA OBlljECTBEHHOI'O

3APABOOXPAHEHHSI 8

CPEACTBA MACCOB01ï HHOOPMALjHH, OBLLjECTBEHHOCTb H

AJIKOI'OJIbHASI IIOJIHTHKA 10

2. AHTHAJIKOI'OJIbHOE IIPOCBELL[EHHE 15

LLIHPOTA H BOCIIPHHMTiHBOCTb 19

POJIb TEOPHH B PA3BHTHH H OLjEHKE IIPOI'PAMMbI 21

POJIb OL[EHO1IHbIX HCCJIEAOBAHHI7i B PA3BHTHH H

BbII10JIHEHHH IIPOITAMMbI 39ICIIOJIb3OBAHHE CPEACTB MACCOBOi%i HHOOPMALjHH AJISI

IIOBbILIIEHHSI OCBEAOMJIEHHOCTH H PACIIPOCTPAHEHHSI

HHOOPMAL[HH OB AJIKOI'OJIE 59

3. PEKJIAMA AJIKOI'OJISI 79

COAEP)iCAHHE H 3NnEKTbI PEKJIAMbI AJIKOI'OJISI 80KOHTPOJIb PEKJIAMbI AJIKOI'OJISI 101

4. IIPERCTABJIEHHE AJIKOI'OJISI B CPELICTBAXMACCOBOIi HHOOPMALIHH 124

PA3BJIEKATEJIbHOE TEJIEBHAEHHE 126

HOBOCTH 140PAEOTA CO CPEACTBAMH MACCOBOÎI HHQ>OPMALjHH 150

CIIHCOK JIHTEPATYPbI 172

Page 6: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

1

anKOronbHMII1OJ11ATV1KA M CPE,q,CTBA

MACCOBOVIVIHDOPMAUVIVI

B TetIeHHe IIOCne,IZHIiX AByX j[eCATI-iJIeTHI3 6b1no ony6nHKOSaxoMHOxCECTBO OTLIeTOB H o63opoB no npo6neMaM, OTHOCALIHIMCA KanKOPORIO H CpeACTBaM MaCCOBOïi HHI130pMaLjHH. BOnbIHaA LIaCTb 3TO14

RHTepaTypbI 6bina C(poKyCHpoBaHa Ha TOM, KâKHM 06pa3OM CpeACTBaMaCCOBON HH(1)opMagxH BHOCAT CBOI%I BKnaA B (1)opMHpoBaHHe palm

anKOPOnA B 061IZeCTBe, oco6eHHo B COXpaHeHHe HRH H3MeHeHHenHTei-IHbIX npHBbILIeK, HRH )ICe B pâ3BHTHe HRH npOCiHnaKTHKyCBA3aHHbIX C anKOroneM np06neM. B AâHHOM 063ope OCHOBHOe BHH-MaHHe y,t(eneHo HCCJIe,IjOBaHHAM B TpeX 06naCTAX: aHTHâRKOPORbHble

IIpOCBeTHTenbHble HpOrpaMMbl H KaMIIaHHH; pexnaMa =corona;H3o6pa3KeHHe aRKOPORA Ha TeneBHABHHH H B IIpeCCe.

TaK KaK yxce ,ReJIanHCb o63opbl ony6nHKOBaHHOIi B 1970-x H BHaLIane 1980-x rOAOB HayLIHOn nHTepaTypbi n0 aRKOrORIO H

CpeACTSaM MaCCOBOIi HH(popMaLjHH, HanpHMep B 6onee paxxeHny6RHKauHH EsponeHcxoro perHOxanbxoro 61opo B03 (1),HaCTOALIIHI%I o630p yJjenHT HaH60nbIHee BHHMaHHe TeHAeHLjHAM Hnpo6neMaM, OIIHCaHHbIM B nHTepaType, OIIy6nHKOBaHHOIi cCepeAHHbI 1980-x rOAOB. O6o3pesaeMaA nHTepaTypa nOCTynlina BOCHOBHOM H3 3anaJjHOesponeNCxNX H CeBepoaMepHKaHCxHx CTpaH,oTpaxcaA reorpallHgecxoe pacnpocTpaxeHHe OCHOBHOi MaCCb1

ny6nxxaL(Hli H H3AaTenbCKHx KaHaJIOB.

1

Page 7: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

AHTxanKOrOnbHOe npocseILJeHHe - 3TO OHO H3 HaH6onee 4acToHCIIOnb3yeMbIX CpeACTB nepBH4HOri np0tHJIaKTHKH anKOrOnbHbIXnpo6neM. npe,gnonaraeTCâ, 4TO HH(l)opMHposaHHe nlo,aeli o6aJIKOrone H O CBSI3aHHOM C BbInHBKaMH pHCKe 6yAeT Cn0006CTBOBaTb

(l)OpMHpOBaHHiO He6narOnpHSITHOrO OTHOLIIeHHSI K BbIHHBKaM,

KOTOpOe, B CBOiO 04epeAb, npHBeAeT K H3MeHeHHiO KaCaiOLnerOCSIanKOrOnSi nOBeAeHH51. Ha npOciHnaKTH4eCKOe 06y4eHHe B03naraK)T60nbLIIHe HaAe)icAbl, XOTSi ASHHble HCCneAOBâHHH IIOKa3bIBaIOT, TiTO

npoCBeTHTenbHble Mepbl peAKO 6bIBaiOT 3C14eKTHBHbIMH. O61I.4HiiBbIBOA, KOTOpbIF1 MO)ICHO CAenaTb H3 npe,ubIAyIIZHX 063opOB (2-13),COCTOHT B TOM, T-ITO aHTHanKOronbHOe npoCBeineHHe npOCBeLilaeT, HO

caMO n0 ce6e peAKO BnHSieT Ha nOBeAeHHe. rnaBa 2 pacCMaTpHBaeTOrpaHH4eHHSI npOliHnaKTHLieCKOrO npOCBeLLjeHHSI, o6cyxcAaeTHeKOTOpble npeAnO)KeHHSi n0 ero yny4LUexHlo, CAenaHHble B

nHTepaType, a TaKxce OnxcbIBaeT pslJi HeAasHHX HHHIjHaTHB B 3TOiio6nacTH.

ge6aTbl O peKnaMe anKOrOnSi COCpeAOTO4eHbI Ha TOM BnHSIHHH,KOTOpOe oHa OKâ3bIBaeT Ha tOpMHpOBaHHe 1103HLjIiH nH4HOCTH H06LgeCTBa B OTHOLIIeHHH anK01On5{. 3MnHpH4eCKHe HCCne,gOBaHHSi B

OCHOBHOM yAensiioT BHHMaHHe npSIMOMy AerICTBHK) peKnaMbI Hacy)ICAeHHSt, OTHOILIeHHSi H nOBeAeHHe OTAenbHblX nH4HOCTeri HnH )Ke

(Ha MaKpOypOBHe) npSIMOMy JjeriCTBHiO peiCJlaMbl Ha nOTpe6neHHeanKOronSt. B p5i,ge 0630pOB (14-21) OTMe4eH0, 4TO 60nbIIIHHCTBOnOny4eHHbIX pe3ynbTaTOB HeOaHO3HaT-IHO H He 1103BOn5IeT npHrITH KSICHbIM BbIBOAaM. HCCne,gOBaHHS, npOBe,aeHHb1e C KOHna 80-X rr.,yCHnHJIH JZOKa3aTenbCT3a TOrO, T-ITO pexnaMa arIKOrOJLSI OKa3bIBaeTB03Ae1iCTBHe Ha noTpe6nexxe anxoronsl KaK Ha HHAHBHAyanbHOM,TaK H Ha 0606LIjeHHOM ypOBHe. 3T0 AaTiO 60nee BecKHe OCHOBbI AnSitOpMynHpOBaHHSi nOJIHTHKH B OTHOIIIeHHH peKnaMbI ânKOf OnSI.ICCneAOBaHHSt peKnaMbl aIIKOronSi, a TaK)ice pa3nH4Hb1e nOJjXOAbI KKOHTpOnIO TaKO1ï peKnaMbl, OnHCaHbI B rnaBe 3.

H306paaceHHe ânKOrOJISi B HOBOCTSIX H pa3BneKaTenbHbIXnporpaMMâX aHanH3HpOBanOCb BO MHOrHX HeAaBHHX HCCneAOBaHHSIX

co,qepxcaHHS1 COO61ueHHrl CpeACTB MaCCOBOIï HHtopMagHH. 3THHCCneAOBaHHSI CIDHKCHpOBanH noxa3blBalounlecSt ny6nHKe o6pa3bl HTeMbI H H3yTianH, KaK CB513aHHOe C âI1KOrOneM COAep)ICaHHe MeHSfeTCSI

C Te4eHHeM BpeMeHH. HHTepec y4eHbIX K H3o6pa)KeHHio anKOrO1151 BCpeACTBâX MaCCOBOM HHCl3OpManHH 06bI4HO OCHOBbIBaeTCSi Ha

npeAnOJIO)KeHHH, 4TO OHH HrpaIOT Ba)KHyio pOnb B tOpMHpOBaHHH

2

Page 8: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Noa000Ew 3CEB.LO17ado $ o1a aNHalraEiotiadu H KU01oxUE EwEirxad `axxamaaoodU 0OH41101OxirEH.LHE (Zfr-pfr) xEdo£go XHHBErtaH g

(6£ `g£ `j) HH.LKxduodaw

XI4H41raLH3.aa0Od[I H100H8H.LxaCPCP6 KHHEBOÛa1rOOH 10IEa14.LEaX0 a)1CxEL aH1XdTt MEN E17101 `(Z£-/E) HHTIEwdocjHH HOâo00Ew

a.LoTtado HHHarng000 KNHExcdal7oo E£HIreHE H 14wE1rxad NHHEaollauooH I4.LEL4IriC£ad HIrHHHI70490 aodo£go Mid 'HHHEa01701r00H xEdo£go

a w0£Ed90 wI4H8EU1 KO.LOIEBHd.LE14100Ed oHl.oawa00 HH11EwdOCpHH

HOHHafi.LOalllgO I4wd0ET) 014HhHI1tEd 'OHEIr0110 o11I99 OH `X.NOINHTlHa

-OU 'OIE OH `K1-1H01110a0odU o10H41fo1OxlfEH,LHE 01oHHaa100111g0

N104.90 9i00hX K04.LE.LI4uOU 149 HIf1Ow aHHaU9ad.tou EH KIf010xIfE i4wElrxad KHa,LOHatt£Oa O1OHHaa0dX0dxEw KHHEaoita1r0014 xxrtad

E141400â `(pF) HH11EwdocPHH H0a000Ew a.loltado HHHamg000 KNaio -Ha17£Oa O1OH41rEH11Ha.lOU HIrH (6Z) iSHH21uaa0Odu O10H4IfO1Ox1rEH.LHE

H.LOOHaH.L)iaCPCPE HOH4UEHTIHa,LOU KNHahX£H KIfi7 aI4HHEit a14HHa111gOgo aHmOa£4UOUGH `KHHE8O170If00x 'aHHamaaOOdU 0OH9I1010xIrEH.LHE

axC HUH aoirEHda.LEw H wwEdlodu waUOloxIrE 0 XI4HHE£Ka0 xN1Xdtt H d.lowoodu aHHEwHHa Oa LOIEwHHHdu oxl7ad `aHaodX

wOH4UEfi11Haxï1HN EH K1ro1OxUE I4wElrxad Ed.lowoodu aHa.LOHaIi£oa aH1i101Eh/C£H `14109Ed 'KO.LaE8I41HhiC OH OHhI490 aOdO.LxECI3 XH.LE

aHHKHUa wwEdlOdu 314H4Ua.lH.L3a0Odu axHaTIO Hdu OH `HH11EwdocI)HH

H08000Ew XEa.loltado a KU01oxIrE wE£Edgo w14HH H iS11O1OxIfE

awEirxad x Ko41.ErnEd90 1.Â.iow `I4HEaOHOO HHO XI9do1Ax EH `HHdoa.L

H KH1KHduodaw ai4H4Ua1.H,laa00dil 'HZ0oH4Ua17.LO ou xH .lOisaHd -1.Ewoosd `oUNaEdu xex `KHHEaortalrooH aHxoahHdHUwe `1%1o1/Cd17 o

1,Cd17 10iEhHHd0u0o H OHHawadaoHlro 101Âal.00miç0 `141t0do HoxoahHlr -OawHO Ha111EH H111E1.HawaU6 HwI4HxCEg KO.LO1KUaK HH11EwdOCPHH

HoaooaEw xEaiollado a KUOloxirE aHHalraE.loTtadu H KtrOlOxIrE EwEUxad `axxarilaaoodu 0OH411O1OxIrEH1.HE 00HHaa1001119O K.LOX

't 0aE11 1 a Ko.LOlEaxd.LEwOoEd HNTIEwdO4)HH Hoa000Ew xEaioltado Ei KUO1OxUE waHHaUBE.LOTtadU KOaHmOIENIHHE£ `KiiHEaOTtaUOOx

'XKNHEI7£H H XEwwEdlOdU XI4H41/01.ExaUa£Ed a xE.l `XK,LOOBOH a xEx KUO10xirE £Edgo 41.1IH0w£H xO.l14UOU X14HhHU£Ed axCxE.L E `HHHaT11g000

waUOlOxirE 0 XI4HHE£Ka0 1,1OxH119XlI Ki3.LKNduooa KHHEao17aU00H

I4Hahaw.LO aOitoXT7oU XI41-111XEH XHH8E1taH HTtadp HNTIEwdOHN

11OBO00E1A1 EaLOûadO (gZ-£Z) 019HHOd1J1aU6 H xE1 `(ZZ) a14H1.Ehau

MEN 40H1rEhAH OHaHOHa.LHH a171 Vii-D a wOHBOHOO a 4ONIfN17OaOdU

KHHE8O17aU0014 IIxH LHUOU N0H4U01oxIfE i9daw H I9w0i1'9odu

walrolOxlrE 0 aI4HHE£Ka0 `HxaHU14a `4UO10xIrE EH HaitoiU aoTIKU1£a

Page 9: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HH(kOpMauHH H3y'iânOCb B KOHTeKCTe uIHpOKOrI nOJIHTHKH O6HZeCT-

BeHHOTO 3ApaBOOXpaHeHHA B OTHOUICHHH anKOrOnA. B 3THX 0630paX

rnasHOe BHHMaHHe, KaK npaBHno, yJZenAnocb BOnpOCaM 3(1Y.keKTHB-HOCTH, TO eCTb HaCKOnbKO XopOUia npOCBeTHTenbHâA CTpaTerHA KIMxce CTpaTerHA OrpaHH4eHH2 peKnaMbl ânKOrOnA no CpaBHeHHIO CHHbIMH CTpaTerHSiMH, HanpaBneHHbIMH Ha np0(kHnaKTHKy CBA3aHHbIX

c anKOrOnem np06neM.

O6uuerl 4epTori aHTHâJIKOrOnbHOrO npOCBeIileHHA H KOHTpOnApexnaMbl anKOronA ABnAeTCA TO, 4TO o6e cTpaTerHH Hanpasnexbl HanHLIHOCTb. C4HTaeTC5I, LITO CB513aHHOe C anxoroneM nOBeAeHHe3aBHCHT OT HH,qHBHJ.iyânbHbIX peuleHHl-i, H 4TO HMeHHO camanH'iHOCTb HeCeT OTBeTCTBeHHOCTb 3a csOe 3,3OpOBbe. 1-lOJiXOJibI, B

ueHTpe KOTOpbIX CTOHT HH,IjHBHZ[yanbHâA OTBeTCTBeHHOCTb H

HH,EIHBHJZyanbxble 1,13MexeHHA, HrxopHpyiOT ynpaBnAlouiHe nOBeJie-HHeM COuHânbHble IkaKTopbl, BKnIO'iaA pa3nHLiHble ckOpMbI JiaBneHHAH npHHy-AcneHHA CO CTOpOHbI OKpy)KeHHA, KOTOpble OrpaHH'iHBafOT

HHJiHBHJiyanbHblri Bb160p. 110 JiaHHbIM HMeIOLuHXCA Hay4HbIX

HCCne,qOBaHHri, -rame CTpaTerHH OKâ3ânHCb ropa3uo Mexee31lypeICTHBHbIMH, 4eM HanpaBneHHble Ha KOHTpOnb H H3MeHeHHeCOOTBeTCTByiOUZHX IbaKTOpoB OKpyxcalouieri niolieFi 06CTaHOBKH. KTaKHM CTpaTerHSIM OTHOCATCA Mepbl, HaueneHHble Ha (l)H3H9ecKyiO H3KOHOMH'IeCKyI0 .gOCTynHOCTb ânKOrOnA, 04:1HuHanbHblli COUHânbHbIri

KOHTpOnb CB513aHHOTO C anKorOnem nOBej(eHHA (HanpHMep, 3aKOHbI OBO>iCj.[eHHH B HeTpe3BOM COCTOAHHH) H ulHpoKOMaCuITa6Hble JieIiCTBHA

Ha McCTHOM ypOBHe, HaueJleHHble Ha H3MeHeHHe CJIO)KIiBUIeriCA BJiaHHOri McCTHOCTH npaKTHKH nOTpe6neHHA anKOrOnA.

f1P14HLAVIf1bI COLIVIAJ1bHO0 I1POf1AFAH,C(bI

Pa3JieneHHe o6uieCTBeHHOri HH(kopMauHH o6 anxorone Ha OTAenbHbleo6naCTH, TaKHe KaK aHTHanKOronbHOe npocseuieHHe, peKnamaanxoronA H HHOe ero H3o6pa)KeHHe B CpeJ.iCTSax Ma000BOFI

HHIkOpMauHH, yilyCKaeT B3aHMOCB513H Mexcny 3THMH 06naCTAMH H

AaeT HeBepHblri B3Tn51,134 Ha Ty pOnb, KaKyK) O6uieCTBeHHaA

HHci3OpMauHSI HrpaeT B COBpeMeHHOM 061ueCTBe.

OJiHOri H3 npH'IHH orpaHH4eHHOro ycnexa aHTHanxoronbHOronpOCBeuieHHA ABnAeTCA TO, 'ITO OHO 60peTCA C naBHHOri COO6ujeHHri,

4

Page 10: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

nponaraHJ.IHpyK)IuHX noTpe6neHHe anKOrOnA. IlepBFI9HbIM xCTOiIHH-KOM npOâJIKOrOnbHbIX C0061LjeHHli ABnAeTCR Cama COLtHanbHâR

peanbHOCTb, IIIHpOKâA H HarnR,gHaA AOCTynHOCTb aJIKOrOnbHbIXHaIIHTKOB, a TaK)Ke npHCyTCTBHe H npHeMJIeMOCTb anKOTOnA BOMHO)KeCTBe exceZ[HeBHbIX cHTyaL[Hii H ycnoBHli. Ha nOHHMaHHeniOl(bMH CB513aHHbIX CO 3,11opOBbeM BOnpOCOB noBCenHeBHblil OMIT

OKa3bIBaeT 6onee CHnbHOe BnHAHHe, LieM nK)6aR npe,gOCTaBnReMaR

HHutlOpMaLjliA (13, 43). Pa3yMHbIe COBeTbI TeX, KTO npoBOAHTaHTHanKOronbHOe npOCBelLjeHHe, LiaCTO JÿHCKpenHTHpyiOTCSi nHLIHbIM

OnbITOM COLIHaJIbHbIX HOpM H noBejjeHHSI.

3T0, OjjHaKO, He O3HaLIaeT, LiTo COO61ueHHA o6 anKOTOne HeHrpalOT HHKaKOi pOJIH B cl)OpMHpOBaHHH y6e)KAeHHH H npeACTaBne-HHI-1 nK)Aelï. TaK KaK MaciiITa6bi HaüIerO HenOCpenCTBeHHOro onblTaOrpaHHLleHbi, MHOrHe 143 HauIHX B3rn51,E1OB OCHOBaHbI Ha TOM, LITO MbI

y3HanH OT ApyrHx nloneÎ-i HIM H3 CpeACTB MaCCOBOii HHCipOpManHH.CpeACTBa H4OpMaLji-114 nepeJZaiOT yCTOIiiIHBbIIi HOTOK 06pa3oB HB3rnAA0B 06 anKOCOJIe H BbInHBKaX. 3TH o6pa3bl, KaK npaBHno,npejlCTaBJIA)OT noTpe6neHHe anKOronA KaK 6e3Bpe,gHOe jZenO,

yManLIHBâSi O nOTeHLIHanbHOM pHCKe j(JIA 3AOp0B1351 H HHbIX

HeraTHBHbIX nOCnejjCTBHAX. KOrAa xce Cpe1ICTBa HH(bOpMaLjHH ace 7iCe

OnHCbIBaIOT HeraTHBHble COIjHaJIbHbie, 3KOHOMHLieCKHe HRH

MeAHLIHHCKHe nOCnej?;CTBHA, OHH CTpeMRTCR npe,gCTaBHTb HX CKOpee

KaK CnyLlaI-iHble 6ejjcTBHA, LIeM KaK HeOTbeMneMblii pHCK

nOTpe6neHHAânKOTOnA.

II03HLjHA aHTHanKOTOnbHOTO npOCBeLLjeHHA B 3TOM KOHTeKCTe

MO)KeT 6bITb HCCneZjOBaHa B CBeTe KnacCHLIecKHX npHHIAHrIOB

COHHâJIbHOH nponaraHRbi (44). gnA TOrO LIT06b1 061IxeCTBeHHOeaHTHânKOTOnbHOe npOCBeLiieHHe HMeno 3aMeTHOe B03neFiCTBHe,

He06XOnHMO BbII1oJIHHTb XOTA 6bI OHO 143 TpeX yCJIOBHii: MOHO-nOnH3aLjHA, B CMbICne OTCyrCTBHA KOHKypHpyK)LLjHX C0061I4eHHH;

HCnOnb30BaHHe HajjJIe)KauwX KaHanOB, LITO 03HatIaeT onopy BOCHOBHOM Ha CyLgeCTByK)LIme y6e)KgeHHA H OTHOIIIeHHA, a He HanOnblTKy CO3AaTb HOBble; no,gKperLlleHHe C0O6LLieHHFi CpeACTB

MaCCOBOIi HH(l)OpManHH Me)KJIH1IHOCTHOl3 HH4IOpMaL[Heiï.

MOHOIIOnH3aqHA HeB03MO)KHa CpenH npOLIerO no TOIi npHLiHHe,LITO B 6011bIIIHHCTBe CTpaH cyulecTByeT pexnama anKOrOnA. XOTAaHTHânKOTOnbHOe npOCBeuZeHHe MO)KeT CTOHTb 60nbllle, gem ni06bleHHble npOckHJIaKTHLIeCKHe AeMCTBHA, 3TH paCXO,abI HHLTTO)KHbI no

5

Page 11: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

cpasxexHlo c pacxoAaMH Ha pexnaMy anxoronsr. IIo cpasxexHlo cpecypcaMH, KoTOpble HaxOZ13ITCSI B pacnopsUKexxx Tex, KTO

pexnaMHpyeT anxoronb, pecypcbt yHpe)KAexHrl o61uecTBel-IHoro3ApaBOOXpaHeHHSi CTOnb OrpaHHiieHbI, LITO KpaiiHe MânOBepOSITHO,LITO o6beM npoCBeTHTenbHblX COO6LL[eHHIï CMO)KeT CpaBHHTbCSi HnM

npesblcHTb o6beM C006LL(eHHri, npoiIaraH,IjHpyioLIjHX anxoronb -KOHe*iHO, eCJIH He OrpaHHLIHTb CypOBO 06'beM TaKHX C006LL(eHHL3 npH

nOMOLIM BHeILiHerO KOHTPOnâ.

TeKyLIjasi CHTyaL(HSi MO)KeT 6bITb npOHnnK)CTpHpoBaHa AaHHbIMH

HCCneJ.OBaHHii 0 pacnpOCTpaHeHHOCTH anKOrOnbHOi3 peKnaMbl HaTeneBHAeHHH. B HenaBHeM HCCnezjOBaHHH 6bIJIO H3y'YCHO 444 CIIOp-THBHbIX TenenpOrpaMM CHIA H 06Hapy)KeHo 25 c0o6LueHHH, HaLje-neHHbIX Ha npOIiHJIaKTHKy CB5I3aHHbIX C ânKOrOneM IIp06neM HnH HayMepeHHOCTb, H 685 coo6iuexHrl, KOTOpble nponaraHAHpOBanH anKO-ronb (45). B npyrOM HCCneJjoBaHHH H3ÿtIeHO 104 Haca TenenpOrpaMMBenHxo6pHTaxHH H BbISIBJIeHO 1258 peKnaMHbIX coo6urexHH o6anxorone H He oAHOro aHTHaTIKOronbx01-0 (46).

HarnsIJ.ZHOCTb KoMMep4ecxoii peKJIaMbt B rna3ax O6u1eCTBeH-HOCTH MO)KeT 6bITb BbICOKOii, ga)Ke ecnH o6beM peKnaMbI BOIIpeaeneHHOrI CTeneHH OrpaHHmeH. B BbInoJIHeHHOM B HOBOIi 3e1IaH-JIHH JInHTenbHOM HCCnenOBaHHH y 670 pecnOHJjeHTOB CnpOCHJIH - HeyKa3bISasl onpeJZeneHHbIH nepHOn BpeMeHH - BH,genH HnH cnbILLIanHnH OHH LITO-nH6o o6 anKOrone B CpeacTBaX MaccosoH HH(popMaL[HH(47). B 1985/1986 roAax, 'corna pecnoHJZeHToM 6bulo no 13 neT,CpeRH TeX coo6LLjeHHFI o6 anxorone, KOTOpble OHM BCIIOMHHJIH,peKJIaMa anxoronSL CoCTaBMna 38% , TorJja KaK yMepexxbieCOO6neHHSi - 40% , a H3o6paxceHMSI anxoronSi B pa3snexaTenbxbIXnporpaMMax - 22% . CpeAH coo61ueHHrl, KoTOpbie Te xce pecnoHneH-TbI BCnoMHHnH B 1987/1988 roJjax, peiulaMa anKOronsi cocTaBMna58%, yMepeHHbie C0o6ureHHSI - 19%, a H306pa)KeHHSi B pa3BneKa-TenbHbIX nporpaMMax - 23%. Co BpeMeHH nepsoro HHTepBbK) noTeneBHJZeHHiO HOBo4i 3enaHnHM 6bino nepenaHo MHO)KeCTBO co061ue-HHri C IIpH3bIBOM K yMepeHHOCTH. E,aMHCTBeHHbIMH pa3peLLIeHHbIMH

BHaaMH peKnaMbI 6binH CIIOHCOpCKâsi H KOpIIOpaTHBHâH peKnaMa.He3a,aOnrO Z(O npOBeJ1;eHHSi BTOP000 onpoca B peKnaMHOri npaKTHKe11pO143OIIInH H3MeHeHHSI, nO3BOnHBLLIHe IIHBHbIM KOMnaHMSIM

14C11Onb3OBaTb Hâ3BaHHSI COpTOB B HX peKnaMHbIX C0061ueHHSIX, TITO

IIPHBenO K yCHneHHiO nponaraHJjbi anKOrOnSI Ha TeneBHJjeHHH.

6

Page 12: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

B pe3ynbTaTe nposeJleHHOro B KOHLIe 1980-x roJloB B

CDHHJISiH.iZIiH OnpoCa BbISIBneHO, LITO 50% nOJIpOCTKOB B Bo3paCTe 12-

18 neT BCIIOMHHnH, LiTO BHJIenH pexnaMy ânKOrOJ1A B Te'-iexxenocneJIHHX 4 HeJlenb (48). 'gaule BcerO OHIi BHJIenH TaKyiO pexnaMyHa TeneBHJIeHHH. Bo BpeMeHa onpoca eJIHHCTBeHHbIM pa3peLLieHHbIMBHJIOM peKnaMbl 6bina peKnaMa Cna60anKOrOnbHOrO miBa, KOTOpaAHCIIOnb30Banacb nHBHbIMH KOMnaHHAMH JInA KOCBeHHOFI peKnaMbi

06bpiFiOrO misa. B KOHLIe 1980-x rojZOB pacXOnbI Ha pexnaMycna60anKOrOnbHOCO nHBa COCTaBHJIH 20% OT CTOHMOCTH npOJlaxcHTaKOCO misa H 6binH B TpH pana BbIIIIe paCXOJjOB Ha 06uIeCTBeHHOeaHTHanKOronbHOe npOCBeilleHHe (49).

HeyJIHBHTenbHO, LiTO npOCBeTHTenbHbMe MepOnpHSiTHSi peJIKOJI06HBaiOTC51 ycneXa B H3MeHeHHH nOBeJIeHHA. OHH npOCTO TOHyT BLnHpOKOM IIOTOKe C0o6uIeHHii, nOKa3bIBaiOLI]:HX COLIHâJIbHyiO npHeM-

neMOCTb H BbICOKHri ypOBeHb pacnpOCTpaHeHHOCTH nOTpe6neHHSianKOronSi. bOnbuiâA YaCTb 3THX c0061LIeHHH - 3T0 KOMMepLieCKâSIpeKnaMa, H306pa)icaK>LLIâH noTpe6neHHe anK000n31 KaK CyLLIeCTBeHHbIH

KOMIIOHeHT )KenaeMOCO CTHnA )KH3H1-1.

CTpaTerHH HCIIOnb30BaHHA HaJLJIe)KaIIIHX KaHanOB H

nOJlKpenneHHA C006LqeHHri TaKNCe 60nee XapaKTepHbI JIJIA peKnaMbianKOronA, =ieM ,tins aHTHanKOrOnbHOro npOCBeILjeHHA. PeKnaMHbleKOMMepi-feCKHe KaMnaHHH, OCHOBaHHble Ha aHanH3âX pa3JleneHHApbIHKa H OnpOCâX MHeHHri noTpe6HTeneli, nOCTpOBHbI BOKpyrCynjeCTByiOLIIHX y6e)KjjeHHrl, OTHOUIeHHrI H LIeHHOCTeii (50). PeKnaMaânKOronA He CTOnbKO nblTaeTCA H3MeHHTb KynbTypaJIbHble MOJIenH,CKOnbKO pacLÜHpAeT H ycHnHBaeT CyILIeCTBOBaBIIIHe paHeeTeHJIeHLIHH, nOnlJlepxcHBaioulHe n03HLIHH anKOI'onA B COBpeMeHHOM06LLIecTBe. rnaBHâA CTpaTerHA nponaraHllbi BnKOronA COCTOHT B TOM,LiTO6bI He OnHpaTbCA Ha eJIHHHtIHOe COO61LIeHHe HnH eJ.IHHHtiHyiOKaMnaHHiO, a Ha COBMeCTHOe JIerICTBHe pa3HOO6pa3HbIX CO06uIeHHi%I H

KaHânOB HHdoOpMaLjHH. IIpAMaA peKJlaMa no KaHBnaM CpezICTBMaCCOBON - 3T0 TOnbKO OJIHH H3 npHMepOS 113 Ha60paBHJIOB npOnaraHJIHCTCKOrI JIeATenbHOCTH. gpyrHMH TaKTHKaMH,HCIIOnb3yeMbIMH nojljlep>KaHHA BHJIHMOCTH aTIKOCOnbHbIX

npOnyKTOB, SIBnAiOTCH CIIOHCOpHpoBaHHe CIIOpTHBHbIX H KynbTypHbIX

MepOnpliATHri, pexnaMa B McCTaX npoJlaxcH BnKOronA, nHTeMHbMenpHHa,gJIe)KHOCTH H JlpyrHe npoJlyKTbl C H3o6pa)KeHHeM Ha3BaHHHCOpTOB HJIH CHMBOJIOB, a TaiUKe pa3MemeHHe npoJlyKTOB B

coJlepxcaxxH pa3BnexaTenbHblx nporpaMM.

7

Page 13: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

B npOIIInOM (TaK )Ke KâK H B aHTHanK01-0nbHOM npOCBeLgeHHH)

rnaBHoe BHHMaHHe ynenAllOCb HanpaBneHHOCTH HHckOpMaIjHH HaOnpeneneHHyIO ayJ);HTOpHIO H pa3pa6oTKe C006LIteHHrl, KOTOpble

CooTBeTCTByIOT Z[axxOli rpynne H npHeMneM6I JuIA Hee (51-53). Y)Ke

He O)KiinaeTCA, 4T0 e,LuHHH4Hble KaMnaHHH H npOrpaMMbI MOryTJZo61-1TbC5I 3Ha4HTenbHbIX H nJIHTenbHblX H3MeHeHHii B nOTpe6neHHH

anKOronA. AHTHanKOrOnbHOe npocaeliteHHe ace 6onee BOCnpHHH-MaeTCA KaK npOn0JUKHTenbHbie yCHnHA, KOTOpble MOryT CnOCO6CTBO-

BaTb nOCTeneHHOii nepeMeHe COLjHâJIbHOrO KnHMaTa, OKpy)KaiOLlterO

noTpe6neHHe anKOrOnA. ,genaeTCA 60nbLIIHIi ynop Ha HCIIOnb3oBaHHe

MHOrHX KaHânOB HHItiopMaljHH H Ha nonnep)Kxy H ycxneHHenpOCBeTHTenbHbIX KaMnaHl7ii C nOMOÜjbK) Me)iUIH4HOCTHOT0 KIM

o6HteCTBeHHOr0 B03neiiCTBH51 (6, 13, 53-57). B 06naCTH IIIKOnbHOrO

aHTHanKOTOnbHOro npocaell(eHHA KnaCCHb1e npOTpaMMbi nOJtKpeIUTA-

IOTCA 06LI.ienIKOnbH0Ft n011HTHKOri, BOBne4eHHeM pOnHTeneri H

COTpyJZHHiieCTBOM C MeCTHbIM C006LIjeCTBOM (3, 5, 8, 9, 12, 13, 58,59). F1pOCBeTHTenbHble HHHLjHaTHBbI ace mante BKnIOmalOTC5I B

npOrpaMMbi np0(i3HnaKTHKH, paCC4H'faHHble Ha BCe MeCTHOe

HaCeneHHe, OCHOBaHHbIe Ha Me)KCeKTOpanbHOM COTPyJZHHiieCTBe HnbiTalOLL[HeCA H3MeHHTb KaK COLtHânbHblri KJIHMaT, TaK H npaKTHKy

ynoTPe6neHHA aJ7KOronA. 3TH npOrpaMMb1 HanpaBneHbi Ha

H3MeHeHH51, KOTOpbIX Henb351 J);oCTHrI-IyTb C nOMOLi.(bIO KaK0r[-nH60

0nHOri CTpaTerHH, HO C nOMOLLtbIO COBMeCTHOTO npHMeHeHHA

HeCKOnbKHX B3aHMHO yCHJIHBafOnZHX CTpaTerHN.

fIPOCBELI.tEHV1E, PEKJ1AMA 1,1 I1O1114TV1KAO6LIAECTBEHHOfO 3,qPABOOXPAHEH1451

PeKnaMa ânKOrOJIA nOn)KHa H3y'-IaTbC51 He B H3OnALIHH H HeTOnbKO B nnaHe ee npAMOro BO3JZerICTBHA Ha nH4HOCTb H HaO6o6njeHHOe nOTpe6neHHe anKOTOnA, a TaKxce KaK BnHAHHe HayCJIOBHA, B KOTOpbIX OCyHteCTBnAeTCA aHTHaJIKOTOnbHOe

npOCBeLIteHHe H B KOTOpbIX rOTOBATCA CB513aHHble C anKOrOneMnOnHTH4eCKHe Mepbl.

PAn HenaBHHX HCCnenOBaHHIi MaKpo-344eKTOB peKnaMblanKOTOJIA Ha noTpe6neHHe nOKa3bIBaeT, 4TO B HaCbILLteHHbIX H 3penblX

pbIHKaX, peKnaMa anKOTOnA, CKopee BCerO, ycHnHBaeT HnH OCna6nAeTCyLqeCTByLOLLjHe TeHneHLtHH (60, 61). B 3KOHOMe'rpH'ieCKHX HCCneno-

Page 14: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BaHHAX MaKpOypoBHA He yLiTeH TaKOI4 acnexr, KaK ponb peKnaMbl BnoAAepxcaHHH 3penblX pbIHKOB B CTa6HnbHOM H HâCbILL[eHHOM

COCTOAHHH (34). C TaKOFi TOLIKH 3peHI-[A, rnasxoFi (11)yHKuHdi

anKOTOnbHOii peKJIaMbI ABnAeTCA 06eCnetieHHe Toro, Lrr06bl capenoTpe6HTenH 3aMeIAanHCb HOBbIMH, a npOCBeTHTenbHble MepbI HecHHxcanH noTpe6neHHe anxoronA. C noMOlnbiO 344eKTOB "MeTa-nocnaHHA" (42) H "ycTaxosnexxA HopM" (13) pexnaMa anxoronACOXpaHAeT COLfHanbHyK) )KenaTenbHOCTb BbIIIHBOK, 3aTeMHAeT pHCK

noTpe6neHHA anxoronA AnA nHLIHOrO H o6üÿeCTBexxoro 3AOpoBbA, aTaiUKe npoTHBOpeLiHT uenAM npo(fHnaKTHKH.

3TH HenpSlMble 344eKTbI CaMH no ce6e rice jtOCTaTOLIHbI ArmonpaBAaHiiA He06X0A14MOCTH KOHTpOnA ofteMa H cO,gep)KaHHA

peKnaMbI anKOronA. C TOLiKH 3peHHA BHeLLIHerO KOHTpOnA peKnaMaanKOronA BeCbMa OTnHLiaeTCA OT HHOro H3o6pa)KeHHA aJIKOTOnA BcpeAcTBax MaCCOBOFI xxcl)opMaLzHH. Tora KaK pexnaMa anxoronAnpeAcTasnAeT c06oli nOCTOAHHblli H OAHOpOAHbIIi nOTOK npo-nHTeHHbIX C0061I1eHHH, H3o6pa)KeHHe anKOTOnA B HOBOCTAX H

pa3B11eKaTenbHbIX nporpaMMaX 6onee pa3Hoo6pa3H0. TorAa KaKH306pa)KeHHe anKOTOnA B CpeACTBâX MaCCOBOIï HH(l3OpManHH MO)KeT

6bITb OXapaKTepH3oBaH0 KaK "HOpMaTHBHbI13 IIIyM" (13), anKO-

rOnbHble peKnaMHble co061LjeHHA - 3TO ABHOe n06yNCAeHHe noKynaTbH ynOTpe6nATb ânKOTOnbHble npOAyKTbI.

IZOABepraTb HOBOCTH HnH pa3BneKaTenbHble nporpaMMbl npAMOiiL(eH3ype, Aaxce B HHTepeCâX 3AOpOBb51 061LjeCTBa, 6bIJI0 6bIHeCOBMecTHMO C npHHuHnaMH AeMOKpaTHLIecKOrO 06LL(ecTBa. BnpOTHBOIIOJIO)KHOCTb 3TOMy, peKnaMa B 60nbLnHHCTBe HHAyCTpHanb-

HbIX CTpaH ABnAeTCA npeAMeTOM OrpaHHLIeHHIi, HanpaBneHHbIX Ha3a1i(HTy noTpe6HTeneH. TaKHe MepbI, BepoATHo, game BcerOHanpaBneHbl Ha npe,goTapalAexxe n0)ICHbIX HRH )Ke BBOAALLfHX B3a6JIy)iCAeHHe c006Li(eHHIi o npOAyKTaX, OrpaHHLIHBâA HX HanpaBneH-HOCTb Ha AeTeH HnH )Ke pelulaMy npOAyKTOB, KOTOpble HMeIOTOTHOLneHHe K 3Aop0BbK), TaKHe KaK neKapcTSa H Ta6aK. Aaxce B TaKOH

CTpaHe KaK CI1.IA, rAe BO3MO)KHOCTb orpaxHLIeHHA pexnaMblanKOronA C nOMOLLjbK) clieAepanbHOrO 3aKOHOAaTenbCTBa LIIHpOKo06CyACAanacb B TetIemte nOcneAHerO AeCATHneTHA, pexnaMa B I.(enOMABnAnaCb npeAMeTOM perynHpOBaHIiA B TeLIeHHe nOLITH BCen HCTOpHH

CTpaHbI, a peKnaMa ânKOTOnA B HaCTOALLjee BpeMA OrpaHHLIeHa B IISITH

LLITâTâX (62). B03M0)KI-IOCTb pacnpOCTpaHeHHA KOHCTIiTyLjHOHHOH

9

Page 15: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

3aLLIHTbI CB060nbI Cnosa Ha KoMMepLIeCKHe COO61LjeHHA He 66inanpenMeTOM o6cy)ICneHHA B CHIA no cepenHHbi 1970-x (63).

XOTA pexnaMa aJIKOronA OKâ3bIBaeT 3aMeTHOe BnHAHHe Ha0fteCTBo, HjOKiIo H36eraTb OLHH60L{HOrO npennon0>KeHHA O TOM, LrrOyCTaHOBneHHe OrpaHHL{eHHIi Ha TaKyiO peKnaMy 6yneT nOCTaTOLIHbIM

nnA TOrO, LITO6bI CHH3HTb ypOBeHb nOTpe6neHHA anKOrOJIA H

CB5I3aHHbIX C HHM npO6neM. TaK)Ke He06XOnHMO H36eraTb olnli6oLI-HOrO npennOnoxceHHA O TOM, LITO HHTeHCHBHOe o6lnecTBexxoeaHTHanKOronbHOe npocseineHHe CMO>iceT n06HTbC3I CylljeCTBeHHbIXCOLjHanbHbIX H3MeHeHHÎd B OTCyTCTBHe nonnepxcHBalouierirOCynapCTBeHHOii nOnHTHKH. 11OTpe6neHHe anKOrOnA - 3TO MHOI'O-CTOpOHHee ABneHHe, npHL{HHbI H nOCnenCTBHA KOTOpOrO

paCnoJIO>KeHbI Ha pa3nHLIHbIX ypOBHAX 6onee LLIHpOKOri COIZi-ianbHOl-i H

(1)H3HLIeCKOii 06CTaHOBKH. CTpaTerHH, 3anyMaHHble H BbIIIOnHAeMble B

H3O115ILZHH, He COOTBeTCTBy{OT KOMILIeKCHOg npxpone CBSI3aHHbiX C

ânKOrOneM npO6neM. T1p0(IJIinaKTliKa 3THX np06neM Tpe6yeTHHTerpHpOBâHHOro nonxona, BKniOL{alOnjero B ce65( HeCKOnbKO

CTpaTerHli, B KOTOpbIX 3TH npO6neMbl BOCnpHHHMaiOTCA CKOpee KaKnapaMeTpbI COI.jHanbHOFI H (11/14314LIeCKOIï O6CTaHOBKH, LIeM OnyCKa-

IOTCSI n0 ypOBHA HHz(HBH,gyanbHOrO nOBeneHHA (64).

1'1MeIOLqHeCA B HaCTOALLjee BpeMA HayL{Hble naHHble n0Ka3bIBaIOT,

LITO HaH6onee 3I1)(1DeKTHBHbIMI{ nonHTHLIeCKHMH CpenCTBaMH

CHH)KeHHA n0Tpe6neHHA ânKOTOnA H CBA3aHHbIX C HHM npo6neMSIBJIAIOTCSI Mepbl KOHTpOnA, B03ncIiCTByIOLIIHe Ha IiH3HLIeCKyfO H3KOHOMHLIeCKyK) nOCTynHOCTb anKOrOnA. O6nleCTBeHHOe npocseLne-HHe H OrpaHHLIeHHA peKnaMbi nOJIyLIHJIH McHbLIIe nonnepxcKH. 3THnBe cTpaTerHH nyLlnIe BCero paCCMaTpHBaTb KâK nonOJIHHTenbHbleKOMHOHeHTbI, KOTOpble MOryr 6bITb HCHOnb3OBaHbI nJIA nonnep)iCKH6onee CHnbHbIX Mep B KOHTOKCTe CKOOpnHHHpOBaHHOii H

BCecTOpoxxeN nOJIHTHKH KOHTponA Han anxoroneM (40-42).

CPE,gCTBA MACCOBON 14HOOPMALI1414,O6LLAECTBEHHOCTb H AJ1KOf Ol1bHAA f1OJ1NTVIKA

OnHOFi H3 (13yHKLIHFi ânKOrOnbHbIX npOCBeTHTenbHbIX nporpaMM

H KaMnaHH3I ABJIAeTCA Ta, LITO OHH BbICTynafOT B KaLieCTBe

ny6nHLIHbIx 3âABneHHii O ponH âJIKOrOnA B o61uecTSe. 3aMerHoe

10

Page 16: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

aHTHanKOrOnbHOe npOCBeuueHHe MO)KeT OTjjeJIHTb anKOronbHbleHanHTKH OT HHbIX nOTpe6HTenbCKHX npOnyKTOB H CJIy)KHTb CHrHäJIOM

T°r0, LIT° CBSI3aHHbIri C anKOrOneM yLuep6 SIBnSIeTCfi npenMeToM06LueCTBeHHorl o3a601IeHHOCTH. AHanOrHLIHO, yCHneHHe KOHTpOnSi 3apeKnaMOH MO)KeT CJIj7KHTb nOKa3aTeneM Bo3paCTaHHSi 03a6OLIeHHOCTH

anKOTOnbHbIMH npo6neMaMH, a HeynaLlH s KOHTpOne pexnaMblanKOTOn51 HnH )Ke n146epanH3aUHSl KOHTpOnSI peKnaMbl MO)KeT

yxa3blBaTb Ha OTCyTCTBHe T3KOrl O3a6OLIeHHOCTH (42, 65). Ilpocse-LueHHe H pexnaMa npocTO cloaKTOM csoero npHCyTCTBHSI HnHOTCyTCTBHSI MOryT B03J1eHCTBOBaTb Ha OKpy)ICaiOLUHii anKOTOnb

COUHanbHblrl KnHMaT H yCJIOBHSi, B KOTOpbIX OCYIUeCTBnSCiOTCSI HHble

npeBeHTHBHbie nerICTBHSi.

XOTSI ,ga)Ke CHMBOnH3M ânKOrOnbHOrO npOCBeLUeHHSI H peKnaMbi,

n0-BHjIHMOMy, nOBOnbHO Ba)KHbI, HMH He TaK nerKO ynpaBnSiTb HHenb35I nonaraTbcSi Ha 3T0 KaK Ha enHHCTBeHHOe OnpaBnaHHeneriCTBHrI. OrpaHHLieHHSi peKnaMbl anKOronS MOryT OKa3aTbn06oLIHble Bo3neriCTBHSi Ha COUHanbHbIlï H nOnHTHLIeCKHrI KnHMaT,eCnH OHH He nonOnHAiOTCSi CHCTeMOH KOHTpOnSi H BbIIIOJIHeHHSI. TaK

)Ke KaK H HHble peci)OpMbI B 06JIaCTH 06LueCTBeHHOro 3J:ipaso-oXpaHeHHSI, OHH j.(On)ICHbI nOnyLIHTb OnpeneneHHyiO CTeneHbo6luecTBeHHOrI nonnepxcxH (13, 42). BBeneHHe ILIHpoxxx orpaHHLIe-HHrI Ha pexnaMy anxoronx Bo (I)paxUHH s 1991 rony Mo)IceT cnyxcHTbnpHMepoM 3Toro. 3TOMy 3axoHy npenulecTSOSano 6onee necxTH neT06LUeCTBeHHbIX ne6aTOB, KaMnaHHH H npOnaraHnHCTCKHX yCHJIHI(66). B 3TOM npouecce B KOHue KOHUOB no6enxna TOLiKa 3peHHxo6luecTseHHoro 3upasooxpaHeHHSi. B OHHn5IHj[HH B Jlexa6pe 1994rona 6bin npHHSIT 3aKOH, ocna6HBIIIHH KOHTpOnb 3a peKnaMoHaJIKoronSI. 3Ta nepeMexa B nonHTHxe B OTHOLLIeHHH pexnaMblnpoH3olIlna B nonHTHLiecxoM KnHMaTe, 61IaronpHSiTCTBYIOIueM HJIeo-norHH CBO6onHOrO pbixxa, H Ci npenmeCTBOBanH O6LLIeCTBeHHblene6aTbl, B KOTOpbIX TOLIKy 3peHH5l o61UeCTSeHHOTO 3,IIpaBOOXpaHeHHSI

3aTMHnH np06neMbl HHJIHBFIJZyanbHOri CBO6OnbI H KOHKypeHUHH BCpene anKOronbHOrl npOMbIIIUIeHHOCTH.

PaCCMaTpHBâSI CKpOMHbie nOCTH)KeHHSI npOCBeTHTenbHbIX

KaMnaHHli H npOrpaMM, MO)KHO naxce CKa3aTb, LTTO npOCBeTHTenbHaSl

CTpaTerHA Mo)KeT CJIy)KHTb He 6onee LIeM BblpaNCeHHeM 03a6o-LIeHHOCTH, CO3naBa5i HnnIO3H10, LTTO LITO-TO nenaeTcx B OTHOLLIeHHH

061UeCTBeHHoii np06neMbl. YBenHLIeHHe o6beMa aHTHänKOTOnbHOronpOCBeLueHHSI 6e3 nepecMoTpa ero 3anaii Bpxn nii noMO)ICeT

11

Page 17: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Zi

OJa H KUOJONUE HIOOHUX10017 EH aHHEwHHB aOHfiOHOO HUHh010rrad000

HHalOHarr XI9H103111 19doiE£HHEJdo alxaodu woNOrrHElfa£OBOH

a a19iKHE£ KHHaHEdxooBEdrr£ OJOHHaBloamg0 xEOadalxH a wEdaw wHxOahxlHlfoU Hxxcdamrou aHHahXlrou H walrgodu KHHEH£OOo

axxaIrHOX KOlaKUaK o14IfaT1 XH K9aodotr£ wEOOduoa ou HHOOXNOHrr

xI9HHaalOam90 HHtIE.I.HaHdoadau Nine H HHTIEwdOCI)HH HOaOOOEw

XEalOrradO s walf9odu 1SIiH0m0a00 KHHEBOdHUiCY1IH.LO B09000U0 trKd

H19Irarl 91EB0£4IfOUGH oxxcoyN '(£L 'ZZ) BHIEHTIi3HH XHxOahH.I.HUOu XI9HhH119iCLI HUH XI4H9LfEHTI00 KHHa?KHarrOdU /HIV HHr1EwdOCI)HH

HOBOOOEw a10Trad0 aHHEBO£9UOUGH 003103hHJalEd10 NMI KO.LaE8190HUO

-(IL 'oz) 1SH>r Âx100B0U B a000duoa HxaOHE100U HH17NHiC(1) XII EH

KEHHEBOHOO - HHTIEwdOCPHH H02000Ew XEa.LOrradO B ETIHEJEUOdIj

H1o0H9UalKarr NOH9UOJONLfEH1HE HOBOHEIfII 900UHrrOBOdU

OH XErrOdoJ XÂBTr XHIE g HHr7EwdoCl)HH HOBOOOEw Ealorrado £adah EiHEJEUOdu 40EUBa0£4UOUGH X14dOlON a `HwEwwEdJOdU

Hw14H.LOaw EH2HUOUOr7 EU14g 1SHHEUwEN XErrOdOJ XXBrr g H31H1HUOU

HOH9U0JOxUE wEOOduoB XI4HHamKBOOA `HHHam900o XI9HYVEIrxad

XI4H.LEhaU £H aNCNEl E `HxIHUEH 019H9IfOJONUE£a9 aI4HBH1EHda191fE

90HUEmaB00 arrJ `HHHam9000 OHûEd H XI4HHOH£HBaUa1

HaIDOHOI Xi3mol9u EH XI9HH011-017EH EH EUK01000 KEdo1Ox

`HHTIEwdOCI)HH H08000Ew alotrado KHHEUINEx EIrlirrOXOdU xErrodOJ

XadI4lah g (69 `89) HxHINIrou H0H4IfOJOxUE wEdaw I-Ixxcdarrnou

KHHahiClfOU Kurr 90HUEBO£4UOUGH HHr7EwdO(1)HH HOB000Ew EfllOrradO

HOCIOlON B `HOBHIEHTINHH HOHHEBOIraUOOH ONOdHIII 001109HEH

KOJ.aKIraK `OH1KOdaB `JJ 5861-Z86I B xErrodoJ H1OauI g HI9HHaxuoU198 1HHa10N0r1 X19H41fEHiCwwON J.xaodu HHNOrrHElra£oeOH

KHHaHEdXOOBEdrr£ OJOHHaBI00m90 HwEwaUgOdu K01OiKUaK I4waUgOdu aI4H41fOJOxUE O1h `01 EH KIiHE£ExiC

H KHH3HEdX00BEdrr£ OJOHHaalOam90 HNHIHUOU KHHEBOH0090

Kltn I9HEB0£4IfOLIOH 41I49 IÂJOw HHr7ENIdO(I)HH HOB000Ew BlOrtado

HHHEUWEN H NEl `I4wWEdJOdU aI9H4UOXIII MEN XEIOaw EH wEBH.L

-EHTIHHH wxxOahHlxElfH(I)Odu aNCNEl E `aUOJOxUB rTEH KUOd1HOx

WEdaw wHNOahHIHUOU NNNCdarrnou aHHErr£00 91I99 I9H3ICIfOTr hErrE£

OJa Hr1adO `KHHaHEdxoOBEdTr£ OJOHHasloamgo XxauoX 91EBOB10H01100

KOIHwad10 aHHamaaOOdU 30H9IfOJONIfEHIHE HIf03

(L9 `Zfr) HNH1NElrHCIDOdu HHJaIEd1O X19HBHlxacI)C1)e

001f09 10 axHEwHHa lahauBlO H KHHamaaoodU EBIOahEx OIHHaII7hXIrX

OU KiiIrHOÂ 1H9ELrOO OH `01HH2HEdXOOBEdTr£ CwOHHafi10am90

Page 18: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CI

HtTado `.I.HOOHEH H HHlaadoH 9 OH2HEd.LOOdüOEd ONOdHm 9oN.LHUEH XI4111dHLI3 XHHIIIEWOit H XI4HûHEgEd.LHON aHHallgad.LOJi wa11010N1rE

ttEH KIfOd.LHON HNH1.HLCOU H2HHOd0103041 HNNCda17tT011 aHHaLrHOiC EH H

HN.LHÜEH 0I4H.LdHUO aI4H4If610110H EH EOOdUO aHHaNCHHO EH EH311011EH

KIiLIEUwE)I KKH1.aLfxad.L HH1a9doH 9,Ctt01 £661 g IiE.LEhEH

'iaH HUH wKH9l.0x0tt N EHO

Hu 1.a17a9HdU H KHHaLCHOX sag ENNCdatTlTou KENE1 Ko4,LENClrol7odu .I.attXg

01LfOt7 NEN 4,LHlrattadu0 10Klfo9£OU OH ISHHEa01101r00H 01OHhOH011O

gE.LmaEyN HNNCdam7oU KiiaodX 1sI.1HaHEdxO0 Klrtt `adaw Ham4H0111

OU `aNC HUH - 1A10Lf0l0NlrE 1TEH KIrOCI.LHON wEdaw wHNOahH.LHIrOL1 H)I)Icdam7ou KIfTt K04.LE90£4LrOU0H 1iC10N1 3HH2HIN 00HHaa103m90

EH KHalaxal7£oa 14900o110 0H1,Cd1r H HHTIEINdO4/HH H09000Ew xE9lattado 9 HHHEUINEN 01h `HIfE£ENOU 14.LE141f£0d H.LE

HNH.LHIrOU HOH4IrO1ONIrE HH11E£HlredagHLr /CNNCdam7ou g oIHT1HaT1Ha.L OLCH4LfEHOHTIEH

HIfH£OwdO.LE£ HHTIEwdOCpHH HO9000E141 XE9.LOTTad0 g HHHEUINEN

0111 `4LHNCOUOU17adu HlfHrro9£ou 14.tE.L4IrXsad KO1rH£HHa HNNCdamioU

4HaaodiC XETlod01 XI4H41rOd1.HON g NEN ETt1o1 `iN14HHaN'£H2H

K01fE100 KIr01oNLrE aHHEg0£Ed900x0T1 H /CINEUNad EH XHmOLCg.LOxatT£oa

'claw XH)IOahH.LHIfOU HNNCdamtou 4H0aodX xETtodol xadI410h XH.Le

a o1.h `IresENOu aNOIE3, ol4ada111H Oi4mowou 0 oodup HHTIEwdo(1)HH

Hoa000Ew XEg.LOTTadO g HHHEUwEN 40H1IHtTOaodu 017.1 `xET10do1 xa.L

g aNH1.HIlOU HOH411EHTI00 H H1.00HH3daw N KOXHmK00H.LO `ao00duoa KliHama900 aHHalfHOiC I11,19KI4a .I.a£E1 ISHHENCd31700 £H1fEHt7

KIr010Nlre aWElrNad aI4HHamKa00u `KHH31119000 41E90NH1f9iCL1 4OOIfE£EN.LO La£E1 Ofi.LOHHm4Lf09 H iCNH.I.HdN

111rea£I4a KHHamg000 HIC :Hwl4axhadogH.LOdu 40H1fE£ENO E00duOa E9TT 014gdall wE9H1.EHdaZ41fE w14H4If010NIrE£ag aNCNEL E `KL[O1ONIlE

amiElEUOdu H H100HUÂ1001t 3HHEwHH9 00H9E1f1 HIfKIralliC KHHamg000

0141110£E1 a.LNaodu wONOûHEIfaEOâOH g a14wa,C£4u0110H

'07661 `014HHETt 0I4HHE9oNHLr9/CLIOaH

`11.1213M 78 Q `uEsu.1a f) daw XHNOahH1.HlroU X14H4If010NLCEH.LHE HNNCd311.17ou KHHahXLrou KHHatTHgatra.L H OHttEd `I400adu

waHHE9O£41fOUGH 0 win 9 HwKHT1E£HHE1d0 H HETINCEd1 HiNEULLCd1

4oHLrewH1-Ittou O.LOEh axcNE.L I4walfgOdu a9tt HIC wEwalrgodu wH.Le

N H.LOOHHag.LOamgo H HHt1EwdO4/HH 1409000Ew aioTiado ISHHEINHHa KHHahalf9HdU KU17 1417010w 014HhHIf£Ed HIfE9O£4IfOUGH H awElrNad

Page 19: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

bi

'HH£HNC XH EH K01rCNCENO OH9HLH£OU ISHHa31C0110UiladU H I910800 `1SHTIEWdo(PHH 014HHalfaE.LOT7adU 01h

`4114)10g/C WaI.E£ H HaIra.LElll/CLCO ao00d31H13 H 17MCX11 `EII4UO O 4,LEHHhEH

O1NHTroX90aH HHHEUYVEN H I4111VEd.I0dU aI9H4Ifa.LH1.a9OOdU `HHH2HaW£H

xI9HHa9.LOHaT7 Isa4.I.H9or7 I99o.Lh '(SL `LS `£S) xH .L/CH1da91.o HIrH 10LCdxt1H(1)HTroW `OHN(O1A/£08 `H HHH01119000 XI4HHOHTIEYVdOCI)HH XNNE.L

410011IHhEH£ .LKIfaTladUO E9.LOaiCh H KHH2HW `KHHEH£ aYi1TIOLC910a111iC3

'WalfgodU H 8000dU0a XI4W2EWHHTlOU HHHamoH.LO 9 HI.00HHaB

-.LOamgO HHTIH£oU HamoLCa.LOam/Co KHHEWHHOU 1aiC9ad.L HH1a.LEd.Lo

XI4HHOHTIEWdO(pHH XI4HflH.LNa(i(p6 aHHEBOdHHEIfLI `HaWadaU

X14HHOU3.LO0U Wa.LÂII E `HWENhENO OH .LrCTfHO£HOdU 0.1008 aadoxo

E.LEWHIrN o.IONOahH.LHIfOU H 010H4LCEHT100 KHH2HaW£H MEN NUI, 'aHBOdiC

YVOH4IfEÂTli3aHT1HH EH E1fOI4YVO .LO131)1H OH KHHamg000 H KHTIE1A/d0(1)HH

aI4Wa/C£91rOUGH HIfOa `aHflod/C WOHHa9100m90 HLM 1NOHdÂ14UiCN

EH WKHHaHaN1£H M IaT7aaNdu HIf T1Kdfl IsH.Ia.LEd.LO KEH9Ir0111l,aaoodu

'aHHENCd31700 H 01141IMHÂ(1) 0LCHHOHïIEYVd0(121HH OiiCHBOHOO XH X11Ha £H 4LEM0ÂUiC I.a/C170110 OH `ISHH2HEdX0011EdT7£ o1OHHa9100m90 a)1H.LHIfOU

HMNCdamlou HHHET7£00 fi 141YVEd10dU xI9H91fa.LH.Laaoodu H HHHEUWEN

X19HHOHTIEWdO(PHH 9I1od OLCH91fEHT1Ha10U ISEaH)IdahTrou

'(tjL) XH IfKIfgad.Lou,C HHI,ad.L HI9T1xcEN `90N.LHUEH XI9H1dHUO XI4H

-4LfE1a113H 1V091O1709£HOdU HLM HOT7HE9Ed.1HOM 90011EYVHHE£ aol.HaT7

-HOUOad ON4LfOM02H 4UIHIf K.LOX `O.Lh `OLfH9K199 aHHE90T7a1f0oH 3090£E9 HHHEUWEN OIfEhEH 17ad0u aoHHaT7a9odu '/CT70.I 9661 g 9010.11.1V/C9

`KO.LaET7HNCO MEN `BOMI.HUEH X19H.LdHUO X19H9LfEl011aH HHHalrgad.LOU

H H.LOOHUiC.LOOTl 9 ISHH2HaIN£H aNCNE.L E`WaL(010NIfE 17EH Klfod.LHOM

aNH1HI10U H 31f90.1do.L HOHHOME£aH N 1,1M/bill KHHaIII0HL0 KHH2HaYV£H

HHmOiÂTIaIfOOH `3.ah.LO HI4HhOHaT10 'KH.LKHdUOdaW a19HdiC.L41liCN

a19HhHIr£Ed Hlfi9g H.LO0H4Lfa.LKaTl 90T7H9 X14H91101HHIrOUOTI

HTladD '.I.aET7Elr9oadu BONI.HUEH x14Hl.dxuo x19H91(E1auaH axxalrgad.LOU xl9do.LoM Hliado `XElroxrrl a 110110111 x14T70Iro1)1

£H I.HO1000 EULLCd1 KEaaIfaTl KE9000 '9.LO0HLLC.Laadu OLCHHE90£HHE.Id0

.I.aEaHNCdamtou HWEMI.HUEH HWI4HIdHUO KIr901dO1 KEHHOME£aH

O.Lh 'El EI1149 HHTIENId0(1)HH H09000E01 g.LOirado HHHEUWEN H014131.

HOaah011fx 'aH90d/C WOH.LOaW EH H.LOOH41ra.LK017 HOHN H HHTIEINd0(11HH

KHH2HEd1OOdUOEd aHHa(1mOOU a)K?IEI. E `01O1Ha1E XI4H.LOEh

H XI9HHafi,L09Ira1H9EdU OIHHahaIr909 OU HWKHIfHOiC O HHTIEWdOCI)HH

H0a000EW XEaI.017ado a /CT7HE1EUOdU 1OE1ah00 KHHEUINEx 'iC.LaMCTl'O19 iCYVOHHa9.LOdET7iC001 gdam H19H91f31HhEH£ `Olahodu

Page 20: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

2

AHTVIAl1KOf OJI6HOE11POCBEIJAEHVIE

II.IKOnbHOe o6pa3oBaHHe H xaMnaHHH Cpe,I(cTB MaccosoliHH(loOpMauHH SIBnSIIOTCSI HaH60nee nIHpOKO pacnpoCTpaHeHHbIMHnOJjXOnaMH nepBHLiHOH npOCiHnaKTHKH CB1I3aHHbIX C anKOrOneMnp06neM. O6brIHo npHHSiTO C1I14TaTb, iiTO npeuOCTaBneHHe nIOJ[SIMHH(DOpMauHH o6 arlKOrone, H CB5I3aHHOM C er0 nOTpe6neHHeM pHCKeBHeCeT CBOÎ-i BKJIaJZ B (DOpMHpOBaHHe He6narOnpHHTHOrO OTHOLneHHSI

K BbInHBKaM, iITO, B CBOiO OgepeJ(b, npHBeAeT K 143MCHCHHSIM BKaCaK)LueMCSI anKOrOnSi nOBeneHHH. I'IMeIOIIjHeCSI B HanH1IHH JjaHHble

HCCne):josaHHli, co6paxxble B uenoM pane o63opos (2-13, 40-42) H

McTa-aHaJIH3oB (76-78), rOBOpSIT O TOM, iITO IIIHpOKO pacnpoCTpa-HeHHOe MHeHHe O CnOCO6HOCTH HH(l)OpMauHH H O6pa3oBaHHSI peLIIHTb

rnaBHble COLjHâJIbHble npO6neMbl, CBSI3aHHble C nOTpe6neHHeManKOI'OnSI, HeBepHO. rlpeJ;OCTaBneHHe niOJIHM HH(bOpMauHH o6ânKOrOnSi MO>iCeT yJIyLIIIIHTb HX OCBeAOMnCHHOCTb H nOBbICHTbypOBCHb 3HaHHr1 O CB3I3aHHbIX C anKOrOneM BOnpOcaX, HO Bo3pOCIIIHe

3HaHH51 H OCBeJjOMneHHOCTb H He O6SI3aTenbHO, H,gaxce ManoBepOSITHo

npHBOZjSIT K 113MeHeHH5IM B KâCaIOLueMCSI anKOrOnSI nOBeJZeHHH.

3TOT O630p BKniOLIaeT B Ce65I nHTepaTypy OTHOCSILuyiOCSi KaK K

IiIKOnbHbIM nporpaMMaM, TaK H npOrpaMMaM Cpe,gCTB MaCCOBONHH4)OpMaL[HH. ORHOIi 113 npH*nHH 3TOrO SIBnHeTCSi TO, iITO MHOrHeKOHuenTyanbHble H MeTOJjOJIOrHiieCKHe np06neMbl, BCTaBIIIHe npHpâ3BHTHH H OueHKe o6pa3oBâTenbHblX MepOnpHSITHii, OTHOCSITCSI K060HM nOJjXOJjaM, HO nOnylIHnH HaMHOrO 60nbLLIe BHHMaHHSI BnHTepaType n0 LLIKOnbHOMy 06pa3osaxHlo. BTOpOx npHLIHHOIcnyxcHT Ta, LITO 6bino npej(JlOxceHO yCHneHHe O6OHX THnoB JjeiiCTBHiiB KameCTBe cnoco6a C6anaHCHpoBaTb HnH npOTHBOneiiCTBOBaTb

15

Page 21: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

B KaLiecTSe cnoco6a C6ânaxcFlposaTb HRH npoTHBOgeIiCTSOaaTbBnHMHHIO peKJIaMbI anxoronSI. 11OTeHui-IBn 14 orpaxHLIeHHSI o6oHxnOAXOAOB AOn)KHbI 6bITb H3jRieHbl AnM TOrO, 4TO6bI OnpeAenHTb CKaKOM BepOHTHOCTb1O OHH cnOc06HbI BbIIIORHHTb TaKyiO 3aAa4y.TpeTberi 11pH4HHOii CJIpKHT TO, 4T0 B TeLIeHHe nOCneAHHX neT KaKnOAXOA IüKOnbHOrO 06pa30BaHIiSi, TaK H nOAXOA CpeACTB MaCCOBOi4

HHItiOpMauHH 6bInH AOnOJIHeHbI HRH )Ke HHTerpHpOSaHbI B 6oneeLLIHpOKHe npO(1>HRaKTH4eCKHe npOrpaMMbI KOMMyHanbHOrO ypOBHM.

B CB313H C 3THM 6yAyT o6cyxcAaTbcsl H HeKOTOpble BOnpOCbl,OTHOCALLjHeCA K KOMMyHanbHbIM nporpaMMaM.

B cckepe LIIKOnbHOrO npOCSeLL1eHHSI, nporpaMMbl no TMManKOronA, Ta6aKa H HapKOTHKOB BO MHOCOM COBnaAaK)T. 3TOT 0630pOCHOBaH Ha nHTepaType, KOTOpaA OnHCbiBaeT BOnpOCbl anxoronA, aTaK)Ke Ha nHTepaType no CaHHTapHOMy npocBeuieHHlo. AHTHan-KOrOnbHOe o6pa3osaHHe MO)KHO paCCMaTpHBaTb KaK 4acTb

CaHHTapHOrO npOCBeIIZeHHSI, HRH )Ke caHHTapHoe npocsell;exxeMO)KeT 6bITb 4aCTb0 aHTHânKOrOnbHOrO o6pa3OBaHHA. OAHaKO, B6onee LHHpOKOIi 06naCTH caxHTapxoro npocseLueHHM, änKOrOnbnpeAcTasnAeT CO6Ori oco6yl0 Citlepy - KaK 6bIn0 CKa3aHO "OAHOH 113HaH60nbIIIHX npo6neM caHHTapxoro npOCBeLIleHHM ABnAeTCA

anxoronb" (13).

rlOnynApHOCTb aHTHanKOrOnbHOrO o6pa3osaHHA B LIIKOnaX

MO)KeT 6bITb npol-IJlnlocTpHposaxa AaHHbIMH 143 KaHa,AbI. O630pn0CBALL1eHHOI3 anKOronHo H/HRH HapKOTHKaM AeMTenbHOCTH

CaHHTapHOro npocselueHHA B npOBHHL[HH OHTapxo B 1990 roAyBbIMBHn 6onee 520 OTAenbHbIX nporpaMM. bOnbIIIHHCTBO H3 HHXnblTanHCb AaTb o6pa3osaHHe H nOBbICHTb OCBeAOMneHHOCTb noBOnpOCaM BnKOrOnA H HapKOTHKOB C L(enbl0 nOBnHATb Ha 3HaHHM,OTHOLLIeHHA, nOBeAeH4eCKHe HaMepeHHM, nOBeAeHHe HRH HaBbIKH.1-lOJIOBHHa nporpaMM 6b}na HaljeneHa Ha AeTerl H MOJIOAe)Kb, aKaNKAâA 4eTBepTaA - Ha BCe HaceneHHe. LleTb}pe H3 AeCATH nporpaMMBbIIfOnHSInHCb B Ha4anbHbIX HRH CpeAHHX IIIKOnaX (41).

C KOHLia 1980-x rOAOB aHTHHapKOTH4eCKOe o6pa30BaHHe 6bIJI006513aTenbHO B LLIKOnaX OHTapHO ARA 4-10-x KnaCCOB. ARKOronb 6b}n

BeLileCTBOM, K KOTOpOMy HaH60nee 4aCT0 o6palIjanxcb npHaHTHHapKOTH4eCKOM o6pa3OBaHHH B Knaccax. B 1991 roAy 78% 143npH6nH3HTenbHO 4000 pecnOHAeHTOB npeACTaBnAH)IIjHX Bce KnaCCbl

L1IKOnb[ C006LIZHRH, 4TO OHH nOny4anH aHTHanKOrOnbHOe

16

Page 22: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

LI

`01VH11Ha `xaOa IsuTt aHH3tn9000 o1I110 4.LEEE110d3U IsoaxlnolE.L14u

H aHHaIfaOEH DOG EH 0I4HH0I1011EH `HHHEUYVEx 'HHHEUYVEN

HHHam9000 1SHH3HEdJ.0OdU0Ed EHOHJad H11a,LHNC O.Le O.Lh `O.L KO.La1S11aK

`KHg1,oHaTt£og olHdol.HT1kE Hamolxualtaduo `HONH1aHdal.NEdEx

HOHH01111OHH110 O.LOEh 'HEIM HOH.LEd90 H HHdo.LH1110E YVOJ.EaXo

E£ KIrodl.HON 0Ha101iCo10 `HHdo.LH1tkE Hog000EYV 91.00H1lodoxTloaH

.LIS1 oXa aON.LE1.0o11aH XI4HaoH00 XII OIfOHh g 'OiHdO.LH11iCE

oI.CNodHm 4.LiCHod.LE£ 4.LOOHNCOYV£oa xH xoialsuax HHTIEYVdoCI)HH

HOflO00EV1 a1011.3do HHHEUYVEN YV0a100m/CYVHadu N114H8EIf

(og `6L) 1011 Xad.L aHHaha.L g 1SHHEaO£EdgO OJONOahH.LONdEHH.LHE

odkx HuemX.11O xOaxmEhX E11JON aNCE1t `oueaoa.LopCo.Lo

HUH Y1II4H4IfEY41HHHNI oIfI49 `ISIfOJONIfE aHalfgad.LOU EH ISHHEaO£Ed90

aHa1aHa11£oa 01J, `OHaNGCdEH9O 01114g '10H H.LhOU 1SHHaIfUONEH E.LNacP(I3e a.LO411a.LE£ENart 'MILE Hdu 'HYQI4HHaYVadaoN.LEdN I10101uuals 0HhI990 HNNCdalrnou HH.LISHduodaYV ol4mowou o IsHHauuadNX

H ISHHado1.goU £09 YvYVEdJOdu X19H9110Nm arlox a 019.LÂHJH,LOOTI

`I91JIac1)cICte 014HaH.LH£OU 019go11f '(g) gOOEh OS OH411a1Ji£H11gHdU

IsO.La,C90d.L HHH3Tl0a011 a HHHaxaYV£H 1SIixaNCH10011 KIM' 01 `aOOEh XI4H90hiC S I 0110N0 OYIIHT1OX903H HHHEH£ KHflOdiC KHH3m19a0U

KIfTi 111100 OS.h `ouH11aTt0duo XEIfONm a ISHH3m3aoodU OJOHdE.I.HHEO

aHHahiC£H aOH9E1.m0EINOHUiCdN wi1p a aOHHaitagOdll OJOHYVaH

4.LE110T10 1ÂJ0141 I41AINIEdJ0du 0I4HH2WadaON.LEdN aHNOahHliedouo

01h `HIfE£ENOU WIHEdJOdu X19H4110Nm XHNOahH.LONdEHH.LHE

H XI4H9110JONIfEH.LHE HNH0110 019H4IfE1.HaYVHd0uONe-H£Eax

'HHHaïtaa0u H XiSHHamOH10

a IsHHaxaIV£H XaoHOO o1.CN0dxm 301109 aHmOlaYVH .LaxuuadxttoU

xEIfONm a axHEao£Edgo 0ONO0hH1O3IdEH-H.LHE 01h `TlOal4a

HEI10170 11149 `OHE11odHdJ.OHOWaT1Odu 011149 0H aiiHamOH1001HHE£a aOHHHhHdU K.LoX 141I9HNCOd0100 001109 IIE.LO aNCNE.L 01110JONLCE N

T1OXTt0U HHm90 `4OO11H£HHO ISIf010NIfE aHH01190d1oU 00m90 `HHaYVada

E TtOHdaU 0J01110EhAH axxaha.L g 1S11oJ0N11E Mfg OHH09000 `aLOatnaa Yvaxxaugad.LOU H 1VaHHEfiO£Ed90 111011EgX0 ANCavv aHH0m0H1A0YVHE£a

0OH.LEd90 0OH9IfH0 IfE£ENOU £HIfEHE HI4HHOH11ISIfaddOx (6Z) aoNH,LONdEH HHHaIf9ad,LOU G HHH01119000 aHHaNCHHO H W3HHEflo£Ed90

1IIHNO0hH1ANdEHH.LHE E.LEâXO aHH0hH110aiC oHa11aKI4g ao.LHaTlHOUOad

XE1a2.LO s `XETtOJ 1661-6L61 g aoxxallasodu `0xHEao11011o90 19UUXdJ

019H£Ed 00maCHOd1.E£ HamaEao£9uouoH `01O9Ed g 'iCOHgEHHEN

OU - %6t E `ÂNE9E1 ou I4YVWEd.IOdu aI4H91fa.LEgo£Edgo HIfEmiCIf00du

%99 'EttOJ 0J0H411oxm oJamiCNa.L aHHaha.L a aHHEaO£EdgO

Page 23: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HMCIOT orpaxHHeHHoe 3HaqeHlie. B CnyLLaAX, Korga ,HenaloTCAnOnbITKH 6onee TOLIHO onpe,genHTb ayRHTopHIo BO3,I[eNCTBH51,

MOJIOJZe>Kb 06bILIHO SiBnSIeTCH HaH60nee npennOLLTHTenbHOii.

CLiHTaeTCSi, LITO 3(1)(1)eKTHBH0e npHMCHeHHe CpeACTS MaCCOBOIi

HH(l)OpMaL1HH s np0(iHJIaKTHLIeCKOM npOCBeIIjeHHH Tpe6yeTHaLjeneHHOCTH Ha OCo6ble Ipynnbi, HCIIOnb3OBaHHA HaH6oneejZOCTynHbIX jjJIA AaHHOM ayAHTOpHH KaHanOB HH(bopMaIZHH H

noUOTOBKH C006LueHHH B COOTBeTCTBHH CO B3rJISIgaMH H

HHTepeCaMH 3THX rpynn. Z(nA TOrO, LIT06bl COO6LIjeHHA OKa3aJIHKaKOe-nH60 B03jjeIiCTBHe Ha ayjZHTOpHiO He06XOAHMO

nOBTOpALOLi.IeeCA B03,qeiiCTBHe C0o61ueHHI-i KaMnaHHH Ha ,HaHHyK)rpynny, nyLIIIIe BCerO LIepe3 HeCKOJIbKO KaHâlIOB HH(tiOpMaIjHH (53,57, 75).

gOnrOBpeMeHHble KaMnaHHH CpeJ.1,CTB MaCCOBOH HH4)OpManLiH,

TaK)Ke KaK H OIICHKH HX pe3y1IbTaTOB pe,IjKH. IIpHMepOM CnyxcHTHaneneHHâA Ha nO.ijpOCTKOB KaMnaHHA, npOBOJjHBIilaSICA B Anb6epTe,

KaHa,aa B TeLieHHe 1980-x rO,IjOB. B Hei HCIIOnb30BâIIHCb

TeneBHj;eHHe, paAHo, neYaTHble H3gaHHA, BKnIOLLaA >icypHanbHbMeCTaTbH o6iuero xapairrepa H nOCBAIueHHble OCO6bIM TeMaM,

OTHOCAIuHXCA K npO(iHnaKTHKe anKOrOnSI H HapKOTHKOB.

Hccne,HOBaHHe, OLjeHHBaloIuee ee BO3AeiiCTBHe nocneLIeTblpexneTHerO nepHOga EbISIBHnO, LITO nO,gpOCTKH H HX pO,gHTenH3HanH O KaMnaHHH H nonarânH, LITO HM nHLIHO oHa nOMOrna. BospeMA H3yLIaeMoro nepHoua pacnpocTpaxexxocTb BbIIIHBOK cpeAHno,HpocTKOS CHH3Hnacb B A]ib6epTe H so3pocna B CpaBHHBaIoIIjeHCA cHeH nposxHnHH MaxHTO6a. IIocnejryiOiuee o6cneAosaxxe,OxsaTHBlllee 1981-1987 rOJ,jbI o6HapyxcHno, LITO xOTA OCBe,gOM-neHHOCTb O KaMnaHHH OCTaJIaCb BbICOKON, 11O3HTHBHble TeHgeHUHH,

O6Hapy>KeHHble B paHHHX HCCnegOBâHHAX, HCLIe3nH. PaCnpOCTpa-HCHHOCTb BbInHBOK cpeAH nOApOCTKOB npOjjOJVicana na,HaTb B

Anb6epTe, HO OHa TaK>Ke CHH>KanaCb B MaHHT06e H gaxce 6bICTpee,LIeM B AJIb6epTe. SbinO 06Hapy>KeHO, LITO nOApOCTKH H3 Anb6epTbIHaLIHHânH nHTb B 60nee paHHeM B03pacTe, LIeM MX CBepCTHHKH H3MaHHT06bI. 11oJIH0e H3MeHCHHe TCHAeHL[HIi 6bIJI0 OTHeCeHO Ha CLIeTOTMeHbI Tene- H pauHO co061ïjeHHi4 B 11O1Ib3y >KypHanOB (41).

He HMeeT 3HaLIeHH51, LLTO B 3TOM THne HCCneAOBaHHIi, TaK>Ke KaK

H B HCCne,gOBaHHH aHTHHapOKTHLIeCK000 npOCBeIL(eHHA B LIIKOJIâX

OHTapHO, HeBO3MO>KHO npOAeMOHCTpHpOBaTb npHLIHHHyLO B3aHMO-

18

Page 24: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CB5I3b MexcAy npOCBeTHTenbHblMH MepOnpHATi3AMH H nOTpe6neHHeM

anKOronA. B 3TOM CMbICne 06a HCCneAOBaHHA 6n1,13KH K KpHTepHAM,KOTOpble O613I4H0 HCIIOnb3y1OTCA npH H3yLieHHH 34)(1)eKTOS peKnaMbl

anKOTOnA.

WVIPOTA V1 BOCfIPViViM40BOCTb

B Te4eHHe 1980-x rOAOB B nHTepaType, o6cyxcAasllleH344eKTHBHOCTb aHTHanKOTOnbHOTO npOCBeLLjeHHA B IIIKOJIBX H

CpeACTBâX MaCCOBOÎi MHitOpMaLZHM, nOABMnHCb BeA OCHOBHble TeMbI.

06e OTpa)KaJIH o6uiee npH3Haxxe Toro, LITO 344eKTHBHOCTb

npOCBeTHTenbHblX AeirCTBHIï B 3HaLIHTenbHO MeHbLIleri CTeneHH061,ACHAeTCA HX OCf)OpMneHMeM, 4eM HHTepeca.MH H MOTHBaLjHAMH

rpynn Bo3AekICTBHA, a TaK)Ke KynbTypHbIMH H COL(HâJIbHbIMH

yCJIOBHAMH. 1_1pOCBeTHTenbCKHe 00061IIeHHA OCTaHyTCA 6e3BHHMaHHA, eCnH OHM He HMeIOT nH'-MOTO 3HaLIeHHA HRH 11O11e3HOCTH

WISE TeX, KOMy OHM aApeCOBaHbI. ECnH C0061JZeHHA cn0006CTByrOTH3MeHeHHAM, K KOTOpbIM nLOAH rOTOBbI H CrI0006HbI COBepInHTb, H

eC1I11 KynbTypHâA H COL[HâJIbHâA 06CTaHOBKa 6naronpHATHa, OHMMOryT CII0006CTBOBaTb M3MeHeHHIO nOBeneHMA (13, 53, 81).

OAHOir H3 TeM, K KOTOpoii o6paLuaeTCA COBpeMeHHaA

nHTepaTypa, ABJIAeTCA BcecTOpoxxocTb. IIojZ'-IepKI-IBaeTCA, ITO

He06X0AHMO 60nbLne, 4eM npOCTO HHCi)OpMaLjHOHHâA AeSlTenbHOCTb.

KaMnaHHH CpeACTB MaCCOBOH HHtOpMaLjHH AO1DKHbI 6bITbnOAAep)ICaHbI Me)iCnH'iHOCTHbIMH KOHTaKTaMH, HanpHMep B (kOpMe

KOHCyJIbTaL(HiI HJIH rpynnOBOiï AeATenbHOCTM, HJIH xce OHM AOJDKHbI

6bITb BKnIO4eHbI B 60nee LnHpOKHe npOCllMnaKTH4eCKHe HHHLIHaTHBbI

MeCTHOTO ypOBHA, HaLLeneHHble Ha H3MeHeHHe COLHHaJIbHbIX H

BHeLCIHHX (PaKTOpoB, BJIHAIOLLjMX Ha CBA3aHHOe C aRKOTOneM

nOBeAeHHe (6, 13, 53-57). B TOM )Ice Ayxe nOA4epKHBanOCb, 4TO I.jJIAycnexa LIIKOnbHOro aHTMaJIKOrOnbHOro o6pa3oBaHHA Heo6xoAHMono,ilZjep)Karb ero y4e6HoH nonHTHKoIï, npHBne4eHMeM pOAHTeneri HCOTpyAHH4eCTBOM C MeCTHbiM COO6li[eCTBOM (3, 5, 8, 9, 12, 13, 58,59).

ApyraA Tema 1980-x roAos 6brna 6onbme cBA3axa cnpOeKTHpOBaHHeM npOCBeTHTenbHblX MepOnpHATHri. bb[n006LL(enpH3HaHH0, 4TO 3C1)(1JeKTHBHOCTb Tpe6yeT BOCnpHHM4HBOCTH K

19

Page 25: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

O61I.1eCTBeHHbIM HyxCljaM H HHTepeCaM. IIO1jXOJj cOUHanbHorO pblliKa,

KOTOpbIIi npHMeHAeT npHHuHIIbI peKnaMbl H MapKeTHHra K

"npoJZaxce" 31jOpOBOro nOBeJjeHHA, 6b1n npelulo)KeH B KaTieCTBe

cnoco6a ynyr-ILnHTb nnaHHpoBaHHe H COJjepxcaHHe npocBerHTenbxblxKaMnaxHli (13, 82, 83). 3TOT noAxoA TaKxce BbI3Bâ11 1jHCKyccHIO HnORBeprCA KpHTHKe, HanpHMep, 3a TO, TITO ABnAeTCA MaHHnynA-

THBHbIM H 3a TO, TITO npeZjnaraeT npOCTb1e pelueHHA CJIO)KHbIX

np06neM (72, 84, 85). OJjHaKO HeKOTOpble 143 era 00HOBHbIXKOMnOHeHTOB, TaKHe KaK nepBHT-IHOe onpo6oBaHHe c006LueHHIi HHCCneAOBaHHA ayljHTOpHH, 6bInH B35ITbI KBK COCTaBHble TiaCTH

pa3BHTH51 xopouleii KaMnaHHH (51, 53).

OCHOSxoe co,qepxcaHHe Tpe6osaxHA K BCeCTOpOHHOCTH, TaK xceKaK H nIHpOKOro npHHATHA npHHuHnos COIjHânbHOro pblHKa, ACHOnOKa3aHO B HeAaBHai KHHre, OCHOBaHHOH Ha HHTepBbK) C 29HayTIHbIMH pa6oTHHKaMH H npOCkeCCHOHanaMH Cpe1jCTB MaCCOBOIiHHCkOpMauHH, HMeIOLuHMH OnbIT B npoeKTHposaHHH HAM oueHKeKaMnaHHIi CaHHTapHOrO npOCBeIleHHA (57). B Xo1je HHTepBblo3KCnepTOB npOCHJIH yKa3aTb, KaKHe HaH60nee ycneiilHble KaMnaHHHCpeJjCTB MaCCOBO1i HHCl)OpMaIjHH B 06naCTH 3,a0pOBbA HM H3BeCTHbI, a

TaK3Ke BbICKâ3aTb CBOe MHeHHe O npHp-IHHax, ne)Kall[HX B OCHOBe HX

ycnexa. HaH6onee nacTo ynoMHHaeMb1M cl)aKTopoM, cnoco6cTSo-BaBIIIHM ycnexy KaMnaHHH 6bina BCeCTOpOHHOCTb, 3a KOTOpOii IIInHFIX npO14OJDi(HTenbHOCTb H 30eKTHBHOe 14C11O11b30BaHHe CpeJjCTBMaCCOBOIi HHCbOpMauHH. B KaTIeCTBe npHMepa ycneLIIHbiX KaMnaHHli*-lalle BCero npHBORHnIicb KaMnaHHH npOckHnaKTHKH Cep,IjeTIHbIX3a6onesaHHN, oco6eHHo JÿOJIrOBpeMeHHble 14 pacnpOCTpaHeHHb1e HaBCeX McCTHbIX )KHTeneli ,geFicTBHA, TaKHe KaK CTaHC121OpJjCKâA

nporpaMMa npOCtiHnaKTHKH cepJjeTIHbIX 60ne3HeFi, MHHHeCOTCKâAnporpaMMa cepAeTlHoro 3AoposbA H npoeKT CesepxaA KapenHA.

Enje OuHOH rpynnoii yCneUIHbIX KaMnaHHii, ynOMAHyTbIX.

HHTepBbloHpyeMblMH, 6bI1IH aHTHKypHTenbHble KaMnaHHH, npOBOJjHB-

nlHecA B CLIIA. B TeTiexHe 1960-1970-x rolos, KoTOpble cxopeeOTHOCATCA K JjJIHTenbHblM npOClFUIaKTHLIeCKHM MepOnpHATHAM, T-IeM K

OTJZenbHbIM KaMnaHHAM. CTIHTaeTCA, TITO ycnex np0(1)HnaKTHKHKypeHHA 6b[n o6ycnoBneH KOM6HHa14Heii pa311H4HbIX CpaKTOpOB,HMeBIHHX McCTO B 01jH0 BpeMA: J1,1IHTenbHblMH KaMnaHHAMH,

B03JjeiicTBylonjHMH Ha r1y6JIHKy B3aHMOyCHnHBaIOLuHMHCA coo6[ue-HHAMH, HCXOJjAnjHMH 143 uenoro pAJja KaHanoB, npellCTaBneHHeMMeJZHuHHCKHX 11aHHbIX H3 3aCny)iCHBaIOIIHX ,3OBepH51 HCTOHHHKOB,

20

Page 26: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

TaKHX KaK rnaBHbIH Spat! CILIA, H3MeHeHHe OTHOCSiIIIHXCH K KypexHlo

HOpM H geHHOCTert, H3MCHeHHSI OKpyNCafOLLjeIi 06CTâHOBKH, TaKHe KaK

OrpaHHLiHBaiOIL[ee KypeHHe B O6LI(eCTBeHHbIX MeCTâX 3aKOHOgaTenb-

CTBO H npaKTHKa CTpaXOBbIX KâMnaHHri B OTHOLIIeHHH CTpaXOBbIX

BbInJIaT KypHnbLLnHKâM.

bbIn ynOMSIHyT TOnbKO OAHH npHMep ycneIIIHOIi aHTHanKOrOnb-HOrt KaMnaHHH, a HMeHHO "MaTepH npOTHB nbHHOrO BONCAeHHH"(MADD), rpaxcAaxcxoe ABHxceHHe, HHHtixxposaxxoe B 1980 roAy BCLIIA MaTepHMH NcepTB nbsinoro BoxcAeHHSI (86). I'nasxble,gOCTH)KeHHH MADD COCTOHT He TOnbKO B (baKTHLieCKOM CHHNCeHHH

BONCAeHHSI B HeTpe3BOM COCTOHHHH, HO H B ero CnOCO6HOCTH A06HTb-

CH OCBeIIjeHHSI B CpeACTBâX MaCCOBOH HH4)OpMaIjHH C nOMOLLjbiO HX

"BbI3bIBaiOlLjero BO3MyLneHHe noj[XOAa", a TaKNCe BO BxnaAe ByMeHbIIIeHHe COLjHanbHOrl npHeMneMOCTH BbInHBOK npH BONCAeHHH.

MHeHHSI 3KCnepTOB 06 ycneLIIHOH KaMnaHHH caHHTapHOronpOCBeLL[eHHH OTpaNCaiOT TpyAHOCTH nOnytleHHSi nOJIO>ICHTenbHbIX

pe3ynbTaTOB B C(i)epe nOTpe6neHHH aJIKOrOJISI: npHMepoB ycneulHbIXaHTHâJIKOrOnbHbIX np0(lHnaKTmeCKIiX KaMnaHHrl ManO. B IIIKOnb-HOM 06pa30BaHHH, TaK)Ke, Ka.)KeTCH, nertie nOJIrIHTb nOJIO)KHTeJIbHbie

Pe3y11bTaTbl B TaKHX 06naCTSIX KaK rHrHeHa 3y6OB, AHeTa,

(lH33apHAKa, H Aaxce KypeHHe, geM B C(laepe BbInHBOK (3).

PO11b TEOPVIVI B PA3BV1TV1V1 Vl OI.AEHKE TIPOpPAMMbI

PeuenT CO3AaHHH 34)(131eKTHBHOri 06pa30BaTenbHOri npOrpaMMblKa.)ICeTCH npOCTbIM: Aâ.BaTb HajZJIe)KaIIJ,yiO HH(tOpMaL(HiO Iepe3HaAneNCaLIZHH KaHan HaAJIe)ICaLLjHM nK)AHM B HaAneNCaIliee BpeMH. Ha

npaKTHKe CO3AaTenH npOrpaMM CTâJIKHBaIOTCH C pHAOM OCJIONCHeHHIi

H npenSITCTBHIi.

Q)opMyniiposaHHe H npHMeHeHHe TIi[aTenbHOH TeOpeTHLIeCKOIiOCHOBbt C`-nunTCH OHO H3 npeAnocbIJIOK ycnexa (53). KaNCAbIII,

KTO pa3BHBaeT nporpaMMy HnH oueHHBaeT ee, HMeeT no MeHbLUerlMepe HeHBHyIO TeOPHIO O TOM, KaK ee KOMIIOHeHTbI CB513aHbi CNCenaeMblMH 3Il(beKTaMH. OAHaKO rOpa3AO yaLLje 3Ta OCHOBOnOna-raiOLL[aA TeOpHH He HMeeT O4eHb TeCHOrI CB5I3H C KOMIIOHeHTaMHnporpaMMbl (2, 11, 87).

21

Page 27: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CyLLjeCTBeHHble LlepTbi ABneHHA, B3aHM0OTHOLIIeHHSI BHyIPH

Hero, a TaK)xe B3aHMOOTHOLLIeHHA 3TOro ABneHHA B 6onee LIIHpOKOM

MâClLrra6e MOryT 6bITb BbIpaACeHbI B BH,IIe TeOpeTHLIeCKOri MOJjenH.

TeopeTHLIecKHe MOgenH 06bILIHO 6onee LIIHpOKO HC1101Ib3yIOTCA BOLjexOHHbIX Hccne,goBaHHAx, LIeM B pa3BHT14H nporpaMM. OHH,oAHâKO, MOryT 6bITb nOne3Hbl npH OnpegeneHHH uenH MepOnpHATHLi,BbIACHeHHH ABnAeTCA nH npocsemeHHe OCyLueCTBHMOFI cTpaTerHeMB03.1161CTBHA, onpegeneHHH MaCLIITa60B H coAepxcaHHA

MepOnpHATHH, yCTaHOBneHHH (1)OHOBbIX yCJIOBHri %ZOCTH)KCHHA I(enH,

CneLjH(IHKaLjHH 3a,IjaLI H Bb160pe BejjyüjHX K ycnexy Mep (13, 75).

EcnH agexsaTHO npOBejjeHHaA OLjeHKa nOKa3bIBaeT, LITO LIenH H3agaLiH MepOnpHATHH He 6bIJIH J>;OCTHrHyTbl, 3T0 MO)KeT 6bITbo6yCJIOBneHO He COOTBeTCTByIOIIMM HJIH HeBepHbIM HX

BbIIIOJIHeHHeM, HenpeABHAeHHbiMH HRH HeKOHTpOJIHpyeMbIMH

CO6bITHAMH B XOAe MepOnpHATHii, HJIH OLIIH60LiHOCTIA0 ne)KaLLjeii B

MX OCHOBe TeOpHH. COJIHAHâA TeOpeTHLIeCKaA OCHOBa CLiHTaeTCApeLnaiOLLjeFi B 3KCnepHMeHTanbHblX HCCneAOBaHHAX, L1enbK) KOTOpbIX

ABJIAeTCA yCTaHOBJIeHHe npHLiHHHbIX CBA3eH Me)IUjy jjeiiCTBHAMH H

nOJIrieHHbIMH pe3ynbTaTaMH.

3HaHHe, oTHOweHHe H noBegeHHe

,T:ta)Ke B npocTeiiiuHx MoAenAx, ne)KaLL[HX B OCHOSe npOCBe-THTenbHblX HHHIAHaTHB npegnonaraeTCA, LITO MeponpHATHA cxopeeOKaACyT jjeriCTBHe Ha HeKOTOpbie npOMe)KyTOLIHbie napaMeTpbl, gemHenoCpegCTBeHHO Ha CBA3aHHOe C anKOrOJIeM nOBeAeHHe. BaHTHânKOrOnbHOM npOCBeLLjeHHH HaH60JIee YaCTO HCIIOnb3yeTCATeOpeTHL3eCKâA Mo,genb 3HaHHe-OTHOIIIeHHe- nosezjeHHe (30I1).11pe,LlnonaraeTCA, LITO pOCT 3HaHHri, B OCO6eHHOCTH O CBA3aHHOM C

aJIKOroneM pHCKe, npHae,T;eT K 60nee HeraTHSHOMy OTHOLIIeHHiO KaJIKOronIO, LITO, B CBOIO OLiepegb BbI30BeT H3MeHeHHA B nOBeZ[eHHH.

CymeCTByeT HeMHOrO AOKa3aTenbCTB B nOjgep)KKy npHLIHHHOiiL(enoLiKH Mogen" 3011. B3aHMOOTHOLIIeHHA Me)I(Zi,y 3HaHHeM HoTHOIIIeHHeM, a TaK)Ke oTHOweHHeM H nOBe,geHHeM ,gâneKO He ACHbI.3MnHpHLIeCKHe ,L(aHHbie nOKa3bIBafOT, LITO ynyLILÜeHHe 3HâHHi%I

ABnAeTCA He06X0Z1HMbIM, HO He ,gOCTaTOYHbIM yCJiOBHeM H3MeHeHHA

nOBe,IjeHHA. XOTA 3Ta TOLIKa 3peHHA, KaK BHjjHO, yLIHTbIBaeTCApa3pa6oTLiHKaMH 6onee yCJIO)KHeHHbIX npOCBeTHTenbHblX npOrpaMM(I1), MHeHHe, LITO npe,goCTaBnexxe onpeAenexxoro BHAa HHCloop-

22

Page 28: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

maw' MBnBeTCM 3(14eKTHBHOH Ilpo(l]IinaKTwiecxoH cTpaTerxel,Ilpoj[on)KaeT OCTaBaTbCB B OCHOBe npeAnpHHHMaeMbIX B I.IIKOnaxMcHee CTpyKTyplipOBâHHbIX npOCBeTHTenbHbIX MepOnpHMTHH (88).

3HaHusl

HepejjKo npH oL(eHKe IIIKOnbH0r0 aIITHanxoronbxoro H

aHTHHapxoTHYecxor0 npocseLgeHHB o6Hapy-AKHBaeTCB LjenblÎ-i pBA

11O3HTHBHbIX H HeraTHBHbIX B03AeriCTBHi3 Ha OTHOIIIeHHA H

nOBeAeHHe. BMeCTO TOrO, 4T06bI CHHxCaTb npHBneKaTenbHOCTbnOTpe6neHMM HapKOTHKOB, HeKOTOpbie npOrpaMMbl, BHAHMO,

noBbICHJiH ee. McXaHH3Mbi, npHBOASiIIjHe K HexcenaTenbHblM 343.43eK-

TaM TaK >Ke HeBCHbI KaK H McXaHH3MbI nOCTHDKeHHB )KenaeMblX3(1(beKTOB. KOHTpnpOAyKTHBHOCTb LIaCTO CB513bIBanaCb C aHTHHapKO-

THLIeCKHMH npo(kHnaKTHLIeCKHMH nporpaMMaMH nepsOrO nOKOneHHM,

rAe aKIjeHT AenanCB Ha HHIji/OpMaLIHH HJIH KOTOpble pacnpoCTpaHAnH

HH(l)OpMaLjHio KaK TaKOByfo (4, 64). OAHaKO, HeraTHBHble 3(bcbeKTbiBbIBBneHbl KaK B oljeHKâX paHHHX npOrpaMM OCHOBaHHbIX HaHH(1)OpMaLjHH (78), TaK H B OL(eHKaX COBpeMeHHbIX nporpaMM,noCTpOeHHbIX Ha nCHXOCOL[HanbHblX MOAenBX (11).

IIp06neMa CKOpee MO)KeT ne>KaTb B COAep>KaHHH HH(tiOpMagHH,

cieM B ee nOAaile KaK TaKOBOM. B BbInOnHeHHOM B ABCTpanHHHeAaBHeM HCCneAOBaHHH 6bIn4 npOBeAeHbl rpynnOSble HHTepBbIO COIIIKOnbHHKaMH BO3paCTa 10-17 neT 4TO6b[ BbISICHHTb KaK OHHnOHHMafOT TaKHe TepMHHbI KaK "HapKOTHK" HJIH "HapKOTHLIeCKâMnpo6neMa" (89). "HapxoTHK" o6bILIHo onpe,aensulcM Ha npHMepeCHJIbHOrO Heneranbxoro HapKOTHKa HnH )Ke nyTeM 01IHCaHHB cBOIïCTB

BbI3bIBafOLI(HX CHJIbHYLO 3aBHCHMOCTb HnH CMepTb. bOneyTOnAiOIIjHe

CpeACTBa - HaH60nee LIaCTO HCnOnb3YeMb[e B CpeAHHX nIKOnaXHapKOTHKH, HO pexce BKJIIO4aeMble B KYpc aHTHHapKOTHLIeCKOrOnpOCBeIIIeHHM, B CMbICJIe OnaCHOCTH 6bInH paCLjeHeHbl HH3KO.

XOTM nOLITH BCe IIIKOnbHHKH CnYLLIanH KYpe aHTH31IKO1-OnbHOr0

o6y4eHHSI B IIIKOnaX, anKOrOnb 06b[YHO paCCMaTpHBaneB KaK Cna6bllïHapKOTHK HJIH xCe He HapKOTHK B0061Ae. 1-1aCTb LIIKOnbHHKOB, 110-

BHAHMOMy, He nOHHMânH B3aHMOCB5I3H KpenOCTH H KOJIHLIeCTBa.BHHHb[e Kynepbl (CMecb BHHa C (lpyKTOBbIMH COKaMH) BOCnpHHHMa-

nHCb Kai( MeHee OnacHble, LIeM nHBO. CpeAH AaBaeMbrX 06bBCHeHHN6b1n0 TO, LITO BHHHble Kynepbl HMefOT HH3KOe COAepxCaHHe aJIKOCOnM

HnH BBnBK)TCB 6e3âJIKOronbHbIMH, HJIM we TO, LITO OHM npHtOTOBneHbI

23

Page 29: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

H3 (kpyKTOB. BiiHHbie Kynepbl HejIaBHO nOSIBHnHCb B ABCTpanHH H He

6bInH BKnIOLIeHbI B KypC aHTHanKOronbHOrO 06yLieHHA. LTTO6bI

npOHnniOCTpHpOBaTb HnH OnpaBJlaTb CBOH CyxUIeHHA, LiIKOnbHHKHCCbUIanHCb Ha 11H4HbIIi OIIbIT, OnbiT ApyrHX nloZlei3 HnH Xe HapexnaMy.

14H(110pMauHSi 06 HCTOLiHHKaX CymcgeHHii LIIKOnbHHKOB 0HapKOTHKâX 6bina co6paHa RyTeM OnpOCa O TOM, rJje, no FIX MHeHHIO,

OHH noLlepnxynH 60nbLLiy1O LIaCTb CBOHX npeJlCTaaneHHiï oHapKOTHKâX, a TaK)ICe C IIOMOLL[bio aHanH3a C,i[enaHHbIX B XOJIeHHTepBbiO CCbUIOK Ha pa3nHLIHbie HCTOLIHHKH. KaK npSiMbie, TâK H

KOCBeHHble H3MepeHHA IIOKa3anH, HaH60nee BâxCHbIMH

HCTOLIHHKSMH 6binH CpeJICTBa MaCCOBOii HHcl)OpMauHH, Jlpy3bSi HpOJIHTenH. rio KOCBeHHbIM H3MepeHHSIM, nidLiHbiii OnbIT 6bUI TaK )ifeBa)KeH, KaK Z[py3bSl H pO,gHTenH, TOrjla KaK BnHAHHe LLIKOnbI 6bIJIO

He3Ha4HTenbHbIM. MecTo, OTBe,geHHOe CO6CTBeHHOMy OnblTy,no3BOnHJIO npeJInOJIO)KHTb, LITO LIIKOJIbHHKH CLIHTaIOT )KH3H1, axeIiIKOnbI COBepIIIeHHO OUTFIT-MA OT O6yLIeHH51 B LLIKOne.

CLiHTaeTCSi, LITO uenbiO npe1IOCTaBneHHSi HH(I)OpMauHH JIOJUKHO

6bITb pa3BHTHe nOHHMaHHA, KOTOpOe MO)KiiO nepeHeCTH H npHMeHHTb

B peanbHOi%I )K113HH, H 'ITO JIjIA aHTHHapKOTHLIeCKOrO npocseLLIeHHSI

Heo6XOJIHMbI KaK cneuH(kHLIHbiii, TaK H 6onee LIenOCTHbIH nOJIXOJI(13, 89). llenOCTHbIH nOgXOJZ ,£(On)KeH aKLIeHTHpOBaTb BHHMâHHe Ha06LLIHX n03HâBaTenbHblX HaBbIKaX, TaKHX KaK CIIOCO6HOCTb

OueHHBaTb pa3n1414Hbie HCTOLIHHKH 3HaHHi3. CneLIH(IHLieCKii

HanpaBneHHoe npOCBeLueHHe MO)KeT 3aHATbC51 pacnpOCTpaHeHHbIMH3a6ny)ICjjeHHAMH, TaKHMH KaK THnHLiHble OnpeJleneHHA HapKOTHKOBKaK OLieHb CHnbHbIX, LïrO 3aTpyjlHAeT npH3HaHHe TOrO, LiTO anKOrOnbTaK)iCe MO)KeT 6bITb Bpe,i[eH, a TaiUICe 3a6ny-AcneHHSi O KpenOCTHanKOrOnbHbIX HanHTKOB.

OmHoweHuA

B npaKTHKe aHTHaJIKOronbxoro npOCBeiueHHA B3aHMOCBSI3b

OTHOLLICHHSI H nOBeJIeHHSI 6bina npeJIMeTOM JIJIHTenbHblX JIe6aTOBCpeJIH o6LuecTBoseJloB, 01IHâKO H,geSI O TOM, H3MeHeHHe OTHOnIeHHAnpHBeJZeT K COOTBeTCTByIOLLIeMy H3MexexHlO noseJl;eHHA

npe06naJIaeT. CynIeCTByIOT TpH OCHOBHbIX TOLIKH 3peHHA 110 3TOMyBOnpOCy, a HMeHHO: OTHOLIIeHHe H nOBeAeHHA He CBSi3aHbi Jlpyr CJlpyroM; HX B3aHMOCBSI3b cna6a, nOTOMy LITO noseJleHHe

24

Page 30: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

OnpegenACTCM rnaBHbIM 06pa30M CHTya14H0HHbIMH H

HHJ.jHBH,gyaJlbHbIMH (l)aKTOpaMH; TeHAeHLjHH OTHOLIIeHHA H nOBeAeHHA

611H3K0 CB313aHbI, HO npH9HHHble HanpaBneHHA pa3n144HbI.

B HegaBHeM McTa-aHanH3e, rge CO6paHbl gaHHble OKOnO 140HCCnejIOBaHHIï B3aHMOCBM3e[ï OTHOIIIeHHe-nOBegeHHe, H3y4ânOCb

KaKäS[ 143 3THX T04eK 3peHIiS1 nogKperÜIMeTCA 3MnHpH4eCKHMHgOKa3aTenbCTBSMH (90). 113y4aJIOCb nOBeAeHHe B 19 pâ3nH*-IHbIX

0611aCT5[X, BKJII04âM nOTpe6neHHe anKOTOJISI H HapKOTHKOB.

Pe3ynbTaTbi nOKâ3anH CHnbHyIO BCeO6LIIy1O B3aHMOCB313b OTHOLIIeHHe-

nOBeAeHHe, KOTOpaSi OCTSBanaCb HCTHHHOIi B pa3nH11HbIX 0611aCT51X.

TaK KaK KOppenALjHA npaKTH4eCKH BCerga 6bIna Bbl IIIe HynA, TOLixa3peHHSI 06 OTCyTCTBHH CB513H Me)Kgy OTHOLIIeHHeM H nOBeAeHHeM He

nOJIy4Hna nOAgepxcKH. B L;enoM BbICOKâA xoppenAullA, KaK BHAHO,nepeseLlIHBana Hcnonb3yeMble B HCCne,goaaHHAX CHTyaLjHOHHble

[tiaKTOpbI. TpeTbA nO3HuHA, no-BHAHMOMy, HaH6onee COOTBeT-

CTBOSana HMeBLIIHMCA AaHHbIM.

gullible TaK)Ke 1-103BOnHJIH npegnOJIO)KHTb, 4TO B OTHOCMLLjHXCA

K COL(HanbHblM BOnpOCaM HCCneAOBaHHAX, MO)KHO O)KHgaTb, 4T0ABnAIOII.1HeCM npegMeTOM KaMnaHHH OTHOLIIeHHA BOrLJIOTATCA B

geliCTBHA npH TpeX yCJIOBHAX: OTHOLIIeHHe CO3AaeT nOTpe6HOCTH,KOTOpble rapMOHHLIHO COOTHOCATCA C npOrH03HpyeMblM nOBegeHHeM;

nOTpe6HOCTH nOBegeHHA HaXOgMTCM B 06naCTH, rge 6011bIIIHHCTBOnloAeH CLIHTaiOT ce6A Cn0006HbIMH KOHTpOnHpOBaTb CBOe

nOBegeHHe; Mepbl OTHOIIIeHHA H nOBegeHHM gOJUKHbI 6bITbageKBâTHbI H npeAnO4THTenbHO He pa3genHMbl Ha gBanpOTHBOIIOnO)KHbIX KnaCCa. TaKHM O6pa30M, COrnacOBaHHble,OTHOCMLI(HeCM K geny H aAeKBaTHO npHBOAALnHe K AeHCTBHIOOTHOLIIeHHA MOryT HMeTb HeKOTOpOe npOrHO3HOe HCIIO11b3OBaHHe npH

H3y4eHHH aHTHanKOrOnbHOtO npocseIIAeHHA, npH yCJIOBHH, 4TO

Cy6seKTbI HCCneAOBaHHA C4HTaIOT, 4T0 OHH HMeIOT OnpegeneHHyiOCTeneHb KOHTpOnA Hag CBOHM nOBegeHHeM, KaCa[On[HMCM

nOTpe6neHHA ânKOronA.

f]cHxocoL;manbHble eeoAenH

He34)(11eKTHBHOCTb aHTHânKOrOnbHOTO npOCBeLLjeHHA, OCHOBaH-

HOrO Ha HH013opMaLIHH, npHBena B Te4eHHe 1980-x rogoB K pa3BHTH1O6o1lee IIIHpOKHX H H3OLLlpeHHbIX nOAXOgOS, 0006eHHO B c(pepeLIIKOnbHOFi npO(IHnaKTHKH. XOTB TpaAHL[HOHHbIH HH(pOpMaL(HOHHbII3

25

Page 31: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

KOMIIOHeHT coxpaHSineSi, nporpaMMbl BKniO4anH B Ce651 311eMeHTbI,B331Tble 113 pRJja 1103HaBaTenbHblX H COLjHanbHO-ncHXOnorHTIeCKHXTeOpHFI. KOM6HHaL(HH COCTaBHbIX 3neMeHTOB npOrpaMMbI H KOMnO-HeHTOB, B35ITbIX 133 TeOpHiï, pa3nHLlaeTCSi OT o,gHOli npOrpaMMbl KJjpyroH, 4T0 3aTpy.gHSieT HX nOCne,gOBaTenbHyiO KnaCCH(i)HKaL(Hi0 HOnpeJjeneHiie Toro, KâKOii H3 COBpeMeHHbIX nOn;XOJjOB 6bin HaH6oneeycnelLleH H 6bInH nH TaKOBble (11, 76-78).

O1(HHM 133 HCT04HHKOB HJjeH 6binH TeOpeTHLIeCKHe MOJjenH,nOCBSiIIjeHHble BepOSITHOCTH npHHSITHSI CB513aHHOTO CO 3JjopOBbeM

nOBeJjeHHS, TaKHe KaK Te0pH5I npHTIHHHOTO ljeiiCTBHSï H MOJjenby6e)KJjeHHi-i O 3JjOpoBbe.

Teopxx npH4HHHOro JjeHCTBHx Fishbein & Ajzen (91, 92)npeljnonaraeT, TITO OTHOLIIeHH5I SiBnSIK)TCSI Bâ)KHbIMH npeJjnOCbUIKâMH

1ZeFICTBHii, Ho JjenaeT pa3nH4He Me)iC1jy oTHOLIIeHHeM H y6e)IUjeHHeM.

MOAenb noljTlepKHBaeT pOnb HHJjHBHJjyanbHbIX y6e)KuexHH O

BepOSITHOCTH TOrO, TITO OnpeJjeneHHoe nOBeJjeHHe npxse,aeT KOnpe,iZeneHHbIM nOCneJjCTBHSIM. 3-rH y6e)KJjeHHSI, COBMeCTHO cOLjeHKaMH pe3ynbTaTOB, OnpeljenAioT OTHOIIIeHHe K nOBeJjeHHiO.TaKxce C4HTaeTCSI, TITO noseljeH4eCKHe HaMepeHHSi nOJjBep)iceHblBnHSIHHIO O)KH11aHHii JTpyrHX 1110,1161 H MOTHBaIZHH nHTIHOCTH

nOJj4HH5lTC51 npHHSiTbIM O)KHJjaHHSIM. 3Ta MOJjenb 6bina no3)Kepa3BHTa B TeOpHIO rUIaHHpyeMOrO nOBeljeHHSI (93) B KOTOpOHnonaralOT, 4TO JjeiiCTBHe 3aBHCHT OT CTeneHH TOrO, HaCKOnbKOnH4HOCTb BepHT, LiTO HaMepeHHe MO)KeT OCyLLjeCTBHTbCSI B JjeHCTBHH.

POnb y6e)iC1(eHHI%I TaKxce noljTlepKHBaeTCSI B MOJjenH y6e)K1jeHHii

O 3JjOpOBbe (94, 95). CTIHTaeTCSI, TITO BepOSITHOCTb 11p04)HnaKTH-

TIeCKHX 1jeHCTBHri 3aBHCHT OT BOCnpHSITHSI HH,ijHBHJjyyMOM nH4HOT0

pHCKa, OT MHeHHSI O TSDKeCTH BpeJja H OT OCO3HaBaeMbIX

npeHMyLLjeCTB JjeiiCTBH5I H npenSiTCTBHi-I eMy. np0(flHnaKTHTieCKOeJZeÎ3cTBHe He 6yJjeT o,go6pexo, ecJIH HHJjHBHJjyyM He BepHT, TITOJjacTSHe BbIIIOJIHHMO H 34)(1)eKTHBHO H 4TO npeHMyII.jecTBanepesecHT nl06ble CB5I3aHHble C 3THM 3aTpaTbi HJIH HeyJjo6cTBa.IIpeJjnonaraeTCSI. 4TO BepOSiTHOCTb JjeHCTBHSI Bo3pacTaeT, eCnH

1jaeTCSI KaKOFi-TO CHrHan, 3a11yCKaIOIIjHri aHanH3 3aTpaTbl-BbIrOJjbl HnpOLjeCC npFIHSITHSi pelileHHA. 3TOT CHrHan MO)KeT 6bITb BHyTpeHHHM,

TaKHM KaK ow-nimble Ci4MIITOMbI pea JIJISI 3J1OpOBb5l, HJIH

BHeLLIHHM, TaKHM KaK HH(I)opMaLjHOHHOe C0o6UZeHHe o6paiijaioLl(ee

26

Page 32: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

LZ

X19HH0131.03mXO O KHOEI1100 3H21O,LX010 OMCNEI. E`HHH31f13E1.OtI0dH

xl.lxaahH.Ladoa.L aH£EdgooH£Ed OLfENCEd10 01h ^`HOixaHOUwox

ON9110N33H 1f903 13 HIfEhO11fx13 191AIwEdlodu 3313 H.Lhou '191AlwEd1odu

1301H3HOLIwON 41011111 ZI OHaII3171911 011-199 3HELfL1 1A/OH90hX wOHHahiC£H

1 'HH11HatIHON XHM03hH13d001 HHHEOHLIO XH Hdll XI9w3X£9Lf01I0H

£H 9ooIlKU311aduo wwEdlodu xH,Le 01HEMCd017o0 '(j j) HwE1(o1

0661 H 0861 iCttNCaw XI9HHE13OxHIf9Â110 ,LOgEd XI9HhOH3110 0d0£90

13 9001fEhaH KSiH3hÂ90 OJOx00hH10MdEHH1.HE H O10H9IfOJONIfEH.LHE 141wEd10dL1 X19H9110Ni11 X19HH0w0dH0o 9.LOOHHH1.M311)Ck

'Xxxcdalrnou o1X1191fEH11oo

H KHH0i10130I1 I91.HEHdE13 a19H131.LEHd0.L91rE 9110113E100i1adII

3N01E1 E`KHHam90 HM1911EH MEN wHNE.L `wEN1913EH wH11190 0011'09 ONCNEI.

E`E£EM1.0 H31I911EH MEN wHNE.L `1A1EMI913EH 1A1I99000 91EhÂ90 `114H1-10III3d

KH.LKHHdII H walrgodu KHHalnad `KHH3MCOIfo1] 0JOH9Ifa1.HH1TÂd.LE£

£H E17oXI911 HNI9HEH 9.LEHHH£Ed `91.O0HHH.LNacIlIe-01A1E0 H iCNH01I001,11E0

9.LKlruadN,C `HHHaIr13E.Lotladu XI9HHH.LEwdOH HNHodl.l.xaddoN H

Ha ,00HHatI o1HH3HOKOdL1 91E130E1109000110 `XKHHI.O.LKlladLl H XEH.LOaiII

-,CwHadu 5CKHH.LOt1aLf0011 `3NO1d o KHHa1rixX0 EH 91.EHOH.LOHa17£oH

1990.1h `0101 NMI HxHtI0.L3w 319H£Edg00H£Ed 1ALX£9LfOL10H 191AIwEdJ

-odu aI9H9Ifa.LH1.aHOOdLI aHNOahH.LOMdEHH,LHE H 019H91f010NIfEH1.HE

XKLfOttOw H xKHdoax XI9H9LBH11000XHOLI EH 019HHE130HOO

19wW@dJOdLI 819HJ.HaHOLIWONOJOHw

"(OE) OJOHwaH 1wE13.LOamaH KHHaugad.LOUXou£

wEwdocfI wHJXd17 x xo13HHHdu Et1ox17ou HHtlKUOUEd.LOxe

13.LO9u3.LE£EN01I 19173do H 13ox1H.LOdaHO O111H3Lf13E17 KHH3IrHHl.0d1100

wE903011O KHH0hÂ90 H KHH3dÂM H1.00HH3HEd,LOOdllOEd 0 HHH3LCHE1.ot7adH XI9H13H.LEWdOH Hx130dH1.M3ddOx £1 11101000 ENHHHHdII

1,13130hHlnxEdll 'HHHKHLf13 XI9H9LCEHIIOO 0HH0dti1 XHmOadHITHE1EUOdu

13Ha.Odu XxH1113HdU wBx.LOOdttou KElfatf `91H1.EdH.LOl70dll

oHxcow OIHHadXN X OHH3iI190Hd11 o.Lh `1,0E1EIroH Hx13H13Hdu KHdoaZ 'HHtIE£HHXPYwH ol9mowou o so1.aKHEdxoltadu /twoJXdt1 x Exa13oIfah

OJOHttO 10 HH£0Lf09 aHHaHEd.LOOduoEd Hodo.LOM 13 `I9HHtlHilaw

H.LOELf90 EH .LK£13 ENEHHHdu HHwdas, '(L6 `96) Hx13H13HdU

KHJ31Ed10 KHHaCUx HNH1.xEIIHCtIodu KLfi1 suEng KEHHE.LO9Ed£Ed

EIf199 wwEdJOdLI KHiHH£Ed K1111 Hat1H woxlHhO.LOH YOU/WV

'HOIfEHJHO XHMEZ HIfOd HNH0t10 KLft1 HHHE130t13LfO0H 0N4110NO3H 91II111 OH0t1011OdL1 0I1I9g K9HOd017£ KLftl ENOHd 1911113 0199000 EH 3HHEwHH13

Page 33: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

SZ

a I4HaHINatilcpe HU199 aTloxTlou womlcEM a I41NwEdaodu 019d010M2H KIOX '14HJa1EdIO XI9H4IraT110 11.1.00HffH.L)l0(14/e

90 aOT10aI9a XI4HHaIf0Tl0dII0 41EI10T13 `ONEHTIO `K£911011

'aHHaTlafiOU EH aHa1OHaT1£Oa a01fEw KEE14ETN0 `HW14H4ll'Ed.LHaH 1111199 ao1E1911X£ad EHHaOLfOLI H.LhOU Halooxxari

aHH2HOKOdü/KHTIEHNdO(IDHH aT1OX17O1I g 'HINI4HflHIH£oU H1114g a01E141f£ad I4HHaOIIOII 0110)10 (axH011001'11E3 H wOOOadLO OHHHaIfaEdUiC

`13013OHH011 O1HH9HOKOdU `HHHamad OiH1KHHd1I 9o0I11/110T1iC aHHEwHHa 00HflOHO0 aTIJ) aT10XT10U 1110H41fEHOHTIOINe g 'XETIOXTIOU XHJXdT7

Hdu wah `axcad 4o111fEhad.L0a HHO 09H11 4o11199 OH 09H11 ao1E191rA£ad

XI4Hâ111EJ0H `Hw14HaHJ.H£OU 14Ir19g a01E14I1X£ad XHNOahHaTlaaoU

oa10HHm4110g XET1oxTlou XiCaT1 x191XIIKwouX g 'KHHauaH1oduoo

H HHHamad KHIKI-IHdU HNI4EEH `KHTIE1Ndo(IHH MEN 141H2HOLIINOM

014NE1 KgaO a HIrEh011fNa 0HhI490 H H14Ja1EdJ,o dlMauO HHNOdxm

HUEEO£9If0U0H I9wwEdJOd11 aHHHOdOI.OaOg 'KHHKHUa 0J0H41fEHTI0O H HHHH0d01303a HI1149 HwET10X0U Hw14HaHJ.)IaII(Pe 03I109HEH 01h

`IrE£ENOU TlO1aw HHHT1aIfO011 'HNH0110 HMHT101aw H1OOH1Efi)iaTiE3H EC

-CH a14H4Ifa1HHHVOO `014HHET1 4OHIfEhOI1CNOH wOdO10M Hdu `KHH2HaEdO

H KHHaxaEdo o.IOloodu :d.CTlariodu xXaTl 014mowou O 9OEIfEhX£H

aOT1OXTlOU 41O0HaHIM0(14E '£HIfEHE HI4Hd010EIrN HE110£4110UGH

IfI4g 141IoXTl011 0I49030 a wEdJOdu KHHEaodUUXdJ KIt

'HNHari001AIEO aHHaIrHOiC aNCME1 E `wOOOad.LO OIHHaIfaEduiC

H Ha1OOHT7iCdJ. OiHHaIfOTlOadU aHHahÂgO `aH1EHda14IrE XH)iOahHaTlaaOu aHHaUal7adu0 `1;131OOHHaTI aHH2HOK0dU MEN I91H0H0UwOM 014NE1 40HIfEh0dlOa aMCad '141A1d0H 014aouuXdJ 3I4aHhH01OÂ 41HfiOHE1OX aNC

HUH alOamaa KHHaUgadl.0U.0 HlOOwaUwaHdu H HIOOHxaHEdlOOduoEd

o KHHa1faElOTladu 41HaEduOH 4OKEII4U `wdOH a14HaUfiOHE1OiC

Kgao a EIfEhOHU)la EwwEdJOdu KEIdaalah KET1MCEx 'H)IH.LO)IdEH

4.LKU90d1011Â aH 0a104I1a1E£K9O aoH9UEHoodau 411SHHdu aoxxH4lroxlII EUETI)KÂgOU 1/410d1 KETINCEx E `HHHamad o1HIKI-IHdu XwOH4I1EHOHTIEd

HUEh.Cgo wwEdJodu HIM xI4TINCEM £H aaly 'awEUNad HIrH wK110I11T1Od

WW1 `wENHHlodaao 0HHE1NHHa 00m41109 KKIraTlX `KHHaUaHlOduoO

wEN199EH 0H1-10hÂ90 HIrEhOilfNa wwEdJOdu 14HHâOI10U 0I10NO

'KHHalroadLOUX XH wKHE1oT1aUO011 H XMOHd aMCNE1 E `xEaloamaa O wKHHaTIMGCO H wKHHEH£ 14H0mKa0011 HIf149 wwEdJ0d1.1 H11IO01:1

£H 411Sa011 :HHTIEwdO(IHH KEwaEaETIHd11 `410OHMCEa 01e - OiCOHaOHOx

1rEaoalOaTILCO `OHT1Ha MEN `Âwod010N 011 `w01NauOE wI4HHafi1OHHTlg 'KHHahXgO 0J0MO0hH.LNEUH(I)OdU 0JOHflH1Na(1)(1)e XEIH2HOUwON

Page 34: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

6Z

(86) 400Lrlitioaodu

OH HHhHI!£Ed 110XHIIIaE11oI1rgEH HNdailodu HONO0hH1OH1E1O

01h /C1%101011 `I4HHa1rO19wOiCfl11 XKEhiCItO XHJOHw Oil H 14ilHhadOilH10dL1

I41E141rAad E `HahHHEdJO X14HHaYVadau KOXHIIIaEh£H 4HahadaJl '(9L) HHhE£HHEgdX HHaua1O H HHHaNCOIfOIl WONOahi3INOHON6OH11OO

`auuXdJ 14ONaahHH.Le H H0H10Ed£Ofi `ou-ou EH 4OHIrEaodH3/(X011)

oJaoa amEh sodJ.awBdsu xxmo1,C11adoouo IsHHEaotialfooH HHOwada

I91HawOw aI4HhHlr£Ed a 0x01E1 E`uuXdJT1ou xI4HhH1f£Ed KIfT1 `aloamaa X14H£Ed ïSIfi7 14Hh141r£Ed 91149 .I.Â_IOi1i 141E141fiC£ad fiONHH4IfONII1

Htado ao.LNa(14e X14H41rEd.LHaH H XI4HflH1EJ2H `XI4HilH1H£O11

4001,10 .LaEaH31GCdEH9O 01OEh wwEdJOdu X14H41f0XIr1 ENH0110

HaIfalEImLCLrO

XH H NE.L `IHwEdJOdu MEN 141EXH1OHda1NEdEx wHmo1Xa1o1Kl1adu

H wE003ri0d11 wHmolXTladoouo KHHEINHHil 3u141rog 41.I3Irati,C

H1OOwxttox9oaH O axxaxcOLroLITladu OHE£EXOI4a orr19g `HMOahxdxuwe

I4HE£EM017 41149 1ÂJO1A1 OH Ha£KâO XKIr017OIN XHNOahHladoal

fi X14HHEflOdHIriC.LOO11 £H aHJOHIN (86 78 `z) 41E1O9Ed I49 HIfJOw

Him HlrElogEd MHO OJOdo1oN oi4mowou o `Eooatiodu olHHalratladuo

KHHEwHHa OIfEw 4OOLCKIrat1Â `1AlEdJOd1I X14144110NITI H NE1 `XI4HHOIitIEwdOCPH14 XI4HhHLr9XI1 MEN aXHa110 HdLI 01h `101E1Hhp

19dlawedeu aHhnoieayxcdab'o r1 aNtnoiAtladaoup

KHHaIraElOttadu axmgo EH

aH E`KHHa11aaOLI wKHa1OtlalfO0I1 N H1O09HhwHHdLIOOa HOH4IfEHOOd3I1

HHHa1rHOÂ 14 HHH311aOHE1OÂ EH 41EIra111 1aa'01r0 clout( `ENOHd

OJOwaEilEH£OOO H1OEL190 a 01h `aHHaxcolroLltladu OHEIraTiO OIfI4g XI4HHE17 XI4HHahiilfOLl aaOHOO EH wwEdJOdu XH)1O0hH1MEIrHCPodu

1,1101HaHOLIwON w14HNCEa KO1aKLrilK EHO `0900 Ou EwEO EHh01E10011aH KIItIEwdOC1)HH K1OX 01h `aHHaxw 1.3EttNCdail1t1011 XEwwEdJOdu

xaoa Os H1h011 E1HaHOLIwOM OJOHHOHT1Ewd4HH 0Hfl101rC0HdJl

104TIEHH9111OX KEHIlIaLIOiC aa1fO9HEH XH EâONEX H wI4HHaalOam/CO 001f09HEH KO.L3KIfaK XHH EH HONEN

41HLrattaduo OHNCOw£OilaH `ao1HaxouwON XI4H1AwEdJOdu d1M01.1O

400a H1hO1.I 10/C£41COLIOH HO MEN NE1 OH `HHHHOd01000fl KOI.aKIIfiIS

`OHttxflah0 `wotloxtlou wHm01Em090 aalrogHEH wE1E14u,C£ad

w14HilH1EJ2H HUH w14H4LCEd1H2H X H H1fHttOHHdL1 I4i7oX11011

aOfl `11OMH10NdEH H ENE9E1 `KIIOJONIfE ÂNOH1EH HHHKO1OOa1410du

Page 35: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

201r09HEH `oH.LKOdaa `x19do.LON £H `ao1.Nacplpe HHxdEdaH NauailOw

£H 1H01000 `HHHEIIwEN aNHaTlO H HHHESOdHHEIfU HdLI KEwa£41r0110Li

`EflOHOO KEN0ahHl.adOa1 KEJÂdtt 'HHTIEwdoCPHH HOflO00E1%1

xEaJatlado a HHHELIwEN XI411HOHTIEwd01)HH HNHaTIO KHHaTla9odU

HHHEBOdHHEIfU HdU 90HIrKHawHdu H1,1do01 aI4H9LBHTI000XHOU HHHaTII0200dU wONOahH.LONdEHH.LHE wOH9LIONm 8 0l41A1a£41fOUOx

aoiNac$nt)e IsHxdedaH

'KHHaTIafiOU HWENflHUI48 0 OJOHHE£Kfl0 aHH2HOK4.90 a iIEIfNB

i3om91f09aH 4mHIf 1KOOH9 EHEI111 OJOHgah 0I4HH01A1adaU `Yiau311311od

H 11ONHHI.0da80 aHHKHIra `oIHJHIfad `413OHNCa1fT1EHHdU OLÂNOahxHJ.e

`uoL1 aHHE11IHHa 08 911SHHdU HlfOa `01h `Ifxuatladuo £HIfEHE HI4H.LHEHdEaH.L4LCÂw `OLHHaTlaaOU Â1A1ONE1, N aHHamOH1A HIrawH

E HELIU OJOH9ah aI4HHawadaU 01h `4.1.H31CO110UtladU IfH1f09£OU £HIfEHE HI41-11HEHdEaHg K1AX (S) aoNHH91r0Nm aHHa11a80U HWEN8HU19g

O 00HHE£K80 EH 411SHIr80U 14901h `w01 O (iiHHamad KHJ.KHHdU

HNI48EH H ENHa1100111E0 `KHHamOH.LO `KHHEHO 4.1.14Haw£H KouedHgoa

HELfLI HI4H9ah a14do1AN `Halral.E£ENOU X01 K1111 OIf199 wE.L E1.Oaw (N4LfON0 41HIfaTladU0 14901h `OJ01 KLfTl 19EHIfEHE HI9HI.HEHdEaH1.41fÂw

H 1,119HJ.HEHdEaH9 14H2HawHdU HLr199 `EHEIILI OJOHgahX

dmp e 0J0w3£4110U0H ONOdHm 41.00HaH.LNaCPCPe HamaEh£H `aL,OgEd

giiwENHJ.OHdaJ.NEdEX HiNHHmaHa HLM Hw14H4uEÂT11LflH11HH HLHJÂdI1

O oIHH2HaEd0 OU HahHHEdJO aHHa17aa011 NOSHUI9a K330117O1E0EN EH

aHHKHIf9 41E9I4£ENO aOd.LawEdEU EUHI OJO.Le IrEHIIH310U `ÂINOwHI1Ha

-ou '(86) HwHfiolEmad I4HEaEEH 41149 J.ÂJOw OH x14HHawadau

XH1e £H aHNENHH XI4HHETl KOXHhIOIawH 080H00 EH 'HINEdJ.awEdEu

HI41I4HHOHTIH£OU H HiI4H41fEHOHhowe `HiN14H4Ifa1.E9EH£oU

HY1IH17TOLÂTladO0U0 H wEdJOdU waH81.0HaIl£0a iC117Caw

HEKflO xxmSEh£H `1.ogEd Ku11 H oaxul7aaEduo 001NE0 ONC 01,

.(LL `9L) I4T10fl14E 41EUar1 HuKIrOE£Ou

OH H Hw19aHhadOaHJAdU HIfI49 141.EJ4Lf£ad 'HwKIfaJ Hh a14wHT1OaOdU

H HLNENHH1.Od0a3 a14wHT10aodU `ISHI.KHE£ 90HIfEaHHaEdO 0.130a aTIIEh KHHESETlouadU aoT101.aw 1N041111e HHfiOLÂ110d30110 XHmaElvt£H

`XE.LOgEd g (86 `j j) wwEdJOdu KHH2HLroul4a XI4HHawadaU aO1.Naci(pe

xiiTIloLÂiladoOUO HHHEao110110oH oLrEw oH411a.LHHaEdo oxatia9odu o1114g 'wwEdJOdU KHH2HLf0U148 4HaU210 H 4,L00H4Ira1,E90T1au00U

`4100HhOJ, OX! HIfH `KHHahÂ90 141T01.aw `HaLfaJ1Ih KHIIENH(PHIrESN

H KHI1EaH101A1 `aHHahÂ90 NEN H1NHNE1 `80dO1.NEIID wO11Kd o

I4HE£Ka0 4J149 1.ÂJ01Al wINEdJOdU X14H4LfONm EhET1Â2H HIfH XaUOA

Page 36: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

tuxpoxo H3BecTHa MaTpHua HHcpopMauxSl/y6e)ICAeHxe McGuire (75).MaTpxua AaeT OCHOBy Ana H3y4eHH3I BO3MO)KHbIX CBSI3eH Me)KAy

BXOAOM (HH(1)0pMauHOHHbIMH KOMnOHeHTaMH) H BbIXOAOM

(B03MONKiible pe3ynbTaTbl cpeAx C)1yLaaTenerï). HHCIIOpMauHOHHbleKOMIIOHeHTbI COCTOSIT 143 nepeMeHHbIX, KOTOpbIMH MO)KHO ynpaB)1SITb:

HCTO4HHK, C0o6aZeHxe, KaHan, nony9aTenb HH(bOpMauxH, a TaK)iceue)1eHSnpaB)1eHHOe noBeAeHHe. Pe3ynbTaTbi nOHSITHf%IHO CBeAeHbl K

ABeHaAUaTH yCneIIIHbIM IlIaraM npoxo)KAexxsl xH(bOpMauiiH H

nOBeAeHHSi, KOTOpble HAyT no nopAAKy OT nOKa3a, BHHMaHHSI,xHTepeca, noHHMaHHSi H O6y4eHHSl Tiepe3 H3MeHeHHSI noBeAeHHSI HnOCTIIOBeneH4ecKOe 3aKperUIeHHe. 3TH want AOn)KIrbI 6bITb BbI3BaHbIrum TOrO, 4TO6bI npOx30LLUIO rUIaHxpyeMOe y6e)KAeHHe. C4HTaeTCSI,4T0 BepOSITHOCTb TOrO, LITO HH(liOpMauHSI BbI3OBeT KaK0Ii-)11460 513

3THX OTBeTHbIX urarOS 3aBHCHT OT TOCO, 6bInH 11I4 CAe)1aHbl BeenpeAurecTSylouiHe urarm.

,)Ti06aSi 143 nepeMeHHbIX nOAa4H riHCt)OpMauHH MO)KeT OKâ3aTbpa3nx4HOe HRH Aâxce npOTHBOIIO)1O)KHOe AeHCTBHe Ha OTBeTHblealarm. HanpHMep, npHBneKaTenbHOCTb BbICTynaloüxero MO)KeT

yCHnHTb xHTepec ayAmTOpmx K coo6LueHxlo, HO B TO )Ke spew'.OTBne4b OT ero nOHHMaHmSi. MaKCHManbHaSi 34)(beKTHBHOCTb

HHctiOpMxpOBaHHSI Tpe6yeT OueHKH nOTeHuxana Kâ)KAOH

aRbTepHaTHBbI noAa4H xH(liopMauHH Ansl Toro, HTO6bI BbI3BaTbKa.)KAbIH H3 Iuaros B pe3y1IbTaTHBHOIï uen04Ke. gBx)KeHr3eayAHTOpHH 4epe3 BCe 3TH marl,' TaK)ice 3aBHCHT OT HHAHBHAyaRbHbIX

npeApacnonoxceHHH H MOTHBauxli, KOTOpble MOryT 6bITb

pacCMOTpeHbl Ha OCHOBe pa3nH4HbIX ncmxonorx4ecKxx H

nCHXOCOuxanbHblX TeOpHÎi.

gpyrxe HepapxH4ecxxe MoAenx onxcblsaloT npoueccy6excAeHmx Kax Mexee nxxernHblH. Pa3pa6oTaxxax Petty & Cacioppo(99, 100) MoAenb sepoSITHOCTH OCMbCneHHx npeAnonaraeTcyuiecTSOSaxme "ueHTpanbHoro" H "nepxci3epH4ecxoro" rryTxy6e)KAeHHSi. C4HTaeTCSI, 4To ueHTpanbHblM nyTb BKRIOLIaeT B Ce6sinO3HaBaTenbHOe ycHnme, C nOMOlubrO KOTOpOrO HHAHBxAyyM,

OnxpaslCb Ha npeAurecTSyrourxe 3HaH145I H OnbIT, npxXOAHT K6naronpHSITHbiM Hnx He6narOnpHSITHbiM MbrCnSIM B OTBeT Ha

y6excAeHHe. uenb nO3HaBaTenbH000 yCHnHSI - OnpeAenxTb, HMeeT nxapryMeHT KaKxe-nYi60 AOCTOHHCTBa. BepOSITHOCTb nO3HaBaTenbHOrO

OCMbICneHHSI 3aBHCHT OT MOTHBauHH n144HOCTx H ee CII0006HOCTH

3aHHMaTbC5I pa3MbIIIIneHHSIMx. Ha MOTHBauxIO Hax6onee Bâ)KHOe

31

Page 37: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Hltatloly (zS) qpnulial3 a up;.d HoxxalraElatiadu g 1so1Eln x14H.I.0aiO OIHTIE£HIfEKL11011HON 01iCHH H.LHEH oxxcow xslrattow xi-LIMIT g

fiOIlEH1H0 XIg.LOOdLI aHHEâodH4dEa 4LI49 .LaxCOw wI4HaH.LNa(146

001109 H0HtIEâH1Aw HON£HH O H1VSL101ElniCIr0 00 E`I4LHa1yiC.IdE

aI4HHaa.LOaTILCO SiCdH4dua `dawxduEH `HHHam9000 soxxmolSdoiaou ELxa(tici)6 SOO.Iam01EaHIIIEH£H 4.LE.I09£H OHNCOw HOHtIEaH1Aw

HON0014a O HwSifa,LEIIIÂIfO Op LHaw,C1dE E1raTl H.LÂO N SOHHmSOOH.LO

MEN - x111Âdt7 s E `EIfBH1H0 O.IONOahxda1)Hdall as.LOahEN a

xSHaolroiC Xlixtlo a 4.Li3NGCI10 .Laxcow olamsdoaol 4.LOOxglra.LExauaHdu

`dawliduEH aow,CX17HaH17HH XI4HHEaOdHaH.L01A1 OHhH11£Ed

Kell H xSHaOIrOiC XI4HhHIr£Ed a grrod oiiClihxIr£Ed 4.LEd1H 10xcoly HHTIEWdOCIIHH 141A1010H0 aodl.awEdELI £H HI$7NCEx wI4H31COI10 0H41r0fiOtt

SO.LaNCEN SHH0I1OI41VOO H.LOOH.LSOdaa H1r01t01A1 EH HOHH2Od.LOOI1

HHtIENIdo4)HH 14a1.oHO HoxaH.LNacPrI:Ie aHHaodlaou 'ws11314w wI4H.LSHdI101EIr9 N 1HT1oâHdL1 01-1110110141A.100 01£ HIrOa H`O1Ht1EwdOLI)HH

41.EHH113Ig14100 H09000110 H 01HTIEâH.LOw .LaawH IyiCiCt/HaHT1HH

Hlroa Ox41r0.L OIHHOHaw£H KwOH4I12.LHx(lfoTtOdLI N .LHTtoaHdLl

SHTIEwdOCI)Hx SHHarII0H1A 0iHH0H0w£H N .La17afi 0H4110.LE£1390

aH HHHEH£ aH.LSHHdll E`HHHEH£ SH.LSHHdll 10X90d.L 0H SHH0IlI0H10

aHH2Ha£H `SNHaIfOI4w00 11100HLSOdaa HIratTOw OHOEIIIOD

ao.LH0wk1dE HHHaIrOlgwoo wOHSH.LNE Hdu So10XdHwdoC13

o1.h `01 wah `OIHHar1I0H.LO XwOaHhH01.OÂ H iC1,11OHHEH£000

aaHaw N a1.E.Lg11iC£ad a iHtloaHdu sO1fEH1HO xI4100du 0HH2HO10110 HI111

aH.LSHHdu aOHâHOOEII 01h `1SO1aE1HhO 'H1O01110009 010 SIfa.LE£ENOLI

0fi.LO0hEx a 411I31CiCLro 1.Â.I0141 `wotiosotl wH.LE O 14HOEIr1O0 HatT01If

xHIXd11 0a1OHH1rI4L109 01.h `0HH0I11Ehaua 0xc HUH `iCw0H N aHdaaoti H

HHTIEwdOOPHH ENHHhO.LOH 4.LOOH4Ifa.LENaIfaHdü MEN XHNE.L `aod.LalyEdELI

Oâ100NCOHIN 'xEtloaOtl xHm0lEtTxc09iC a 90IfaH1H0 XI4,LOOdLi o14mOiyou

o SO101,Cdxwd0lI) SHH0rr1OH.LO wO.L£ Hdjj X1voNOahxdaciHdau

o1I H.LOaâ OHxCOw 01IHat1xca9,C `EN£HH sOLHawiCldE o1HHaIr0I4wO0

N 41O0H9000I1O 01a H SHtIEâH.LOiy EtT1ox

'H.LOOHhHIr HHHaTTNC39Â 01910Eh SO.I.HaOHE.LO

aodo.LON `OIHHamOH.lO iCwONH010 OH4IfOaOtT H XwOHHEflodHlrXwd0ctiO

omodox N aiE.L4Lr/C£ad a 1Htloaxdu HIgH4Iredl.Hatl 01.h `1fO1.0E1Hhj 'sol.HawiCldE XHmOIEtTNC09X HNH.LOHda.vlEdEx a14HhHlr£Ed

H I4d01314 HI4HHOHTIEiC.LHO ,LO1Ââ,L0Hat1£oa HHHam9000 0x109Ed90

HOH41101.EâEH£OLI N 4100H9000L10 EH 'HaH N 15O1HOOH1O OHH0m9000

0.1.6 ON4I1ONOEH 401O1 014100HhH1f aHHEH£000 1.0EaI4£ENO 0Ha10HaT1£oa

Page 38: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

C4HTaeTCSI, 4T0 CJIyiUâTenii JjBH)KyTCSi 4epe3 nATb OTBeTHbIX CTâljHii,

Ka?iCJjaSi H3 KOTOpbIX BKJIIOYaeT B Ce65I HeCKOJIbKO nog-IIIarOB. CTasruiSI

noKa3a BKJnOtiaeT s Ce6Si CTOnKHOBeHHe C noCJIaHHeM H O6paüjeHHeHa Hero BHHMaHHSi. CTâJjHA OCMbICJIeHHSI HHCbopMauHH BKniO4aeT B

ce6x noxHMaxxe coAepxcaHHx, Bb16opOLIHOe BOCnpHSITHe HCTO4HHKaH IlpH3bIBOB, a TaxxCe ouexogH6Ie peaxuHH, Taxie KaK ogo6peHHe,cornanleHHe HRH ocnapHSaHHe co061ueHHSi. CTaIZHSI o6yLieHHSi

sKRI04aeT B Ce6si np14o6peTeHHe 3HaxHFi H Hasbrxos. CTa,gHSi

cornacHSi sKJIiOgaeT B Ce6si (bopMHposaxxe HnH H3Mexexxe3MOUH0HanbHblX OpHeHTauHIi, BKnIOYâSI y6eAc,21eHHA, OTHOUIeHHSi HnH

noBeAeHLIeCKHe HaMepeHHSI. CTaJjHA npHHATHA BKnIOLiaeT B ce6xMOTHBaUHlO, nosejZeHlie, nocTnosegeH'-Iecxoe 3axperUIeHHe, a TaK)IcenpOJjOJUiSeHHe H cOXpaHeHHe npaxTH'ieCKOrO nOBeljeHHSI.

l'naBHbIM JjOCTOHHCTBOM MOJ(eneii HepapxHH 34)4)eKTOB MO)KeT

66ITb FIX npHMeHeHHe npH nOCTaHOBKe uenerf H OL[eHO4HbIX

HccneljoBaxHAx. MoljenH npeaycMaTpl-ISaIoT pâ3Hbie CTpaTerHH

H3MepeHH51 H pa3nH9Hble xpHTepHH ycnexa ans xa)K,Zjoro

nOTCHUHânbHOCO ypOBHA B031jeHCTBHSi. OHH TaKxce yKa3bIBaIOT, KaK

H36e)KaTb pacnpOCTpaHeHHbIX OIII460K, TaKHX KaK OUI146KH

OCna6neHHA 344eKTOS H OTJjaneHHOrO H3MepeHHSi (75). OuJH6xaocna6neHHA 3434)eKTOS noA4epxxsaeT Ba)KHOCTb nOCTaHOBKH

060CHOBaHHbIX ueneH: npH yCJiOBHH, 4T0 KaxcJ(blI%I H3 OTBeTHbIX

IIIaroB, BepOSITHO, 6yJjeT TOJIbKO 4aCTH'iHO 30:1)eKTHBeH, O6ujeeB03AeriCTSxe ni06ol%I KaMnaxHH, cxopee Bcero, 6yjjeT ZjoBOnbHOCKpOMHbIM. OIII46Ka OTJjaneHHOrO H3MepeHHA noAiepKHBaeTBa)KiiOCTb pa3nH4HIi Me)KAy HeMenjJleHHbIMH H JjonrOBpeMeHHbIMHuenSIMH H 3(134)eKTaMH. K3MepeHHe 3C1(131eKTOB KaMnaHHH Ha paHHeli

OTBeTHOH CTaJjHH He 06A3aTenbHO npeJjCTaBnSIeT ueHHOCTb arm 60neeJjOnrOBpeMeHHbIX nOBeJjeH4eCKHX 3411CpeKTOB.

B HeKOTOpbIX cny4aâX, H3MeHeHHe OTHOIIICHHA HRH Jjâ)Ke)KenaHHe JjeIiCTBOBaTb B COOTBeTCTBHH C 3THM OTHOIIIeHHeM MoryT

6bITb HejjOCTaTO4HbI JjJISi TOrO, 4T06bI BbI3BaTb )ICenaeMbie

nOBeJjeH4eCKHe peaKUHH. HepeXoA oTHOUIeHHA B nOBeJjeHHe MO)ICeTnoTpe60BâTb OCo6bIX 3HaHHii H HaBbIKOB, a TaK)Ke HBRH4HA

n031-ITHBHbIX BHCnIHHX CTHMynOB. KaK B UIKOnbHbIX, TaK H BMaCCOBbIX HH4)OpMauHOHHbiX MeponpHSITHSIx 3TH SIBneHHA 4aCTopaCCMaTpHBaIOTCSi Ha oCHOSe pa3pa60TaHHOFt Bandura (101) TeOpHHCOuHanbHOrO o6y4eHHA. TeopHA OCHOBaHa Ha KOHuenUHH

133aHM006yCJI0BneHHOCTH, nayTHHbI AHHaMH4eCKHX B3aHMOJjeIiCTBHH

33

Page 39: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

£

H1I199 HHLKHdvodaw X19H51H1N04/CPe KHHEaOdHHELfI1 KLIg 'HH101Ed.LO

H 141.)Ia(I(P6 a19HH2Wada0)1.LEd)1 EH 19HEaOdH1H2Hd0 KHHa17aa0U O1OH4LrEÂT(HaH11HH H1fa11Ow 0I9H9I1EH11000XH3u 0H10Hj^j 'H.LOOH

-411011f011 HOHHaa1.011adO0u0H a aHH3HawHdu Y1IH H.LHEH H I9.L09Ed

I411010141 a HIfa170YV 91H.LEdaadll OH11Âd.L 01-19I10flo1( `K0.L0EaHLfaEHE.L3Â

oNrad o19.LOOH9IfEad H HwKIrarOw Â17)lCaw 014131010E11000 aOwaEIVHHHdu

NE)L NE,L 'HHdO.LEdogElr a oxahÂllOU a1391ra.LE£ENOü XHNOahxdHUwe HHdoa.L 019H9IfEH11O0OXH0L1 H aHXOahH101fOXHOLI XHmOiEaHNCdaT111ou

£H Oa.LOHHIlI9IfOg 'HH.LKHduodaW XI4H41f011410flOOdu H130H9LrE0d

.LO HwHNaIIEr1 K0101E.LHhO HLfai7ow 01,1N00hH10d00Z '14w1vEd.1odu

aoNHh.LogEd£Ed KHHad£ HNhO.L 0 Hw19HhH.LNEd11 9H0h0 1501/010Ex

OH Huallow Âwahou `91.1SHOU axcgÂLr1 .LOIKLroa£ou (LS) 09aodo1l£

o HHT1EwdOCIHH ou HwE.LdauaNe o o19ada.LHH aUI19a aI4.LCHKI11011À

'wwEdlodu HH.LHa£Ed Hdu 0h `XKHHEaol70110O14 XI9HhOH0110

a Ko.Lo1£9lrouoH adHln OHh1990 HlrallOw axNOahH.l.adoa,L

NOLfO170W XIiN0ahNladOO19100HhN1)IBd(

'KHHOHaw£H H KHHam90 ao0001-10du

XI4H1.00HhHLfNCaw HH11E£HIfEÂ.LIlar1HON 1S1117 90ELrEfiO£91rOU0H

E1710HH `15HH2Hw O10HH0a1O0m9O aodOr(HII 91fod KEmolEaxxdah11ou `(ZOI) HHH0110aa0a0H KHH2HEd.L0OdU0Ed KHdoa, 'wEHawOdaU

111I4HâH1.)I0LCIfON wamOLÂa.L3.LKHduolEI19 `HHHalfaEduEH a HNaOHE.L090

HOH4IfEH1100 OHH2Haw£H aNC HUH KHH011aaOLl 1fiiH2HOw£H 00011Od11 a Hai(OLLf X111Âd11 aHHahalraofl `KHHam90 O1OH1OOHhHIfN(01AI aHHadmOOu

`dawHduEH `91I99 .LONCOw HH11EwdOCI)HH HOHI.00HhHIINCaw H HOa000Ew ISIiHOHH1104.90 o191101j 'XEa.L3am9000 X14H,LOaw H XEUUÂd.1 3CH1II91f0g0H

fl H0109Ed HIfH Ho3131(d01711ou HOH1.0oHhHIrNCaw K01OI1SHIfOUO17

O.LOEh HHHEUNIEN 019HHOH1ïEwdOCPHH 0I4HHawada03

'KHHahÂ90 01OH4U'EHr100 HHdOa.L

aO1.H0HOUwON XI91sI0KHawHdU ONOdHI1I 001109HEH H11ad3 K011S11OXEH

(01HH0110a0u ÂiNOHH HUH ÂIVO.L N H.LOOH9000uO HOwaEmÂfiO

H 0903 a H.LOOHhHLf H13oHH0dafl 9110d HHmolEaxxdahrrou) H1O0HaH,LN0446OwE3 aH.LKHOU H (KHHahÂgo 01OHHEfloi1ad30u0

H 010wKdu H.LOOHNCEfl EH 1414HHEflOH00) KHHEflOdH113110

ux1lHHdjI 'Ha17o11r 3G1Âd11 HHa.LOx011 KHfl1.o1101roou 0191110Er(O1Lr9EH

aNCNE.l E `HHa.L0Ha11 X19HhHII XHfiÂ1119r(adu KHfl1,311aLf0ou

.LOLKHLIa aHHar(agOU ^EH

01h `KO.LaE.LHhD 'HWKHHKHIfa HYVHHIUBHa

H HwH)133hH017090u `Hw19H91rEHOH11ow6 `HNII9H411a1EBEH£OU Âmxaw

Page 40: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HMHZNE1rH4/Odu XISIfaTI g iiH,LKHdLIOdaW XI9HHOHtIEWdOEPHH HH1aZEdZO

Ed09I9â KIM' EâOHOO KEHâH.LEd.Ia,LHN EHaMCOL1170d11 HI10110W g'HHTIEZO

XI9HHOHTIEâH1O1,41 XI9H1HHOUWONOIOHW 91f0T1oW (FpI) aluaulajDIQ ag ga.ra/A KEHHEZOgEd£Ed .LHNaIrO eodaWNdu £H 1NHH11p

'a9eodo1l£ o Ki3HEflOdHWdOCI:HH fi000aTlOdu o1HHEWHHOU ÂWOHWa.LOHO N O.IamiCTlaa

H 19110XTrou aHNOahHl.adoaZ 019HhHIr£Ed O.IamOIKHHT1aOa `E£a,LHNO

oloxdxlHgo 91.O01,s1H11OX900H xaXa.LOatnXo 01h `OHT1Hg0h0 aoxxh.Loged -cud ISHHad£ HNhO.L D 'I9WWEd.]Odu XISHT1EZo XI9H£Ed EH 19HEfl0£9IfOU0H

91I99 1Â101A1 `8o11oXTlOU MILE 80ZH2WaIfE HHI7EHH9WON HUH 19110X11011

aHNOahHZadoa.L am-mud MEx `01o1 WEdaWHdu KHHEWHHâ 0m91r0g 9ZKIrata oxaxcolclladu ou19g `HH.LKHduodaW XI9H91faZH.Laâ00du

KHHEâOdHHE1rU Mfg EHZEâMaT1E 0i9100H1fOU H EHhO.LE10O11 10114

HIr i1Kd8 agao Ou EWEO 9110T10W HUH KHdoa.L EH11O HH MEN xE,j,

'I9.LdEt1HE.Lo H Ea.L011osoMXd aHNaahH.I.NEdu a HaLratloW EM,LogEdadau

H WOZI9u0 WHNOahHZMEdU H011-01101A1 XHNOahx.Ladoa.t aHHaxIrOUOti `HH£HMC NoH9lrEad WKHHahHHEd10 N HatralroW OIHH0Lr9000uo14dU H

HHTIUaiIxoN XHMO3hH13d0a1 OiHHaHaWHdU WWEdlodu aoMHhiogEd£Ed aHHahXgo - XHH H11adp 'WWEd.lodu HHZHa£Ed Ndu HWI9H£0LrOU aalfOg

HIfa17OW aHNOahH.1.adoa.L 9.LELra110 I990Zh `0101 KLrTI HaT1H 019do10x0H

HIrETrou aNCMEZ a98odotl£ O HHTIEWdOII)HH ou 19.LdauoME

'011019141O 01T190 g HM90HE1O90 HONOahHlrofiWHO H Hx.LKHduodaW X19H -9LraZi3Zaaaodu aHâ.LOHaTI£Oâ aOH91raZHO0HZO 03101E1 E `HHHahHHEd10

XI9H9IrEdk1MÂd.L9 H HHhHLr£Ed X1919IrEXT13iâHm-IH aHHKHIfH

aOH91ra.LH00H.L0 `HWKHdo11411XE XmxaW KHhHIr£Ed a19H91rEdXZ9IriÛig/CO

H aI9H9IrEdkL9Iftii `âO.LHaHOUWON XI9HH0H1-IEWd0CPHH XI9fl000E1,11

H XI9H1O0HhHLr3KaW 3HHE,Lah00 aamENCa1117EH `KHHamg000 HWEZHaWaLf6

HWI9H9I1EH0H1101sI6 H i3W191-19110ZEgEH£oU ÂT1MCaW OHE1rEg - â00oduo11

xHNEL H11adp 'X1Slratro1A1 XHNaahH.Ladoa.L KaXHmolaWH g Had.LOWOOEd

OH,LEffMaT1E IrI99 OH 13000d110â W WEd.iOdu 90NHh109Ed£Ed MIT( XI9HNCEâ t1Kd 'H1/4/I91A1H10a1A1110O2H 11'O91E£EN0U aNCEtl 1Â.101A1 HHO `HWEIr.Lt H141I9H

-HalraTladuO TTOU 1900duo9 0I9HH3Lfallad110 101E9Hd.LEW00Ed HIfa110W

H HHd031 MEN NEZ `H HWHH /C1151C01^1 91EdHgI99 OHT1iCdj, 'Ha£KflOOWHE£â

H âod0Z314 XHNOahHZadOaZ ,t1r011 N KOXHmKOOHZO OH9IfEHTIH01Ou

aH£EdgooH£Ed H Og.IOahHIrON 150101WgK HOWalrgodU 1.101,Cdrj

'WKHH2HaW£H WI9HHaWadfl01If017 aHHEWHHfl 00HflEI11 aHmOIKIlaTIX

H ooatiodu EH 019HHEflOdH.LH2Hd0 `HIfaT10W 19H£a11ou aaLrOg I9g

Page 41: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

yrIoTpe6neHxA anK000nA H HHbIX HapKOTHKOB CpeAH MonoAexcH.HecMOTpA Ha HanpasnexxocTb Ha MonolIe)iCb, MoAenb TaioKe MO)KeTnpHMeHATbCA ;VIA npO(iHJIaKTmeCKHX AeiiCTBHii cpeAH B3pOCnOrO

HaCeneHHA.

OAHOii H3 o6LuHX npo6neM npO(iHnaKTMLieCKOrO npocseIueHHA6bUi0 TO, LITO HCIIOnb3yeMble CTpaTerHH CLIHTafOTCA npHMeHHMbIMH

ATM BCerO HaceneHHA HJIM nonrpynn B uenOM. B Aeï-rCTBHTenbHOCTH

nlo6aA noArpynna, BbIAenAeMaA no AeMorpa(iMLIecxHM

xapaxTepH:CTHxaM, TaxHM xax Bo3pacT, KaK npaBMno npeAcTasnAeTc060H LüHpOKHH CneKTp MOTHBauHI%i H OnblTa B OTHOLIIeHHH

noTpe6neHHSI anKOronA H HHbIX HapKOTHKOS. Nil H3 HHX peLUMnH HeynOTpe6nATb HapKOTHKH, pyre HaMepesaloTCA noTpe6nATb HX B6yAylueM, elue oAHH 6onbLue He ynoTpe6nAioT I-Ix, TorAa KaKHeKOTOpble ynOTpe6nAK)T FIX 3nH30AHi-IeCKH, perynApxo HnH xce HaypOBHe, o6ycnasnxsafou;eM np06neMbl. HpOCBeTHTenbHble

nporpaMMbI, KOTOpble He B COCTOAHHH npH3HaTb 3TH pa3nMLIHA, spin

nH cOAep)ICaT 3neMeHTbI, OTHOCALuMeCA KO BCeMy cneKTpycJIyLIIaTeneFi H HeT npHLIHH 0)KHAâTb, LITO OHH 6yAyT B paBHOii Mepe3(14eKTHBHbI AnA BCeX (2). Tora KaK KypeHHe HHOrAa H3yLianOCb BKaLIeCTBe napaMeTpa, cHrUIcaK)LuerO 3,43(1)eKT nporpaMMbI, OueHOLIHble

MCCneAOBaHHA, npHHHMaK)ütHe BO BHHMaHMe HaLIanbHOe

noTpe6nexxe anxoronA, AOBOnbx0 peAKH (104).

Pa3pa6oTaxxaA Werch & DiClemente (103) ocxosa npeAnaraeTCIIOc06bI OT60pa nOArpynn COrnacHO MX CTâAHH OnblTa H MOTHBauHHH AnA npxcnoco6neHHA COAepxcaHMA M cTpaTerHii npo(pHnaKTHKH K

3THM cTaAHAM. Werch & DiClemente HaLIanH c KoxuenuxH cTaAHiiH3MeHeHHA nOBeAeHHA, pa3pa6OTaHHOii B 06naCTH npeKpaLueHHAKypeHHA, H 3KCTpanOnHpOBanH 3Ty KOHL CTâAHii Ha HallamnoseAeHHA H npMO6peTeHHe npHBbILIKFi. B MoAenH npe,ijnonaraeTcA,LITO B npOtiHJIaKTHLIeCKON AeATenbHOCTH HeO6XOAHMbI pa3nHLIHbie

O6yLlalofuHe H MOTMBMpyK)LuHe npOL[eCCbI B 3aBHCHMOCTM OT

HHAHBHAyanbHOH CTaAHH H3MeHeHHIï.

CLIHTaeTCA. LITO KaK npHo6peTeHHe, TaK H H3MeHeHHe npHBbILIKH

npOHCXOAHT B fIATb CTaAHIi:

1. Ha CTaAHH 6e3pa3nHLIHA nHLIHOCTb He paccMaTpHBaeTBO3MO)KHOCTb ynOTpe6neHHA HapKOTHKOB HMI )Ke npeKpaiueHHA

3T000 3aHATH5I.

36

Page 42: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HHdoa,l 1c1LIiaWaife al4do10310H Hxao.LO,IIiou H HHHaIfIII14W£Ed

`IfHhHIf£Ed£ag HHtlE.LO £adah H.LOOHhHIf KHHaNCHaTIOdu KIfTI 14W

-HHaWHdu 001f09HEH `iCWOWHt1Ha-OU `a411odot7£ o HHHaMagX HlrattoW

I4.LHaW0ire `dalNHduEH KHHamagOOdu o.1oNOahH.lNE1fHlPodu 1110E1190 KOXHmo1KHaWHdu OHhI990 `1,11,1do01 X19H9IfEHTI000xH0U Oi4mOWOu

O I4Had.LOI1I00Ed 91I49 ILION! a14d010x `aodo.l.NECP Og.LOaxcOHIN

O OHE£KâO HHttE.lO 014HHOHTIEâH1O1A1 £adah Hat10uf aHHOMCHa)/

'XHH LO E£EN.LO OloâHhHOlOX

H goxHZOxdEH KHHalfgad.LOLIX KHHamEdxadu o.IOxlIIauOiç OTI HHilE.LO

HoH4ua.LHdEaTladu .LO oIHHaNCHal7odu 41E208109000II0 - HxH.LMEIIHCIO

-odu Fiouhxdo.lg 4lfan KHhHIr£Ed£ag oiH17E.L0 EH oiHHamud9£o9 91E11

-011109000110 aNOIE.L E `9oxH.LONdEH KHHOIfgad.LOU KHHEMCdaTlTTOU Ott HHtIE.lO XHHt1adO Xadl 10 aHHOMCIiattodu 4,LH.I.Eda.lot7adu `ISHhHrr£Ed£ag

HHtlE.LO EH 11O41E1O0 WKt7oI11 4h0i011 - HNH.LNEIIHCI)OdU HOHhHâdau

4If011 'HxH,lNEIrFiCpodU 4HaâodX H14HhHdJO.la - Hxhl9aHdu KHHBI-IOW£H

HHitEL0 E `HxH.I_)iE1IH4/Odu 4HaaOdX HI9HhHâdaU 1011SIfaE1O00 HNhI9gHdU KHHaiadgoxdu HHTIELO 1410d010M g`HEIILI HHNOahH.LNEII

-140du H14HHaa0dXXXgû .LaE.IEIfl7adu 4lfattOW `HNhI9aHdu HHH2HOW£H

EH H NE.L `HHHa.I.adgoHdu EH MEN aHHEWHHa KEgHhO.lo17ad0oD

'H0Mh14aHdU 17EH

4lfod.LHOx Ha.Ladgo 10t7X9 Wah at7NCadu £Ed Ox9I1OM0aH K04.LKd0113011

.LaMCOW IfMHt1 H`H.LHO£HOdU E9OHO .I.X.IOIN KHHOHOW£H HHt7E,LO `Hx.L14U0U

aMC Hoadau au0ou^fioxH.loxdEH aHHalrgad.lOU 91H1Edxadu I4Hgo0ouO Ht70Hf aH.ïOHW2H 4IIIHIf MUM NE j, 'H31hI4âHdu HHHOHOW£H 90 Hdaat7

KOHamolEmEda EMIL 4Ir0I4iN Kgaa g.LaEhoufMa aNCNE.L 9Irat10TAI

HxH,LOxdEH 9.LKIfgad.LOIIÂ OH HUH 4.LKIfgad.LOUÂ 1aE31CIfOt7odU 41.O0HhHIf KHHEgHNCdat117OU HHTIE.LO g

aHHalrgad.LOU XH 4.LH.LEdNadu 14M1I4u0U 10E1f017

HIGH HMH.LONdEH 4.LK1r90d10U .LaEHHhEH HHa.tOHat7 HHttE.LO EH

WamiCMCg NrairlHExcHIIg

a aHHalrgad.louX XH 91H1E610d11 HUH HNH.LOMdEH 4110r9adiOUX IfO.laufiadaWEH 4.LOOHhHIf OiHtIE.lO 01iCH4Ira.LHâO.LO.ittOU

aHHaIlgad.lOUX XH

4.LH.LEdNadu ow HIfH HNH.LOMdEH 4,LKlfgad.LOUi( 4,LEhEH I4901h `WO.l

0 10KI1IiII9W£Ed 0H£09da0 410OHh1111 KHHaIfIIII9IN£Ed OIHtlE.lO g

S

'Z

Page 43: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

COUHanbHOrO o6yLieHHSi, Taxte xaK O6yLleHHe npH Ha6nI0,3eHHH HB3aHM006yCJI0BneHHOCTb, OLieBHjjHO, OTHOCRTCR KO BCeM CTajjHRM,

TOrjja KaK HHble, BH,3HMO, HMeK)T 6onbiIIee 3HaLieHHe ,3115I paHHHX H

n03jjHHX CTajjHii.

Mo,i(enb jjaeT OCHOBy jjnR pa3pa6oTKH KOM6HHaLjHH KaHâIIOBOCyLLjeCTBneHHSI jjeIiCTBtIi, MeTOjjHK H C006LLjeHHN, COOTBeTCTByiO-

II[HX CTaIjHRM rOTOBHOCTH K H3MeHeHHSIM, KaK npH npxo6peTextH,TaK H npH H3MeHeHHH npHBbILIKH. CpeACTBa Ma000BOii HH(l)OpMauaiHCLIHTaIOTCR HaH6onee nOjjXOjjRLLjHMH jjTIR OKa3aHHSi B03jjeliCTBH51 Ha

CJIyIIIaTeneli Ha CTaijHRX 6e3pa3nHLiHR, pa3MblLUneHi3Îi H nojjrOTOBKH.MeNCJIHLiHOCTHble KaHäJIbI (TaKHe KaK LLIKOnbHOe npoCBeüjeHHe HJIt

rpynnbI B3aHM0n0MOIIjH) CLIHTaiOTCR HaH6onee 34lCkeKTHBHbIMH jjJISIB03,3eiiCTBHSI Ha CTajZHSIX nojjroTOBKH H jjeHCTBHIï. BHeLLIHHe

nojjXOjjbl, HatiHHasl OT Me)ICJIHLIHOCTHOI%I nojjjjepxcxH jj0 3aKOH0-jjaTenbCTBa, CLIHTaK)TCR HaH6onee jjeiiCTBeHHbIMH Ha CTajjHRX

jjeiïCTBHiï H nOjjjjemiCaHHSI.

TaK KaK npH06peTeHHe H H3MeHeHHe npHBbILIKt Aria pa3HbIXHapKOTHKOB pa3nH4HO, jl,el%iCTBHR j(On)KHbI COOTBCTCTBOBaTb He

TOnbKO MOTHBaLjHOHHbIM CTa.j(HSiM, HO TaKxCe OCO6eHHOCTRM

HapKOTHKa. HCIIOnb3yR 3nlijjeMHOnOrHLieCKHe jjaHHble H pe3ynbTaTblOnpOCOB MO)KHO OnpejjenHTb KaKHe HMeHHO HapKOTHKH CnejjyeTnpHHRTb BO BHHMaHHe. Werch & Di Clemente npI-Ijjep)KIiBaIOTCSI TOHTOLIKH 3peHHSI, LITO npOCtitnaKTwieCKide jjeMCTBFiSi CnejjyeT HaHHHaTb c

HapKOTHKOB, HaH6onee LIIHpOKO HCIIOnb3yeMbIX cpejjH jjaHHOH

rpyrrrlbi HaCeneHHSI, a 3aTeM, B 3aBHCHMOCTH OT HanHLIHR pecypCOB,npojjonxcaTb jjeHCTBHR HaLjeneHHble Ha HapKOTHKH, KOTOpble

ynOTpe6nRIOTCR B MeHbLLIeH CTeneHH.

Werch & DiClemente Taxxce npH3HaIOT, XOTSI rnasHax LjenbOCHOBaHHbIX Ha FIX MOjjeJIH npOCiHJIaKTHLIeCKHX yCHnHH - 3T0CnOCO6CTBOBaTb nOJIHOMy BO3jjep)KaHHiO OT ynOTpe6neHH2HapKOTHKOB, B CnyLIae neraJlbHbiX HapKOTHKOB, TaKHX KaK ânKOCOnb,

jjOCTHrHyTb 3TOH Hem.' 6yjjeT He06bILIaiiHO Tpyjjxo. Mojjenb TaxxceMO)KeT 6bITb HCIIOnb3OBaHa jjnR pa3pa6OTKH npOrpaMM, B KOTOpbIXrnaBHOI4 uenb10 SIBnSieTCR cKOpee npoCiHnaxTHKa CBSI3aHHbIX C

anKOroneM np06neM, a He npejjOTBpaLLjeHHe ynOTpe6neHH2 ânKOrOnSI.rnaBHOe BHHMaHHe B TaKHX nporpaMMâX yjjenHeTCR TOMy, KaKH36excaTb pHCKa HJIH CHH3HTb ero, a o6LLjte uenH MOryT 6bITbnpejZCTaBneH6I B BHjje pia 3ajjaLl, TaKHX KaK CHHx(eHHe ypOBHR

38

Page 44: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

noTpe6neHHA, H36excaHHe onpeneneHHbrx THnoB noTpe6neHHA, TaKHxKaK BbInHBKa 6OnbLIIHX KOnHtIeCTB CnHpTHOrO 3a O,gHH Begep HnHnoTpe6nexxe KpenKHx HanHTKOB, HnH xce CMArtieHHe HeraTHBHbIXnOCncACTBHrI B OCO6bIX CHTyauHAX, TâKHX KaK BOxCJAeHHe B

HeTpe3BOM COCTOAHHH. 3HaHHe O pHcKe, KOHezIHO, ABnAeTCA

npeAITOCbIJIKOri AnA TOro, tiTO6b1 H36e)KaTb er0, HO B Ka)KAOrr OCO60ri

O6naCTH Hy)KIibI 0006ble AerICTBHA H HaBbIKH nOBeneHHA.

MOnenb nOAtlepKHBaeT Bâ)KHOCTb npOBeAeHHA pa3nHtIHrr MexCAynpO(ipHnaKTHtiecKHM npOCBeIueHHeM, HaueneHHbIM Ha Bo3AeHCTBHeHa y6excAeHHA H MOTHBauHH TeX KTO HâXOAHTCA Ha CTaAHAX6e3pa3nHtIHA H pa3MbIIIIneHHA, H nOAAepxcHBaIOLuHM 06ytIeHHeM,HaueneHHbIM Ha TeX, KTO HâXOAHTCA Ha CTaAHAX nOArOTOBKH HAeriCTBHri. 3anatia nOAAepxcHBalotuerO o6ytieHHA - 3TO cnoco6cTSo-BaTb H3MeHeHHAM, npenOCTaBnAA CTHMynbt njlA AeriCTBHIi, TaK )Ke KaK

H Tpe6yeMble 3HaHHA H HaBbIKH. TaK KaK noAAepxcHBaloLuee06ytieHHe CTpOHTCA Ha yxce CyLueCTByIOLuHX MOTHBauHAX, OHO,BepOATHO, HMeeT 60nbule LIIaHCOB npeycneTb, treM

npOCiHnaKTHtieCKOe npOCBeLueHHe, KOTOpOe nblTaeTCA CO3AaTb HOBble

MOTHBauHH y nlOAert, KOTOp6Ie COnpOTHBJTAfOTCA nepeMeHäM (13, 53).

P011b OIAEHO4HbIX V1CClIEROBAHVI0 B PA3BNTV1V1 VlBbIf1Ol1HEHV1V1 f1POFPAMMb1

B o63opax no HCCnenoaaHHIO anxoron6HOro o6ytIeHHA cTanoo61uHM MeCTOM OTMetIaTb, tiTO 601IbLLIâA tiaCTb TaKOH npocse-THTenbHOrr ACATenbHOCTH (1JOpManbHO He OueHHBaeTCA, H trTO eCnH

OueHOtrHble HCCneAOBaHHA npOBOnATCA, HX KatieCTBO B O6LueM HeABnAeTCA aneKBaTHbIM (2, 8, 10, 11, 13, 40, 41, 55). HenpononxcH-TenbHOCTb OueHOtiHbIX HCCnenOBaHHIi paCCMaTpHBaeTCA KaK rnasxoe

npenATCTBHe AnA pa3pa6OTKH 60nee 3,214eKTHBHbIX MepOnpHATHri.

O6LuHe HeAOCTaTKH O1jeHO4HbIX HCCne,ilOBaHHri BKJIIOtia1OT Bce6A HeaAeKBaTHble H3MepHTenbHble npouenypbr H CTaTHCTHtieCKHrraHanH3, Manble pa3Mepbl OueHHBaeMbIX rpynn, BbICOKHe CTeneHHOTCeBa H HeyAatiH B H3ytreHHH XapaKTepHCTHK TeX, KTO nOKHAaeTHCCneAOBaHHe, HeCOOTBeTCTByrOLuHe KOHTpOnbHble HJIH CpaBHH-

TenbHble rpynnbl H OTCyTCTBHe CnytiarrHOCTH B B616ope KOHTpOnbHbIX

HnH 06ytMaeMbQC rpynn. OTtleTbt o6 oueHOtiHbIX HCCneAOBaHHAX

39

Page 45: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

TaK)Ke Ka)KyTCSi HealZeKBaTHbIMH. MHOriie OT4eTbI He na1oTjIOCTaTOLIHOH HHItOpMauHH O CyLueCTBeHHbIX acneKTax CXeMbi HMeTOJ[OB HCCne%jOBaHHH. MOryT c006auTbcSl pe3y1IbTâTbl 1jJI5[

Bb16paHHbIX napaMeTpOB HnH nonrpynn, HO 6e3 SICHOrO OnpeneneHHSlKpwrepxes OT6opa. Cr4eTbI pe,uKO ROKyMeHTHpyiOT aj;eKBaTHOcTpyKTypy, COuepxcaHHe H pa3BHTHe oueHHBaeMOH nporpaMMbl, HRHnCe o6cy]iCl;aioT TeopeTHLiecKHe MoljenH, nexcatuHe B oCHOBe CXeMbInporpaMMbI. MHOrHe oT4eTbI npe,acTaBnSiIOT c060ii "4epHblii SIaHK"oueHOK B031IeiiCTBH3I nporpaMMbl.

C414TaeTC5I, 4TO HenpOljOn)ICHTenbHOCTb OueH04HbIX HCCne,TjoBa-

HHN H OT4eTOB O HHX OrpaHH4MBaeT BO3MO)KH0CTH npHnHCaTbHa6nIduaeMble 3Ik(beKTbi BJIHSIHHIO 06y4eHHSi HnH O606LIjMTb naHHbleARA JxpyrHX rpynn HaCeneHHSI HRH yCJIOBHI%I. B pe3ynbTaTe 3HaHH51 o634)(1)eKT'HBHOCTH BnMSIHHSI o6y4eHHSI OCTaIOTCSI OrpaHHiieHHbIMH H

HeOnpeJjeneHHbIMH. YTBep)iCAafOT, 4TO H3-3a O6Lueri HealjeKBaTHOCTH0ueH04HbIX HCCneJjOBaHHN, 0c06eHH0 B OTHOLÜeHHH anKOrOnbHOroo6y4eHHSI B LLIKOne, HeB03MO)ECH0 cljenaTb 3aKJIfO4exxe o ero34.4eKI'HBHOCTH (2, 9).

bbin HaFiueH pSllZ (loaKTOpoB, KOTOpble BHOCSiT CHOP.' BKnaJj BHeâJZeKBaTHOCTb OueHO4HbIX MCCneJtOBaHMrI (81, 87, 98). Cna6ocTHMOryT B03HHKaTb H3-3a OTCyTCTBHSI HnH He3HaHHSï n011?COj(SILuHX

CII0C060B H3MepeHHii H MeTO,goB aHanH3a. ITOCKOnbKy JjJISI npOBe,qe-HHSI BCeCTOpOHHHX oueHOK HeO6XOJZHMbI McSKI(HCuHnJIHHapHble

3HaHHSi H HaBbIKH, OHH pe,LIKO npOBOJjSITCSi no,a pyKOBOJZCTBOM OJjHOro

HCCneJZOBâTenSI Hull O,IHHM HCCnelZoBaTenbCKHM HHCTHTÿTOM.

npOBeJÿeHHe rny60KHX HCCneJ[OBaHMii MO)KeT 6bITb 3aTpy,IlHeHO 113-3a

BpeMeHHbIX HnH 61011,)ICeTHbIX OrpaHH4eHHId. Ka4eCTB0 H uenOCTHOCTb

oueH04H0r0 HCCnenOBaHHSi MO)KeT 6bITb noljOpBaHO H3-3a JjaBneHHSICHCTeMbI (fHHaHCHpOBaHHSi HCCneJjOBaHHSI, HRH CHTyauHH, KOrJZanporpaMMa OueHHBaeTCSi ee xce pa3pa6oT4HKaMH J(nSI MapKeTHHra ceB IIIHpOKOM MaCLLITa6e. AKaIleMH4eCKOe naBneHHe "ony6nHKOBâTbHnH n0rH6HyTb" Mo)KeT npHBeCTH K npew,aeBpeMeHHOri ny6nHKauHHHnM )Ke "CaHauHH" pe3ynbTaT0B nyTeM OIIyCKaHH3I JZeTanert, KOTOpbleMOryT npHBeCTH K ânbTepHaTHBHbIM o61,5ICHeHHSiM. PeJjaKTOpCKäSInpaKTHKa npO(l)eCCHOHanbHblX )ICypHanOB, TaKâH KaK nHMHTHpOBaHHe

414Cna CTpaHHu, OrpaHH4HBaeT (f)opMy M coAepxcaxxe OL(eH04HbIXOTLieTOB. "LiMCTble" H n03HTHBHble pe3y4bTaTb1 MOIyI' 6bITb 6oneeny6nHKa6enbHblMH, 4eM "6ecnopSiJjO4Hble" JZeTânH H HyneBOii HJIHOTpHuaTenbHblH pe3ynbTaTbl.

40

Page 46: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

It

'ÂNHOHE1090 HUH HHiIEÂ1HO EH EWXÂTIHHHûHH 0 E0X3104)

aHHamaWO 00.1.00110U 0I910OHxcoW£oH HO.r/CdV '(90I-fror 'OR) H9W30

EMBOLI' 10 XI9HHEd900 `X19HHEtf XI9H91r0IrtlEdEU 0i9mOWOU 0 aMCNEI

E `1so10IXdH£HireHE OH OH `001olEdH9oo 19rI£Edgo 0HN00hHWHXOx9 Ho.I.HEHdEg £H WOHtiO H WahHdU `1nHHadaW£H axNOahHWHxOHg

MEN HWHNEI `HWE17O10W HWH.IXdI7 Ko1oiK1rUadNliou oNl7ad0H

I910111,o0WE0 Wo1e Hdu '(hg) ol91ooH9UEHIIHa1fHCi)HON Hoiluixdahttou o EOOduO HHHaûaHOdu WOH91101Em1 HdU KHHat7aHOU I9d01ENHtIHH

0111Od10 H aI9HNCaIIEH OHhO1E100t7 19H3hii11ou 91199 inc ,I.Â.IOW

`0101 ÂtfoHOU ou 19dOU0 IÂlTjij 'ISHHatfaHOu H1001NaIIW2Hdu HOH91fEHt1

-00 W01N39.9X0 KHHamÂmO E£-£H - aOHHadaWEH `H1ISWEU Wairgodu

£H 91EXHH£00 1aNCOW aHHaNCENOH aOHHadaWEHaH 'OIHHaXCENOH iCWOHHadaWEH H NEI `iCWOHHadaWEH2H MEN 19H0?Kd0Ht7OU gONHIONdEH

HUH ISIfO.]OXifE aHHaI190d101.1iC `aHHadiCX MEN aHNE1 `KHHat1000U HxHloHdalxEdEx aI9WaEmg0000WED 'I9uuCd.I Hogatrati HOHaIrh

ISHHattagOU 1917odxdu £H 101ENHH£OH I9Walrgodu al9doloxaH

'191roxI11 OHR OHH09000 `HHaWadH E170HdaU O.IOH9Ifa1Hlfil HHHaMCK1OdU EH Hatf011r XI91f0I10114

aHHat7agOU 91Ht1atroodu OHIfXd1 91199 1aNCOW `19H0d010 IiO.adtf D 'HWiSH1KHdu0daW HWH1e 0 ISHH2H01AI£H 01990111 91H100WH00 HHHKO1000

H 91I99 I9g0.l.h `O1O1 KIri7 19H£Ed900H£Ed 0Hh01E10OIf OH 91I99 .I.Â.IOW

KHHEHOtf31100H aI9HhOHaIIO aNC HUH 91EHOdHlregadU OH ama 1axCOW

`I9H01fatlEH HIfl9g HHO aodolox EH `aHHatlagoU HH1KHdu0daW xHxE1 KWadH Og 'KliHatfOII19EH 0I9HHaiN0d9O.Ii1017 0091H90tfEHOU .I2(1O1A1

`ISI-I1KHduodaW aHNE1 91HH0110 1990111 H`aHHauHO/t H axxadolgou axmoIEh011rxg `KH1KHduodaW 019HHaWad00.IUOt7 K091H9OIfEHOu

IrCIOW `HUaII .1101e 9hH1OOt7 I9901h 'KHHatIagOU «O.lolrood£H) OJOH -HEHOxoHd MATH axxaladgoHdu 91ÂHK.LIA HUH 9114170d1I&adU oi9lr3t1

0 `I90HhWHHdu0041 `0010E.IEifOUTfadU MEN 'MHO Et/ION `HOX100d17Ou

H H010t7 EH OHaIrgEdUEH aHHahi9O 3OH9ifO1OMIrEH1HE 00H9110XjTj

'09E11IIOEW W0H9IfEHOHtIEH HUH

W0H9IfEHO11I0d `0H1001A1 H XI91AIHIfOHOdU `WWEd.IOdu HUH HHHEUWEN

3CHmOIEhHHd3U00 E£-£H H NE1 `HHtEWdOHH H0H000EW H1ot7ada

E1EHX0 19dacI)0 HONOdHffi E£-£H MEN I9Ht1M1 91199 1aXCOW HHHEUWEN

HOH911EHOHt1EHam90 KIfi7 UUiCd.1 XI9H91rOd1HON XHmK17oX170U d09t101.1

'EHahHHEd.IO 01HdO1HtfkE EH KHg1OHaI7£og HHOWadH 0IrOd1HON 9100H -NCOW£OH HHfIEWdOCPHH H0â000EW XEH10i70d0 H HHHEUWEN 0xH0110 Hdu

'HH1KHdu0daW H0t7HH x19HHalratfaduO KUtf I9Hda1NEdEx `KHHEHO17011.0OH

019HhOHafIO IS0101EHHMirE10 HW19d01oM 0`I9W0i190dU 019do10MaH

Page 47: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

i4ccneAOeaHHe, cpasxxaasulee nATb McTOAOB ogellxH ypOBHA

noTpe6nexHA anxoronA H crape B LIIKOne, B6IABHJIO, irro HeAoporofiH 6bICTpbIII McToA - nOAc4eT 414cna OxypxOB H na4ex OT CHrapeT,nHBHbIX 6aHOK H ânKOTOnbHbIX 6yTbInOK Ha IIIKOnbHOIi TeppHTOpHH -

nOKâ3an CXOACTBO pe3ynbTaTOB C CaMOOT4eTaMH H OIjeHKaMM

nepcoxana, H Koppenxposan C ouexxaMH cTyjjeHTOB H

Bne4aTneHHAMH, OCHOBaxxbIMH Ha Ha6niOneHHAx (107).

OCHOBHaA npo6neMa npoctHnarrrH4ecKHX HHHuxaTHB BblTexaeTH3 caMoH HAeH npoCixnaKTxKH: niojleH no6y)KnaiOT K H3MeHeHHAM HXTexylLlerO nOBeAeHHA, KOTOpOe MO)KeT 6bITb npHATHbIM H npHHOCHTb

KaKyio-TO 11O11b3y, jjJIA TOTO 4TO6bI yMeHbIIIHTb BO3MO)iCiiOCTb

HenpHATHbIX nOCneACTBHIï, KOTOpble MOryT npOH3OHTH HnH HenpOH3oIiTH KOrAa-TO B 6yAyIueM. TOrjja KW( nOTepA ygOBneTBOpeHHAMO)KeT 6bITb ACHO BOCnpHHATa, BbITOAbI He BHAHbI. C4HTaeTC51, 4To

nIOjIH B L1enOM, a MOJIOAble B OCO6eHHOCTH, TepAiOT BO3MO)iCHOCTbnpeABHAeTb nOCneACTBHSi cBOeTO TeKyuler0 nOBeAeHHA H HMeIOT TeH-

,i(eHgHiO BHAeTb ce6A 60nee HnH McHee "HeyA3BHMbIMH", oco6eHHo BOTHOIIIeHHH AOnrOBpeMeHHbIX nOCneACTBHii AnA 3AOpOBb51. H03TOMy

peKOMeH,IjyeTCA no114epKHBaTb HeMeAneHHbie COL1HânbHble

nOCneACTBHA H BHAHMyK) no11b3y, 4eM OTAaneHHble nOCne,gCTBHA AnA

3A0p0sbA (53, 57).

ZpyrHM Cepbe3HbIM acneKTOM ABnAeTCA TO, 4T0 AeTepMHHaHTbICBA3aHHbIX C anKoroneM nOBeAeHHA H np06neM MOryT H3MeHATbCA CO

BpeMeHeM H pâ311H4aTbCA B pa3HbIX KynbTypâX H 06CTaHOBKaX.MHOrHe aCneKTbi KaK 3THOJIOrHH nOTpe6neHHA anKOTOnA H

HapKOTHKOB, TaK 14 npOCiHnaKTH4eCKHX AeI4CTBHH 110HSiTbI TOnbKO

4aCTx4HO. HeCMOTpA Ha O6LLIHpHble HCCneAOBaHHA, He CyLL1eCTByeT

cOrnaCHA OTHOCHTenbHO TOrO, }calme napaMeTpbi ABnAIOTCA

CyLL1eCTBeHHbIMH B npoCiNJiaxTH4eCKHX MepOnpHATHAX. C pOCTOM

nOHHMaHHA TOrO, 4TO AnA BbI3OBa 6narOnpHATHbIX H3MeHeHHHHe06X0AHM BKJIaA HeCKOnbKHX IpaKTOpOB, npociHnaKTH4eCKHeMepOnpHATHA CTaHOBATCA ace 6o1Iee LIIHpOKHMH H CJIO)KHbIMH - aTaKACe 6onee TpyAHbIMH /VIA oL1eHKH.

Vlcnonb3oeaHHe oueHOyHbix NCCne,goBaHHH

tITO6bI BbInÿTaTbCA 143 CBA3aHHbIX C O11eHO4HbIM HCCneAOBaHHCM

npo6neM, 4aCTO nposoAAT pa311H4He Me)iU.1y TpeMA THnaMH OL1eHOK,KOTOpble HMeIOT pa3nH4HyIO HanpaBneHHOCTb, MOIYr HCnO11b3OBaTb

42

Page 48: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Et

010HttaIfooLl Klrb' I9aHIrn3aEdu3 14uuiCdl 01HH3hX9O KoaxmaiCll1d3at7ou

H aI4H4IrOd1HON EH HHH2uatT ff H,LO0HHEhiCI1O aHa.LO.LCO.LO MEN aHNEL `KHHEhawE£ aH31O3hH1HdN 01h `KO.LaE.LHhp .(gig[ j) 1AiE.LogEd OH HUH

10IE1o9Ed I4tto1.0181 HUH 14ttoxttou 019do10x0H Xwahou `1A1o1 o KHHEH£

O1OHHatn9090 KHHahkIrou Oi9uatl o£a101IH1 H HHdoa1. HNdasodu Kutt HwI9wHtlOa0d11 `HwKHHEaot101rooH H `aot7oxt7ou H aotto.I.aw

xHtrlolE.LogBd aHHatT3KOXEH oioodu EMC HUH `HwEodXoad KHHalrazduX H

I9wwEdlodu WIT HEIM HoH.LEdgo aHHahalrou oi4uati LKaE.LO a14do1oN `HwKHHEEOt7a11-OOH X1TNCaw aHhHIf£Ed 41E11017 03101E1 oH£auoJl

160.1.31a(I(P6 0Na,101rCo.10 0)101E1 E `I413I0(P()JE aI4HHadawEH2H

H NE1 `aI4HHadawEH NEN 4.LEaHd.LEw00Ed 1031COw H`14,LNa(P(I)6 HHawada

Ou 0I4HHaI1Ti1.LO EH H NE.L `0I4HHauTtawaH EH NEN EHalraEduEH 4.LI4g

1,a3KOw ENHat10 KEflo101H KKHH0d01O3Og 'HHH2H3w£H OIHHE3KdatTU0L1

03101E1 E `HHHah'aaOLI H HHHamOH10 `XKHHEH£OLI ff 14115HHHaw£H `I4wwEd10d1I ahEttE£ Hamgo KoiaXoadttE ENHat70 KEa010114

'14wwEd10dLI aO.LHawalf6 XI9HmaLIOÂ KHHa17afl£HOdLIO0E

ISM H HNHatIO H013010.LH eo1.E.L4uaad HHt1El.adudal.HH MA' `KHH2HIrOIII4a aa a003110d11 ff I4wwEd10dL1 HHtiENHCIIHt701A1 K1fTT EH£aIfOLI

41I99 .La3KOw `EOOatlodu aNHatIO Hdu KEwaEh/Cuou `KHriEwdo(l)HH

KH,LKHduodaw Ko1.Kt7oaodu xl9do1oN g `HwKHE0Ir0iC K04.LEwHHE£ 33KNE1

1033COw Eooatiodu ENH3110 'HwKH.LKHduodaw HE41£14a 4.LI49 iaMCow HI4d01AN `KHxaxaw£H ooanodu 4.LKHOII H HOH171W1EH 9.L00x9ua.LKatt

41EI10110 o19110tI 0 I4wwEd10d1I aHH2HIf01I19ff H 3HHENCd31700

4.LHHatlO I4gO.Lh `O,L EH EHaIfffEdL1EH Eooariodu ENHat70

I4wwEd.10d1.I KHHamhiCIfiC

01aI1IH2H4LCEtt XKIf311 fl H£Ka0 HOH.LEd90 KHHahiClfOU Kift7 EHEâ0£4IfOLIOH

41199 1.aNCOw 03101E.1. ENH0110 KEHaH1.EwdO(p 'Ea1.otTOa£HOdu 01OH

-4Ifa1.EhH0N0 XII Ott I4U'6Hda.LEw H aHHamg000 EH HHd0.1.H17ÂE HHtIMEad

HHHah/CIfOII fl K013EhOILCNE£ aHHE,L14110H 00H4Ifa.LHdEfflt3d11 aOIfEHd

-a.LEw H HHH3m9003 HM109Ed£Ed `aoirEHEN Edogl4a `KHiKHduodaw 14HaIrffEduEH 1,07,C9 XI9dO.LON EH `KHHaIfaOEH uu,Cd1 HHHauat7adu0

Hdu KHHEao£4L(OU311 KLrtT OIHiIEwdo(IIHH oiiCaO£Eg 4.LEd900 I4901.h 010.E Kutt `I4wwEdlodu KH1,Ha£Ed amp a Ko.LHttoaodu HHdol.HrtkE axH

-Ea0lt311ooH 'KHHamg000 aiiHE1I4IIOH 0ox4ual.HdEalTadu H HHdO1,H17kE

axHEaottalrooH Kgao fl 1.1EhOiIfNa ENH0110 KEHaH.LEwdO0

'HauatI x14Hhxu£Ed KLrTt

K04.LEfl0£4I10110H 12C10w XI4dO.LON I4.LE.L4LriC£ad H `1417010w aI4HhHif£Ed

Page 49: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

`HHHE9OT1011OOH XI9HhOH3T1O XI9â0101H EH I91E.L9If£3d 0199o111

1411 .I.Â.IONI `O.IO.I. HHHOIfIOH1A â KHH2H1N00 K01AiL'â19SEN019g

'1NaHHaTUEd90 111I9HHahHHEd.IO O XE,Lah.LO a ON9IrO.L 19HaUHE.LOI7adU H

HINI9HHEHONHIr9iCI1O2H 901411E100 EOOaTIOdLI KHHEfi0ila1fOOH 019HhOHaT1O 319HH0110130dU aH1OHJAI 'EOOaTIOdU HNHarto 9LOOH.LoOHXdaaOu a

TIEIfMâ 11090 111001I9 1.0NCO1N XEIIEHdiCNC XI9H9IfEHOH00aCtIOdu a 11HHEd10

0I10Hh EH KHH3hHHEd10 'HNHarIO HOâO.lO.LH 0/CLE10 1Nah `aNCHH

XEIrEHdiCxC XI9H911exOH0001)OdU g H H0Ira,LEaorl0lrOOH Hliado Eooalzodu H31H0170 1,,10)1-1151N OiC.LE.LD 'WK1ra1,EaOtlalrooH 1NH10HNI 19H1100E£H

aaxalN `014IHt1Ha `H 11NH31-10 14OSO101H 19i7o1.a1v lvah `HHaIla.LO H3UI9Ha1V

0H91f0114hEH£ â I9Halfailadu0 Eooariodu HNH3170 1917010N '1331H0110

H0901011d KHH2HEdX0o aim( Ko1AiEiHEdN00 0Hh1990 Eooariodu ENHarIO

H ENHarIO KEHHH1,EWd04) `19H0hHHEd10 190diCO3d aHNO9Ira.LEâOlalfOOH

HuOg 'EOOarlodu aNHariO â â1.01,Ha1E XHh7OiXdHOHEHHCP Eo3d0114H 0xâ1O1XO1.0 KO1.aKLfâK `iC1VOWHTIHa-0u `HHhlidu £H HOHi7O (Z11

28 `LS 7t4 Eo00170du HHHEfiOT1aLf0oH XI9HhOH0T10 Eâ1.00hEN 010X01111

H EN,LE.LOO17aH 1_1HH0H014990 Ox911ONO3H OHaxCOLllladU OICI4g

HH.LKHdIIOdaN1 aouH.L XI4HhHIf£Ed H1.o01v1Ifi,LOamiCOO N H âoxH,LONdEH

H K1f010NI1E 1Na1r9odü o1HHa1fa11aduO 11 OIHHahEH£ N axxalHOH.L0 XH1T1OI0iNH `XKHâ0If0iC XHNOahH,LHIlOUGHif00 XI9HHa1.1alTaduo â LK17

-OXOHOdu Kii.LKHduodaw aHNOahH.LNE1rHC1)odu I9wwEdlodu X1Oxa1HON

KO9iEaooadllE aNCNE.L 10NCOY11 EOOarlodu ENHOTIO KKiix0d01000a KHHaIfâ.LO311IiCO0 OHHaâ10900 OINH1v011 '«j,01e HIf 10E109Ed ooduos

H MEN `HONCEâ aNC xE.L adaiN 14,2HHEdx Ou «Lo1rH1o£Hodu 01,h ooduoa `(601) xOEIIEM 17EEEH 1.011 H1.15O011 001.109 IrE£Ex NE?j HN.LE.LOOTtaH

0I9HH0111OOhEN H aI9HHag.LOahHI1ON 100I11H EO031-1odu ENH01-10

01.h OHaxadEHgo o1119g (I1-011 `LS `£S 7t7 `017) Eooariodu 0x140110

H axHarlO HOHHH.LENIdOCI) OH01fa1(iC 011199 aHHEINHHâ aOHH011II91301.1

XKHHEEOi101100H X19HhOH0TI0 90 HH00Xx0H11 H2HfiETIaH

(601) 4zOox.LOaNC 1Nah `91100x911 KO1.HgorlEHOU aadoNO Ha1.1aTI XHNEL KI11/ XIfHâ0I10X XI9HhHIr£Ed E XI9HH2HI1011I911 `HH.LKHdu0da1N XELIIiL

XI9HhHIf£Ed O HHTIEINdOCI)HH HONOahH.LNEdU HOH£0I1OU KHTIE£HIQHONEIN

91199 1aNCO1N KHHEâOT1a1f00H 010HhOH01-IO KIfTI oi91101I HOHdE.LHIfH1.A

'tiIH01-I0 1.0E11 0H91101E£1590 OH XISHHEHOTIaIlOOH XI9HhOHaTIO

H 910010d10 KEN0ahH1 0 110 1101,aNi KEUI9ir0g `aHHahEH£ aoNOahH.LNEdU

a0IfE111 9Hah0 9101NH 1rC101Q I91E.L9IfiC£3d 0I9141HhEHE HNOahH.LOH.LE.LO IÛI9IroMOO1.1 (tti) ISHHE9O1I31100H 019HhOH01-10 009 EH NI£HtI141.Hd)1

1016 911SHEd.L00duoEd OH91fHflEdU2H OH `HHHE1301-131100H EUH.L

Page 50: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

nOMHMO HeKOTOp6IX 06111HX npHH1(HrIOB, 661Tb 0606LI1eHbi Ha ApyrHe

np06neMbl, rpynnbl HâCeneHHSr H yCJIOBriSI (57). 3T0 OTHOCHTCSI B

OCO6eHHOCTH K 3KCnepHMeHTanbHbrM HCCneAOBaHHSiM, B KOTOpbIX

BbICOKâSI BHÿTpeHHSISI IjeHHOCTb (Cri0C06HOCTb AenaTb 3aKnK)'-IeHHe O

npHLIHHHO-CneACTBeHHbIX CBSI351X) MO)KeT Bneiib 3a C060HnOHH)KeHHylfl BHeLIIHIO10 LieHHOCTb (B03M0)KrroCTb 0606maTbpe3ynbTaTbl Ha ApyrHe rpynnbl Hacenel-nHSI HnH ycnOBHx) (13).geTepMHHaHTbI nOBeAeHHSi H yCJIOBHSi gas 34)cl)eKTHBHOTO 061neHHSI

pa3nHLIHbI AJI51 pâ3nHL1HbIX npo6neM, rpynn HaCeneHH31 H yCJIOBHI%I H

MOryT H3MeHSrTbC5I BO BpeMeHH. CLIHTaeTCS1, LITO HeKOTOpbIM nepeHOC

3HaHHIi B03M0)KeH, HO ATM TOTO LITO6bI MepOnpHSiTHSi yCneLIIHoBocnpoH3BOAH1114cb B ApyrHe BpeMexa H Ansl ApyrHx ycJIOBHH, MO)KeT

11OHan06HTbC5I HX MOAHC1HKaLjHSi C nOMOU.(bK) ckOpMâTHBHOr! OL1eHKH.

nOAXOAb! K NTOTOBOl1 OgeHKe

Bb160p CXeMbI HCCneAOBaHHSI H nOKa3aTenerr pe3ynbTaTaSIBnSfeTCSI KIHOLreBbIM BOnpOCOM B HTOTOBOM OLjeHKe. MHOrHeC006paxceHliSr HMeIOT 3Ha'ieHH2 AJISI perueHHSI, BKnIOLIaSI npxpony H3a4aLIH oIIeHHBaeMOr7 jjeSITeJIbHOCTH, HMerOLIjHeCSr B HânHLIHH spew! H

pecypcbl, a TaK)Ke uenH, pax,' KOTOpbIX npeAnpHHHMaeTCSI OueHKa.

OCHOBHOIi 3aAaLlert HTOTOBOrI OLIeHKH 51Bn51eTC5I yCTaHOBneHHe

npHLiHHHbIX CBSI3eH Me)KAy npOBeAeHHeM npOrpaMMbI HRH eeOTnenbHblX KOMIIOHeHTOB H nOCneACTBHSIMH cpeuH noABeprHyTbrxB03AeHCTBH10 HHAHBHAyyMOB. XOTSI OTAaJIeHHbIM )KenaTenbHbIMpe3ynbTaTOM MO)KeT 66ITb H3MeHeHHe nOBeAeHIiSI, /VIA OnpeAeneHHSI344eKTHBHOCTH LIaCTO HC11Onb3yIOTC51 pSIA 6bICTp0 npOSlBnSrK)LI1IiXCSt

n0Ka3aTeneri, TaKHX KaK H3MeHeHHe 3HaHHrI, OTHOLLIeHHSr, MHeHHSI,CneuHCfHLreCKHX HaBbIKOB HRH noseueHmecxxx HaMepeHHr4. bblCTpoH3MeHSIIOLLmeCH napaMeTpbl LIaCTO Tpyuxo onpeuenHTb H eweTpynxee H3MepSITb.

bbin0 ycTaHOBneHO, LITO ARA npeunonoxceHHx O npHLIHHHOCTHHneanbHOri MOAenbrO SIBnSIeTCSI 3KCnepHMeHTanbHâH CXeMa, BKn10LIa-

rOmaSr TeCTOBble H3MepeHHSi AO H nocne o6y'ieHHSI, a TaK)KepacnpeAeneHHe CnyLIarIHbIM 06pa30M Ha 06yLIaeMyIO H KOHTpOnbHjyIOrpynnbl,. HOCKOnbKy nOJIHOCTbIO KOHTpOJIHpyeMble 3KCnepHMeH-TanbHble HCCneAOBaHH31 He Bcerna BO3MO)KH6I, TO 066IL1H0

HCnOnb3yK)TCSi KBa3H-3KCnepHMeHTanbHbie CXeMbI, TaKHe KaK CXeMbI,

pa60TarOLLZHe c eCTeCTBeHHO CymeCTByK)IL(HMH rpynnaMH, BpeMeHHO

45

Page 51: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

co6paxxblMH JIJISI 06yLieHHx, HnH nnaHOBbie sapxam3H B

HHTexcHBHOCTH o6y'-IeHHSi. B cHTyaüi33ix, Korjja KBa3H-

3KCnepHMeHTanbHble CXeMbi He OCyLLIeCTBHMbI, oLIeHOLIHbie HCCneJ>;O-

BaHHSi MOryT HCIIOJ1b3OBaTb "TpHaHryJIHLjHIO" HnH "KpHTHLleCKOe

MHoroo6pa3He» (113), 6a3HpyloLLIHeCSi Ha KOM6HHaLIHH MaKCHManbHO

OTJIHLIaIOIIIHXCSI MeTOJI0B H H3yLIeHHH CXOJIiiMOCTH pe3ynbTaTOB C

pa3JIH9HbIX TOLIeK 3peHHSi.

flpeHMyLLIeCTBa H Cna60CTH 06bILIHO npHMeHSieMbIX HCCnegOBa-

TenbcKHX cXeM, HCIIOnb30BaHHe pa3JIHpIHbIX nOKa3aTenei%I pe3yJIbTaTa,

a TaKXCe npO6neMbl, C KOTOpbiMH 06b1'-1H0 CTanKHBaIOTCSI npH

HTOrOBbIX OLjeHKâX, 06CyXCJIan4Cb BO MHOrHX CTâTbSiX, yLie6HHKâX H

pyxoso1lCTBax (13, 40, 81, 87, 114, 115). He CyulecTSyeT a6conloT-HOro CTaHJIapTa TOro, LITO SiBnSIeTCSI yCneLLIHbIM npOCBeTHTenbHblMMepOnpHSITHeM. KaxcJlasl npOrpaMMa JlOnxcxa OgeHHBaTbcsi B CBOHXCo6CTBeHHbIX yCJ10BHSiX H C yLieTOM JlHana3oHa BO3MO)KHbIX

Ha6nK)JlaeMblX 3CpkeKTOS, KOTOpble oHa J>;oJDICHa HMeTb cornacHo3aMblCny. ECJ1H He O)KHJZaeTCSI, LITO KaMnaHHSI B CpeJ>;CTBaX MaCCOBOId

HH(kOpMaLIHH JIacT 60nbIIle, LIeM nOBbIIneHHe OCBe,aOMneHHOCTH

06LueCTBeHHOCTH O JjaHHOH nepeAaLie, TorJla ee ycnex MO)KeTOI.jeHHBaTbCSl no BpeMeHH npocMoTpa cnyLLlaTenslMH Coo6illeHHAKaMnaHHH, yJjenSIeMOMy HM BHHMaHHiO H BOCnpIüiTHIO COO6njeHHii HnOJIHHMaeMbIX BOnpOCOB (81). ECnH KaMnaHHSi CTaBHT Llenbi0 BnHSiTb

Ha yCTOSIBLIIyiOCSI CHCTeMy, ycnex MO)KeT 6bITb H3MepeH Ha OCHOBe

H3MeHeHHH BOCnpHSITHSI paCnpOCTpaHeHHOCTH H npHeMneMOCTHOnpeJleneHHOrO nOBejjeHHSi, HnH B BOCnpHSITHH KyCTaHaBnHBaIOLLjHX

HOpMbI» acneKTOB OKpy)KaIOLLIeFl 06CTaHOBKH, TaKHX KaK

npHCyTCTBHe HIIH OTCyTCTBHe peKnaMbl anKOrOnSI, HnH HanHLIHeaJIKOrOnbHbIX H 6e3anKOroJIbHbIX HanHTKOB B pa31IHLIHbIX MCCTaX HcHTyaLZHSix (13). ECnH KaMnaHHSI B CpejACTBaX MaccoBOÎ-i HHctOpMaL[HH

CTaBHT ueJIbIO H3MeHeHHe nOBeJjeHHSI, JIOCTynHbIMH H H3MepHMbiMH

0fteKTHBHbIMH nOKâ3aTenSIMH MOryT 6bITb, HanpHMep, niOJIH,

KOTOpble, 6naroJl,apSl KaMnaHHH, 3BOHSiT no rOpSiLIeFI JIHHHH HJIHHH1:1>OpMaLIHOHHOMy HOMepy, HnH )Ke npHCOeJjHHSiiOTCSI K HeKOTOpOH

JZeSITenbHOCTH (53, 57).

A OLIeHKH 06LLIHHHbIX nporpaMM Tpe6yeTcsl LLIHpOKHi%I

JlHana30H nO,iIXO,iZOB, McTOJIOB c6opa ,gaHHbIX H H3MepeHHSI pe3ynbTa-

TOB (109, 112). nOCKOJIbKy BO3M0)KHOCTH Bb16HpaTb pa6o4He HKOHTpOnbHble 06naCTH HnH KOHTpOJIHpOBaTb COOTBeTCTByK)LLIHe

napaMeTpbi, B 06LLIeM, OrpaHHLieHbl, MOJIenb 3KCnepHMeHTanbHblX

46

Page 52: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Lb

HI4HaHlx34)C1)e aaxaW MEN 15O10EaHd1EYV00Ed OHhI990 «£HHa-XXdaaa»

T7oxT7ojl 'HwEUUXd1 Hwl4a01.10Tl H HYVExHH.L09Ed HwHxOahHlxEdU

0 WWEd10d1.1 H£KaOON1HE£a aHHahiC£H 153911490TtEHOU 1031CO

`I41HOHOUWOx 0I4HHHm90 XHmOIEhOIIfxa `wwEdlodu axHatIO Hdu

o1H.LISHduodaw XwowaEaHH011O 41Eaoa1olKUadu HuH 41Excdam7ou L,1oW a14do1ox `aalaaTng000 a 1KttoxoHodu H1ooH9ualKatt 1917Ha atria

OHxBx `O.IO.L aHHOhX£H Ko9.LHgottEHOU laxcow 1,,,IH1KHd110d0W s011141

XHOgO axH0t10 Hdu '(0jI) 14IfEHEx 0I4HhHU£Ed HHd01HT7i(E XI9HhHIf£Ed

KHHaxCH100tt FIX XHmOIiC£41roUGH `HH1a1Edi0 HxaUOÂ H HaIfa1EULC1rO

UUÂd1TtOU HWH KHHaxCHlOOtt `I4IfEHEx aI4HhHIf£Ed £adah HHH3m9003 KHHOHEd1OOdU0Ed HH0U01O EH KO41EaOdHOÂxoCI) 1iC101,11 HHTIEwdOCI)HH

H02000E1\1 xEal0T7ado a HHHEUwEx HxHaT10 (9II `86 `6L `II) HxxcdaTrnou i30HaH.LEd.LOHHHwitE H HH21A10da `aoueHdalEw xxmolEhXgo

HHhHUEH EH 0x01E1 E `HaualHhiC 0xaO1O1T7OU H HHTIEaH1ow `14I3OHH0hiC90 EH `dawxduEH `KO41EaOdHOiCxo4) 1X101,11 wwEd.IOdU

XI4H4IfOxIlI KHHOHI101I4fi HHOU010 H 14100H9IrHaEdU HxH0Y10 'I4do1JIECti

aI4HhHIf£Ed aHHaIlIOH.lO 910wH 1.X.JOw EOOaTlOdu axHallO x `XKHaOIroiC

XI4HhHIf£Ed a I9Ha17aaOdU H HwE9000U0 HWI4HhHIr£Ed I9HEâo£HHE1do

91199 1.IC1o1,11 KH1KHduod0W aNmO1EhX90 Xx4uoxooJl

xoxaTlO xl9ao1o1H ao1E19uX£0d HHTIEladudalHH tam' HoH£auou 41199 0x01E1 1.axcoW aaoaTlodu O KHTIEwdOCI)Hx 'aO1HOHOUwOx

XH HUH wWEdlodU xI4HUI0uoX OHH0170a£140duooa MEN XHxE1 `HalraTl

XHmgo 0311'09 MX H`OWHTroxgoaH OIC aT71 `wE1 KHHaHIr0UI9a aottolaw HUH KHHExcd0T1o0 HHt1E1UETIE aHHallaaodU NUN XHxE1 `14wwEdlodu

HOwEO H0110T1 Kilt' H Ha£auoU `EO00110d11 Exx011O 10E2xh0110090 oadolox `HHTIEWdoCI)HH UHZ 'aHHaHIroul4a aa EH xxmolKHlra

`aodolxECI) XHmgO H xE1 `I4WWEd10du Klfft XI4HhHCPHTIaUO NUN £HIfEHE

0x01E1 E `KHHaHUOUI9a H KHHExcdaTtOO aa `I41,441Edlodu 14dS.LxXd13

0HHEaodiilH3WÂxoT1 K900 a 10Eh011fxa Eooatlodu ExHaTIo

eooatiodu axHatio H wttoxt'ou

'EXOUO/C 19do1ExHTiHH 014HhHIr£Ed H XI4HHET7 Ed090 I4û01aw 0I9HhHlr£Ed K09111goT1EHOU 1Â101,61 XI4dolox is= `HaHaodiC XI4H£Ed

HWE1xaci(tle KO91EWHHE£ I4Hg000U0 41I99 I4HxCIf011. KHHEaotlalfOOH

014HhOH3tIO `XKHaOdiC XHx4IfOxO0H EH iCl-IHmgO EH KHa10H0Tt£o11

KIfT7 KO1oIEaI9MCttE£ 01OEh I4wwEd10d11 0I4HHHm90 iC)i4IfOxO011

91HT7OUOOdU GHTt,Cd1 XHH HdarCHa H£K8O 0I4HHHhHdll H `14HhHWEHHTI

H I4HxCOIf0 I4HHm90 OxlalraH 41HHaWHdU HHHEfiOT1aIfOOH

Page 53: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

817

KHH317OII19EH 4.LHVOaodu OHxCOW axaodX WoaouuXd1 EH xHIfN1O 41HHaT7O 19901h 141HaWXxO17 014H41fEHT1H4)0 0HJXdT7 H HHHE1700E£

14WWEd.lOdu I4HE80£4If0110H 41199 1itJ01A1 aHaod WOHHaa.L0WO17aa

EH fi010910 KLrOd1HOx KIfi HUH 0a10am9000 a 141AWEdJ0dLI

aHH2HEd.L0Odu0Ed 4.1.14701f00du 14901h `OJO1 Elft( 'HHTIHIfOII 14daTIHCP0 H KLfa1Hh `9NC/(IfO XH)1OHHIiHT7aW H X14H41rEHI100 IfEHOOdaU

`HHTIE£HHEJd0 014)10T7odoJ NMI HWHNEI `HWELILIXdJ HWI4410hOI1rN O

014ada.LHH H KHHESOT7a110OH I4HEao£4110110H 41149 1./(JOW H100H4ICa1KaT7 HamOIX170Ir0oLI HIfH daW XHxOahHlHlfOU H XH)100h14lNEdLI

XHmoIXa101aa1000 `141AIWEdJ0dLI KH.LKHduOOa Hxdaaodu 'aHeOdiç

WOHHHm90 HUH WOHHaE10WOT7aa `1,110110UUXdJ `WOH41rEXI7HSHT7HH

EH I4HEdg00 41149 1ÂJ0 W 0I4HHEV "(ZII `60I 78 `LS)

1411010141 3I4H£Ed900H£Ed 14HES0£41rou0H 41I49 1.Â101,s1 `HHH2HT7Âd1E£

H 1p100HNCOW£OS KOXHIIIaH1ad1011 031CNE1 E `WWEdJOdu XI4HHHm90 E000dJOdu E£HIfEHE H KHHEOHUO 'KHHaT709011 OJOH4I1EXI7HaHI7HH

OIHTIENH(tHT7oW J.aESHNCdaTii7ou HUH .1.3E9HhHHEdJO KEd010x `aWa10H0

â KHH2HaW£H E0001IOd11 aHHEWHHOU EH aHHE90I731100H aOHhoHaTIO 4.1119EduEH XEW1A1Ed10du XI4HHHm90 H OHxCEa OHH09000

aHHEWHHOU H H)1I9fiEH aHNOahH43HTlaUO K041H90T7EHOU 1./(10141 0)101E1 HHTIEWdOCPHH Hoao00E1A1 a.L0T7ad0 HWEIfEHOH0004:1odu

O Efi.L3ahxHT7ALLO3 I3HH31110H.L0 KHHalfaoHE.LOX '1-1HhHIf£Ed

XI4H4LCEHOHOOaCPOdu EE-CH aHmOIENHH£OS `KHHEIfaNC aHmOIÂ1.NHI4HON

H KHH3m90 14WaLfgodU 41EUIaW 103COW Ha1fa.LEgOT7au00H

H aoxHHlOgEd XHNOahHlxEdLl `a0do1Ed10HHHWT7E XE103hHHT7Xd1OD

HWENHH10EhiC HWI4HhHIr£Ed /(T7NCaW E01NHIfCPHON XI4H4IlEHTIHa1OL1

KHHaIIIad£Ed EMT aodoaoJadau KHH3170a H KHH011190 Efi.LOOiÛIOH

41ES090d10LI 10)1COW HOWWEd1Od11 aHHatraEduX aoH9HlxacilctiE '(LII `LS) XKIiItHOX x14H1031,0ao0 XI490111' Hdu 141,s1HI7ox900H

`HHhOWOHIfOU 1Al2HHaIfaT7£Ed H W0a10dai7HLf W14H9H1NaCPCP6

XTI)KaW EOHEIfE9 4Ha11a10 MEN 3HNE1 `14.L)10113E aI4HH0H11 -E£HHEJdO K0IK3OHIO `I41A11AlEdJOdU IiOH9E1HI0EWONOdHUI aHH2HLCOUI4S

EH aHHKHIra 41E£ENO .LÂ101A1 019do1ox `141Edo1NECI) WH,LtdT7 x

(LS `£I) HHHEH£ H 90NI4aEH HWHNOh4HI1aU0 XHOfiO

Oi4mOWOU O 14WWEdJ0du aHHaIIIh/tlflt a I7EIfNa H102Ha 1rCJO1A1 14uuXdJ HOWaEh£H 14Ha1fh 3310ET7 H HxHH1O9Ed axx0ahHlNEdLJ 9OxHH10Ehic

114u0 H I4T7K1CJ£a 410OHHaII 41KIrSE1OL73dU 1CJ01,s1 `0101 alAlodx

`KH10Eh 4H3u010 KEd010N2H EWHI7OX902H OHh149O EOOaTIOdU HNH3T10

KIf 90NHH1OEhX EH 14HHES0dH1H3Hd0 141O17OXT70U O O1HH2HSEd0 011

Page 54: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

617

H O148da.LHH H HHHEâ0T1aIfOOH XI4HHEâOdH£H.I.dETIHE.LO 10 5XI4HHE17

E dOgO 14T10101V 014H£Ed90OH£Ed I4HE80£41fOU0H 4.LI4g 1r(1O1A1

'1AIELIIlXd1 YVI98011011

M KHH01f9000UGHdu XH KIril OwHTlOxgoaH golfEHda,LENI H HHHam9O00 aHHE80dH1.001 aoH9Lra.LHdEaTladu 'KHHaHaIN£H 110911fdaIV£H

I4H)1(I1oT7 Hodo.LON 0`191.ET1 HOâO£Eg aHHaIral7adu0 H NEM axcNEL `Â11-017

N alixaIIIOH.LO 41,a1NH .LaxcOYV i;1aLra.LEIIIiçLrO xH.LOHda,LNEdEx OfiLOaNCOHW 1,11E1314£HdU H INKHHam9000 WI4H41fEHtIHa.LOU X14fia1fatl

H.LOOâHhWHHduOOfi IfHHaifatladu0 H 801BHEx XI9H8H,LENHHrC1V010N

xHmKTlOXtIOU Ed0gI9â `uud1 XI490110il HHIIENHI1)H1.Hai7H NIX

oi1IH1IOX900H HHdO.LHTi,CE aHHEaot(3110014 'aOLBHda.LEIV H iiHHamg000 014HE.L19uOH a0H9113,1HdEâl7adu H HHdO,LHIIXE 15HHE8otI0I1001-1 Kgao

1.aEh01I1)I8 ENHaIIO KEHâH.LEIVd00 '(601 `LS `ZS `IS) HHtIEYVd043HH

ii08000EYV XEfi.LOTladO fi HHHEUWEN HHHaIIIOHLO a OHH09000 15010EâHxdaht70u KHHEâOTIaIr00H 010H8H.LE1Nd0CP 41OOHxCEg

aMHatio rloHarliewdocp H wtr'ox17oU

aâ.L0amg000 â XKHTIHalIHa.L H X10H1I9900

H2H N IfOXHmifOOH.LO OH4LrEHTIHa.LO11 O aNOIE.L E `Oi4.L00HHaâ.LOamgo

H HHIIEwdO4)HH Nofio00EIV HWEfi.LOT13d0 aifgodu HowiNEdlodu

O XI4HHE£KHO HH.LKHdU008 O OIHTIEINdOCI)HH 4.LHhaU0ag0 .LaNCOi1I

ISHHENCdaT100 £HIfEHF7 'Eâ.L0am9000 um-mad aMOiEZ E `H.LOOHZaIVE£

aa H I9IVIVEdlodu E£Edgo O.IOHhHIfg/(U HNHat10 KLfiT OHE80£41fOUGH

41149 1.aNCOYV H.LEh311 fi aHHam0E00 '(6[[ `811) HHtIEYVdOCI3HH

110â000EIV â.LOtfadO KHHEMCdaIl00 1HHd0.LHHOIN .LOiEhOiIfNâ

Eâ100m9000 aHaodX EH XI4HHETf Edogo 19110.1.01,11 aH1XdY j

aiNYVEdlodu ou NaHt1EYVdOCjHH E£ KHHamEdgO 9.LEfiodHd.LOH1ad

.I.rt10YV 14g31Gt1f0 al4H93h011 H aHNOHHTIHt1aYV `daNlHduEH `.HIVI4HHETI

I4NTYVEd10du NIX HYVI4HhHLPHlIauO HOHUE£ 0I4HdKLrÂ10d 4.I.HHI1O1101I

41,O0HNCOYV£Ofi 4.LE80â,LOam/C0 aNCNE.L 1.aNCOyi KirolOxlrE tiiCEtiodu

HIrH HHH1101000 YVOfi£ad.LaH â aHHatl)KOâ EC I9100dE `HmOYOU HOdONO

14tIHH4I109 â IiHHaIfUÂ.L0OU Ya1f010NIfE O XI4HHE£ISâO ENH.LOH.LE.LO

9.LEâofi.LOatILtO 1.aNC01N `dalNHduEH 'HOHUE£ Ya.L3H0 HUH EoaHXdE

XHmoiXaLOamrCo £H 3I4HH3hX110u `3I4HHE17 I9HE80£4L101.10H 41I99 .I.rt..LOYV ofiLOamgo00 EH I91,11VEd10du KHa,LOHaû YiNdaaodu KLrrj

' alXootl

EH HH.LKHE£ Ott had.LOa XI4H4IfEHIIHCtiO .LO X15H80IfOX X14HhHIr£Ed

Page 55: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

os

°I9ININEdl0du 3x1o9EdEEd HdLl hEÛE£ XHmH2HNKE8 EH 14OH170 KO.L0151fuK IiHTIE.1.HaI11130 HH131Ed.LO

HamKi1oX17ou 301109HEH 014H31r317adup °xaou KIf17 HHHam9000 X19H911E3d313HHX EhElladaII Yvah `1A1o17ox17oI1 NII9Hdoa.1orrolru aalrOg

1131.3E114119 `HHdO1.HrriCE HOd01.)1a0 XI9HhHIf£Ed KL('Il HHH3m9000 XI9HEEd

014H2HEd100dLI0Ed H E)110gEd£Ed 'a'1 `IiHdO.LHrrXE KH11E1°H31V13D

nndownpife enh ewHaw2a0

'(LS) HHH.L0Ha17 EHE11I1 3141HHEEd

1:7Ei131a H080 OIfHOOHfi 016 19901h 53E1 E`woEEdgo NII9HHEhXIr0

aH K09.LH170HOdL1 EH)KI1017 ExH317O KEHHH.LEiNd04) :KHHEHOdHHELfII

010)I0ahH1a.LEd.L0 91.00IHir0X9o2H a)K)IE.L KOZaEHHxdahl7ou

H14119HHEïr H119HHafl.LOahHIfOx 40HLr1fLfLl3dxilou `KHHEâOlra1r00H

O1OHHaH103hEx £H 319HHEIf3170 `19110HI99 19901h `I91-10d010

HolXdrr a E `sol313.1giCo 0H13EhiC HIflsdmoou H aHHEhxoxo 3o119dx10

HIra1NH KHHEH0i131fOOH 319H9H1EINdoCI) I9901h `I9H0d0.10 HOH170 O`OHEH -o171431A10)I0d 0Lr19g 'HN[I9H)1C317EH OHho1.E1O017aH a)iCE17 H H1AII9H3COL1O

K0912EEx01I `O)IEHI70 `12(IOIN 19170131N 3I9HHau1.03hE)I `NIEi101aNi

1A119HHau1O0hHLfOx XI9HH3hX90 `HaLraZEEOIraIlOOH H INNfEd.IOdLI

a0xHh109EdEEd KO/ °HIN19HHas.L0H317 331r09 9.1199 1.iC.1o1N I91701.01A1

3I9HH3111.00hEx axHa170 HOHHHI,EINd0C1) H EOOarlOdLi a)IHar10 u`I9Irol.aNi a19HHau,10ahHlfo)1 19HkCEâ 09000 a)IH31-10 1;1O20101.H u K.LOX 91H170HOdlI

OH17iCd.L aa H HHawadH °LEdI°E£ 1340d1 EHO 01h `1f310E11dh0 MEN

)IE,L `9had9aH3d11 1rC°IOIN 0)101E1 Ho)IHar10 HOHHHI°EiNd00 'HHIIENIdOCI)HH

1409OH04) aHHahEH£ OHOK 0900 1011SUUE1.ot7adLl OH `K013xCE)I

`I9INNIEd10dL1 H)LHh.10gEdEEd 14H `EH1101Ha1E aHm01/CdHOHEHH4) HH

'ININEdlodu xl9rrrrlodu aHHahiC£H KEhO1LfxH `HaLrarl x14.1Xdi7 KLCir 90H1lEdHg0O 019do1.ox

`3I9HHE11 3)I01E.1 HNfI9HE3I10II 9.1.199 1rC101A1 `I91NNIEd10dLI HOHHEI7 KHH -EHOdHHELCII KIf17 XI9NIH1I080dI1 `HHHEH017aLr00H ONiHYVOu (frII 'off `zS

`£I) H.1001N2E1.iih09017Â E)idaHOdu H HHHaiI7900o 1HHLHad HI9HHEHOd

-H9E1moE1N `0i9uda.1HH `XEUUad1 XI9Hal1311 s HHOOaoHrr `ol9adal.HH 3I9H91.1E&-IHH1tIH a19HHaugXlr1X MEN XHxE1 `ao17o1aIN rrKd HI9lrarl

KO1031NH golrEHda1,EIN 14 HHH31-119003 XI9YV3/C°1I911OH oH91r0iHdEgl7adu KIfV 'I911IINEd10d1I HOH1H2HOIIYVO)IOIOHW KHHE119L1OH KI117 X191/4

-3A911o110H `so.Lxaodu Xl9H119I10 X19H9E,LmOEWOIfEIN O11 `HHd01H11kE

HHHEHO17aLroaH HdU xt9wHtrouodu `xEuu Cd1 xl9uaLrail u HHOOX)i0Hi7

Page 56: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

IS

(OII `LS `£S `ZS) HHdo.LHIl,tE HoaauaYl HwEOada.Ia-IH

H HYVEIflK,CH `HYVKHt1E8H1O1A1 `HYVE81.O8,th `HYVKHH2HYII `HYVKHHEH£

HYVHmO1Âfi.L0amÂ0 O 14HE£Ka0 41.148 141TxClIOi! KHHamEdgO H KHHamgOOJ `EXauOX 9hH10Oi7 14901h 112H x I4H9Ua1.Ha1.08,thaH OH9IfEdÂ.L911,Ûi

HUH HHdo1.H17,iE HOaaUail 1.O1X8.LO.Laa.L000 OH KHHamEdgo

H KHHam9000 HUOa 4ilhE17,taH `oxEHtlO `1.HUda1. UEHda.LEYV HI4HHEIraI7o

oH9lrexoHOoaci)odu H HHxoahdoB.L axcErj axH.LxEdu XEYVN1Edlodu

XI9UIIIOdII a HOHHaIraOHE.LOÂ EH HUH 'HH tIEWdOCPHN HO8o00EYV 210173do

aoirEHOH000(1)OdLI HUH 80101EIlall HHHaaOHXOI72 INOx0ahd021 EH KO.LOIXdH£Eg HHriEYVdOCI)HH HoaoOOEIN xE210l70do 2 HHHEUYVEx oxtladaH

'HHi1eWdOciHH KHHaHEd.LOOdUOed oloxaHl.xacpqbe KU17 HNB.LO.LKIIadU

HHHalratladuo ndu axcxE.L E`19YVYVEdlodu HH.LHa£Ed HdU H xKHHamg000

8 aHHEINHHB 41131Ed90 OHxC,CH 0I9dO.LOx EH `walrgodu HHHaIral7aduo Hdu 4uod oamolEmad .Laed1H aYiHEfloi7aU0OH aoxaHl.EYVdoo

1snnNead 1seHwaawp

KHHEfioi7aIr0OH o1OHaH1.Ewdotti .Lo1,Cgad.L HH1a.LEd.LO

HamKtlOXI7OII dogI9a H aOxEH£HdLI `XHxOah4Ed10141017 oYQHY40II `X14HH

aHHEBO£9UOLIOH `H1411E,LHaIN100 MIT( KH1a1,Ed.LO eHEd9198 EUI99 HH

199 KExEx xKHaoUOX xH1,Cd17 g H EHaWada aH1,Cd17 s H,LOOYVHHaYVHdu

XH HH,LHEdE1 LOH `(aox100d17ou Kitt `daYVHduEH) 1AiE109Ed `Y1lI4HHEI7

KOYVHI1701aYVH ou `019do1ox `HHHamgooa 201.,C9xdLE 9H0hadaU

H1.HEH OHxcoYV ad,C.LEda.LHlr a K.LO}I '19111I,Cd1 Hoaalrari HOI7xCEx K1r17

2O11-EHda,LEN1 H HHHam9000 `9O1fEHEx X19HHOHIIEYVdOCI)HH XHmExCaIItIEH

aH1.Ha£Ed H do9l4a 1501,aKU82 HNdo,LHtIXE HHIIEI,HaYV1a0 oi4Ua]Z

'EE100ma9 O10HHE17 KHHE80£9110LIOH

HHtIE8H1O111 HUH E.LI9LI0 KOXHmO1EOEx HHhHU£Ed aaOHOO EH 8011-IaN11a0

aHHEtI£00 H HH£Hx{ £Ed90 ou KHtIE1.HaYV1aO KOZKOOH.LO HHIIE.LHaN11a0 YVKH1a1.EdL0 Y1II4H8H1.EHda1.41fe YVI4Hd0E10ilOIfII 031109 OH9UeHIIHa.Lou

x'EOd1.aYVEdELI X19HdÂ.L9UÂx H X19H4UEHII00 XH1Âdû H XHxO0hHH.L6 `E00EUx 010H4IfEHI100 `EUOLI .LO H.LOOINHOHBE£ a 15041.EhHU£Ed

I./ Clow I4Uu/Cdl)1'ou Hogollr Hd.L,CHa aHHal7aeoU H KHHattxC,CO

`HZOOHHaiI `KHHamOH,LO HI,0OH4UEad g LILIÂd1tlOL1 XI4HI70d0HIlO

OIH£OiUIIH 10E17£00 OHhl99O `.LOEd£oa MEN XHNEI `aOxEH£HdI7

XHxoahHCIEd1OYVaI7 aHHE2O£411OIlOx '(LS) HYIII4H.LE2MaûE 031109HEH

KO.LOIKUBK OH9Ua1.E£K90 OH HHO OH `XExEH£Hdll XHxOahH4)Ed1oYVaH7

EH KOaHtIIOIÂdH£E9 `14H1a1Ed.LO KO.LOLC£911O110H oxodHin

Page 57: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

(DopMaTHBHâB OLIeHKa MO)KeT 6b1Tb HCII0nb30BaHa AnR

onpeAeneHHR Toro, LITO ayAHTOpHR yxce 3HaeT, KaKHe CyLueCTByIOTnp06enbl B 3HaHHH, }came npeACTaanexHSi HJIH 3a6nyxcAexaslHe06XOAHMO npOBCHHTb HRH CKOppeKTHpOBaTb. (DOpMaTHBHyiO

oiler-my MO)KHO HCII0JIb30BaTb ARR onpeAeneHHR OTHOIIIeHH51

ayAHTOpHH K paccMaTpHBaen-IOii npo6neMe HRH nOBeAeHHIO, H pjIStBbISiBneHHA TOl"O, HaCKOnbKO CJIy1IIaTenH, n0 FIX MHeHHK), Hy)KAaK)TCSi

B HHtOpMauHH HRH nOAAep)KKe. T-ITO6bI 6bITb BOCnpHHRTbIMH,

CO06LueHHSI H MâTepHânbl Aon)ICFibI HMeTb HeKOTOpOe nepcOHanbHOeoTHOIIIeHHe K CJIyLIIâTeniO, a peKOMeHAyeMOe nOBeAeHHe AOJINCIiO6bITb OCyIueCTBHMbIM B yCJIOBHSIX eSKenHeBHOFi )KFi3HH CJIyLIIaTenel3.

ÏÎpEC)BâjJUl7]@I7bHO8 UCllbll71âHC12

HpeABapHTenbHOe HCnbITaHHe MO)KeT 6bITb HCIIOnb30BaH0 ARAnOMOLuH B pa3pa6oTKe KoHuenl(HH H nepeAaHe co06LueHHR. HaCTâAHH pa3pa6oTKH KOHLjeIII(HH np06Hble C0061I1eHH2, BH3yanbHble3CKH3bI HRH KR10YeBb1e Ikpa3b1 MOTyT 6bITb npeACTâBneHblnpeACTaBHTeRSiM ueneBOIï ayAHTOpHH AnSi OnpeAeneHHSI TOGO, LITO C

HaH6OnbIIIeFi BepORTHOCTbIO BbI30BeT xcenaeMylo peaxuHlo. HaCTaAHH BbInOJIHeHH51 OnbITHâSi npOAyKuHSi HCnbITblBaeTCSi ARA TOW,

1IT06bI OueHHTb HaCKORbKO noAxoARLueH SIBnReTCH Bb16paHHaR

TexHHKa, a TamCe OnpeAenHTb, KaK HHTepnpeTHpyeTCR COAep)ICaHHe HpacnpocTpaHSIeTCR RH 3T0 c0061L(eHHe AaJIbLLIe. Ana OLjeHKH

BHHMaHHR, H3MepeHHSI oxsaTa, onpeAeneHHR cooTBeTCTBHR H

npaBA0II0A06HOCTH, a TaKNCe Ana HAeHTHCl/HKauHH CHnbHbIX HCna6bIX TOzieK, BKJ11O11a51 HyBCTBHTenbHble HRH AHCKyCCHOHHble3neMeHTbI 6bIRH pa3pa6OTaHbi 0006ble MeTOAb1 (13, 52, 110, 114).

MeTOAHKa, HMeiOLuaR AJIHHHyiO HCTOpHIO KaK B MapKeTHHCOBbIX

HCCneAOBaHHRX, TaK H B COL[HanbHbIX HayKâX (120), KOTOpaR,

noXO)ICe, npH06peTaeT ace 60nbLLlyio nOITyRS1pHOCTb B HCCneAOBaHHRX

npo6neM O6yLIeHHR B O6naCTH anKOCOnR H 3AOpOBb51, - 3T0 HHTepBbIO

C ueneBblMH I'pynnaMH (13, I21-124). 3TOT MeTOA HCIIOnb3yeTCR AJIR

TOFO, LITO6b1 B3I'n2HyTb Ha XapaKTepHCTHKH KOHKpeTHbIX

np06neMHbIX BOnpOCOB H3HyTpH C nOMOLubiO 3a11HCH H aHâRH3aAHCKyCCHIi npeACTaBHTeneli ueneaoll ayAHTOpHH. 3-rH AHCKyCCHHMOiyT 6bITb OpraHH3oBaHbl B BHAe CBO60AHbIX 6eceA, C

HCIIOnb30BaHHeM CTpyKTypHPOBaHHbIX BOnpoCOB HRH Aaxce 0006bIXnOAXOAOB, TaKHX KaK npOeKLtHOHHb1iï MeTOA. rRaBHbiM npeHMy-LueCTBOM nOAXOAa C HCIIOnb3oBâHHeM ueRe$bIX rpynn RBRReTCR ero

52

Page 58: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HeOrpaHHLIHBaeMOCTb: OH 1103BOJIAeT yLiaCTHiiKâM HCIIO1Ib30BaTb CBOH

Co6CTBeHHble CJIOsa H Bbi6HpaTb CBOH CO6CTBeHHble npHOpHTeTbi.

,EtHCKyCCHH H HHTepBbiO C C1)OKyCHbIMH rpynnaMH MOryT TaiUKe

6bITb 110ne3HbIMH JInA TeCTHpOBaHHSi peaKLjHi pa3nH1IHbIX

«KypHpyloluHx« rpynn. OHH MOryT 6bITb none3Hbl JInA onpe,geneHHATOrO, MOryT nH 6bITb npeBpalIZeHbI npeJlnOxceHHble o6yHaioulHMHHJIeH B KOHKpeTHble npO,gyKTbI npOCtleCCHOHanbHblMH pa3pa6oT'iH-KâMH nepeJlati H MaTepHâJIOB, HJIH )ice npHeMneMbl nH COJlepxcaHHe HctoOpMbI npOH3BOJIHMbIX MâTepHâJiOB JUTA KniO'ieBblX nOCpeJIHHKOB,

TaKHX KaK y'-IHTenA, npOCbeCCHOHanbI B 06naCTH 3JIOpOBbA HnHcpeJlcTB Maccosoi4 HHckopMaIIHH (57, 110, 114).

McTa-aHanH3

Îenb OLIeHOYHOCO HCCneJIOBaHHA COCTOHT B TOM, 'iT06bInOnyLIHTb npeJICTaBneHHe O JleiicTBeHHOCTH npOCBeTHTenbHbIX MepO-

npHATHi4. HecMOTpA Ha npOBeJIeHHe MHorOLiHcneHHbIX HccneJlosa-HHii, Co6paHHble 3HaHHA O JIeHCTBeHHOCTH pa3nH'-IHbIX o6yHaioLLIHXnOJIXOJIOB OCTaIOTCA pa3pO3HeHHbIMH H HeOnpeJleneHHbIMH.Pa3nHHHA B CXeMaX H MeTOJIaX HCCneJIOBaHHi, a TaiUKe pa3nHLIHAMexcJly pa60TaMH B CBA3H C pa3HOII TaKTHKOFi MepOnpHSITHÎd,

rpynnaMH HaCeneHHA H McCTOM npOBeJIeHHA 3aTpyJIHAeT nonyHeHHe60nb1IIer0, LIeM BeCbMa 0611IHX BbIBOJIOB H3 HMefOLuHXCA

pe3ynbTaTOB.

KCnOnb3OBaHHe McTa-aHanH3a, CTaTHCTHileCKOro 06beJIHHeHHSIpe3y1IbTaTOB HTOrOBbIX OLIeHOK, npeJICTaBnAeTCA OJIHHM H3 nyTe{ipeuieHHA 3TOl3 npo6neMbi (13, 81). (DOpManbHblii McTa-aHanH3,06b1'iH0 npHMeHAeMbI{-I K 3KCnepHMeHTânbHblM HCCneJ(OBaHHAM,

KOTOpble pa6oTaK)T C KOHTponbHblMH HnH CpaBHHTenbHbIMH rpynna-MH, TpaKTyeT pe3ynbTaTbI HHJIHBHJIyanbHblX HCCneJjOBaHHii KaKKOMnOHeHTbI 6onbLLlerO HCCneJIOBaHHA, H3y'-IaiOLllero pacnpeJleneHHe34:14JeICTHBHOCTH npOrpaMMbl. Pe3ynbTaTbl HHJIHBHJIÿaJIbHbIX

HCCneJIOBaHHH onHCblBaIOTCA B 06b11-1HOi%I McTpHKe, LiTO JIaeTBO3MO)K1iOCTb npoBepHTb CTaTHCTHYeCKHe COOTHOLIIeHHA Me)KJIy

30C1-JeKTHBHbIMH pa3MepaMH H XapaKTepHCTHKaMH 3THX

MepOnpHATHi4, H BO3MO)KHOCTb CpaBHHBaTb 3CbCkeKTHBHOCTb

pa3nH'-IHbIX THIIOB nporpaMM.

53

Page 59: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

s

NEN `KHH3173S0U 01OHHaw3d801110I1 HHH3H3W£H S 1/419HU1au0X

331109 0I1199 3H14311X90 3OHhE9E11N1HE MEN E17101, "HwI9HH3d3w 3EhXItO waHlhXIt fl H11199 HHHa17a8OU g KHH3H3w£H E`a3H11Âd.L

011199 3HHaIIIOH1O 91HH3W£H `.15980dOT1£ K1r11 aNOHd O KHHEH£ 13E8 -HhHI138X oH9Lf3.LHS1.OH317 WWEdlodu OB,LOHHm9110g 'xEdo£go x111/Cd11

8 wI9HHE1C3110 `1AFEi108198 N 10I141(flE9011 010H1A13H `WEOOduofl WiCflT1

w148daLI 011 319HHahXI1OU `1913S.LO 'H.LOOHBH.LNa(134)e HONO0hH311aSOLI 9H380dX HI9HhHLf£Ed `XKI131701AI XHNO3hH10dO31, XI9HhHLf£Ed

EH KO3Hm0LtdH£E9 `I91AWEdlodu Hlt 10l31A1H 'war. KHHalrailaduo KLßI

33101E1 E `1S11O10N1fE KHHaugad.LOU H KHHadÂN KIf17 E.L)iaCI)(Pe EHHhHIfaB

Hit KO.LaEhHLf.LO `01O.L KHHah£H KIM' H aHH317380U HUH aHHa11lOH.LO `aHHEWHHOU EH KHS10H311£08 01aIH90 KHHaIfal7aduo 141.117 KOLfEB

-0£91f011OH £141fEHE-E3,3W '(8L) KLf010NIfE KHH3u93d.LOU HUH KHHadÂN 311H3mxadu&adu HUH 3HHaHI9HaWX EH XI9HH3113i1EH `WWEd.IOdu

XI9H9LfONm 08 H.LhoU 1.313(1)(P£ OIfEhAH 3141-1E90170110014 33HSE113H

"KH11EwdocpHH KEHgodllou

aalfo9 KO.LHNCdailOO XEd0£g0 XI9H17oXOH fl `H3hHHEd10 `E£HItEHE-E1.3w

0i9m0WOU 0 I9H3h£H 9199 .LÂ.1oW 319do10N `flodl.awEdEU H wwEd.I0d11

HO£EUEH17 X.)191fON0011 "80d0£90 XI9H170XOH SO1708195 10 1SO10lEhHIt.LO

O1OHwEH3H I9ilOflI98 3I9HH3hXL1011 '(8L-9L) wwEdlodu XI9H911oxlrl H1.00HH1413104)cPe HNdasodu KLCII HEHO£9IIOU0H III99 £HIfEHE-E13111

KHH3hX90 o1oNOahH.LOxdEH H O1OH91r01oNIlL' XISHHE8013IfOOH g

'(L8 `rs 2LI I?HHam909O XHNOahH,LOH.LE.LO KIfII W19HH3hHHEd.IO

wONU1H110 9199 ,LaNCOw `rtOOduoB XWOHHEI7 XI9HHE8003di1E `HHHEH

-011a1f00H OLfOHh 3NC HUH `KHHESO11a1f00H XIraï1 N 1402HmK0OH.LO 308 91Ed900 wH3I10113H 1f091E£ENO 10NC01^1 "9OHI1EhX£H KHH3I13OEH I9u41Xd1

3HNEN `0101 10 913OH8E£ 3N01E1 1XI1Â9 E£HIrEHE-E131s1 I91E1.9I1X£3d

'S01.ah.LO XI9HhOH3110 X19H170X0H SO1E19I1£3d H 5011013w ISHHESOdH.L

-H3wtiI017 O10H.LESN3IlE3H E£-£H H.LOOHOEUO K09.LE1d38170u 1,aNCOw `i3HH

-3HH7139.90 wONE.L EH XI9HHE8OHOO `SO170919S 9LOOHNC3TIEH 'KHHalI1aWO

NHHhO.LOH HHmgO 1013wH HUH walrgodu XHmgO KO.LOIEOEN KHH

-ESO1131f00H 141103 OHH39000 `E1Xd17 1/(d17 91.ENCO1.hHH/t OHWHE£S 1.ÂI1/(9

XKHHE801101f00H XI9HhHI1£Ed S 15HH3m3Y40 01h `14H111EdE1 `0)1EHTl0

`.I.3H "KO,LHdHIIIOEd 11141401419090 KA/ ECE9 H 19HESOdHOHEI1E90 0HwHE£S 1/074 XKHHE80173L000H X19H9ll'E/I7H8HTlHH 8 KHHam3w0 319HNCOw£OS

`KHH317090d11 HwE100W H HWEIIILtd1 `HwEW3X0 HWI9HhH11£Ed

0 KHHES0113Ir00H 911S£8 141103 01h `K01.aE1Eit0u113d11 "KHHE80i13I100H

010HhOH0110 010801O.LH H1OOHNC3IIEH H3HIII3H8 H NE,L `H3HH3d1ÂHS

NUN KHH3LfHOiC H3.LX11 £H HHïIO MEN H3NCOLf113dU 11199 £HIfEHE-E1,a1^1

Page 60: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

SS

aN{xE1 E `01HJOLrOHHwda1 H KHZKHOU al4aah011fN al4waiC£4LrOUGH

41EwHH0U 14HN<I1Oti HaualH9adloU I41111CdJ aofl `KHHEHOttalrOOH 10 £411ou 41HhÂ110u I4901h 'HHHEHOt1a1100H XI4HhOH0110 H HH1KHdu0d0141

X14H91101H10fl0OdU HHH0II10H10 fl 1SHHE17Hx<0 0I4HhHIf£2d 4J.awH

.Lax<ONI EuuXdJ KE1lx<Ex 'HxH.LHllou H EH1O1H0JE aHmOiiCdHOHEHHCI3

`14dO.LEd.LOHHHIA117E `HxxH.LOgEd axxoahHJ.NEdu `014H011iC KO1oIKIfflK HHHEHOI2aLfOOH XI4HhOH3110 Hwx1fa1H9ad1OU H14H41rEHi1Ha10u

'(ZII 28 `LS 715 `Ei) H141-FEHE IS1iHaHEd.LOOduOEd OJOHflHJ.xacPCPe

001109 0x01E1 E `Hxxatlo HxHJ.xEd11 H 809000110 Isl-1.LIIa£Ed

`11.HH0hX90 `ISHHEaOdHOHEHH(p 0JOH1EaxaltE .LaXgad.L `iCwowHltHfl-011

`01E 'HHHEHOI20L1OOH X14Hh0Hat1O H100HhHJJIEdu H KHHE80£41rO110H o1HH0IIIhiCI1Â OU KHLfHOiC I4H)K/CH `.CwOIK11718-oU `Hx1KHdu

-odaw xI4H4Ira1Hlaaoodll 4l0oxx0111001 41HhHI10HiC 14901h

NNHeaotiallooN X19HhOHO110 NlOOHhNJ?IedLl N KNHe8OE911O1J011 aNH011lhAIt1(

'HOHHahHHEdJO KOJ.aN<Ex

iiHH0hX90 wOHfl1-I1Jlaaadü fi 17OX11'OU H14HHH.Lxa(P1Pe aalfogHEH 413311017

-aduo E£HIreHE-E101A1 41.0OH9000UO `,C17odHdu 01iCx03hHlEw01OHO 001109 CUD EH iSd.LO11102H `1,11o£Ed90 wHNE,j, '141AIwBdJOdu 014HH0H11Hï1Ed.L wah

`KHH012aH0U HHHOHaw£H fl EHHH1xaCPCPe 001109 HH1KHd11Od0w XI4HHOH11

-EflOHHH E11UiCdJ KEHHEIflawO 01h `OHaxUCdEHgO 0I1I4g 'E0t70X1tou

KOXHmHE100 xadJ. £H woH11O EH K01o1iCdH£Eg 014do1o31 `HwEwwEdJOdu

HIVI4HHOHiTEHOHIIH O- `MOX170u HI4H4ICEHOH1TEd 1aSdHHHIVOtt XI4d01oN

H- wIVEdJOdu X14HHOH111i17Ed1 waHHOHflEdO EHahHHEdJO 41149 EHNQf012

I3a1ra17ow x14HhH11£Ed HlooxflHJxa44e Exdaaodu `Hauattow XL4Hhx11£Ed

EH 141H01110Lre 1o1,CdxHHgwox I4141wEd.I0d11 aHJOHw Xx4l1oxoou 'Halratl

XI4HH2H£Hx< aHHax<Ii10o11 H ExH011O0IVE0 NMI `wExllloxdalxEdEx

wHxE1 aHHEwHHfl aOHHEIfJ HHm01KIral1/C `11oX1tOU HHmOlE8H8£Ed H

:KHHa1taHOU oJOxoa1110H0i XE1dE11HE10 H XISHHEI7H>KO^a17ad0

iiOHHEtt a KOXHm010I1I14 EH HI41-1HEHOdHOiCNOCP0 `wdOH X14H41fEH1100 tiOx12011 !KM

-ax</Cdxo oJ0H4I1EH11oo I41x044e aHmol,CdHlrattow HHmO1EHHxd0h17oI1

`10HH01rH3iC OJOH4LCEH1100 t1OX11OU `.HH11Ewd0401HH H0HH0h/CI10u waHfl -loxatt 12ou KHHallasou OiH1TENHCIH170141 HUH 1SHH3II70H10 axxaxaw£H

EH H14HH0I10tIEH `11oX110u 14114H411EHOHT1Ed :Ii11a110w aHxoahH1adoal 0d1410h HIfEHO£411O110H I41411s1EdJ0dU HIE 01h `OHax<ÂdEH90 01114g

'aHHattaHOU aOHHafllOtiadOOUaH EH aHal0Hat1£OH aOHIVOdxO HHaU010 HOHHEd H HIfE£Ex0 0HH0hX90 aOH4Lf0JOx1fEH1HE H xE1 `00HhE9E11-11HE

Page 61: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

nOTeHIJHân H OrpaHHLIeHHA pa3nH4HbIX THIIOB HCCne,gOBaHHii.

IIpeAnonaraeTcA, 4T0 COTpy11HH4eCTBO Me)KJJy npaKTH4ecxHMH

pa60THHKaMH, â,gMHHHCTpaTOpaMH H TeMH, KTO npOBOJaHT OLaeHKy,

MOKCeT 6bITb 6onee nerKHM, eCnH HccneJJosaTenH 6yJJyr JIy4LUe3HaKOMbI C npaKTH4eCKHMH C11KTMH npOCBeTHTenbHblX

MepOnpHATHH.

Burnt CJaenaHbl TaKxce npeJano)KeHHA no peLÜeHHK) npo6neM,CBA3aHHbIX C nOTeHLaHanbHblMH KOHCInHKTâMH HHTepeCOB, KOTOpble

MOryr BO3HHKaTb, KOrzaa HCCneJJOBSTenH OLJCHHBaIOT CBOH

C06cTBeHHble MepOnpHATHA, I11I14 nporpaMMbl, pa3pa6OTaHHbie HX

HHCTHTyraMH 1iJIA LLIHpOKOCO pacnpoCTpaHeHHA (87). bb1n0

npeJJnoxcexo, 4TO6bI TaKHe CB513H 6bIn13 nOnHOCTbLO JIOKyMeHTaJIbHoOTpa.)ICeHbI, a JJaHHble HCCnejaOBaHHA JJOn)KHbI 6bITb JJOCTynHbI ,IIJIA

JapyrHX HCCneAOBaTeneFi, KOTOpble MOT 3aXOTeTb npOBeCTH

nOBTOpHbli-1 HnH aJIbTepHaTHBHbIFi aHan113. Bane 06LLaaA

peKOMeHJJa1aHA COCTOHT B TOM, 4TO Te, KTO npOBO,gHT OLjeHKy,JJOIUKILbI Hay4HTbC51 6bITb 6onee KpHTH4H13IMH n0 OTHOIIIeHHIO KCBOHM HCCne,gOBaHHAM, H yJaenATb 60nbLLie BHHMaHHA CO0611.1eHHAM O

He,gOCTaTKaX H 06Cy)ICjaeHHIO B03M0)KHbIX aJlbTepHaTHBHbIX rHnOTe3.

C4HTaeTCA, 4TO nporpecc OIZeHO4HbIX HccneRoBaHHH Tpe6yeTpa3BHTHA H HCIIOnb30BaHHA yny4LL[eHHbIX MeTOJIOB H npaKTH4ecKHXnpHeMOB. bbino npeJJnO)ICeHO npOBeJJeHHe aTTeCTaLIHH OLJeHOK KaK

OJIHH 113 nyTeH yny4IIIeHHA rinaHHpOBaHHA HCCnejIOBaHHN (41).ATTeCTaLaHA OLJeHKH MO)KeT BKnIO4aTb OnHCaHHe npOrpaMMbl,npOACHeHHe ee 3aJ.Ia4, aTreCTallHio COOTBeTCTBHA 3THX 3aJJa4 JInA11pOBOJIHMOi4 OLIeHKi3, H npOBepKy 060CHOBâHHOCTH CB5I3H

MepOnpHATHA C O)ICHJaaeMblMH pe3ynbTaTaMH. ATTeCTaIJHA OLJeHKHMO)KeT nOMO4b Bb16paTb KnL04eBble BOnpOC6I, CTpaTerHLO c6opaJIaHHbIX H HHJIHKaTOpbl pe3ynbTaTOB.

nOCKOnbKy Bce 60nbuie npeBeHTHBHbIX JJeriCTBHIi npe,gnpH-HHMaeTCA Ha KOMMyHânbHOM ypOBHe, nOABnAeTCA He06X0J1HMOCTb B

npaKTH4HbIX H BbIiIOJIHHMbIX MoJlenAx OLaeHKH H Mepax, KOTOpble6yRyT BKnIO4eHbI B nOBCeZIHeBHOe BbInOJIHeHHe npOrpaMM. CO3JIaHHeo6paTHOH CB513H Me)KJIy npOrpaMMOil H ynpaBneHHeM pecypcaMH, HJIOKÿMeHTHpOBaHHe pa3nH4HbIX THIIOB nporpaMM H HX B03J1eNCTBH31,

He 06A3aTe111DHO Tpe6yeT 06LIIHpHOrO HCCneJJOBaHHA H MeTOJJO-nOCH4eCKON cTporocTH. flpHrOAHaA H nOne3HâA HHCbOpMaLaHA MO)KeT

56

Page 62: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

LS

fi 1AIENHHOdu I4wwEd1odu H I4TTOX17OII 014Hh1iIC£Ed MEN `14101

o i31r1i `HHHamad HH.LKHHdu H 01o9Ed HoxoahHl.xEdu H K01A1X£4UOUGH

H.LO0Ha141310CPCPe xH H HH.LKHduod2w xI4H4IraiH.1,aaoodu KHHEHOTralfOOH

NEx `NIO.I. O OH102s£H OUEw `HH11Ewdo41HH K14142HEd.LOOd1l0Ed

o114H0mhÂ11X ou MU-140X H KHHaxco1rn2du EH Kdl.owoaH

*(SZ[) HhE1rE£ HIrH H11011 231C 01 .LO101v4 OH `H1VE170.LaiN HWI4HhHIf£Ed

1Ai/Csl.oxair 019do1AN `HwKHiIE£HHEado H HwEg.LO.LHa.IE `HwExHHl,ogEd

Hwxx02hHLNEdU rClrixaw os.LOahHHtrXd.LOa aoxaH1.x24ICPe aalrog g TtE1rMH H,LOaxs iaNCOw a)1CNE.L KHHamgo .LOOd xI4H14E17 CE9 H aodl.Harl

XI4HHOHTIEwdOClHH `Ha.Lao HH11E£HHE1dO oaZOTradOOLI H `flodEHH11120

H had.LOH XLihogEd XI4H41rEHOHTIEH HUH XI4H411EHOH,I0d `XI4H1.O0w

OI9mo1VOU o 41011.101190 9.LI4g 1,2NCOw HLVENHH.LOgEd HwH)IOahHL)IEdu

a4)1C0w HaHrIEwdOCPHH Hawgp waHa.LOHatt£Oa XH o KH.LKHduod2w

10IEHI4£Kao 219do10N `s000atiodu H 191A1wEd.lodu KHH21111011I4a

1501O1EOEN 01h 'al. 41I4g I9H)K110?I `OH.LKOdaH `HwEOOduoH 14wI4Hl,oaK

aalfogHEH EoNH111O9Ed xxx02hH1NEdu 1/i11/ OIXHHEtr

s HahaIfaOH a)IUC 0131 4x01 OHHagooO `191A1wEd1odll .LaKHEd.LOOduoEd

H 10XdH.1310odu 01N `X21, aHHESOdHwdOCIIHH Ko1.2KUaK H0hE17E£

HOH)KEa 02H001 2H HHHamad aH.LKHHdu H HxH.LHUOLI 014HEflOdHHEIfi1

a H2h011HOE 01)I `a.L I4HO0d01HH `XwOwH17Ha-0U `0191.00WHO1.0 H

0141.00HflH.LN2(I(ICIe O 014HHE£K11O `I40oduOg 154a0d017£ o10HH2a1.0amg0 OIHHairUadNa OU 1,Ha1OH217 HoxNCd0m7ou XHH EH KOI.ÂHNHU)I.LO

1/(101A1 019d010x `1,0411a11f217 wI4H91fEHOH11EH HUH wI4H1001A1 13.1Cd17 aNCNE.L E`g)1C,C1ro xHN3HHriH170w iCa1.0170aoxiCd Ko9.LEm900o

I4HNC110ïr KHHEHO17aU00H 141.E1.411X£2d '( jti `E j) wKHHEa01t2U00H

wH.Le x oadal.I1H 1,a2wH 0131 `X20& Nutt Hw14HLIiC1.o017 XH 4.LEira170 i4901.11 `XETt1411 XI4HhHU£Ed a K041.Ea0NHUg,Cu I4HMC11011 NOH0110 I41EL4UC£ad

o1.h `0xxaxcO110u172dU OHE£ENOI99 oir14g xii.Le

10 X£glfou 9.LHhiCIrO1I .L/(IOw al9doiox `wKHdo.LHttXE wH.lXdlt Ko.LaKir217X

KHHEwHHH 0m4Haw 'EH.Loamg000 O.IOHIvCEH 1/41HEHOdxwd4HH

014If211 o XEIrEHdiC)IC XHNOàhHwalrENE g Ko1.OI,CxHIfg/Cu OHhI49O NOH01-10 I41.E1.4I1A0d '14H11EwdOII)HH KHH2HEd100du0Ed I49000U0

21(1HHH1.)IacPIPe aairog K041.EaHa£Ed I4HMCUOTr `HHHEa017a1f0oH X14H

-hOHaTlo ao1.E1f1IfX£ad HwH IXd17 KHHadol,flou H KHHEaO£4U0U0H `E174104)

O,IONE1 KH1Ha£Ed 010Hm2U0iC Mît 'HONI4aEH 14 HHHEH£ XHxOahH.LNEdU

ETrHOCI) O10mg0 aH1.Ha£Ed EH aOHHairsEdUEH `aHIrHOÂ 00141114.1

-NaIfUON MEN KO4.LEaHd1.EwO0Ed 1.2NCOw aHHEa0172U00H 0OHhOH0110

(S j j 'f711) aOitO.Law XI4HH2UaEduEHaIraTI EirKd

014mO1V011 0 HwENHH,LOgEd H1A/HNO0hH1.NEdU H1A1H1VE0 EHETr£0O 41I49

Page 63: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

06LLZeCTBO. B HeCKOJIbKHX pa6oTax H3yLIanOCb pacnpOCTpaHeHHe HHHCTHTyI1HOHanH3aL1145i npOCBeTHTenbHbIX MeponpHMTHri, ciaicropos,

KOTOpble MOryr 06nergaTb HRH 3aTpy,iZHMTb a,ganTaLjHIo pa311HL1HbIXCTpaTerHii, HnH xce nyTeli ananTaLZHH npOlpaMM H nonXOnOB Kpâ3nH4HbIM yCROBHRM H MCTM npOBeJ};eHHSI (126-128).

3KOHOMN4eCK8A OI;eHKa

C BocnpoH3BejjexxeM H pacnpocTpaxexxeM aHTHanxoronbHbIxnpocseTHTenbHbIX MeponpHMTHK Tecxo CBM3axa npo6neMa 3aTpaT Hapa3BHTHe H BbIIIOnHeHHe nporpaMMbI. XOTSI O6OCHOBaHHeM

nepsH*-IHOH npocipHnaKTHKH cnyxKHT npeAynpe)Knexxe pocTaCTOHMOCTH paCXOnoB MCnHLIHHCKHX CnyXC6bI Ha neLLeHHe,

3KOHOMH7-IeCKHe OLjeHKH nporpaMM aHTHânKOrOnbH0r0 O6y1eHHRpe,gKH. 3TH OLjeHKH SIBnSIiOTCSI Hepa3pa60TaHHOÎ-i 06J1aCTMO TaK)Ke H B

o6LIIHpxoM none CaHHTapxoro npocseLLteHHSI (112).

OCHOBHbIMH nOnXOnaMH 3KOHOMH*ieCKOI3 OLjeHKH SIBnSI10TCSi

aHânH3bl CTOHMOCTb- 3434)eKTHBHOCTb H CTOHMOCTb-BblrOna. AHanH3CTOHMOCTb-344eKTHBHOCTb CpaBHHBacT o6LuyiO CTOHMOCTb MepO-npHRTHS1 (HRH pâ311HLIHbIX MepOnpHRTHIi) CO CTeneHbfO ,i(OCTH)KeHHSI

nOCTaBneHHOFi LjenH. AHânH3 CTOHMOCTb-BbIrOjZa CpaBHHBaeT

CTOHMOCTb C nOCTHrfiyTO}i BbIrOjZOIl, LITO MOmKeT 6bITb C.IjenaHO BneHe)KHOM (HanpHMep, KaK coXpaHeHHe 3aTpaT Me,IZHLZHHCKHX

Cny)K6), HnH HeneHeNCHOM Bblpa)KeHHH (HanpHMep, KaK yMeHbLUeHHe

OnaCHOCTH n)151 3A0pOBb51) (13, 81).

LLIHpOKOC H BbICOKOKaYeCTBeHHOe aHTHanKOrOnbHOe o6riexxeMO)KeT OKâ3aTbC5I noporHM. LIOMHMO CTOHMOCTH, BKnlOiieHHOH BIInaHHpOBaHHe H pa3pa6oTxy nporpaMMbI, MO)KeT OKâ3aTbC5I

He06XOnHMbIM B6IneReHHe (l)OHyjOB xis! COneiiCTBHR pacnpoCTpaxe-HH1O nporpaMMbI, azjMHHHCTpaTHBHOi3 nOAlZepxCKH, o6ymeHHM

riHTeneii H CHa6)KeHHR y4e6HbIMH MaTepHanaMH (9, 116, 129).LIposenexxoe B 1980 ronax s CLLIA 6onbuioe oI.ZeHOttHOe

HCCne,IZOBaHHe npOBepslno 3414)eKTHBHOCTb =ieTbipeX pâ3nHtIHbIX

LIIKOnbHbIX nporpaMM 3n0pOBbM, HanpaBneHHbiX Ha npenynpexcneHHeKypeHHR H noluZepxcxy npyrHx 3nOpOBbIX npHBbILSeK (13, 40).CTeneHb ycnexa 6bina CBM3aHa CO CTeneHbfO aneKBaTHOCTH

BbIIIORHeHHM nporpaMMbI, LITO B CBOfO O'fepenb CBM3aHO C 3aTpaTâMH

Ha nojZrOTOBKy yzlHTeneli. HaH6onee 3c1(1)efrrHBHbie npOlpaMMbl6bUIH TaK)Ke HaH6onee nopOrOCTOMLL(HMH.

58

Page 64: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

6S

`198H1EH11HHH 0191491101141117 H a19HHaw2d8oN1.EdN ,LOIÂdHd1.0O111I1H

19dawHdll IiHHEUwEN 14 wwEdlodu xI9H911a.LH1.a8aOdu X19H911010N

-1f1;H.LHE XHH8E17aH tlKd 19HE0HUO 1Â17iC9 0I1017£Ed wamo1701ta1ro g

3L1OJONLld 90 V1NndINdOcDH11 LSVIH3H

-Vdl00dL10t/d N V1100HH3LlWOû3800 LSIiiH3filI980L1 FSLli'1

1111flt/INdOcDH14 1408000dIN 810tf3d0 3V1Hd80£9LlOIJ0I1

14HH0NCEdI48

oxNCaxall 8 91Hd3w£H OH17Xd1 `aHHaxcXdNO 00NO0hH.LHI1011

H 0oHdiC1911ÂN EH aHHKHUB aOHHawadeo1uo17 NMI 0HNE1 `14HH9hX90

01ON0ahH1.NE11H<1)OdU 191N01)(1)e 014d010N0H 01h `9.1.HHWOU 1aX1101IO

`11o1I48 H 1.Ed.LE£ H14H3HI0H10 8 w£HIfEad wH17Ox90aH HNHIHUOU

ii 191AIwEdlodu HHHE80dHHEIfU Hdu 1S10jC 'K0104E1TIEdN00 KH810Ha17

aHNOahHLNEIIH(tIOdU EH I40diCOad Ei11oN `1aE10Ed£o8 `ol'1IH111i8 `800 -oduoa Oi41oOH8H1NaCpCpe-0191oOWH010 Oo XI4HHE£K8o 4.LOOHNCEg

HOwElfNad IiONOahdawwON K01,aE1141.0011 OHh1990 01h `1A101 O

oIHH2H8Ed0 011 EXUO,C 9H3u010 01XN00I98 H0900 4111118E1011adu LaNCO

KHH2Haw£H O1O.Le EHHhHIfag '%91 -%E EH on 911fH17oU 1aNCOw HHTIEwdO(tiHH Ii080O0E1A1 xE81o17ad0 8 KHHEUwEN KEH4Ua17axxadl

`a.LHawxduoNe 8 011199 01e NEN `%S I 0I10N0 111511121E1000 Haxwad XI4H£KBHdU 11HHE80£4IfO11G14 9Ha80diC H19H91fEhEH HIIOg 'H.LOOHOE11O£a9

H2Hwad KHHE80£9110410H KHHadmoou 151f17 wa1.ÂLI wI9H8H1N044e

031109HEH 41199 10N(0 `HlfailaH Hd.L 0H11101X11011O0U 8 801ENEIfI7

OI4mOi1I0u o ENNCdaûllOU EL(E8017aIfO0u w19d010N E£ `9Ua11aH Xadi aHHaha.L 8 I9wElfNad HOHHOH£H801131 819d£8 01h `1108198 HE1f0110 11I4g

14HilEwd0(1)HH H08000Ew xE81011ado 8 8011oXOEd 4Ha80dX HHaU010 H0CI010N2H o17 IfENCEd.LO H100HOEU0£ag HaHwad ISHHE80£9110UGH

010waE17o1119EH HHaua.LO lood 801ENEI111 aHHE8H011NOEd H iCwElfxad

OLCHHOH£H8011a1 EH 8O17OXOEd H2H8OdiC Xi9HhH11£Ed 1410HHE80£91f0UGH

o XEHOHlad XI4HhHI1£Ed 8 E1EhEH E1fI99 KHHEUwEN E1E '(£n H.LOOHOEU0£09 H2Hwad KHHE80£91fOU0H KHHadmOOU KI117 HH1ïEwd04)HH

u08000Ew XE81o170d0 8 19wEIfNad 41.00H8HLNa(ti(pe-41oOwH010

91.HHa110 19901h 801.HawHdauoNe KHdaO EHa17a80d1.1 E11199 HHHE1Hdg

8 801101 x-0L6I alfehEH g HHrIEwdOCI)HH I408000E1AI 3CE8.LO17ad0

8 HHHEUwEN 8 `dawHduEH `80i10XOEd 9Ha80diC HI4HHE118EdU0

41199 .LaNCOw wHNEN `0101 K14H0110tl0du0 KUTI HE80£4UOUGH

amoral. 91199 1aNC01A1 9100H8H1Na0e-4100wH010 £H11EHFJ

Page 65: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

LIIHpOKMe H 6onee uenexanpaBneHHble nonXOnbt K pacnpocTpaHeHHtoHHIpOpMauHH, pa3nHiiHbte CB513H Me)Kny CpenCTBaMH MaCCOBOIiHHIpoPMauHH H ,apyrHMH BMnaMH neATenbHOCTH, a TafoKe pa3nHi-iHble

nonXOnbl B OuCHO4HbIX MCCnenOBaHHAX. ÏnnIOCTpauHH npHBOnSiTCAn1151 TOrO, 4T06bI npHBne4b BHHMaHHe KaK K nOTeHuHany, TaK H KOrpaHH4eHHAM pa3nH4HbIX nonXOnOB K npofpMnaKTHMeCKOMy

aHTHanKOrOnbHOMy npOCBe11(eHHIO.

KpaTKOBPeMeHHble ITpOCBeTNTellbHble KâMI1aHHH

1 MnMTiHbIM Cn00060M HCIIOnb3OBaHHA CpenCTB MaCCOBOri

HHCkopMauxH, OCO6eHHO TeneBHneHHA, nJIA aHTHanKOrOnbHOri

npOCpFinaKTHKH 6btn0 npOBeneHMe KpaTKHX HH(pOpMauHOHHbIX

KaMnaHHrt, HaueneHHbIX Ha yny4LHeHHe OCBCnOMneHHOCTH O

HeKOTOPbIX BHnaX pHCKa nnA 3n0pOBb5I.

1ZpOBCneHHOe B KaHane HCCnenOBaHHe BO3neNCTB1451 TeneBH-3HOHHOri KaMnaHHH, HH(pOpMHpOBaBluert O PHCKe ynOTpe6neHMAanKOrOnA BO BpeMA 6epeMeHHOCTH, nOKa3ânO nOTeHuHân H

OrpaHH4eHHA TaKOH CTpaTerHH (1.30). B 1991 rony n0 nATHTeneCTaHuIüIM nPOBHHuHH MaHHT06a nOKa3bIBânCA 3O-CeKyHnHbINTenepOnHK. Bcero OH 6bin nOKa3aH 585 pa3 B eerie 10 Henenb, KaKB nyMlIIee nnA nOKa3a TenenepeAa'-I BpeMA, TaK H B npyrHe nepxonbtBpeMeHH. C006II.jeHHe 6bIJI0 nOArOTOBneHO Ha MeCTHOIi TeneCTaHuHHCOBMCCTHO C htCnHuHHCKHMH H nO6pOBO11bHbIM14 KOHCynbTaHTaMH.

OHO HHcl)OPMHpOBanO (Ha aHrnHlicKOM, C1)panuy3CKOM H KpeOnbCKOM

23bIKaX) O pHCKe ynOTpe6neHHA anKOrOnA BO BpeMA 6epeMeHHOCTH HCOBCTOBanO 3pHTenAM O6paluaTbCA K CBOeMy Bpa4y nnA nony4eHl-IA6onblHeli HH(pOpMauHH. IZepen KaMnaHHert BCeM Bpa4aM B MaHHTo6e6b[na BbtcnaHa 6pounopa c HH(popMauHeH O BO3neNCTBHH anKOCOnAHa rinon.

JIA H3yMeHHA BO3neNCTBHA KaMnaHHH n0 H nocne Hee 6bInHnpOBeneHbl OnpOCbl 3000 )KeHIIjHH B BO3paCTe OT 15 no 45 neT.BOHPOCHHK COCTOAn H3 nATH BOnpOCOB o6 anKOCOne H nATH BOnPOCOB

O npyrHx BHnaX pHCKa nJIA 3nOpOBb51 npH 6epeMeHHOCTH.

PecnOHneItTOB TatUKe npoCHnH yKa3aTb, H3 KaKOCO HCTO4HHKa OHHno4epnliynH HH(popMauHlo nnA OTBeTa Ha Bonpocbt.

YpOBeHb OCBenOMneHHOCTH O TOM, MTO BbInHBaeMbIN )iCeHIIjHHOIï

anKOCOnb, nOCTHraeT nnona, 6btn yxce nOCTaTOMHO BbICOK B OnpOCe,

60

Page 66: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

npOBeAeHHOM AO KâMnaHHH. OCBeAOMneHHOCTb o TOM, YTO

nOTpe6neHHe anxoronSi BO spew 6epeMeHHocTH MO)ICeT B6I3BaTbyMcTBexH6Ie, 4:1H3HYeCKHe H nOBeAeHYeCKHe HapyIIIeHHSi y MnaAeHlra

6bina HH)ICe H 3HaYHTenbHO nOBbICHnaCb BO BTOpoM onpoce.TOnbIIIHHCTBO peCIIOHAeHTOB nepsoro onpoca 3HâJIH, LïrO

e)KeAHeBHâSI BbInHBKa OT 10 rpaMM aJIKOronSi MO)KeT BbI3BaTb pHCK

AnA MnaAeHua. OCO3HaHHe pHCKa pe,gKHX B6I11HBOK 6bIJIO HH)KC H OHO

3HaLIHTenbHO yJIyYILIHJIOCb BO BTOpOM OnpOce.

TaK KBK He 6bIJI0 OTMeYCHO pa3nHiiHii B OTBeTaX Ha HeOTHOCSIIIjHeCSI K ânKOrOniO BOnpOCbi o 3AOpOBbe; TaK KaK 60nbLnepecnOHAeHTOB CBSI3a11O HHCpOpMauHIO o6 anKOrone c TeneBHAeHHeMBO BTOpOM OnpoCe, Lieh B nepBOM; H TaK KaK ApyrOI%I AeSlTenbHOCTH B

MaCIIITa6e BCeH npOBHHuHH OTHOCHTenbHO anKOTOnSi H

6epeMeHHocTH B H3yLiaeMbll-1 nepHoA He npoBOAHJIOcb, 6bin cAenaHB6IBOA, LITO KaMnaHHSI AOCTHrna ycnexa B nOBbILneHHH

OCBeAOMJIeHHOCTH O pHCKe, CB5I3aHHOM C noTpe6neHHeM aJIKOrOnSi BO

BpeMSI 6epeMeHHOCTH. DbInO, OAHaKO OTMeYeHO, YTO pe3ynbTaTbl BOCHOBHOM OTpa)KaiOT CII0006HOCT6 peCIOHAeHTOB npHHSITb CpaKTbl K

CBeAeHHiO, a He FIX CIIOCO6HOCTb BCIIOMHHTb HnH HCIIOnb30BaTb 3Ty

HHCpopMauHiO TOrAa, KM-Ad Hy)KHO npHHHMaTb KpHTHYeCKOe

peLIIeHHe.

,qOJIrOBpeM@HHaA OnllaLleHHâA KâMnaHViA Cp2pCTBMaCCOBON NHCpOpMawNN

B HHAepnaHAax no HHHuHaTHSe MHHHCTepCTBa 6naro-COCTOSIHHSI, 3ApaBOOXpaHeHHSI H KynbTypbl B 1986 rOAy 6bi.n HaLiaTAOnrOBpeMeHHbtii Ha11HOHâJIbH6IN npOeKT aHTHâJ1KOI'OnbHO1.O npocBe-

LueHHSI, KaK YâCTb 60nee LLIHpOKO1i npOCiHnaKTHLiCCKOl3 nporpaMMbI.

lenbi0 npOexTa 6bIJI pOCT HHCI)OpMHpOBaHHOCTH O CB5I3aHHOM CnoTpe6neHHeM anKoronSl pHCKe, H3MeHeHHe OTHOLIIeHHSI K BbInHBKaM

H, B KOHCYHOM CYeTe, CHH)KeHHe noTpe6neHHe anKOronSi. KpynHO-MaCLIITa6Hble KaMnaHHH CpeACTS MaCCOBOii HHCkOpMauHH 6bUIHxApOM npoelrra. CpeAH HHbIX KOMnOHeHTOB 6bInH KaMnaHHH,HanpaBneHHble Ha OTAenbHble MyHHuHnanHTeTbI, IHKOnbI HJIH

MOJIOAe)KHble OpraHH3aLSHH, a TatoiCe MenKOMaCLLiTa6Hble McCTHblenpOCiHnaKTHLieCKHe nporpaMMbl, o6-beAHHSIeMble HaLjHOHanbHOFi

KaMnaHHeli (131).

61

Page 67: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

TeMbI H rpynnbl BO3AerICTBHA KaMnaHHii CpeACTB MaCCOBoriHHCi)OpMauHH MeHSinHCb. ljenbtO nepsOri KaMnaHHH 6bIJI0 nOCTaBHTb

BOnpOCbl aJIKOGOnSI B nOBeCTKy O61IIeCTBeHH000 06cyXCAeHHSi.

CneAyiOUjHe TpH KaMnaHHH 6bInH HaueneHbl Ha nbSIHHu. C 90-x rr.rnaBHOrl ueneBoii rpynnOrl CTanH MOJIOAble n1OAH B Bo3pacTe 15-25neT. KaMnaHHSi 1990 rona, cOCpenoTOgeHHâSt Ha 3neKTpOHHbIXCpeACTBaX HH(bopMauHH, 66Ina nOCTpoeHa BOKpyr My3blKanbHOroBHAeOKnHna, nOKâ3bIBaeMOfO TaK)iCe B Me)tU(yHapOAHOM MacUITa6e Ha

My3bIKanbxoM TeneBH.IZeHHii. CTpaTerHH, HCnonb3yiOLIjHe nOITynSIp-HyK) My3bIKy H pa3BnexaTenbxble Kaxanbl ARA nepeAaLiH Coo6utexxiiO 3nopoBbe AAA MOJIOue)KHOri ayAHTopHH, CTâJIH nonynSlpHbIMH BHeKOTOpbIX cTpaHâX C KOHua 1980-x rOAOS (57).

,-1"A TOGO, IT06bI OTCneAHTb OCBeAOMneHHOCTb nioAeii O

KaMnaHHH, a TaKXCe H3MeHeHHSI B ypoBHe 3HaHHIi H OTHOUIeHHSIX C1986 roua 6btno nposenexo 4 onpoca, BKJIIO1-1aSI 6a3oBblrl (132, 133).OCBenOMneHHOCTb nlonert 0 npoexTe 6btna B6ICOKO14. C ronaMHrnaBHbIIi nO3yHr npOeKTa CaMOnp0H3BOnbHO BCIlOMHHanH ace60nbule nioAeri H B 1994 roAy 3TOT nOKâ3aTenb 6bin 6onee 40%.

Onpoc 1994 roua B6IxBHn TeHAexuHIO 6onee TonepaHTHoroOTHOIileHHSI K anKorOnlo. Tel-wet-11114a CLiHTaTb anKOGOnb 066ILIHbIMTOBapOM CTana CHnbHee, Torna KaK TeHAeHI.I,HSi accouHHposaTbanKOGOnb C COUliânbH6IMH np06neMaMH Ocna6na. rlOnyLieHHblepe3ynbTaTbi 110Ka3anH, 4TO B OTCyTCTBHe AonrOBpeMeHHOiiHauHOHan6H01-1 KaMHaHHH, TOnepaHTHOCTb nioneH K anKOGOntO MO)KeT

CTaTb Aaxce eine 6onee Bblpa)KeHHOFI. CHnbHble HapKOTHKH

BOCnpHHHManHCb KaK BbI3bIBatOLuHe 601IbuIe np06neM AnSI IIIHpOKOrO

c0o6UjeCTBa, z-IeM anKOGOnb, KOTOpbIrl, B CBOiO OHepenb, socnpH-HHManC5I KaK BbI3bIBaIOIIjHii 6on611le npo6neM, geM Kypexi-fee

3aMeTHOCTb nOCneACTBHrt nOTpe6neHH5I anKOrOnSI, Ta6aKa H

HapKOTHKOB Ha CO6CTBeHHbte )KH3HH peCIIOHAeHTOB 6bina OAHHaKOBO

HH3KOri ßn51 BCeX 3THX BeuZeCTB.

,E1JISI H3MepeHHSi 3HaHHrt mortal o6 anKOGOne HC11O51b30BanCSIHa 6op 143 AeCSITH BOnpOCOB. bOnbIIIHHCTBO BOHpOCOB KaCanHCbKpaTKOBpeMeHHbIX CpH3HOnOrH,ieCKHX nOCneACTBHii nOTpe6neHHSIanKOGOn5i HnH )Ke oTHOCHTenbHOri KpenOCTH pa3nHLIHbIX

ânKOGOnbHbIX HanHTKOB. C 1986 roAa He Ha6nIOAaJIOCb H3MeHeHHii BypoBHe 3HaHH1,1. M01I046Ie nbSlHHubI 06bI1-1H0 66InH HaH60nee3Hatolilerl rpynnoil, TaK xce KaK H peCIIOHAeHTbI, KOTOp6Ie

62

Page 68: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CaMOCTOSITenbHO BCIIOMHHnH nO3yHr KaMnaHHH. O6HapyxceHO, YTO C

nbSiHCTBOM KOppenHpOBânH TâKHe napaMeTpbl, KaK BbICOKHn ypOBeHb

3HaHHÎi, H3MepSIeMbrn no 3aljaHHbIM BOnpOCaM, TeHgeHrjHSi CLIHTaTb

anKOCOnbHbre HanHTKH 06bILIHbIMH TOBapaMH, a TaK)Ke HHTepeC BOrpaHmeHHH C06CTBeHHOrO nOTpe6neHHSI anKOrOnH.

,gonroBpeMeHHaA KaMnaHNA c L;enbro Bbr3Barb NHrepeCCpe,qCTB MaCCOBOIq NHCpOpMa1I+1N

gpyrasr cTpaTerHSI pa6oTbr co cpeRcTBaMH Maccosor-r HH(1)op-MauHH 6brna oj[o6pexa B AHrnHH AAA HauHOHanbxOH KaMnaxHH "Heilpa3yMHO", nposo,uHMOH YnpasneHHeM caxHTapxoro npocaemeHHx c1989 rona. KaMnaHIiSI, HaC;enexxaSl Ha s3pocnbrX 16 ne-r H cTapll.Ie,nponaraHJ.>;HpoBana "pa3yMHbre BbInHBKH", nooLUpHH nloRex .gyMaTb06 HX BbInHBKâX H npe,i(OCTaBnHH HHtlOpManHIo, KOTOpaH C4HTanaCbHeO6XOAHMOI%I 1ÜI5I OLjeHKH H KOHTpOn5I nOTpe6neHHSi anKOrOnSi. KaM-

naHlür 6brna OpraHH3oBaHa BOKpyr HaLItiOHanbHbIX "rIen pa3yMHo"AHeN, KOTOpbie C 1992 rOga JjOfIOnHSrnHCb pa3H0o6pa3HbIMH HHbIMHMeponpHSITHxMH, nposoltHMbIMH B Te4eHHe Bcero rolta (134, 135).

KaMnaHHA "Hen pa3yMHO" 6brna 3agyMaHa KaK O6-bel(HH5IIoLUHnMcXaHH3M AnSr nOBbILUeHH51 o6njeCTBeHHOrO HHTepeca K pa3yMHOMy

noTpe6neHHIo anKoronSI, a TaK>Ke IIJIH o6ecneLleHHSI HHTepecaCpe,gCTB MaCCOBOFi HHcf)opMa[ZHH H nO,gjZepxcxBaroLUHx ycnOBHn .IU15i

McCTHbIX BHI(OB IjeSlTenbHOCTH. TbICHLIH McCTHbIX rpynn H

OpraHH3aL.IHn, Ha4HHa51 OT 04)HUHânbHbiX OTIjenOB CaHHTapHOrOnpOCBeU.[eHHA, )106p0BOnbHbIX anKOrOnbHbIX areHTCTS, LIIKOJI,

npOH3BOACTB H MOJIOI(e)KHbIX OpraHH3anHn, y4aCTBOBânH B

KaMnaHHH TeM HRH HHbIM 06pa30M. CTpaTerHSi KaMnaHHH B

OTHOLUeHHH CpenCTB MaCCOBOn HHI-4)OpMaLjHH 6bina HanpaBneHa Ha

nOnyLreHHe MaKCHManbHOCO "cBO6olmOro" OnHCaHHSI "well "Her'pa3yMHO" HaLjHOHanbHbIMH, perHOHanbHblMH H McCTHbIMH

CpeIjCTBaMH MaCCOBOH HHCpOpMaL(HH, a Ta1UKe Ha COXpaHeHHe TaKOTO

OnHCaHHSI B OTHOLUeHHH HHbIX HHHL[HaTHB B Te4eHHe roAa.r1CIIORb3yeMâH TaKTHKa BK11104ana pâ3nH4Hble MeTO.gbI - OT aKTHBHOri

,IZeHTenbHOCTH no 06üjeCTBeHHbIM CBH331M H 3aMeTHbIX jU[H CpeJ;CTB

MaCCOBOn HHCiIOpMaLlHH Co6bITHli - J>O pa3MeLI.IeHHSi C006LneHHn

KaMnaHHH B nOI7ynHpHbIX TCneBH3HOHHbIX MbInbHbIX OnepaX.

FnaBHOn 3ana4en KaMnaHHH 6b1n0 03HaKOMHTb ny6nNKy COnpel;eneHHbIMH KniOLieBbIMH nOHHTHHMH, KOTOpble C4HTâIIHCb

63

Page 69: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

t79

O OE1O0hHHT1Âd.L00 11141,101190 11oX17OLl HONE1, 'Efi.LOHK9u 01oHWalrgOdu 14£EdgO aI4HEH1E.13H EH OH E 510EHU19E XI9HWiC£Ed I9131auoE

014HEH.LH£OU EH doll, HOHBOHOO E1rE11017 KHHEUNIEx 'XExEHUI9E XI9HW/C£Ed o HHHamg000 HOxHUgKLI KH.LKHHdu KIrI7 HamoiEmad

40EI1E.LHhO KHiIH£oU OHW/C£Ed Hajj NaHHEUWEx KENIaENIHHE£

'E.LOamgooO H dk.1,91r/Cx xI9HhHIr£Ed EI111(LEI '967) o1HHam0uoodU ÂNiOHdE.LHHEO H (£Z7) axHLLxEIIHCPOdu HOH9LrO,10xIfEH1.HE OU

EOIfEHda.LEW Hox1.ogEd£Ed KoaHmoIEWHHE£ `KHHEE01731r0014 Hx170d MUD

E xOIj 'ISIiHEWHHE OIfEW 4001rKLra17Â HHTIEINdO(PHH HHH2HEd.LOOduOEd

E WEda9dEg W19EOx19£K HUH wI4H4LrEdX1.91LCx axc HUH `UUXd.1 XH)IO0hHH.L6 1A1E00da1,HH H WK.LOOHgad.LOU 15O11HmO1EhHIr£Ed

`HNII9H4IrEdÂ.L9lrilliH.L9LrXW aarrOg 00E KO,LKEOHE,LO XEHEd.LO XH.IOHW OE

9.L00H9Ifa.LKa17 KEH91ra.LH1.aE0OdU KE3100hHl.xEIIHCI)OdU KO.LaKLCE.LOaTIIÂOO

XI4d010)I E `KHEOIfoiC KLOX 'HHHEUWEx XEIrEHda,LENI a uo£Edgo XI9HhHCICIHTI3UO OH9IrEdiC.L9lI/tx 91OOH9Lr31H1hOUlladU H XE)II9£1S

XI4HhHIr£Ed EH HHTIEINdO4)HH E 41OOH9ad.LOU HIfE£ExOU 191,E.L9IfiC£ad

'(t-U) 191.111iCd.I alixoahHH.Le 0I9HhHLr£Ed HHm01KUEE.La11adU

`H19)1o11r HI1Hmo19U o xKHOOXxoH11 x14Eouu/Cd.I H 014Eda1.HH

XI9H9IIEiC17HEHTIHH EH aOHHEEOHOO aHHEflO1101fOOH OH2HIrOU19E 0IrI99 krf01 £661 u XISI1011 XH.L6 g 'E.LOHHiU4HaW XI4HdiC1.4LriCx H XHxOahHH.L6

WEOada,LHH H i1E1151CÂH x KHHEWHHE aHHaIIII9E0U - OHW/t£Ed

Hajj HHHEI1WEx KH1HE£Ed HHHa1rEEdLIEH XHHEE17aH 1,1110dD

'EHH.LHa1rEg O.IO.LKED 9H0T1

E H KO.LHTfOXHdu H0d010x xHU `ÂOxaO kWOHOEUO£ag OU 019.LOOH41ra.tKaT1

O 40141rEE19£15E0 axCxEL HxEHUI4E aI9HI1LC£Ed 'I1KHdo1H11XE

H WExEOHE.LO90 YV199000 x KHHamgooO 91EEHIr9E00U0HdU

H `E13311 axhogEd axcxE.L E `I4HEdO LOad H I4giCLrx `I9gEu `ExEOHE1.Og0 KKHI11EW017 MEN I1HxE.L - xOEHUI9E I1E1.OaI1 WI9g000 x Ko9.LEmEdgo EIrELO KHHEUWEx ETtO.I Z66I D'WKHTIE£HHE.Id0 H WEUU/Cd1

I114H.LOaI1 aHaTi HOx£HH OU HIIH OH,LEIILIOag XI4HHaIrEE1OO170dU

H KHHamaEOOdU O.IOHdE1HHE0 WaHHaIrEEdUA XI9HHE109Ed£Ed `XELCEHda.LEW XI4H4Ira.LH1,aE0OdU XI4H£EdgOOH£Ed E I9HEE0£4IfOuOH

HLr19g xOEH1119E XI9HW£Ed KH.LKHOU 'HHmHaxC H HHhxGCi1

Klt17 OH9Lrai1,L0 `KHH01I9ad.LOU O.IOH9L10170H I4I10110du aI9HNLC£Ed

)IEx 3I9HHEEOdHI1/C11dOCP0 `KIrO.IOxIrE OIHHaLrgad.LOU OU HH11E11Ha11O31ad

EIrEEodHTtHE.IEUodu KHHELIWEx 'XEx1HUEH E KIfO,IOxIfE aHHExCdaT100 111I91A1Hd3W£H H W19H1,KHOU 9.LELra170 9OHIfEEadaWEH HOd01Ax

Oi4mOWOu O `KIfO.IOxIfE ETIHHHiIa KO1,aKLrEK 1/41aH1dSHOU WI9HEOH00 'XExEHU19E X19H1A1iC£Ed 0 Ha17H 15HH2HaWHdU !WV HW191,1Ii17OX9OaH

Page 70: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

59

Hau HHHEIIwEN O 910OHHa1fwO11as00 '(g£7) KHH01100EH oloirood£a uUÂdI XI4HHaIral7aduO aoOdUo WOH17o1aNta EH HOHHE8OH0O `HOMHatIo

HOH9Ira1rlrEdLU 90EIfE17MC080du00 OHwiC£Ed 11a11 ISHHEÜwEx

HHHEUwEN XHNOahdawwON

ISiX Wah `0H£09dao 03H0W HHHEUWEM XI9H£a1rOU OHHa8100m90 15111Hg£Ed HhET1E£ IfISHIfOU198 HO 01h `01 E£ HICEflONH1HdN

aNCNE1 1.080D ISI-IHamg000 aHHalrwdocpO 91ESodHUodlHoN

H 081O1Ha1E aoxwElrNad 91Ed1-1gI98 HHHEUwEN sOdO1EHiIHHH

910ox9o3ou0 IIHhHHEd,IO `90011E£ENO MEN `1ÂIr0iC da131EdEx

I9H9Ifo8od90ri 'E810HEd10Odu H HHawads HNIXMCawodU aI9waElr031(

001fO9HEH g 13HHamg000 aHHamaw£Ed W19HT1iCd1 o11E110170 HHHEUWEN

wolaso3 xI9wHTlosodu ogloahxuoN aom9iro9 I9Hodolo Ho1/ïd17

'XHH E£ 91141E1111 agao 91Hlfos£ou .LrC1Ow HHHEUWEN aH10HwaH 9mx11 o111 `Hlodotl 91ro10 HHtlxiroHEd1 macla H I9gxeXlro aHNO3hdogZ

'HHTIEwdO(I)HH H08000EW 1110110d3 HHHEUWEN XI9H9IfEHOHTIEH

XH1OHw HHHa17a8Odu Hdu HWi3mOlEmad 90HIfE1Hh0 E10800 I9od,Ca3d (S) wl9gHhadoBHlodu 011199 w013803 a 02103hHHttXd1OO o a913odoTl£

O HHTIEwdOC1)HH OU 8010HIfEHi13U0 aHH3HW 'HH11EwdOCI)HH HO8000Ew XE81OTI0dO g o1oaW H Kwada 3M01E1 E`HHH0m9003 XI9H£0I10U

OHHasloam90 KHHEï7£00 1SIrT1 19o«o0d aHNO3hdos1 10KIr8E100170dU

10803 'Qy) HHd1o/CT11-IH HOHwElfxad N oixxamoHlO /CWamodox

1SH810H0T100 151111 HHHEUWEN X19H£alfoU OHHa810am9O aHHE80£9II0U0H

Ka3.aKIfB11 E1.3903 01oHwELCNad OI9IfaTI HOHHamElrl£080dll 'HaHHEWONdEH H HHHKO1000 w08£3d13H g waHH3ilMl08 3110Hh

w01 g `HWEOOdUOfl HW19H911EHT100 H HWHNOH1411-117aw H1/4119HhHIf£Ed

KO1fEWHHE£ `I9HHOg H08odHN Hodolg Kwada 08 HWE$131H31E HWI9HWEICNad Hw19H8EI11 HI9HHE9O£Ed9O 4l3a0D 1,1I9HwElfNad "3CENH10NdEH H aif010NIfE 90 HHHEUWEN XI9HHOHTIEwdO(I)HH

XI9HHaslO3m90 KHH317020dU 1Sif17 1/4o1ag0D wI9HWEIfNad

O HIfEhHHTLCd.LOO E8101H31E aI9HHa8109Ira1H8EdU H aI9H9Ifo8od9011

aT11 `vrjip E119u0 01090 g 9,LCHKIr1£g `OH1KOda8 `OHNCOw HaHd1OiCT7HH

O E810ahHHi1/Cd100 KHHahHHEd.IO H Egloam,CwxadU EF-j

'(SEI) Huaoldol wodolNao

H HaHd1o&HH HoHHa1HU o EgloahxHTlXdloo Klltl Ha13OHNCOw£O111

aH1Ha£Ed H HmOwoU HDM3d00HOU0 aHH3h01f8HdU EH EHE8OdH1H3Hd0

KHHEUWEx "XEN10MH16 EH K1f010N1fE XE11HHH17a O HHTIEwdOII)HH

axxamaw£Ed EH aNC HIrH K1f010N11E HwE11gE1tOdU KHHaHEd.LOOduoEd

KIf17 13011EHdalEw ,CN80101i10U EH `daWHduEH `HalrsEdUEH

I1I99 H KIfO1ONifE HwKlfalHHEd.LOOduOEd H HaHd1OiCT1HH HOHHa3.HU

Page 71: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Pa3yMHo" 6b1na Ha 6onee HH3KOM ypOBHe, 4eM OCBe.AOMneHHOCTb 0Ha14HOHânbHO1-4 KâMnaHHH B HNJjepnaH,gaX. OAHaKO,

COCpeuOTOHHBIIIHCb Ha OCO6oFi HH(pOpMau1-iH KaMnaHHA "HeilPa3yMHO", n0-BHjjHMOMy, uOCTHrna HeKOTOpOro ynyHUleHI-1A 3HaHHIi

RiOueH 06 alIKOrOne. HaH6onbLllHe H3MeHeHHA, 110-BHuHMOMy,

npoH3olunH so speMA nepsblx neT KaMnaxHH. C 1989 rouaOCBejjOMJIeHHOCTb H 3HaHH51 06IueCTBCHHOCTH O KnI04eBbIX nOHATHAX

"pa3yMHbIX BbInHBOK" Bo3pocnH. Torua KaK B 1989 roilynpH6ni33HTenbHO nonosxxa pCCIIOHjjCHTOB CnbIUiana O TepMHHe«e,AHHHua», B 1992 rOUy 1[CB5ITb H3 ueCATH 3HânH 06 3TOM TepMHHe.11p01i30I11n0 TaK)Ke HCKOTOPOe ynymnlleHHe 314aHHt4, Tpe6yeMbIX Ans{npaKTHLiecKorO npHMeHCHHA 3TO1-0 nOHATHA. TOrAa KaK B 1989 rouyTOJIBKO OI(HH 143 ,AeCATH peCnOHueHTOS npaBHnbHO ouCHHn 11HCJ10C)::(HHHu B nHHTe nHBa, B 1992 Tpoe 143 ueCATH uanH npaBHnbHbIHOTBCT. OCBeuOMneHHOCTb 0 peKOMCHJjyeM6IX HCjlenbHblX npeuenaxnoTpe6neHHA anKOronA HaXOAIiTCA Ha 60nee HH3KOM ypOBHe, HO OHa

BO3pOCna C roj[aMH.

Flo pAAy no3HuHH jjaHHble OnpOCOB 143 AHrnHH H 143

HHuepnaHuOB cOBnaJjalOT. B AHrnHH MHOCOnbIOLuHe Ta10Ke 06bIHH03Han1i 6011bI11e 0 3aTpOHyTbIX B onpocax npeaMeTaX. XOTA

nOTpe6neHHe anKOrOnA C414TaCTC51 BnHA1OnIHM Ha 3uOpOBbC

ckaKTOpoM, nHIIIb HCKOTOPbie peCIIOHuCHTbI 03a60HeHbI CBOHMHCO6CTBeHHbIMH nHTeHHbIMH npHBbIHKaMH. flpH 3TOM HepeuKHnOnblTKii CHH3HTb noTpe6neHHe anKOronA, a HHTepec OrpaHHHHTbBbIIIHBKH HaH60nee pacnpOCTpaHeH cpeuH MHOCOnbIOIuHX. gaHHb1eonpoca 1992 roua nOKa3anH, 4TO H14OpMauHA O CHmiCeHHH

nOTpe6neHHSI anxOrOnA 4auje BCerO 6btna nOnyHeHa H3

nepcoxanbxbIX COO61ueHHH HRH H3 Cpe,ACTB MaccoBOg HH(llopMauxH.bOnbII1HHCTBO 143 11131TaBIIIHXCA CHH3HTb noTpe6neHHe anKOronApCCnOHZ[CHTOB He CMOrnH, TeM He MCHee, yKa3aTb, HTO KaKOIï-n1460HCTOHHHK HH4)OpMauHH 6b1n 0006CHH0 none3eH.

KaMI1aHHA "Heil pa3yMHO" ABnAeTCA npHMepoM ace 6oneenonynApxoro C Koxua 1980-x rows npocseTHTenbxoro nouxoua,KOTOpbIr3 HaueneH Ha nbioIIZHX nlOueli H CTpCMHTCA uaTb cpeuCTBaTCM 143 HHX, KTO XO4eT KOHTPOnHPOBâTb CBOe nOTpe6neHHe anKOrOnA.

"Pa3yMHble" HJIH "OTBCTCTBCHHble" BbIIIHBKH, OHeBHuHO, Tpe6yIOTOCBeuoMneHHOCTid O KperIOCTH anKOrOnbHb1X HanHTKOB, a TaK)ICeMepl-IJIa unA CpaBHCHHA CouepwaHHA anKOrOnA B pa3nHHHbIX

HanHTKâX. 3r0 MepHRO MCHACTCA OT CTpaHbl K cTpaHe: B bpHTaHHH

66

Page 72: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

L9

Hlaouadx o KHIIal73a0H aHHaHEd.LOOduoEd aoxodHlll HlrHasl9a `( f,fr j) I4UOxIlI H3LrI0i9a H(E'p j) Fia)ICtlaLrifoN HY1[E.LHaT1S-LO HwHNOHENHdawE

0 0I9HHa17311OdLI `KHHEa0110110014 KUO10NI1E ISHHalrgad.L011

HNHat1O H 9ONI.HLIEH XI9HhH11£Ed KHH3HEEdO is= HOwH170X902H `HHiIEwdO43HH .LaE3.00TI2H OHh1990 KI101ONIfE wKUa1.H90d100

`XE.LELIII XI4H£Ed a H 9ONI.HLIEH aOLIH.L XI4H£Ed KLCi7 OHhHLf£Ed

KI101ONI1E HHHExCdat100 o XEN.LaNH,L6 EH HaOHLIT?EH 3HHENCd0110O a171

H`I9daw 0I4HhHLf£Ed KO,LOIiC£4I10I]OH E9H0 H EHHa `aON.LHIIEH XHNOadN

KIf17 0111 VHgD g'at7Ha wOHH15O1O0II OZ-INONEN a 90EIfEaETl KUO10N1fE HHHEx{da1700 O KHTIEN'd0(PHH 14901h `INOL a 1H0.L000 `OHhaHON

`axHEaogad.L aOH41rEwHHHN 'XE£OTl XI9H.LdEt7HE1.o HUH XETIHHH1f0 a OD 4.LH£Edl4a H XEN.LaNH.L6 EH KIf01ONIfE HHHENCda1100 O OiHiIEIYdOCPHH

91H1aaw£Ed `aol.ahosd XI9HNC0110 .LO KIrO1oNLrE Hairal.IIgadlAu

4.LIi9E9£H I990.Lh `01O1 151111 9ooifElEUt1ad11 `2a113141 OH WU,

KUO1oxLfE KHHaugadlAU 010x0ahHl.NE(1)

axx01-1OO12'0H x H.LOaaHdu laxcow KiroloxlrE o1o.LHU19a Ea.LOahHlroN ISHHadaIV£H HUE' £011 XI9H1dE17HE.LO HUH 11HHH170 aHHEEO£4If000H

01.h `.LOIEaI9£ENÂ 19.LE.L9UiC£ad HIC (Z fil `61fr j) mot' aI4H1dE11HE,L0

10IEIIIl9a0d0 OHhI990 Ea.LOahHUOx 0I91N3EaEI7ou `EN1o17 HIfH XKHHa11aaE£

XI9HHa.LHII a HNaH0I9a HU ,LK17oX0HOdu `010.L 10 ONIHOHaE£H `01.h^ `HUE£ExoII KHHEao17a1rooH HHIIEd.LOad a 319HHa17aaodJl

'EW017 HUH XKHHatlaaE£ XI4HHa1HÜ a fiON1.HLIEH XI9w3EaE1700 0IA109.90

a aNCxE.L E `Ha.LOONIVa xI9H1131H11 adaw£Ed a KHhHIr£Ed £H .LOiExa,LOxodu

KHHaHNCOUOO aH1Xdj-j '(6Ej) wEx9H117O w19H£a9d00 x o111417oaHdL1

ExiHUEH ELIH.L axC 0101 wE.LHEHdEa wHNUadx 001109 N aHHaxarnlHdu

aa `HlaouadN 130Hh1990 wEx.LHLIEH x TIHHHtia XIVa.LOHO 91.KHawHdu

OH900000 1,10110111 Oa1.OHHLT141109 K1OX 01h `0IrHaKI9a aHHEa017011O0H HHHE.LHd90)1H1rg a aoxxal7aaodil 'H.LOOOadN ou Ko91.EhHIr£Ed .I.Ä1ow

EXIHUEH WIC 01O1. H 01oHt(0 HNdEw 019HhHU£Ed 0.Lh 401 KO.LaKUflK

£017 XI4H1dE1THE10 HUH TIHHH17a 0HH2HaisIHdu IIIHIIIOIEaHhHHEd10

`aodo.LNECT) £H I11HH11p 'HxoahHl.xEdu 19d01A1 HIE 9113Ua17aduo oHg000uo oI1149 Ofi.LOHHIII4H31A1 ON911O1 `XE£O17 XI4H1dEt1HE.LO HUH 3CEIIHHH170

90 I9HaUwo173aoo 91199 HLf10w H170111 K.LOx `01.h `HIrE£Exou (ZfrI-6E7) KHHEg017aLr00H aH1XdI7 HOHwAEd Hajl HHHE0I11EN HNHa11p

HwKHI-IaHNC0Lf0o K01.aE17NCOaod11oo `aNCOxou `aHHaHaYSIHdu XH `,twa9.go ou KIro1ONIrE

axHENCda1703 aoH.LHatlodu `dawHduEH *Oh `14I11I4H.LKHOII aalrog K01A1E1HhO 19d0w HIC K.LOX HXE£Ot7 XI9H1.dE17HE1.0 a OHaxCEdl9a

OHO HHUEd.LOad 8 `daWHdIlEH `xEN Et7101 `XETIHHHI70 a OHaNCEdI4a OHO

Page 73: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

pa3nH*-IHbIX ânKOrOnbHbIX HanHTKOB. TOnbKO MeHbLIIHHCTBO

CTyjIeHTOB CMOCBO KnaCCH(13iill4pOBaTb aJIKOr'OnbHble HanHTKH n0 H7C

KpenOCTH, Aaxce KOrAa Mo)KHO 66In0 4HTaTb 3THKeTKH.

AO17rOBpeMeHHaA KaMllaHblA C ,gByXCTa,gNNHON CTpaTerNef!1Cpe,qCTB MaCCOBON HH(pOpMaL.4NN

HeZIaBHO B gaHHH HauHOHanbH6lii COBeT 3j1OpOB651 AOCTHrCOrBaIneHHA C aJIKOrOnbHON HHAyCTpHeM O TOM, 4TO6bI nOMeCTHTb

HH(tlOpMauHio O eAHHHuâX Ha 3THKeTKH. BBeAeHHe eAHHHu Ha3THKeTKaX CB5I3aH0 C npOBOAHM6IMH COBeTOM 3AOpOBb51 C 1990 roAa

exCerOAHbIMH HauHOHânbH6IMH npOCBeTHTenbHblMH KaMnaHHAMH(145). Ijenblo KaMnaHHH 6bIJI0 03HaKOMHTb niOAeFi C nOHATHeMeAHHHUbI H C peKOMeHAauHAMH O BbInHBKâX, BbIpa)KeHHbIMH BeAiiHHuaX 3a HeAenio. HaIIHOHanbHaSI KaMnaHHA CJIy)iCi-IJIa B painto6beAHHAIOIue{3 ABA pa36H4HbIX BHAOB AeATenbHOCTH Ha MeCTâX,nposO,gHMbrX COBeTaMH 1-pa(I)CTS HO scelï AaHHH.

rlepBaSI KaMnaxHA nponaraHAHposana 6e3anx0r011bHylo HeAenloH 6bcna Hauenexa Ha TaKy10 noArpynny MHOronbloluHX, xaK

COCTOSITenbHble nIOAH B BO3paCTe 40 neT. ARA OXBaTa 3T0171

nOArpynnbI HC1IOnb30BanOCb MHO)KeCTBO KaHanOB, BKniO4a2 nOCbiBKy

nHCeM BCeM TeM, KOMy B TeKyLLIeM roAy HCnOBHABOCb 40 neT.rloCneAyiOluHe KaMnaHHH np0A011xCanH B03AeÎiCTBOBaTb Ha B3pOCnbIX

nblOLuHX C nOMOLubIO n146o 061uHX coo61ueHHH o6 yMepeHHOCTH,n46o npaiCTH4eCKHM COBeTOM. bbin0 nposeAeHO HeCKOnbKo

HCCneAOBaHHI-I C BOnpOCHHKaMH C uenbl0 H3y4HTb ypOBHH 3HaHHÎi HOCBeAOMneHHOCTH 06LueCTBeHHOCTH. Pe3ynbTaTb1 11OKa3anH

nOCTeneHHOe AOnrOBpeMeHHOe noBbIILIeHHe OCBeAOMBeHHOCTH OpeKOMeHAauHAX no BbinHBKaM, C pe3KHMH BpeMeHHbiMH CKa4KâMH,Ha6n10AaBLLIHMHCA Cpâ3y 3a e)KerOAHbiMH KaMnaHHAMH.

Cn0006HOCTb nloAeH OueHHTb COAep)KaHNe anKOronA B HanHTKaXyJIyLilnHnaCb B MeHbtlieli cTeneHH.

CTpaTeriiA KaMnaHHH B OTHOLLIeHHH CpeACTB MaCCOBOti

HHIkOpMauHH C04eTana oIUIaTy BpeMeHH Ha TeneBHAeHHH H paAHO HMcCTa B npecce C yCHnHAMH B6I3BaTb HHTepeC CpeACTB MaCCOBOi-iHH(I)OpMauHH K OTHOCAILIHMCA K KaMnaHHH TeMaM H HHbIM

anKOrOnbHbIM BOnpoCâM. ,E,JIA TOrO, 4T0661 npOCneAHTb OCBeLueHHeKaMnaHHH 6bin npoBeAeH KO11H4eCTBeHHbIN H Ka4eCTBeHHbIH aHanH3

AaTCKHX ra3eT (146). Pe3Koe yaenH4eHHe ofteMa KaK

68

Page 74: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HenocpeaCTBeHHo Ci6513aHHbIX c xaMnaHF1eN, TaK H ApyrHXKacaloLuxxcsl anxoronx cTaTeii, npoHCxojlHno HenocpejlcTSexxonepe,g H Bo spew( KaMnaxxH. IIepsaA xaMnaHHx noJly4Hna oco6eHHoLnHpOKOe OCBeIileHHe B npecce, LIaCT144HO H3-3a ee oTxpoBexxorocoo6üleHHSI H npoBowipyiOwero CTHnSI H 4acTH4HO H3-3a ee nonxOFiHOBH3HbI: aHTHäJIKOronbHOe npOCBeLLIeHHe B gaHHH 6bIn0TpaAHLIHOHHO HanpaBneHO Ha jjeTer H MOJIOjie)fb H HHKaKHX SICHO3aMeTHbIX KaMnaHHI4 B HaI.IHOHanbHOM MaCLLITa6e He npOBOAHJIOCb

(65).

AHanH3 950 KaCSK)LLIHXCSI ânKOroJISi CTaTeFi, 0ny6nHKOBaHHbIX B

Te4eHHe 9-HeaenbHorO nepHo,aa B 1991 rojry, npoJlHn CBeT Ha parrsCpejICTB MâCCOBOii HHI130pMaLI4N, KaK npoBOjIHHKa C006LLIeHHHKaMnaHHH. AJIKOrOnb OnHCbIBâJICSI KaK MejIHLIHHCKHï-I BOnpOC BKa)Kj101i TpeTbeii cTaTbe, Kai( CBSI3aHHb1{i C npeCTynHOCTbio - B

Ka)1CjIOli 4eTBepTOH H CB513aHHb1131 C COLIHanbHbIMH npO6neMaMH - B

Ka.)ICjIOH LneCT01i. B HOpManbHbIX CTaTbSIX C MejIHLIHHCKHM yKJIOHOM

rnaBHOe BHHMaHHe yjIeJISUIOCb BbInHBKaM MOJIOIexCH, anKOtOnH3My

HJIH )iCe COBMeCTHOMy ynOTpe6neHHIo aJIK000n51 H HapKOTHKOB. BnpOTHBOnOJIO)iCHOCTb 3TOMY, npH OCBeLLIeHHIi npOCBeTHTenbHOli

KaMnaHHH rnaBHOe BHHMaHHe yjlen5lnoCb npO6neMaM, OTHOCSILI.IHMCSI

K e)KeAHeBHOMy HyMepeHHOMy" nOTpe6neHlilo. Flo HeKOTOpbIM

CB113aHHbIM C KaMnaHHelri BOnpOCaM (TaKHM KaK o6wee nOTpe6neHHeaJIKOrOnH B AaHHH) CTaTbH jlaBanH nyTaHyiO H npoTHBOpei-IHByIoHHCpOpMaLIHiO, LITO, n0-BHjIHMOMy, CO3AaBâno He6narOnpHSITHbleyCJIOBHSi jI)151 COO6üIeHHN KaMnaHHH.

AHan143 KacaK)LLIHxCSi KaMnaHFI1i CTaTeÎ9 (16% BCeX cTaTei)nOKa3an, 4TO rnaBHble C0o6üIeHLISI - TBKHe KaK peKOMeHjIaLIHH n0BbInHBKaM H MbICnb O TOM. LITO nOTpe6neHNe cpej(Hero jlaTilaxxxaCnHLLIKOM BbICOKO - 6b1nH 4eTKO H3110)KeHbl B CpeACTBaX MâCCOBOI%I

HH(l)opMaLIHH. DiaBHOFi Llenb10 KaMnaHHH 6bIJ7O Bb13BaTb jle6aTbl opo11H âJIKOrOnSi B e)KejIHeBHON )KH3H14 1710AeH. 17OjIXOjI 66111 HaLleJïeH

He Ha TO, LITO6bI H36e)ICaTb KpiiTHKH, a Ha nOHCK nyTeFi, C nOMOLLIbIO

KOTOpbIX MOxCHO KOHCTpyKTHBHO HC11O11b30BaTb KPHTHKY B Llenslx

anxoro11bxoro npocseiueHHx. CpejlH cTaTeH, ocseLl.IaBLUHX nepsyioKaMnaHH10 1990 roAa, 21% 3aHSinH KpNTHLlecxylo no3HLI1o.O4eBHAHo, noneMHKa noj[roToBHna nO4By jl1151 6onee MSirxarooTHOmeHHSi npeccbi K nOCnejIylOLileN KaMnaHHH: B 1991 rojlyKpHTHLieCKHe CTaTbH COCTaBHJIH TOnbKO 12% . KpHTHKa 6b1nacOcpejIOTOL1eHa Ha o6LgeH He3(ICI3eKTHBHOCTH npOCBeTHTenbHbIX

69

Page 75: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

KaMnaHHIï, HRH NCe Ha 6onee CneuHCiH4eCKHX Bonpocax, TaKiiX KaKHaJ;exCHOCTb peKOMeHjjauHN O BbInHBKax. XOTSI KSMnaHHSi 1991 roAa

nonyiiHna MeHbluee OCBeII(eHHe, 4eM nepsasl, MeCTHble HHHuHaTHBbInonyLiHnH 60nbiue BHHMaHHSi, LieM B npenblJZyu(Hii rojZ. H3 3THXpe3ynbTaTOB 6bin CJjenaH CJIeJZyK)LL(HIi BbIBOJZ: XOTSI JIJISI TOrO, 4T06bI

o6ecne4HTb HarnSiAHOCTb B Te4eHHe JnHTenbHOCO BpeMeHH Hy)iCeHnposouxpylouxHli nOJ);XOJZ, Heo6XOJ.jHMO y.L(enSlTb 6011bLIIe BHHMaHHSi

MeCTHbIM HHHuHaTHBaM, 4To6bI 06LL(eCTBeHHble ,ge6aTbI HenpeIISITCTBOBânH HX OCBeigeHHH).

CCOOK)/CHpOBaHHOe paCllpOCTpaHeHHe HHCpOpMal{IAm 4epe3MâCCOBble KâHailbl

BpsiJZ nH MOSKHO OXCHj[aTb, 4T0 HeOnpez(eneHHble npH3bIBbI KyMepeHHOCTH CMOryT npOH3BeCTH H3MeHeHH5I B KaCaiOLueMCSi

anKOrOnSi nOBe,L(eHHH. B BbILIIe0nHCaHHbIX KaMnaHHSIX 6bIRH

npeAnpHHHTbI HeKOTOpble yCHRHSI JznN TOrO, 4T06bI nepesecTHnpH3bIB K "pa3yMHOMy noTpe6neHHIo" B 4:lopMy npalrrH4ecxorocoaeTa. B nposeJZeHHOM B 1987 roJry B ABCTpanHH 3KcnepHMeHTe6bina HCIIOnb3OBaHa KOM6HHaL(HSi TeneBH3HOHHbIX pORHKOB H

npSIMOrO n04TOBOrO nOCnaHHSi JIJISI TODD, 4TO6bi ,LIaTb peKOMeHJ[auHH

n0 KOHTpOnIO Ha,JI BbInHBKaMH OnpelZeneHHOii nOJZrpynnbIcJryinaTeneii (147).

bbIJI BbinyLueH 3O-CeKyHJjHblii ponHK 03arnaBneHHblIi, "CnenailcneJZylouryio nocne,gxelï", KOTOpbIIi 3aHMCTBOBan npHHC(Hnbl

o6y4eHHSi CaMOKOHTpOnIO nOBeJZeHHSI, HCIIOnb3yeMble npH KpaTKOMne4eHHH npo6neMHoro nbsIHCTBa H B MaTepHanax no caMOnoMOLuH.HCCne):40B3HH3l n0 nOne3HOCTH HHCbOpMaL(HOHHbIX MaTepHanOB JZJISI

TeX nblOU(HX, KOTOpble XOTSIT COKpaTHTb CBOe nOTpe6neHHe anKOrOnSI

nOKa3anH, 4T0 6onee none3HbI Te MaTepHanbl, KOTOpble COJ>;epSICaT0006ble yKa3aHHSI, 4eM Te, KOTOpble JI;a10T 06u(y10 HHCpOpMauHlo oZ(eHCTBHH anKOronfi (148). B 6onee uIHpOICOH o6JIacTM caHHTapHorOnpocBeu;eHHSi TaIUKe 6bin0 ycTaHOBneHO, (iTO JInA TOrO, 4TO6bIOKä3bIBBTb B03JI;eiïCTBHe Ha noBeJjeHHe HHcl)OpMauHSI JZOJUKHa 6bITb

KOHKpeTHOii (13).

TeneponxK aBan HHcl)OpMauNK) o6 OnaCHbIX ypOBHSIX

noTpe6neHHSl aJlxoronx, nooiupsin 3pHTeneN nocTenel-IHo ycTaxas-nxBaTb ce6e BCe 6onee HH3KHe ypoBHH noTpe6neHHsl H

JZeMOHCTpHpoBan KOHKpeTHble CnOCO6bi oCyu(eCTBneHHSI KOHTponSl

70

Page 76: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HOpMbI nOTpe6neHHA. PonHK rlepeAaBancA n0 perfloxanbHoMyKOMMepLieCKOMy TeneKaHany, B OCHOBHOM B nyHiuee BpeMA, B L[eJIOM

25 pa3 3a TpeXHeAenbHblH nepHOU.

gnA OueHKH BJIHAHHA TenepOnHKa H npAMOro nor-ITOBOro

nOCnaHHA Ha nOTpe6neHHe anKOronA 3pHTenMMH 6bIJI i3CnOnb3oBaHKOHTpOnbHblii 3KCnepHMeHTanbHblli npoexT. POJIHK 11OKâ3bIBanC51 BperHOHe, rile 3a 12 MeCMueB AO T000 6bI1I0 npOBegeHo 06cne,ijOBaHi3enHTer3HbIX npHBbltreK. PeCIIOHJjeHTbl, OnpegeneHHble KaK nbiOluHe,6binH CJIyLiaiïHblM o6pa3OM pa3Z[eneHbi Ha TeX, KTO nOJIyiraeT nHCbMOH TeX, KTO ero He nonyHaeT. ITepeA nOKa3OM ponxxa nrOgAM ii3nepBOri rpynnbl 6bina nOCnaHa 3anFiCKa, 061,5IBn51I0LuaA, LITO B

Te4eH4e nOcnejZyiOÜjHX HeCKOnbKHX Hep,enb 6yAeT nOKa3aH pAATenepOnHKOB B paMKaX aBCTpaJIHiiCKOri HauHOHanbHOrd KâMnaHHHnpOTHB ynoTpe6neHx51 HapKOTHKOB. B TO BpeMA HauxOHanbHaMKâMnaHHA, HauenCHHâA Ha nOBblliieHNe OCBegoMneHHOCTi3 nlOAeri o6

ynoTpe6neHHH HapKOTHKOB, npOBOgHnâCb yxce ABa roAa.PeCIIOiiAeHTbI B 30He npHeMa, rj(e TenepOni-IKH He 6binH BIijHbl,CJIrKi3JIH B Ka4eCTBe KOHTpOnbHbIX rpynn C nHCbMOM NJIH 6e3nHCbMa. 17OCne3KCnepHMeHTanbHbie JZaHHble 6binH Co6paHbI B XOgeonpoca B BHJje HHTepBbK), npoaeReHHOrO 4epe3 TpH He,genH nocnenOKa3a. O61uee 4HCn0 peCnOHgeHTOB B 4eTbipeX rpynnaX 6bIJIoOKOJIO 100.

Pe3ynbTaTbi nOKâ3anH 6onee HH3KOe noTpe6neHHe anxoronA Brpynne pOnHK-H-nHCbMO, TOrga KaK BCe .gpyrHe rpynnbI o6Hapy-Axi3JIHTeHJjeHuiifO K pOCTy nOTpe6neHl-SA anKOrOnA. Pe3ynbTaTbI MynbTHBa-pHâHTHOro aHanH3a BbIABHnH CyIueCTBeHHOe B3aHMOJ.1,eiiCTBHe MexcJjy

TenepOnHKaMH H nHCbMOM, iiTO no3BOnHJIO npeJ(non0>iCHTb, LITO 06aOHH 6bInH Heo6XOJ.IHMbI ZUTA KpaTKOBpeMeHHOCO CHH)iCeHHA

noTpe6neHiiSI anKOrOnA.

3KCnepHMeHT npiiMe4aTeneH He TOnbKO TeM, LITO KaMnaHHA BCpeACTBaX MaCCOBOg HH(bOpMauHH, o4eBHZ(HO, BHeCna CBOi4 BKna,L[ B

H3MeHeHHe nOBegeHHA, HO TaK) Ke H TeM, 4TO 3T0, no-BHjjHMOMy,npoH3onIJIO 6e3 COOTBeTCTByIOLuerO H3MeHeHH51 OTHOLIIeHHA K

anKOCOniO. ):1O- H nocne- 3KCnCpHMeHTanbHblC Z(aHHbie 11OKa3anHnHIIIb Manbie Kone6aHH51 B OTBeTaX Ha npeZjCTSBneHHbre B

BOnpoCHHKaX 3aABneHHA, KaCafOLuHeCM OTHOLlleHHA K anKOrOniO.

71

Page 77: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

B CHIA npOBOnHJiCA jjonroBpeMeHHbnI 3KCnepHMeHT, rRe j[JIAnepena4H xacaloLlteFiCA anKOronN HHCI)opMaLjHH RUN XCeHLL[HH,

3aHATblx B CCtlepe 6H3Heca HnH HHO3i npo(keccHOxanbxo[i pa6oTe,HCnOnb3OBBUHCb ne4aTHb1e MaTepHanbl (149). Hoene 3anOUHeHHARo3KCnepHMeHTanbHOrO 1104TOBOTO BOnpOCHHKa 450 )i(exLLIHH,

Ha6paHHbIX 4epe3 np0(kccHOHanbHbie opraHH3aL1,HH, 6bLTIH

Cnyt-ialïHblM o6pa3oM pa3ReneHbl Ha 3KCnepHMeHTanbHyiO H

KOHTpoJlbHylO rpynrry. O6eHM rpynnaM B Te4eHHe nByXUeTHeronepHOna 6bIn0 BbICJIaHO 12 HHCI)OpMaL(HOHHbIX 6lonneTeHei-i. 3rH

61onne-reHH conepxcanH CTaTbH, HHTepecxbie ARA )KeHIL[HH B

npo(tleCCHOHBJIbHOM CMbICne, npH 3TOM B 6K)nUeTeHe RnA

3KCnepHMeHTânbHOti Tpynllbl Talc)Ke nOMenZanHCb KaCalolijHecNanKOTOUA CTaTbH, HaneneHHb[e Ha TO, 4TO6bI nOMOLIb ManO- HyMepeHHO- nblOÜjHM H36eraTb pHCKOBaHHb1X CHTyaI.jHH.

TlOCne3KCnepHMeHTanbHbie BOnpOCHHKH 6b111H nOCnaHbl BCeMyLIaCTHHL(aM 4epe3 TpH H nATb neT nocne 6a3OBOrO onpoca. BTe4eHHe IIATH neT B o6eHx rpynnax nOTpe6neHHe anKOTOnA HeMHOTOyBenH4HUOCb, a 3HaHHA 06 anKOrone 3Ha414TenbHO BbIpOCnH.

Coo6[I.IeHH51 O HeraTHBHbIX MeR[iLjHHCKHX H COLIHânbHblX nocnen-CTBHAx CHH3HIIHCb B o6eHx rpynnax, HO B 3KCnepHMeHTanbHOr[rpynne H3MexeHHe npOH3O11InO paHbLLIe. HexoTOpb[e H3 CTaTeHOHHCbIBânH "He3nopoBbie " npH4HHb1 nIIA BbInHBKH, TaKHe KaKHCIIOnb3OBaHHe anKOTOUA ASIA TOTO, T-ITO6bI 06ner414Tb 6onb HRH3aCHyTb, 4T06bI CTaTb MeHee paCCTpoeHHON HnH 3a6bITb npo6neMbI.B 3KCnepHMeHTanbHOl1 rpynne BbIABneHO 3Ha4HTenbHOe CHH)KCHHe3THX npH4HH RJiA BbInHBKH, XOTA B KOHTpOnbHOFi rpynne H3MeHeHH4I

He npOH3oLIIn0.

Talcum O6pa3OM, pe3ynbTaTb1 nOKa3anH, 4TO KaCatOLuaNCA anKO-ronA HHCpopMaLjHA, nepenaHHaN 4epe3 HH(1)OpManHOHHble

6loJ[neTeHH, BO3ReFICTByeT Ha npenCTaBneHHA n[oneH o6OnpeneneHHbIX BHnaX nOTpe6neHHA anKOTOnN H n0 OnpeneneHHOiiCTeneHH yCKOpAeT H3MeHeHHA B nHTeNHOM nOBeneHHH, KOTOpblenpOHCXOnHnH He3aBHCHMO OT npOBeneHHbIX neHCTBHH.

AOI1017HeHHe geNCTBI+Ibi COO6LL(eCTBa N WKO1lblrlpOrpaMMaMN CpetqCTB MâCCOBON b1HCfoOpMa1.4NN

OcymeCTBneHHbl4i B CILIA MeîK3ananHbl[i npoeKTaHTHHapKOTH4eCKOi%i npo(kHnaKTHKH (MI-IIï) naeT npHMep IIIKOJIbHbIX

72

Page 78: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

H MeCTHbIX nporpaMM C CyLueCTBeHHbIM y4aCTHeM Cpe,aCTB MaCCOBOH

HH(ipOpMauHH (105, 119, 150). Mrlrl - 3T0 pacC.IHTaHHâH HaHeCKOnbKO 06HjHH nporpaMMa npoaHnaKTHKH 3noynoTpe6neHHxHapKOTHKaMH, HanpaBneHHâH B OCHOBHOM Ha nO,IZpOCTKOB, HO TaK)iCe

Ha HX pOAHTeneri H ApyrHX McCTHbIX xCHTeneH. Ee uenbl0 B 06naCTHnOBeAeHHSi 6b1n0 CHmKeHHe Hatiana npHO61ueHHH H pacnpocTpa-HeHHOCTH KypeHHSI, BbIIIHBOK H nOTpe6neHHSi HHbIX HapKOTHKOB

cpeAH Mono,aexcH.

MIIII nposo,gHTCSI B TaKHX McTpononxcax KaK KaH3aC-CHTH H14iij(HaHanOJIHC H HMeeT IISITb KOMn0HeHT0B: nporpaMMb1 CpeJjCTBMaCCOBOri HH(l)OpMaL(HH; LIIKOnbHblri y4e6Hblli rUIaH; OpraHH3auHSL H

npOCBeIUeHHe pOZ[HTeneN, OpraHH3auHH 061uHHbI H H3MeHeHHenonHTHKH 3,L(paBOOXpaHeHHSl. B KaH3aC-CHTH npoeKT 6bul Ha4aT B1984 rouy KaK CIIOHTaHHaSI peaxuHH C006LueCTBa Ha C06bITHeMcCTHOrO 3Ha4eHI51, KOTOpOe nOBbiCHJIO 03a604eHHOCTb np06neMâMH

HapKOMaHHH. B 1'IHAHaHOnOnHce, BbI6paHHbIM B Ka4eCTBe noJ>;XOASI-

Luero jjJIH CpaBHeHHSL ropOAa, npOeKT 6bin Ha4aT HCCnejjOBaTenSIMH B

1987 roAy. B KaH3aC-CHTH KOMIIOHeHTbI nporpaMMbl BBOAHJIHCbnocnejjosaTenbHO c npoMe)iCyTKaMH OT LLIecTH MecSiues JJ;o roaa, 3aHCKnI04eHHeM HH(121OpMauHOHHOCO H LJ1KOnbHOrO KOMnOHeHTOB,

KOTOpble 6bUIH Ha4aTbl OZ[HOBpeMeHHO. B 14HAHaHanonHCe TeMnblBBeJJ;eHHSI 6bInH yCKOpeHbl. OpraHH3auHOHHOrI uenbl0 npoeKTa 6bIJIopâ3BHTHe nOCTOHHHbIX McCTHbIX CTpyKTyp JinH TOrO, 4TO6bI nnaHHpO-

BaTb, npOBO,LZHTb H KOHTpOJIHpOBaTb KaMIIaHHH npOCPHJIaKTHKH

3nOynOTpe6neHHH HapKOTHKaMH B KaxCAOM ropoAe.gOJICOBpeMeHHylo OueHKy npoeKTa nnaHHpyIOTCH npOjjOJUKHTb Hnocne 1995 roua.

Bo3uerlcTBHe MeponpHHTHri oLteHHBanocb exceroAHo. CpeuHMeTOaOS c6opa j(aHHbIX 6bIJIH aHKeTHbie H Tene(kOHHble OnpOCbl,Ha6nI0JjeHHSI H apXHBHble 3arIHCH. TOR H3y4eHH5I 34(peKTOB cpeRHnO,apOCTKOS H HX poAHTeneri, B LIIKOnaX KaxC,iZOro ropo,ga 6binonpejjnHCaHO npOBOjjHTb nH60 HIKOnbH6Ie nporpaMMbI rlpoeKTa, nH6oTpâAHuHOHHyiO nporpaMMy CaHHTapHOCO npOCBeLueHHSI B BHJJ<e

KOHTpOnSL. B KdH3aC-CHTH nndH HCCnejjOBflHHH 6bin KBâ3H-

3KCnepHMeHTanbHblM: 6OnbLJIHHCTBO LIJKOn 6b[n0 BIUIlO4eHO B

AeHCTBHSI no npoeKTy, nH6o B KOHTpOnbHy10 rpynrly B 3aBHCHMOCTHOT rH6KOCTH LHKOnbHOH a,gMHHHCTpauHH. B 14H,LWaHOnOnHCe nnaH

6bin 3KCnepHMeHTânbHblM: LIIKOnbI 6bInH nO,IZeneHbI Ha rpynnbICJTy4aiiHblM 06pa30M. 11lKOnbHâH npOrpaMMa 6bina OCHOBâHa Ha

73

Page 79: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

nOAXOAe COuHâJIbHbIX BJIH51HH4i H npenOAaBanacb OT HaLianbHOÎd AO

BbICIneH LIIKOJIbI. OpraHH3aIjH51 H o6yreHHe poAHTeneû CTaBHJ7HCBOeH uenbiO pa3BHTHe HaBbIKOB 06L1LeHHSI H npO(iHnaKTHLIecxoÎinoAAepKKH, a TaK>ICe HHHuHHposaHHe Ae(%ICTBHH AAA TOrO, LIT06bI

nIKOna H OKprICaioLuee npOCTpaHCTBO 6bInH CB060AHbI OT

HapKOTHKOB.

Pe3ynbTaTbl exKerOAHbiX OueHOK nepBblX LieTbipeX neTBbIIIOJIHeHHSi npoeKTa B KaH3aC-CHTH nOKa3anH, LITO pacnpocTpa-HeHHOCTb KypeHHSi, noTpe6neHHSI anKOronsl H ApyrHx HapKOTHKOBBO3pOCna y IIIKOnbHHKOB C TeLIeHHeM BpeMeHH KaK B npoeKTHbIX, TaK

H B KOHTpOnbHbIX LüKOnaX. TeM He McHee, noApOCTKH B npOeKTHbIXLLIKOnaX nOKa3anH MeHbIHyK) CTeneHb pOCTa H pacnpOCTpaHeHHOCTbnOTpe6neHHSI TaKHX BeLueCTB 6bina cpeAH MIX McHbnle, LIeM BKOHTpOnbHbIX ILIKOnaX.

B KaH3ac-CHTH npo(fHnaKTH4eCKHN npOeKT 6bIJI

nepBOHaLIanbHO CTHMynHpOBâH CnOHTaHHbIM OCBeLueHHeM B

cpeACTBaX MaCCOBOFi HHC13,OpMauHH npo6neM HapKOMBHHH B

ycneIHHOii npOCpeCCHOHanbHOil 6aCKeT60nbHOH KOMBHAe "KaH3aCCHTH POSIJIC". 3TH np06neMbl 3aCTaBHnH Bnauenbua KOMaHAbI,BnHSiTenbHOrO 6H3HeCMeHa H CpHnaHTpOna KaH3aC-CHTH

HHHuHHp0BaTb McCTHyiO nporpaMMy np0C1)H1IaKTHKH HapKOMaHHH,LITO HeMeAneHHO HaLIanO BbI3bIBaTb OrpOMHbI1ti HHTepec CpeACTBMaCCOBOFI HHCItopMauHH. K TOMy BpeMeHH, KorAa K npoeicTynOAKnK)LiHJIHCb HCcneAOBaTenH, LIIHpOKOe OCBeLueHHe BOnpOCOB

HapKOMaHHH o6nerLiHno npOUeCC BbISIBneHHSI KnloLieBbIX McCTHbIXnHAepOB H KOHTaKTOB C HHMH. B KHAHaHOnOnHCe BO BpeMSI BBeAeHHSI

npoexTa He 6bInO paBHOrO no 3HaLieHHIO MeCTHOrO C06bITHSI. OAHaKOMcCTHble AeHCTBHSI COBnanH C OCBeLueHHeM BOnpOCOB HapKOMaHHH B

HauHOHânbHbIX cpeACTBaX MaCCOBOH HHCpOpMauHH, LITO 6blJtope3ynbTaTOM KaMnaHHH "IIpOCTO CKaîKH HeT", rue BeuyL(eH Cl)HLypOIi

6bina H3HCH PeiïraH.

TaICrIM o6pa3oM, o6a cnyLiax nOCnrKHnH npHMepaMH Toro, KaKCOBpeMeHHble 061ireCTBeHHble TeHueHuHH H CO6bITHSI MOryT AaTbHMnynbC npOCpHnaKTHLIeCKHM HHHIjHaTHBBM H nOBbICHTb BOCnpHHM-

LIHBOCTb 06LueCTBeHHOCTH K npoCpHnaKTHLieCKHM c0061ueHHnM.HpaBHnbHbIN Bbi60p MOMeHTa BpeMeHH, npH yLieTe 1103HuHH TeMbIcpe.qH 06LueCTBeHHbIX, nOnHTHYeCKHX H HHCpOpMauHOHHbIX

74

Page 80: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

npFiopHTeTOB, c4xTaeTcA oRHHM H3 KniOLIeBbIX yCJIOBHii ycnexanpo(fHnaKTHLIecKHx HHHuLiaTHB (57).

CTpaTerHA npoeKTa B OTHOüIeHHH Cpe,LICTB MaCCOBOrI

HH619opMauxH 6bina ocxosaxa Ha npeRnonoxceHHH, trro Hx paxxeeHcnonb3oBaHHe HeO6XOj[HMO j1,JiA pa3BHTH51 B C006LUeCTSe O]KitlaHHii

nOCneAyiOLUHX geHCTBHI%I. geATenbxoCTb B KaH3aC-CHTH HaYanacb c

o6y'-IeHHSI aHTHHapxoTHLiecxOH npoCpHnaKTHKe yiiHTeneli H

pyKOBOjjHTeneri TeneEH3HOxxOM cTaHLiHH. Bo spew( peanH3auHHnpoeKTa Hcnonb3osaxxe KaHanoB Maccosori HHclIOpMauxH McHAnocbC uenbio ,IZaTb o61.1.1ecTBexxoCTH A0CTaTO1-IH0 npO(PHnaKTHLIeCKHX

cOo6LueHHH, HO 6e3 343I13eKTa "3aTaCKHBaHH2". B 06oHX ropoAaxHH(tiOpMauHOHHble MeponpHATHA NIaHHpOBanHCb npH COAeriCTBHHnp0(beCCHOHanOB O6LUeCTBeHHbIX OTHOLLIeHHN H HHtiopMauHH.

HH(IDOpMauHOHHbIH KOMIIOHeHT npoeKTa BKniOHan B ce6AOnnatIeHI-IyIO peKnaMy H 061ueCTBeHHble o61ABneHHSi B 3neKTpOHHbIXCpej[CTBâX HH(kopMauHH, Tene- H paJ.mO TOK-11.10y H HHTepBbK) CÿLiaCTHHKBMH npoeKTa, nepeAaiiy HOBOCTeN, CTaTbH B ra3eTaX, B TOM

LIHCne peAaKuHOHHble. LIacTb H3 CO06LueHHIi o pa6oTe n0 npoeicry6bina CLIOHTaHHOii, HaCTHHHO 06yCJIOBneHHOri nnaHHpyeMbIMH jlnACpej(CTB MaCCOBOii H40pMa1.1HH MeponpHATHAMH. TenepagHonepejZa-LIH HCIIO111330BânHCb jLnA TOrO, LITO6bI O3HaKOMHTb C uenAMH HCOgepXCaHHeM Ka)KZ.tOro HOB000 ex<ero,gHOCO KOMIIOHeHTa npoeicra,

KpOMe Toro yCTpaHBanHCb npeCc-KOHCpepeHuHH AMA npejZcTâBneHHApe3ynbTaTOB exCerojl;HblX OLIeHOiiHbIX HCCneAoBaHHri.

OneHKa npoeKTa nOKa3ana, LiTO CpepCTBa MaCCOBOri HHCl)opMa-uHH H OpraHH3au451 MeCTHOri O61I1eCTBeHHOCTH B3aHMHO noj[KpennA-

EOT Apyr ,gpyra. HH(kOpMaLIHOHHbie nporpaMMbl rOTOBAT Kax«bIHropO,g j>;nA OpraHH3aLjHH O6LueCTBeHHOCTH, KOTOpaA B CBOIO oiiepextb

ysenHT-IHBaeT no,qAepxcxy npoeKTy CO CTOpoHbl CpeACTB MaCCOBOHHH(i)OpMauHH. B KaxC,IjOM ropoAe HH(pOpMaLiHOHHbIri KOMIIOHeHTnpoeicra H3MeHHn cTpyKTypy coo6lueHHii o HapKOTHKaX: ropa3Ao6onbLUee BHHMaxxe yAenAnocb BonpocaM npocIIHnaKTHKH, KoTOpble06bIt1HO 3aTeMH511OTC51 BOnpOCaMH ne4eHHA, ynoTpe6neHHA HapKOTH-

KOB H CB5I3aHHbIX C HHMH npeCTynneHHri.

MIIII OCBeTHn put npo6neM, CBA3aHHbIX C OueHKOH KpynHO-MaCLIITa6HbIX MHOrOKOMIIOHeHTHbIX npOCknaKTHTIeCKHX HHHuHaTHB.

OueHKa 1IIKO11bHOrO KOMIIOHeHTa MOxCeT 6b1Tb 3aTpyJ.1,HeHa, TaK KaK

75

Page 81: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CTyJ1eHTbi BO BCeX IIIKOnaX nOJ[Bep)KeHbI OJ[HHM H TeM )Ke

c006njeHHAM CpeJjCTB MaCCOBOH HH(kOpMaI(HH H o611ZeCTBeHHbIMMepOnpHATHAM. XOTA H HCnOnb30BanCA gOnrOBpeMeHHb1Î-1 nnaH npo-

BepoK C n0grpynnoii nO,gpOCTKOB, npOCne)KeHHbIX Ha npOTA)KeHHHBcero npoeKTa, nepHOjj OI(eHKH He MOU 6bITb CTOnb J)JTHTenbHblM allAToro, LiT06bI onpe,ZjenHTb coxpaHHnHCb nH KaKHe-nH6o noseReH-L[eCKHe 344eKrbi merle OKOHLIaHHA [IIKOnbI.

HaH60nbIIIHe TpyJ);HOCTH MOryT BO3HHKHyTb npH onpellenexHHTOro, KaKOii H3 IIATH KOMIIOHeHTOB npoeKTa 6bin CaMbIM penla[OIIfHM

H CaMbIM 31:14eKTHBHbIM. 1-1JIaH M11H, B KOTOpOM KOMnOHeHTbIBBOJI;HnHCb nOCne,qOBaTenbHO, BKnIOYâJI B Ce6A HaMepeHHe n03BOnHTb

npOBeCTH H3yLieHHe 344eKTOB BbInOJIHeHHA BcerO npoeicra B

OTHOIIIeHHH ero COCTaBHbIX LiacTeÎi. 3Ta OIJeHKa MO)KeT 6bITb OCJIO)K-

HeHa C11e,gyIOI1ZHMH 43aKTOpaMH: HC11Onb30BaHHeM 14HJ);HaH0n0nHCa

CKopee B KaLieCTSe Jzy6nnpyioluero, LieM KOHTponbHOUO ropoJia,LIaCTHLIHO HeKOHTpOJIHpyeMO{1 H H3MeHLIHBOH npHpOJiorfI[eHTpanbHOUG HH(kOpMaIjHOHHOro KOMIIOHeHTa, a TaK)Ke HHbIMH

HaI[HOHânbHbIMn H perHOHanbHbIMH npOckHnaKrHLIeCKHMH

MepOnpHATHAMH, npOX01[AII{HMH O1iHOBpeMeHHO C npoeKTOM.

,qpyrHe CB5:131,1 M@)K,qy WKO110.1,1, M@CTHbIM C00611.4@CTBOM H

Cp@,qCTBâMH MaCCOBON HHCpOpMaIJ,NH

HpoeKT Hopc113H)21, KOTOpbI1i OCyIi[eCTBnAJICSi B 1990-1995 rr. BMHHHeCOTe, SIBnAeTCA elue OJjHHM npHMepoM npoeKTa )2(eNCTBHi-iOXBaTHBllIHX BCIO 06[I.nHy H HanpaBneHH6IX Ha BbInHBKH 11O4OCTKOB

(106). Tora KaK MUM 6b1n HaLIaT B O61L[HHe, BbIpa3HBlIIeli

FOTOBHOCTb CO341aTb npO(1)HnaKTHLIeCKyIO nporpaMMy, HpoeKTHOpCn3H1); 6bin 3aJjyMaH, KaK LIHCTbIN 3KCnepHMeHT - 20 o6UjHH 6bIn1-1

CJiyLiaNHbIM o6pa3oM no,geneHbl Ha TeX, rJZe 6yJ1yT npoBO,aHTbCAnp0(iHJIaKTHLIeCKHe MepOnpnATHA H Ha KOHTpOnbHble.

Uenb[O MepOnpHATHÎt 6bIJI0 CHH)KCHHe nOTpe6neHHA aJIKOUOnA HCBA3aHHbIX C HHM npo6neM cpeljH MOnO,ge)KH B Bo3paCTe 15-20 neT.OCHOBHaA H,geSi npoeKTa COCTOAna B TOM, 4TO JLrIA B03JJeHCTB1451 Ha

noBelZeHHe rnaBHble yCHnHA JjOn)KHbI 6b1Tb HanpaBneHbl He Ha BCeHapKOTHKH, a Ha aJIKOUOnb. 11pOeKT HOpcn3HJ1 TaKACe OCHOBaH HanlKOnbHOM KOMnOHeHTe, COCTOAII.(eM 113 11ByX nOCneIZOBaTenbHbIX

KypCOB, KOTOpble npOBOJjATCA CBepCTHHKaMH (TaK)Ke BKnIOLIafOIIjeM

76

Page 82: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

LL

WKLaû XENH1ANdEH O HHTIEWdOCI)HH KHH0m9000 KUû 90H1M10£4110UGH

`I4ûEHEx I4HOHEd 9 0I9HHamaWOU H 1411101 aHNOûEHEN EH

aI4HHEOHUEH `KHH0hOIUNHdI1 '(ISI) E£UdgO 0101.E WaHHEBO£9UOÜOH o

EWog4UE 90NH.LONdEH WEINaUgOdu X19HHamIf90OU adl4.L0h OHamÂ11149

o11149 `NkEZj-N09o110h EEdgo EH E9Edu aHN0do119E HamolaWH `HHHEIIWON HONOHENHdaWV HWEdO.L9E HWI4H4UEH0H000C1)0du

O OH.LOaPI90O I4ûEHEx aHhÂU0uO1EUg H 0490doü£ HaHifE£HHE1d0

atIEHEx g 'HWK41.Edg00 HWHNOahdaWWON XH O 41.EhHHd3UO0

HHHKO1000 9 4.LI4g 19HNCU017 190NHWON a19H9Ua.LH.Laâ0od11 `WOWHTIHH

-OU `HHHE90170U00H OUEW 90011-H17080du 900NHWON H.L00H9HYNa44£

OU K.LOX '4.LE90£4UOU0H OHdO190U H 4,LKHEd100dII0Ed ah1aU XII OH `H10d0û 4110,10 OH HHO 01.h `09100mÄWH0du 01 1O10WH 140NHWON

`91.0OH.LOWEd1 KEHhO1E.LOOû0H NUN `I9d09dE9 0HNE1 91,a1roTloadu

`OH4ICEHTIHa.LO11 adaW HaHHEdN OU `1Â101A1 I9ONHWON H NE.L `O0T7H9

NEN 01h `KO.L0E1Hh0 K.LOj{ '191HaW0116 N19H0a90Ir0 H H14H9UE£H9

ouziHHl7aOO a?iCNE.L aodo.LON `HHTIEWdocpHH H09000EW aHllaiadgo£H aoxdsIrXuou 011170 ama NUN EIfNHHEO9 900NHWON EWdocp

WENHH9u0Nm OIfHhiblOEH OHHaU0100L1 OHO `ONOdHm 4H01,0 9001rE9O£4UOU0H

0012H9 aû1 `WEL O.Lh `aHHaU.LUhaU9 K010E17£00 aNCNE1, 'WE,LEd.LE£

WI9HHa9.LOt709£HOdU WHNO0I99 N 101709 OHNCagEHaH HNOahH.LNEdU 01h `Ofl100hEN 00N00199 OWH17OX000H 01h `OHû1H90h0 `HWEWWEd.IOduaUa.L O

KO10IE9HH9Ed0 01-1h1900 191rEHda.LEW00ûH9 aI4H4Ua.LE9O£EdgO NUN NE1, '(ffI 'FS[) I9UEHda.LUW0017H9 EH Haua.LHdE HHI1NE0d axc HLM E1.EWdocl)

OaûH9 H100H9H1.N04)CPe 15HHUWHH9 OuEW HuxuaûX HUa.LEâOtl01100H HHdo1HûE X19HNCaT7olfoW oada.LHH 4.LE9EI49 1,0N<01/11 HI4dO1.ON

`KHHa1r9E10û0du W311H10 00 HH10110HX01 HO9OH 4100H9Ua.LENa1r9HdU

411114101000 41.00HNCOWEO9 1.0E17 .LEWdOcp OaûHg 'HWI9HdKUÂuOu

aalrog aog OUhH00 K0.LK9OHE,LO (ZS1) I9WWEd1odU 0I4Hda1014UWON

01490d1H H I4d1H `(ISI `IS) I4ONHWON aI9H41ra1,H10900du `14T7o1 a-086I 9 9o1rUFida.LEWOaûH9 XI9H4Ua,LEflO£EdgO

E91.OÛ09£HOdU E.LOOd aUOoll 'O1HHama9oOdU XWOH4U01oNIfEH1.HE

OU 90lrexda.LE ENO/C.1199 Kurt HH11EWdOCI:IHH HoH41raLENau9EEd

HHTIELUEûU WodaWHdU KO.LOIKU9K `900)1HWON aûH9 9 014HH0HUOU149 `I41fEHdalEÿ 'HWKUa.LHûOd o 01031v9 HWENHH4UONm XII KHH2HaWHdU

Kurt XI4HHHU9OCIH.LNa0du0 `.IHHN KH91.OHaû XHTIIOIEâI40HU0 HHdaO HUI4g 90UUHda.LEW XEUONm 9 XI4WaX£4UOUGH Httado

'XEUONm 9 KH119900 01911,11011100 H a14H4UO10NIfE£ag aNCNE.L E `(EWOtt kLOgEd £adah Haua.LH170d aHH0h0119Hdu

Page 83: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

8L

(S[) XEHOHEd H XE17od01 XH a XE.LHm XI9HINEIINad

EH 111IOJONIfE ÂWEIINad 91HhHHEdJ0 0191r011 110080 aHmxaEJ.O `I9uu,CdJ aI9HHaa1oamg0 1A1E.LogEd EXauO,C 0191-101I010 HOHhHU£Ed

o vIIIp a laaw and wouan gHwx.LOEUS Hw19H1.oaw xo9J.EaodxLr,CJad

.LaNCOw `OIfHaEdu NEN `EYVE1rNad xEHhHII,C yinD g xLf0J0NLfE EwE1INad

IfEH.LOaw H 91I49 1aNC01A1 H10OH9I1011Sa17 aOûHa I9UU,CdJ 13OHaHJ.EdaL10

aoOadaJJiH ,CdacPO a xHmIHtoxa H170d0 `auHnHHdu a adaw Ham9Haw ou 'o1uOJONLfE N u,CL0017 wKilOilr wI4ilouOw OIitIIIaE819dN.LO `,CNHLNEdu

O1,CH.LOaw 91HHaw£H 03101E1, E `EJ.OEd£oa wOHONE£ OJOHHa1I80HEJ.O,C

XHmJH,LOOl7 aH `H01701Ir XI9ï701ro1A1 wEN8HUI98 N I9HHm90 91.001%1xuda1 9.LH£HHO oi9110n 112Oa0 a1rHaE.LO xH.LKHduodaN

HHJa.LEd.LO wEHHm90 019w0EJELfl7adu a 90HIfEhOilrNa

OH H aHH2H0wHdU aOHHahHHEdJO aHmolawH MEN 90EIrBaHd.LEwO0Ed

HHnEwdoCI1HH H0a000E1A1 a10170d0 HHHEUwEx HNH.LHLfOU 130H91foNm aHJ.Ha£Ed aN01E1. E`xlfoloNlfE aNCEl7odu ou NahO1, axxamaw£Ed

H iSLfOJONIfE ,CWELCNad XHmOIEBHhHHEdJO `HHHaIIBOHE.LOOu

XI9H1,Oaw EN.LOgEd£Ed `aOHONE£ xHmol,CaJ.Oam,Co

aHHa11OIII9OO

`EJ.OEd£Oa wOHONE£ OJOHHaLfBOHE.LOX wHmJH10011 gH `wEIIHIf

isiroJoxirE ,CNcEl7odu 9.LH.LEda.tolladu mug' o wauo.toNlrE aanao.ldo.L

aHHah,C90 MEN aHNEJ. `I9J,HEHdEB 0I9H8HJ.EHda1911E 9J.EaHd.LEw00Ed

xH Euxdmoou E `HHJ2ZEd10 Ed09EH OJOHHaualiadu011adu

auu,CdJ HoxaHl.Edauo ElrEa19£11aEH OH EwwEdJOdu HNCal70it0w

Noaxui9a awaugodu ou IsH.LxHduodaw axNOahHJJduoU 019aoH 1a17011odu

H J,aEJ.ogEd£Ed EUU,CdJ I3EHaH.LEd3uo E.L6 01h `9OO11ErrHNCp ,CHHmg0

010E Oi4J.00H41fa.Lxa17 H2Oa0 Ha1noIE8I4.LE8X0 `I4uLüCdJ HOHaH.LEdauO

KHHEII£00 inrn aodo.LEHHltdooN ,C.LOgEd EH waHdU aNCNE.L E `I9HHm90 aodamau axxamaaOOdu H aHHaLfaxl9a x900 a HLIEh0IUxa HJEm al9sdau

'19HHm90 HHnE£HIIH90w Ooanodu 1,1I4H1dE11HE.L0 1,10IrEaO£9IfOUGH

aixaodu gHH,LxHduodaw xHHal7aaodu o.LOaw INah `oa.LOltadO

NUM aadoNO 40ELfEaNdJ.Ew00Ed EHHm90 t7HeuOdoH aiNaodu g

oamHa £H wah `0m19a 1100NHW0N £H HHnEwdOCPHH aHHEHHwOUE£ 01h `41.HNCO1f0u17adu

ELrHIrOa£Ou ENdaaodu xEHHahHHEdJ0 E `I4.LxHHdu00a omodox HIfI99 HHdo.LOH O.Lh `EIrE£ENOU HHd01H17ÂE xH11NEad iSEHJ.aa.LO '1 aII Z I-L

Page 84: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

3

PeKnanna anKoronsi

C cepeAHHbi 1980-x roAoB BO MHOrHx cTpaxax BO3pocnO,gasneHHe, HanpaBnexxoe Ha ycluleHHe KOHTpOJISI 3a pexnaMOHanKOronSi. rnaBHbIM BOnpOCOM 11OCBSILL1eHHbIX 3TOH TeMe AHCKyCCHIi

6b[n BOnpOC O TOM, CnOCO6CTByeT nH peKnaMa, Liepe3 CBOe npSIMOe H

HenpSIMOe BnHSIHHe, cOXpaHeHHiO BbICOKHX ypoBHeH noTpe6neHHaanKOronSl. B npOBeAeHHOM B HOBOFI 3ena1-141HH HCCne,I[OBaHHH 6bIJI0

npOHHTepBbIOHpOBaHO 15 yLieHbIX B 06naCTH HHstiOpMaL[HH H

o6pa3osaHHSi H 20 npeAcTaBHTenel%I peKnaMHOIi HHAyCTpHH B

OTHOLüeHHH HX MHeHHSi O peKnaMe anKOrOnsi H ee BnHSIHHH HaMonoAexcb (156). bOnbIIIHHCTBO B o6eHx rpynnax nonarano, TOpeKnaMa B L(enOM 3HaLIHTenbHO BnHSIeT Ha MHeHHSI H OTHOLLIeHHSI

AeTeH H nOApOCTKOB. Bce yLieHbie H 6011611IHHCTBO npO(peCCHOHanOB

peKJlaMbl nonaranH, LITO pexnaMa BeC6Ma CKJIOHHa BHyLLIaTb, LITOBbInHBKa SIBJISIeTCSi Cy1qeCTBeHHOi4 9aCTbIO B3pOCneHH5I. bOnee AByX

TpeTelï yLIeHbIX H OKOJIO nOJIOBHHbI npOd)eCCHOHanOB nonaranH, LITO

nOKa3 peKnaMbl anKOI'OnSi HaBepHSiKa BHeCeT CBOIO nenTy B CHH)KeHHe

BO3paCTa, B KOTOpOM MOJIOAble nK)AH HaLiHHaIOT BbInHBâTb COcBepCTHHKaMH. bOnee nOJIOBHHbI yLIeHbIX H Ka)KA6IIï LieTBepTbiiinp0(teeCCHOHan paCCMaTpHBaiOT pexnaMy anKOtOnSi B KaLIeCTBe

4)aKTOpa d)OpMHpOBaHHSI 061I(ecTBeHHOrO KnHMaTa, He6narOHpHSITHO-

r0 AnSI CBHHTapHOrO npOCBeLLjeHHSI n0 BOnpOCaM anKOrOnSI.

B 3TOi%[ rnaBe AaeTCSi 0630p nOCneAHHX HCCneAOBaHHii peKnaMbl

anKOrOnSI H ee 3I14eKTOB, a TaK)Ke 06Cy)KAaIOTCSI pâ3nHLIHble

nOAXOAbI npH KOHTpOne o6beMa H co,gepxcaHHSI peKnaMHbIX

c006LIxeHHii o6 anKOrone.

79

Page 85: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CO,4EP)KAHNE M 3cDcDEKTbI PEKJ1AMbI AJIKOrOJ151

HeAasxo B HeCKOnbKHX ny6nHKauHAX 6binH CgeJlaHbl 0630pbIHccne.ttosaxHH no pexnaMe anxoronR. EonbIUHHCTBO o63opos co.aep-)KaT HHTerpHpOBaHHbie jjaHHble H3 HeCKOnbKHX HaytiHbIX 06naCTeli(16-18, 21, 31-35, 37, 39-42), a HexoTOpbie ccboxycxposaxbl Ha0006bIX TeMâX, TaKHX KaK 3KOHOMeTpHMeCKHe HCCnejZOBaHHA (14, 15,19, 20), pa60TbI, nOCBAÜjeHHble AeTRM (36) HJIH BOxyleHHIO BHeTpe3BOM COCTORHHH (38). OCHOBHble o6naCTH HCCnejjOBaHHiiBKniO4aiOT B Ce651 pa6oTbl IIO pacnpOCTpaHeHHOCTH H cOgep)ICaHHK)peKJIaMHbIX cOO6LIIeHHI, 3KCnepHMeHTbI H OnpOCbl, Hccnej;yiOLL[He3021)CpeKTbi nOKa3a peKnaMbl ânKOTOnR Ha HHAHBHAyânbHOM ypOBHe, a

TaKACe 3KOHOMeTpHtiecKHe pa60TbI, H3yMaK)LL[He B3aHMOOTHOIIIeHHe

MeAuty 06beMOM peKnaMbl H 06LaHM nOTpe6neHHeM anKOrOnR.Ha4HHâR C KOHLja 1980-x rO,aOB 6b1n0 TaK)Ke npOBeAeHO HeCKOnbKOHCCnejjOBaHHH o6LIjeCTBeHHOrO BOCnpHATHR peKJIaMbI aJIKOronR.

XOTR Bo MHOrHx TeopHAx npejjnonaraeTCA, trro pexnaMaanKOrOnbHbIX HanHTKOB BO3geiicTByeT Ha CB5I3aHHble C anKOTOneMnpe,gCTaBneHHSi, OTHOIÜeHHA H nOBeAeHHe nioAeN, 06Hapy]KeHHbie B3MIIHpHgeCKHX HCCneAOBaHHAX 3CbCpeKTbl BeCbMa Cna6b1. Oz[HOii H3

npHtiHH TaKHX OrpaHHtieHHbIX pe3ynbTaTOB RBJIAeTCR TO, tITO

B03j1;er%iCTBHe peKJlaMb1, TaK )Ke KaK H BnHSiHlte ni060ii HHOI%I CpOpMbl

06LaeCTBeHHOIï HHCßOpMawHH, Hellen«) OT,aenHTb OT HHbIX

KyJlbTypHbIX, COLjHânbHblX H 3KOHOMH4eCKHX BJIHAHHH. 3MnHpHMeC-

KHe HCCneAOBaHHSi H3y4aJIH OTjl,enbHble CTOpOHbI B3aHMOOTHOLLIeHHld

Mexury peKnaMOH anKOronA H 06LIAeCTBOM, H B OCHOBHOM y,aeJLAnHBHHMaHHe HaH60nee npAMbIM 3C14eKTâM. He06X0.aHMOCTb

H3MepeHH2 peKnaMbi aJIKOrOnA H ee nOKa3a 3aCTaBHna 601IbiüHHCTBOHCCnejjoBaTeneH KOHIjeHTpHpOBaTbCA Ha HaH60nee H3MepHMbIX

BHutaX peKnaMbi. Pa3nH4Hbie CpOpMbi nOnynApH3aijHH anKOronA,TaKHe KaK CnOHCOpCTBO, pexnaMa C nOMOIIIbiO npOZ(yKTOB, HaKOTOpbIX HanHCaHO Hâ3BaHHe COpTa, pa3MeLLjeHHe npoAyKTa BCO,aep)KaHHH HHCpOpMaLjHOHHb1X C0061IreHH4i, a TaiOKe peKnaMHpOBa-

HHe B MeCTâX npOAa)Kii anKOrOJIA, 66111H HCKJIiOMeHbi 1,13 3THX HCCne-

jjOBaHHii. KpOMe TOTO, HCCne.1ZOBaTenH peKJiaM6i aJIKOrOnA HCnbITb1-BanH TpyAHOCTH B CB5I3H C MeTOAOJIOrHMeCKHMH npo6neMâMH,HeKOTOpble 1.13 KOTOpbIX 6bInH peLneHbi B Hel[aBHHX pa60Tax.

Bce TeOpeTHMeCKHe OCHOB61, HCnOnb3yeMble B HCCneAOBaHHRXaHTHanKOTOnbHOTO npOCBeLIjeHHA TaIOKe npHMeHHMbi H K HCCnegOBa-

80

Page 86: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HHAM BO3jICFiCTB1451 peKnaMbl anKOrOnA Ha HHJ11iBFiJlyanbHOM ypOBHe.

Bonee TeOpeTHLieCKHe J1HCKyCCHH 06 3(14eKTaX peKnaMbl B OCHOBHOM

14)OKyCHpy1OTCA Ha IICHXOCOL1HanbHblX TeOpHAX H COL1HanbHOM

o6yieHHH (17, 33, 37, 39). r10CneJloBaTenbHbnin npouecc OCO3HaHHA,oJ.4o6peHI3A H HCTOJIKOBaHHA TOJIbKO HeJ1aBH0 CTan npHMeHATbCA B

HCCneJjOSaHHAX o6LL1eCTBexxoro BOCnpFIATHA peKJIaMbI anxorOnA, BOc06eHHOCTH TeneBH3HOHHbIX poniiKOB (157, 158). PeKnaMOjlaTenx,IiccneRosaTenH H nonHTIiKH, KoTOpble BBOj1AT OrpaxHLIeHHA HaTenesi33HOHHyiO pexnaMy anxoronA, CLIHTaIOT TeneBHJIeHHe MoryT-IHM

CpeJ1CTBOM. OJ1HOii 143 npHLiHH 3TO1-0 Cny)KHT TO, LITO TenepOnHKH

itaKTHLnecxli "HeH36excxbl", n0 CpaBHCHHIO C peKnaMOii B neLIaTHbIX1i3,aaHI4AX, Tpe6yioLlleii OT noTpe6HTenA 60nbLlleii aKTHBHOCTH, Hnpe%10CTaBnAiOLgeFi 6onbLIIe B03MOiKHOCTeN ,1ZJIA 1436HpaTenbHOCTH.

Pe3ynbTâTbl IdCCneJ10BaHHM o6ü1eCTBeHHOTO BOCnpHATHA

BbICTpaIiBaloT CB313b Me)KJ1y FiCCneJIOBaHIiAMH 3(p(t)eKTOS HaHH,a13BH,ayanbHOM ypOBHe H aHaJIIi3aMH co1lep)KaHHA,

OTCne)KHBa1OL1.114MIi 06pa3bl Ii nOCnaHHA aJ1KOrO11bHOii peKnaMbl.Pe3ynbTaTbI nOKa3bIBa1OT, LITO 3pHTenH CKJIOHHbI BHJ10Tb pexnaMyanKOrOnA npHBneKaTenbHOit, npOnaraHJlHpyLOLqeii BbInHBKH H CKOpeenOKa3bIBaiOÜ.lei1 CB513aHHble C npoJlyKTOM yZ1OBOnbCTB1451 H CTHnb

)1033HI4, LIeM KaLneCTSa 3TOr0 npOJlyKTa. 3TIi pC3ynbTaTbl yKa3bIBaIOTHa y3OCTb B3rnAJ_1a, CLiliTaioü.lero, LITO (PyHK1(Fleii peKnaMbl ânKOTOnA

ABnAeTCA npeAOCTaBneHHe n0Tpe6HTenAM HH(i)OpMaLliiH o npozryKTe(159). XOTA peKnaMHble COO6L11eHHR MOryT BbILIOJIHATb B HeKOTOpOii

CTeneHH HH(l)OpMaLIiiOHHyIO (byHKL1HIO, OH14 B 3HaLIHTenbHO 6onbLneli

CTeneHH ABnAK7TCA (kOpMOki COL1HânbHOrO 06LL1eHHA (50).COJlepxcaHHe peKnaMbl B TeLleHiie 3T0f O CTOneTHA 143MeHH11OCb. Palice

OHa (pOKyCHpOBanaCb Ha npOJlyKTaX, HX XapaKTepHCTHKaX H

HCII0nb30BaHHH, a 3aTeM CTana HCXOAHTb 143 TOrO, LITO noTpe6HTenHABnAIOTCA COCTaBHOin LiaCTbio COL1NanbHOTO 3HaLneHH51 npOJIyKTOS.

HaLIHHaA c 1970-x rOJ10B JIOMFIHHpyeT pexnaMa CTHJIA )KH3HH.CoBpeMeHHbie peKnaMHbie C0o61IjeHHA 6onbwe rOBOpAT O 3HaLIeHHHH )KenaeMOCTH npOJIyKTOB, a TaK)Ke B KaKHX COL1HanbHblX yCJIOBHAX

n-nCllonb3yIOTCA npojlyKTb1, LIeM o6 3THX np0ljyKTaX KaK TaKOBbIX.

BOnbLIIHHCTBO HCCnejl0BaHHi3 BOCnpHATHA 3pHTenAMH peKnaMbl

aJIKOrOJnA 6bIJn0 nposeJleHO Ha J1eTAX H nOJ1pOCTKaX. OJ1H0i1 143

npHLnHH 3TOr0, no-BHJIHMOMy, ABJIAeTCA TO, LITO peKJIaMHbMe yCHnHA

anK0rO11bHO1i HHJ1yCTpIiH, 0006eHHO nHBHOIi, HanpaBneHbl HaMOnOJ1CACb (31, 34, 160, 161). TaK KaK pa3BHTble B paHHeM

81

Page 87: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

OTpoT3ecTBe BKycbl 06bIT3HO coxpaHAloTCx B nOCnej1}I0II.1He rojlbl,yCTaHOBHBLIIHeCSI y MO110j1bIX nlojleii nHTeNHble npHBbITIKH H

BepHOCTb MapKaM BeCbMa HHTepecytOT peKnaMOjlaTeneii. r1pHTIHHON03a60TIeHHOCTH 5iB1151eTCSI TO, TITO ,11eTH H 1-1Oj1pOCTKH, cornaCHo

HMeiOIi(HMCSi j1aHHbIM, BOCnpHHHMa1OT anKOrOnbHble peKnaMHbleC0o6LL1eHHSi KaK nOOLnIpAiOL11He BbInHBKH (157, 162) .

06HapyxceHO, TITO CnOCO6HOCTb eTe aHanH3HpOBaTb COjlepxCa-HHe peKnaMbl anKOrOnSI BO3paCTaeT C BO3paCTOM (163, 164). ReTH H

1-1OJ1pOCTKH MOryT Bblpax<aTb CKenTHL1H3M n0 nOBOAy

3aBneKaTenbHblX nOCnaHHiï B peKnaMHbIX COO6H1eHHAX, HO TaKxcenpH3HaIOT 3a5iBneHH5I O npOjlyKTe (165) HIM nOnyTialOT y,i1OBOnbCTBHe

OT peKnaMHbIX c006HleHHIi (166). IIojlpoCTKH MOryT CTIHTaTb

peKnaMHble pOnHKH TIaCTbK) npOrpaMMbl H nOnyTlaTb OT HIIX, KaKTaKOBbIX, yj10BOnbCTBHe. BbI3bIBaeT CnOpbl yTBepSKjleHHe O TOM, TITO

HMeHHO H3-3a TOrO, TITO OHH CaMH no ce6e O6naj1al0T KaTIeCTBOMHHCkOpMaL1HH, peKJIaMHbie pOnHKH MOryT j1O6HTbC51 ycnexa B TOM,TIT06bI CjlenaTb Ha3BaHHe copra 6onee 3HaKOMbIM (167). K ToMy xce,HeT 1-1pH3HaKOB TOFO, TITO oCO3HaHHe KOMMepTieCKOii cl)yHKL1HH

peKnaMbI 3aLL1HTHT jleTeli OT BnHSIHHSI nponaraHjlHpyiolileii BbIHHBKHHHCkOpMaL[HH (158). 11oCnejlHHe HCCnejlOBaHHSI rOBOpAT CKOpee He 03aLL1HTHOM 3CpCl)eKTe, a O TOM, 'ITO nOKa3 pCKnaMbl anKOrOJIA j1eTSIM H

nOj1pOCTKBM MOxCeT OKa3aTb BnHAHHe Ha HX nOCnejlyiOLLlyio xCI13Hb,KOrj1a aJIKOrOnb CTaHOBHTCSI jlocryneH H BbInHBKa nOOL11p5ieTCSIHHbIMH CO11HâJIbHbIMH B03j1eiiCTBH5IMH.

TaK KBK j1eTH CKJIOHHbI j1nHTenbHOe BpeMSI CMOTpeTb TeneBH30p,

CTIHTaeTCSI, 'iTO TeneBH3HOHHble COO6LL(eHH5I 06 anKOTOne HrpaIOTp0nb B pa3BHTHH IIX B31-1151jloB Ha ânKOronb (158, 168). geTHHaTIHHaIOT nonyTiaTb 3HaHHA o6 anxorone 3ajlonro j1O Toro, KaKnOnyTlalOT KaKOIi-nH60 OnbIT BbIHHBKH. B paHHeM j1eTCTBe K

anKOrOnIO OTHOCSITCA CKopee 1-1O3HaBaTenbH0, 'ieM 3MOL1HOHanbH0(169). HO Mepe TOI'O, KBK j1eTH pacTyT, BâxcHOCTb 3MOL1HOHanbHOiiCT0p0HbI B03pacTaeT, a OTHOn1eHHe K anKOrOnIO CTaHOBHTCA BCe60nee HeraTHBHbIM. IIpH6nH3HTenbHO B Bo3paCTe 10 neT OpHeHTaL1HAMeHAeT HanpaBneHHe H BO BpeMA OTp0'ieCTBa OTHOLLIeHHe K

aJIKOronlo CTaHOBHTCA 6onee 11O3HTHBHbIM. IIepexojl OT no3jlHeroj1eTCTBa K paHHeMy OTpO''eCTBy Talcxce ABnAeTCA nepHOjloM, KorjlaHa'IHHaeTCA HenOcpejlcTBeHHoe 3HaKOMCTBO C anKOrOneM.l'lccnejlosaHHe, nposejleHHOe B 1990 ro,Ery cpejlH jleTeii 11-15 neT Bj1BeHajlLlaTH CTpaHax EC nOKa3an0, 'ITO 6 1% peCHOHj1eHT0B npo6o-

82

Page 88: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BânH aJIKOrOnb, a 14% nbIOT perynApHo (170). Ka>KAbIH 4eTBepTblri

BnepBble nOnpO6oBan aJIKOCOnb B BO3paCTe AO 11 neT.

K Ba>KHbIM claKTOpoM COL[HanH3aL1,HH AeTerl K anKOrOnLo

OTHOCSITCSI BnHAHHe pOAHTeneli H CBepCTHHKOB, a Tax3Ke C0o6LIteHH3i

CpeRCTB MaCCOBOH HH(tiopManHH o6 anKorone (158). Tora KaxaHTHanKOrOnbHOe npOCBeLIjeHHe B LUKOnaX BKJIiOVaercA B 3TOTnpoqecc n03>Ke H npOBOAHTCSi cnopa,L[HitecKH, npOCMOTp peKnaMbIânKOCOJIA Ha4HHaeTCA B paHHeM B03paCTe H HMeeT nOCTOAHHbIHxapaxrep.

Bo speMA nepexoAa 143 AeTexoro Bo3pacTa B nOApOCTKOBbIiiBâ>KHOCTb BnHAHHA poj(HTeneli najl,aeT, a CBepCTHHKOB - B03paCTaeT(17, 165, 169). B TeX HeMHOrHX HCCneAOBaHHAX ,LjOnrOBpeMeHHbIX

34-.4eKTOS npOCMOTpa peKnaMbI anKoronSi, rAe KOHTpOnHpOBanOCbBnHAHHe CBepCTHHKOB, McXaHH3MbI 3TOr0 BnHAHHA, a TaK>Ke

HCTO4HHKH OTHOLIIeHHIï H noBeAeHHA CBepCTHHKOB nOnyLIHJIH MaJiO

BHHMaHHA. bbUIO BbICKa3aHO npeArionoxceHHe, 4TO peKnaMa aJIKOrOnA

MO>KeT OKä3bIBaTb KOCBeHHOe BnHAHHe, HanpHMep, 4epe3 JIHAepoBMHeHHA CBepcTHHKOB (33, 34). TeopHA pacnpocTpaxeHHA HOBOBBe-AeHHrt, KOTOpaA HCnOnb3oBanaCb B ApyrHX 06naCTAX H3yLIeHH51norpe6HTenert (171), nO-BHAHMOMy, He npHMeHAnaCb npH H3y4eHHHpeKnaMbl anxoronA.

MaKpOHCCneAOBaHHA 344eKTOB peKnaMbl ânKOCOnA OCHOBaHbIHa 3KOHOMH4eCKHX TeOpHAx O B3aHMOCB513H peKJIaMbI H cnpoca Hapa3nH4Hble npOAyKTbI. AJIKOCOnbHaA H peKJIaMHâH HHAyCTpHH

npHljep>KxsaIOTCA TOH TO4KH 3peHHA, iITO peKnaMa BO3AeNCTByeTTOnbKO pa3AeneHHe pblHKa, HO He npHBOAHT K yBenHYeHHIOnoTpe6neHIIA aJIKOCOnbHbIX HanHTKOB (159). XoTA 3KOHOMeTpH-4eCKHe HCCne,aOBaHHA peKJIaMbI aJIKOronSi H ero noTpe6neHHA HenoAljep>KanH Teoprno Galbraith o peulaK)LLteM B03AerICTBHH pexnaMblHa cnpoc tiepe3 pacnpeAeneHHe pacxouos MexcAy pa3nH4HbiMHKaTerOpHSiMH npoAyKTOB (172), COBOKynHble AaHHble nOKa3bIBalOT,'-ITO peKnaMa BHOCHT CBOIi He60nbLLIOIi BKnaA B npOAaxcy alIKOrOnA.Pe3ynbTâTbi nOCneAHHX HCCne1[oBaHHN, H3y4aBUIHX BnHAHHrI

pa3nH4Hli HnH H3MeHeHHrI OrpaHHtieHHN peKnaMbI anKOronSi,n03BOnHJIH npHFiTH K BbIBOAy, tITO pexnaMa MO>KeT yCHJIHTb HJIi3OCna614Tb o6unHe TeHAeHi(HH B nOTpe6neHHH anK000115I (60, 61).CneAyeT 3aMeTHTb, 'ITO pe3ynbTaTbl 3KOHOMeTpH4eCKHX HCCneAOSa-HHIi npHMeHHMbI K((3penblM» pbIHKaM TeX HHAyCTpHanbHbl CTpaH, B

83

Page 89: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

KOTOpbIX 11pOBOA141IHCb HCCneAOBaHIiR H He MOryT 6bITb3KCTpanOnHpOBaHbI Ha AHHaMHPIHble H HeHaCbILL(eHHb1e pbiHKH. B3KOHOMeTpHLIeCHX HCCneAOBaHHAX 6bIJ10 ynyLaeHa ponb peKnaMbl BnOAuZep)KaHHH 3penblX pbIHKOB B CTa6H11bHOM H HâCbILLZeHHOM

COCTOAHHH (34). C TaK0i3 TOLIKH 3peHHR rnasxoli 4)y1-ixLZHerI

nOnynApH3aLÜiH anKOrOnR 6y2leT 06eCne4eHHe 3aMeLgeHH2 CTapbIXnOTpe6HTeneI HOBbIMH H HejZOnyLLjeHHA TOrO, LITo6bI npocse-THTenbHble MepOnpHRTHA CHH3H11H nOTpe6neHHeanKOCOnA.

nOALIepKHBaeTCR, (ITO KOCBeHHOe AnHTenbHOe B03AeriCTBHepeKnaMbI ânKOrOnA Ha KynbTypHbIH H COL[ManbHblrl KnHMaT, BHAHMO,ABnAeTCA 6onee 3HaLIHTenbHbIM, LieM npAMble 3434/eKTbI, KOTOpbleMO)KiiO npOCneAHTb B 3M1-1HpHLIeCKHX HCCneJ.ZOBaHHSIX (42).Pa3pa60TaHHâA Gerbner Teopl-IA KynbTHBaLjHH JZaeT OAHy H3 OCHOB,IZnA HCCneAOBaHHA AOnrOBpeMeHHbIX 34)(l)eKTOB (34, 173). 3MnxpH-LieCKHe HCCneJZoBaHHA AeNCTBHA KynbTMBaUMH yAenAK)T rnaBHOeBHHMaxxe TeneBHj(exxio. 3TOT noAXOA He AenaeT pa3nHLIM14 Me)K,ZZyHHfpopMaIZHeIi, pa3BneLIexxeM H peKnaMoH. IIpeAnOnaraeTCR, LrroHaH6onee 3HaLiHTenbx0e B03AerICTBHe Cpe,gCTS MaCCOBOH HH(4)opMa-nHM Bbi3BaHO yCTO1i1-IHBbIM nOTOKOM CB513aHHbIX H nOBTOpAK)LLZHXCR

CHMBOnHHeCKHX 06pa3os. nOABep)KeHHOCTb AerICTBMIO CpeACTsMaCCOBOLI HH(i)OpMaLZHH KynbTHBHpyeT npeACTâBneHI3R, KOTOpble6o11ee COOTBeTCTByiOT CHMBOnHLIeCKOr[ peânbHOCTH 3THX CpeACTB,LIeM COLjHanbHOII peanbHOCTH. KynbTHBa11HR C4HTaeTC51 CKOpeeKOnneKTHBHbIM, LIeM HHAHBMAyânbHblM ABneHHeM, npOABJIRK)LLZMMCR

B OTHOCHTenbHO13 rOMOreHH3aL(HH npeJZnono)KeHH17 H npeA-CTâBneHHIi.

npOCTOe CyLLjeCTBOBaHHe peKJIaMbI ânKOrOnR B OCHOBHbIX

CpeACTSaX MaCCOBOIï HH4-1OpMa1414H H B pa3H006pa3HbIX e)KeAHeBHbIXCHTyaL(HAX npeAcTasnReT C060ri y3aKOHeHHOe «MeTa-nOCnaHHe»,BHOCRLIZee CBON BKnaA B COLZHanbHylo AOCTynHOCTb anKOrOnbHbIXHanHTKOB (33, 42). KOr,aa peKJIaMHble C0061.1.1eHHA CB513bIBa1OT BMeCTe

06pa3bi n10Aer1, npO,ayKTOB H 6naronony4H51, OHM 6epyT 3T0 143OKpyxcaloiaert KynbTypbi, npeo6pa3osblBa31 KynbTypanbHble MOAenHJZJIR CJIy)KeHMA L(enAM npOJta)KH CIIHpTHbIX HanHTKOB (50).H36HpaTenbHbIri npOlZecC yCBOeHHA H npe06pa30BaHH51 paCAIHpReT HyCHnHBaeT OJjHH KynbTypHble TeHJZeHL(HH H OCna6n51eT Apyrxe.PeIUIaMa anKOrOJIR npeJZCTaBnReT n0Tpe6neHHe aJIKOrOnA KaK

6e3011aCHOe H 6ecnp06neMH0e JZenO M yMânLlHBaeT O nOTeHL(HanbHOMpHCKe JZJIR 3JZOpOBb51 H ApyrHX HeraTMBHbIX nocneACTBHAx. 3114

84

Page 90: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

nOBTOpAiOnZHeCA 06pa3bl (bOpMHpyIOT npeJZCTaBneHHA O COIZHanbHbrX

HOpMâX H 06bI4aAX, H BHOCAT CBOM BKnaJi B coxpaHeHHe HyKperUleHHe nO3HLiHH anKOrOJIS B COBpeMeHHON KynbType.

PacnpocrpaHeHHocrb H coAepNCaHHe peKrlannbi anKoronsi

AHanH3 coAepxcaHHx OLieHxsaeT noTeHLZHanbHyio noJ.jsep-NKeHHOCTb 3pHTeneH peKnaMe anKOCOnA H nOKa3bIBaeT TeHJZeHIZHH B

O67;eMe, pa3Meri[exHH H COJiep3KaHHH TaKOIï peKnaMbI. Ha4HHâA CcepeAHxbi 1980-x rOJZOB H3ytialoTCx (B 0006eHHOCTH B CHIA)naCTOTa H conep)KaHHe peIUIaMbI ânKOrOnA B ne4aTHbIX H

3neKTpOHHbIX CpeJiCTBâX MaCCOBOii HHtOpMariHH. TOTJja KaK

60nbIIIHHCTBO paHee rlpOBeJZeHHbIX aMepHKaHCKxX HCCneJiOBaHHHnpeJICTaBnSÜIH C060Ii KpynHOMaCIIITa6Hbie aHa11HI3bI, HanpaBneHHbIMH

Ha cpopMHposaxxe o6uiero B3rnAJia Ha peicnaMy anKOrOnSI B

cpeJZCTBax MaCCOBOF4 HH(bopMauliHr, TO 6onee He,uasHHeHCCneJiosaHHA 6onee KOHKpeTHbi no xapaKTepy. B 4HcneHCCneJiyeMblX 06naCTeti 6binH: peKJlaMa ânKOrOnbHbIX HanHTKOB BCIIOpTHBHbIX TenenpOrpaMMax (45), B ra3eTaX KonneJpKeii (161) H BxceHCKHX )KypHanaX (174). AHanH3 coJiepxcaHHSi 6bin HeJjaBHO

npoBeJieH H B ,gpyrHrx cTpaHax: ABCTpanHH (175), KaxaJie (176),BenHKo6pHrraHHH (46) H I'IcnaHHH (Torres Hernandez M., et al.,neOny6nuKO8annble àanxble, 1994). Ka4eCTBeHHble HccneAOBaHHSIHCIIOnb3yeMbIX B TeneBH3HOHHOIi peKnaMe nHBa TeM H O6pa30B 6binH

BbInOJIHeHbI B OHHJIAHJiHH (177) H CHIA (178).

B TeneBH3HOHHOIi CeTH CLLIA peKnaMa anxoronSr cOCpeJiO-T04eHa, rnaBHbIM O6pa3OM, B CIIOpTHBHbIX nporpaMMâX. ,11aHHbreHatiana 1990-x rojioB nOKa3bIBaIOT, 4T0 TorJZa KaK B ny4rneenporpaMMHOe BpeMH 1,5% KOMMep4eCKHX Coo6uieHHr-i 6b1nH o6anKOrOne, B CIIOpTHBHbIX nporpaMMaX peKnaMa anKOronA COCTaBnSieT

7% Bceii peKnaMbl (36). B JisyxrOJiHIYHOM H3y4eHHH ce-rH

CrIOpTHBHbIX npOrpaMM nOKa3aH0, HTO TpH 4eTBepTH peKnaMHbIXpOnHKOB HanHTKOB 6binH 06 anKOrone, game BCerO O ruffle (45).bbinO 3aMe4eHo, iiTO, TaK KaK HaH60nee MHOI'O nbIOIIiHe CJIOHHaCeneHHSI COCTaBnAiOT HenpOnOpIiHOHanbHO 601IbIIIy10 4aCTb cpeJiH

TeX, KTO CMOTpHT CnopTHBHbie nepeJia4H, HeyAHiBHTenbHO, 4T0 o6seManKOrOnbHOFi peKnaMbi B CIIOpTHBHbIX nporpaMMaX HenponOpl,iHOHa-neH (35). C JipyrOH CTOpOHbI, TaKwe 6bin0 06Hapy)KeHO, 4TO JieTHnOJjBepraioTCA JieiiCTBHIO peKJIflMbI nHBa TeneBHJZeHHA CILIA BOCHOBHOM B xOJie CII0pTHBHbIX nporpaMM H JipyrHix nepeJia4

85

Page 91: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BbIXOAHOro nHA (157). ECM,' >Ke rlpiiHATb BO BHHMaHHe KOCBeHHyiO

pexnaMy, TO OKa3bIBaTeC2, ilTO pacnpOCTpaHeHHOCTb peKJlaMbt

anxoronA B CIIOpTNBHbIX nporpaMMax CILIA naMCe ewe 6onee3HaiiHTenbHa (45). Torna KaK iiacTOTa nOKa3a KOMMepiieCKHXpOnHKOB 06 aJIKOrOnbHbIX HanHTKaX COCTBBJISIeT 1,5 B ilaC, TOKOCBeHHaA peKnaMa, Hanpi-iMep, BHAHMble HannHCH B McCTaX

npOBeneHHA COpeBHOBaHHN HnH 06bABJIeHHA O CnOHCOpCTBe

BCTpeiialOTCA 3,3 pa3a B ilac.

B cepenxxe 1980-x ronos B KaHa.ge, ABCTpanxH H

BenHKo6pwraHHH HccneAOBanacb pacnpocTpaxeHHOCTb pexnaMblânKOrOnA B TeneBH3HOHHbIX npOrpaMMaX. O6Hapy>KeHo, iITO B CeTHKaHaJJ(CKOCo TeneBHAeHHA B TeYeHHe B351TOrO ,gByXHe,genbHOrO

nepxona pexnaMa anxoronA 6bina He3HaiiHTenbHOFi (176). BBenHKO6pHTaHHH peKnaMa BIiHa H nHSa cocTaswla 12% BcexKOMMepileCKHX ponHKOB B Bb160pKe nporpaMM 3a AeCATHHeAenbHblÎ-inepHOn. AJIKOronbHble ponHKH iiauje 6bIJIH nJIHHHee, ileM ApyrHeponHKH, H nOKâ3bIBânHCb nepBblMH B peKnaMHbIX nay3ax. PeKnaMaa riKOronA TiaLlIe Bcero nOKa3blBânaCb yTpOM H B CIIOpTIiBHbIX

npOrpaMMaX. OHa ycHnnnacb nepeA PO>iCneCTBOM, oco6eHHo BnByXHenenbHblN nepHon nepen po>KAeCTBeHCKHMH npa3AHHKaMH,Koma 23% KOMMepileCKHX pOJIIiKOB 6bInH 06 anKOrone. bbin03aMeileHO, iiTO B PO>KAeCTBeHCKHii nepHon nponaranna anKOronATaKXCe 3aMeTHO yCHnHnacb B >KypH81IaX H ra3eTaX BenHKO6pHTaHHH(160).

17posenexxoe B ABCTpaIIHH B cepenHHe 1980-x rOZOB

HCCneAOBaHHe BbIABHJIO, 4TO B perHOHanbHblX TenenporpaMMaxHan6onee peKJIaMHpyeMblMH anKOrOnbHbIMH HanHTKaMH 6bInH nHBOH BHCKH (175). PeKnaMa anKOrOnA ilaule BCerO BCTpei-Ianacb BCneLjHanbHblX, CIIOpTHBHbIX H ApaMaTHilecKHx npOrpaMMaX. 1-1HBonpeo6nanano B CHOpTHBHbIX nporpaMMax. ToAHiIHoe H3yHeHHeaBcTpanHMCKHx ra3eT H >KypHanoB, nposeneHHoe B CepenHHe 1980-x,nOKa3anO, iiTO H3AaHHA nJIA pa3nH4HbIX iIHTaTeneH 06b1iIHO conep>KaTpeKnaMy pâ3HbIX THnOB HaHHTKOB (175). HaH6onee ilaCTO pexnaMaanxoronA BcTpeYanaCb B AOpOrHX >KypHanaX nnA My>K9HH.

E>KenHeBHble ra3eTbl H My>KCKHe >ICypHanbl 06bliiHo conepxcanHpeKnaMy nHBa. PeKnaMa BHHa i-ialIje Bcero BCTpeilanaCb B >KypHanaX,paCCiiHTaHHbIx KaK Ha My>KiIHH, TaK H Ha >KeHUAHH, H npaKTHiieCKHOTCyTCTBOSana B 6ynbsapHoli npecce. PeKnaMa 6enoro BHHa HKpenKHx HanHTKOS KoHi[eHTpI-iposanacb B >KypHanaX nJIA >KeHU.jHH.

86

Page 92: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

AHani33 peKnaMbl âJIKOronA B OAHOM H3 ]KypHaJiOB,

paCC4HTaHHOM Ha MOJIOAbIX KeHILIHH CHIA, nOKa3an, LITO anKOrOnb

66In BTOpOIi no BenHLnHHe peKJIaMHOFI KâTeropHeFl, CneAOM 3a nHueliH OAexfAOH (174). CpaBHeHHe CneuHanbHbIX BbInyCKOB O 3ROpOBbe HCnyLIaHHOIi nOA60pKH o6blLiHbIX BbuTyCKOB nOKa3ano, LITO peKnaMaanKOroJISI 3aHHMaeT Ha 21% 60nbu1e McCTa B BbInyCKaX O 3AOpOBbe,4eM B 06bILIH6IX.

Eue OAHO BbInOJIHeHHOe B CU.IA HCCneAOBaHHe CpaBHi3n0peKnaMy ânKOrOnA B AByx penpe3eHTaTi3BHbIX B HaI.(HOHanbHOMMacAITa6e nOA6opKax ra3eT KOnneAxCeli, oAHa H3 KOTOpbIx

oxsaTblBana Koxeu 1970-x H 6onee paxxxe roAbl, a ApyraA -cepeAxHy 1980-x H 6onee no3AHHe roi (161). 1104Tx BCA pexnaMaHanxTKOB 6bina nocsAluexa nHBy. Bo BTOpON noA6opxe, peKnaMaanxoronA Hanle BcTpeLlanacb B ra3eTaX, ny6nHKyeMblx B KaMnycax c6onee BbICOKOIi Aoneli CTyAeHTOK. C Koxua 1970-x roAoB AonA06ueHauHOHanbHOii peKnaMbl anKOrOnbHbIX HanHTKOB CHH3H11aCb, aAOnsi MeCTHOIi peKnaMbI 6apos H TaBepH, IIaCTO coAepxcauaAcneuHanbHble npepüloxceHHA H nponaraHAy "CLIaCTnHBbIX LIaCOB",B03pOCna. Bo3pOCna TaKxce H KOCBeHHaA peKnaMa anKOronA, TaKâAKaK CIIOHCOpHpOB1HHe nHBHOH HHAyCTpHeii CI1opTHBHbIX CTpaHHIIeK

HüIH OI1HCaHHe CnOHCOpHpyeMblX MepOnpHATHM B KaMIIyCe.

AHanH3bI cozepxcaHHA peKnaMbI anKOronA, BbIIIOJIHeHHble BKOHue 1970-x - Hallane 1980-x roAoB noxa3anH, LITO 11pH3bIBbI 6bI11HrnaBHbIM o6pa3oM OCHOBaHbI Ha xcenaeMblX ucHHOCTAX, TaKHX KaK60raTCTBO, npeCTH)K H ycnex. HeAaBHHe HCCneAOBaHHA OTMeTI-U114 TO

xce caMOe (Torres Hernandez M, et al., xeony6nuxoeaxxble daxnste,1994), HO nOKa3anH, LITO pacnpOCTpaHeHHOCTb CB513aHHO11 CO CTHJIeM

)K143HH peKnaMbl, a TaKxce HCnonb3yeMblx B peKnaMe TeM, oTnHLIaeTCAB pa3HbIX KaHanaX HHcl)opMauHH H AnA pâ3nHLIHbIX THI10B HanHTKOB.

B BbllIIeynOMAHÿTOM xcypHane AnA xceHI1ZHH HaH6onee LIaCTbIIiBHA peKnaM6I 6buI OpHeHTHpOBaH Ha npOAyKT, a 3a HHM CneAOBanIipeKnaMHble COO6ueHHA nOALIepKHBaIOuHe CeKC H pOMaHTHKy (174).PeK.naMa, nOCTpOCHHaA Ha TeMe 3AOpOB6A, LIaCTO BcTpeLlanacb BCneuHanbHbIX BbIITyCKâX O 3AOpOBbe. XypHan TaKxce LlacTO COAepxcan

peKnaMy, 6pocalou.tylo BbI3OB TpaAHuxOHHbIM pOnAM My3K11HH Id

xceHuHH, HanpHMep, H3O6paxcaA >KeHuHH B 6eNC6on6HbIX KOCTIOMaXHnH B OAexcAe xcOKees. 143 peKnaMHbIX pOnHKOB O nHBe,

nOKa3blsaeMbIX B CnOpTHBHbiX nporpaMMaX TeneBHAeHHA CHIA,

87

Page 93: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

TOJIbKO 10% OpHeHTHpOBaHbI Ha npogyKrr. I-IaCTb 133 3THX pOJIHKOBCB513bIBâJIO âJIKOI"OJIb C cHTyauHAMx H neATeJIbHOCTbIO, B KOTOpbIX

BbInHBKa OnaCHa: 16% conepxcaJlx x3o6paxceHHe aBTOM06Mneli YUIHHHbIX CpenCTB nepenBHxceHHA, a 26% nOKâ3b1BâJlH BOnHble BHgbICnOpTa HJIH CueHbl C JliOnbMH B JIOJmaX HRH OKOJI0 BOgbI (45). g.TIA

peKJIaMbI IIHBa XapaKTepHbI TeMbI My]KeCTBeHHOCTH H BbI30Ba (178).CeMHOTHLieCKxii aHâJIH3 nByX (fHHCKHX TeJIepOJIHKOB O nHBe, 51K0611I

pexnaMHpyIOIIwX HH3KOrpanyCHOe LIMBO, B6IABHJI, TITO XOTA

Hpe3MepHble BbI1IHBKH He 6bIJIH nOKa3aHbl, onbAHeHHe MCpaJIOI>;eHTpaJIbHyIO pOJIb B CIO>KeTâX (177). rlbAHeA, nbIOmHe nHBOCTaHOBHJIMCb HaCTOAIIjHMH MrKT-mHaMH, C110006HbIM11 g06HTbC51

CaMOyBaxKeHHA, CB060,11bI H He3aBHCHMOCTH.

IZpHMeHHMOCTb aHâJIH30B CO,i[epKaHHA K HCCJIegOBäHHSIM

30(1)eKTOB peKJIaMbI HHOCna CTaBHJIOCb non BonpOC. BbICKa3bIBâ1I0Cb

MHeHMe, LITO OnpeneJIeHHb1e xCCJIenOBaTeJIAMH TeMbI H 3Ha4eHH51,MolyT He COBna,ZjaTb C HX HHTepnpeTauHeli ny61IHK04i, He 1'OBOpA yxceO TOTIKe 3peHHA np0(beCCHOHa.JIOB peKJIaMbI 110 110B0gy CBOeHnponyKljxH (35). OnHaKO, HenaBHHe HCCJIenOBaHHA, H3yTiaBUIHe

06itjeCTBeHHoe BOCIIPHATHe peKJIaMbI aJIKOf OJiA, nO3BOJiAiOT

npe,IjnOJIO>KHTb, TITO B31-II2nbI ny6JIHKH HeHaMHOCO OTJIMTIaIOTCA OT

B31'JI51JjOB HCCJIenOBaTeJIeH.

OF)Lu{@CTB@HHO@ BOCI7pNATN@

C KOHua 1980-x COnOB npOBOgMJIHCb HCCJIenOBaHHA BOCnpHATxA

3pHTeJIAMH peKJIaMbI aJIKOCOJIA. MHeHHe neTeH H nonpoCTKOB OTeJIeBH3HOHHbIX peKJIaMHbIX pOJIHKaX H3yTIâJioC6 B CILIA (29, 144,166, 181), Kaxage (165, 179), HoBOH 3enaxnHH (162), LLIoTnaHnxH(163, 164) H 143paxne (180). BocnpHATHe B3pOCJ16IMH nOJiyTiHJ10MeHbnIe BHHMaHHA (165, 182), XOTA prig HenaBHHx HCCJIenOBaHHHCbOKyCHpOBâJICA Ha nbAHxuaX (183, 184). B 605I611IHHCTBe pa6oTHCIIOJIb30BâJIHCb KaTIeCTBeHHble MeTOnbl c6opa gaHHbIX, TaKHe KaKBOnpOCbl C OTKpbITbiM oKOHTIaHHeM, CPynnOBOe 06Cy3ICneHHe HRHHHnHBHgyaJIbHbie HHTepBbIO, B KOTOpbIX yTIaCTHHKaM naBâJIacbBO3MONCHOCTb HC1I01Ib3OBaTb HX CO6CTBeHHble CJiOBa H 1336HpaTbC06cTBeHHble npMOpMTeTbI.

PeKJIaMa aJ1KOCOJI2 macro CTIHTaeTCA peKJIaMON B JIyTIIIIeM spute, B

OCO6eHHOCTH TeJIeBH3HOHHble pOJIHKH o6 âJIKOCOJibHbIX HanHTKaX06bITIHO ABJIAIOTCA CTHJIbHbIMH H pa3BJIeKaTeJIbH61MH. 1103TOMy

88

Page 94: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Heyt(HBHTenbHO, LiTO JZeTH o6pauxaloT Ha HHX BHHMaHHe, MOryTHa3BaTb aJIKOrOnbHble pOnHKH B Llxcne CBOHX nI06HMbIX H 6bITb6o1Iee 3HaKOMbI C HHMH, LIeM C pOnHKaMH o6 6e3a1IKOr0111,HbIXHarIHTKaX (163, 164). bblJlo o6HapyAexo, tiro J1eTSiM L1IOTnaI-I,TZHH(164), KaJIHti)opxHH (166) H KaxaJjbl (179) HpasxTCSI ponHKH o6anxorone 113-3a Taxxx xapaKTepHCTHx, KaK XOpOmaS( My3bIKa, SIpKHeqBeTa, AeHCTBHe, CT1I1Ib H iOMOp. B HCCnejjOBaHHH rlpOBeAeHHOM c

rpynnoH CTygeHTOB BbICLIIeFI IIIKOnbi B CHIA, cpe,gH HaH6oneenoxpaBHBIIIHxcSI XapaxTepxcTHx 6bInH rlplisnexaTenbxble nIOAH H TO,Lrro ponHKH 11306pa)ICanH BbiIIHBKy Kax pa3Bne4eHHe (144).

B npOBegeHHOM B I-IbIO-l'IOPKe KpynHOMaCIIITa6HOM HCCJIe,1jOBa-

HHH C nOLITH 2800 JjeTbMH Bo3paCTa 11-12 neT, 6bIJI0 06Hapy)KeHO,LITO 85% H3 HHX CMOrnH BCIIOMHHTb peKnaMHble coo6weHHS o6anKOrone (181). 143 TeX, KTO BCIIOMHHn peKnaMy, 6onee 90% CMOrnHee OnHCaTb. bOnee 60% TaKXCe BCIIOMHHJIH COPT, o6bI4HO COPT raffia.

K HaH6onee LIaCTO 3aMeLlaeMblM JxeTbMH LlepTaM coAepxcaHHSI

OTHOCHnHCb aKTbI BbInHBKH KâK TaKOBble: 38% OIIHCbIBânH nio4el3 BpeKnaMHbrX pOnHKâX nbiOLl(HMH, HarIHTKH H npOCSiLIZHMH

BbInHBKy. HaH6onee LIaCTO Hâ3bIBaeMbIMH THnaMH niOgeH 6buIHcnOpTCMeHbI, 3HaMeHHTOCTH, MOJjenH, aKTepbl H 6oraTble niOIZH. Te,

KTO HCnOnb3oBan nJISI OnHCaHHSi nioJ[eH O,gHO npHnaraTenbxoe,06bI4Ho XapaxTepH30BanH HX xax "60raTbien. XOTA B 3THX niOIZAX BOCHOBHOM BHAenH MOJIOabIX B3pOCnbIX, He6onbuloe MCHbLIIHHCTBO

OnHCbIBaJIO HX KaK nOjZpOCTKOB HAI{ JjeTeû.

1-1pOBeneHHOe C neTbMH 10-17 neT H3 Fna3ro HCcne,nOBaHHenOKa3an0, LrrO nbIOLIZHe 06bILIHO CHnbHee OCO3HaiOT H O,a06p5IIOTpeKnaMy anKOCOJIA, LIeM HenbIOLL[He, H nyiluie OnpeAennK)T copra HaKapTHHKaX, rJje HMeHa COpTOB H3bSITbI (164). Bbi110 06Hapy)KeHO, tiro60nblliee 00O3HaHHe H OA06peHHe peKnaMbl anKOrOnSI nbIOLL;HMH He3aBHCeno OT Bo3paCTa, nOTpe6neHHSI ânKOrOnSr B rpynne CBepCTHHKOs

H OLL[yLi[aeMOrO OTHOLIIeHHSI pO.gHTeneli K BbIHHBKaM B fOHOM

BO3paCTe.

r1p0Be,LjeHHOe C LLIOTnaHJICKMMH J.jeTbMH HCCneJ;OsaHHe noKa3a-

n0, LrrO, n0 Mepe TOrO, KaK geTH paCTyT, OHM Bce 6onee OCO3HaIOTCMbICn peKnaMbi anKOrOnSI M CTaHOBSITCH Bce 6onee CBejjyu.[HMM BaHanH3e COJjep)KaHHSi peKnaMHbLX pOnHKOB (163, 164). Tora KaK6onee IOHbie zeTH o6bI4HO COCpeAOTa4MBafoTC51 Ha TOM, LITO

noxa3blsaeTCSi B peKJIaMe, jjeTH 14 neT H cTapLlie gaioT 6onee

89

Page 95: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

KoMIUlexcxoe OnHCâHHe: peKJIaMHble pORHKH o raise paccMaTpH-BaIOTCA KaK nponaraH,l]:HpyloLuHe My)KeCTBeHHOCTb, KOMMyHHKa-6enbHOCTb H LjeHHOCTH pa6oTlero K.rlacca, a ponHKH o BepMyre H110J1O6HbIX HanHTKaX, KaK H306pa)KaIOLi(He O6LI.1HTenbHOCTb, CTlinb H

npHBneKaTenbHOCTb.

BocnpHATHe H OneHKa peKJIaMbI anKOronA, KaK 6bIR0 06Ha-py)icexo, OTnHzIaeTCA y jjeTeI%I H nOj(pocTKOB pa3Hbtx nOROB (165,

180), a TaK)Ke pa3nHITHOro KynbTypxoro npoHCxoxcAeHHA. IIposeueH-Hoe B H3paHne HceneAosaHHe C no,apoCTKaMH Bo3pacTa 15-18 neT,nOKa3ano, TITO 1103HTHBHâ51 OLZeHKa peKnaMbl anKOronâ B ra3eTaX HxrypHanaX 6onee npesanHposana cpeAH espees H XpHCTHaH, TIeMcpeAH Rpy3OB H MyCynbMaH (180). B 3TOIi pa6oTe TaK)Ice H3yTIânocbBOCnpHSITHe 11OJE1pOCTKaMH 1-13paainbCKOH peKnaMbl H peKnaMbl H3

JjeBATH ,ixpyrHX cTpaH. XOTA H3paHJIbCKâ2 peKJlatila BOCnpHHHManacb

6onee 11O3HTHBHO, TIeM HHOCTpaHHaA, nOCnegHAA HanlepaccMaTpHSanacb, KaK H3o6pa)ICalouzaA 6oraTCTSO H ycnex.

B HOBOI%I 3enaHJ>(HH H3yTiaROCb BOCnpHATHe ueTbMH KOCBeHHOFi

peKnaMbI nHBa (162). Bo BpeMexa HCCneJ.1OSaHHA Ha TeneBH,geHHHHOBOM 3enaIIAHH pa3peLUanocb TOnbKO CnOHCOpCTBO H peKnaMaKOpnOpaTHBHOrO o6pa3a aJiKOTOnbHbIX KaMnaHH4I. KOpnOpaTHBHâApeKJlaMa, nOKa3bIBaIOIuaA 6oTIKH C nHBOM B 43yproxe, BOCIIpHHH-Manacb ,Et eTbMH 9-14 neT KaK nporaraxuHpyloluaA nHSO H

noolupAlOLuax BbinxBxy. PexnaMa Tlepe3 cnoxcopHposaHHe cnopTa,H3o6pa)ICaloLuaA KoMalluy ro per6H, pexce BocnpHHHManacb KaKnponarallgHpyloLuaA nHBO H 6ORbuie accoLjHHposanacb C Mapxoli,'rem C nHBOM, KaK THnoM HanHrrxa. Tora KaK pexnaMa rum, KaKBHAHO, nerKO y3Hasanacb KaK TaxosaA, peKnaMa jjpyrHx HanHTKOBMOrna Co3j1asaTb HeBepxoe BOCnpHATHe. Bbinonxexxoe B C1.1.1AHceneuoBaHHe c noupoCTKaMH 11-19 ne-r o6HapyxcHno, TITo peKRaMaRHKepOS B )KÿpxanaX TlaIue cTIHTanacb peKJlaMol-i nHLuH HRH6e3anK000nbHbIX HanHTKOB (31).

BbInOnHeHHOe B KaHa,lZe HCCneAOBaHHe CpaBHHno OueHKHJjeTbMH (12-16 neT) H HX poJjaiTenAMH peKJlaMbl aJIKOronA B

xcypHanaX, KOTOpaSi 6bIna OpHeHTHpOSaHa Ha o6pa3 HnH )Ke HanpouyKT (165). O6eHM rpynnaM 6onbuie HpaBHnacb peKnaMa,opHeHTHposaxxaA Ha o6pa3, oxa cTIHTanacb 6onee y6e.gHTenbHoH. BaBCTpaRH1iCKOM HCCnegOBaHHH CpaBHHBanOCb BOCnpHATHe MOROAbI-

MH nlOj;bMH TeneBH3HOHHOii peKnaMbl aRKOrOnbHbIX H 6e3anKOrOnb-

90

Page 96: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HbIX HanHTKOB (182). PexnaMHbte C006nleHHA o nHBe, BHHe HKpenKxX HanHTKâX BOCnpHHHMâJIHCb, KaK HCIIOnb3y101uHe TaKHeTeMbI KaK ZIpy-A6a H OTAbIX, TOrjja KaK cO06iIIeHxA 0npOXna,LIHTeJIbHbIX HanHTKâX H MHHepaJIbHOii BOAe BOCnpHHHManHCb,

Kai( rOBOpALijHe o BKyCe HanHTKa.

gaHHb1e O BOCnpHATHH 3pHTenAMH peKnaMbl ânKOrOJIA

nOATBep)IC,IAaIOT 061IIH1 B3rJUI,q Ha 3Ty peKJlnaMy, BbIpa60TaBIIIHHCA

npx aHanx3e cozjep]KaHHA: peKJIaMHb1e C006LueHHA o6 anKOrOneO6bI*-IHO CTixTaIOTCA npxBJleKaTeJIbHbIMH H nponaraHJlHpyK)üjxMHBbinxBKH H CKOpee rOBOpAT O CB5I3aHHbIX c npoAyKTaMx yzjOBOJIb-CTBHAX H CTHJIe )KH3HH, 4eM O KaLIeCTBaX npOAyKTa. CTeIIeHbOCO3HaHH5I H nOJIO)KHTenbHOro nOHHMaHHA anKOrOJIbHOIi peKnaMblMO)KeT BapbHpOBaTb B 3aBHCHMOCTx OT Bo3pacTa, nana, KyJIbTypHOrOnpOHCXO)iCAeHHSi HRH 3HaKOMCTBa C äJIKOCOJIeM. Pâ3JIxTIHble THnbi

peKnaMbi MOryT BbI3bIB1Tb pa3JIxT3HOe HCTOJIKOBaHHe. Tora KaKHeKOTOpble peKnaMHbie 0006LL[eHHA nerKo y3HaIOTCA, KaK

np0naraHAHpyIoLUHe anKOCOJIb, pyre MOI'yT 6bITb BOCnpHHATbIHeBepHO. C TOTiKH 3peHxA nOTeHUHaJIbHbIX 343,143,eKTOB aJIKOCOJIbHOFi

peKnaMbl, 00O3HaHHe, oj.Ao6peHHe H xCTOnKOBaHHe, OTieBx,II,HO,

ABJIAIOTCA Bâ)KIibIMH nOCpeAHHKâMH Me)iC,L(y 11OCJ1aHHAMx H xXHHAHBHAyaJIbHbIM BOCnpHSiTHeM.

3KCnePI+1MeHTaJlbHble 11CCrlegOBaHb1S1

B 3KCnepHMeHTâJIbHbIX HCCneAOBaHHAX, COCpeAOTO4eHHbIX Ha

KpaTKOBpeMeHHbIX HHAHBH,IÿyaJlbHbIX 34)4)eKTaX npoCMOTpa peKnaMbI

aJIKOCOnA ynenAJIOCb MaJIO BHHMaHHA OnOCpeAyi011lxM npoueccaMOCO3HâHH31, oAo6peHHA H HCTOnKOBâHHA. T1pyrHMH Bâ)iCHbIMx

OlpaHxTieHHAMH 3KCnepHMeHTâJIbHbIX HCCJIeAOBaHxH ABJIAeTCA

KpaTKOCTb npOCMOTpa JIIOAbMx peKnaMHbIX CO06LL[eHHI%I H

HCKyCCTBeHHOCTb 06CTaHOBKH.

HOBTOpeHHe ABJIAeTCA KniOTieBbIM npHHUHHOM KaK 3C134/eKTHB-

HOIi peKJIaMbI, TaK H AeIiCTBeHHOCO aHTHâJIKOCOJIbHOCO o6pa3OBaHHA:

eAHHHTiHbIid npOCMOTp BpAA JIH OKaxceT 3aMeTHbIFi 3ItiIkeKT HaCy)ICJAeHHA H nOBeAeHHe. HeyAHBHTeJIbHO, 4TO OAHOMOMeHTHble3KCnepHMeHTbI, B KOTOpbIX Cy6beKTaM nOKâ3blBanx Ha6oppeKnaMHbIX C0O6LueHHIï o6 aJIKOrOJIe, AanH CKyAHble pe3yJIbTaTbl. BHCCneAOBaHHH, BbIIIOJIHeHHOM CpeAH yLIeHHKOB 5-7 KnaCCOB CLIIA,KOTOpbie 51KO6bI npHHHMaJIH yTiaCTHe B TeCTaX Ha naMATb, OHH

91

Page 97: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

npocMaTpHBanx Ha6op H3 40 3anHCaHHbIX Ha BHAeOMarHHTO(l)OHTeneBH3HOHHbIX poJIHKOB, n1160 nATb pOnHKOB O

6e3anKOronbHblX HaIIHTKaX H nSITb pOJIHKOB O nHBe, nH6o IISITbpOnHKOB O nHBe H Ba aHTHaJIKOrOnbHbIX Ci0)KeTa (185). i7pOCMOTp

pâ3HbIX pOnHKOB He BbI3BâJI HHKaKOI'o pa3nMgxSI B MHeHHSIX AeTeli 06

anKOrone.

bOnbIIIHHCTBO 3KCnepHMeHTOB 6bIJI0 cOCpeAOTOgeHO HaB03Z[eiiCTBHH peKnaMbl Ha nHTeFiHOe noBe,geHHe B3pOCnbIX. McHbxleBHHMaHHe yAenSLIIOCb OnpeAeneHHiO MeXaH43MOB, KOTOpble MOTne)KaTb B OCHOBe B3aHMOOTHOLIleHHIi CTHMyn - peaKwHSI. BO3M0)iC-

HOCTb MHMOneTHbIX CTHMynHpyK)II.mX 3(1(teKTOB O6Cy)KAanOCb Atkin

(33). Tene131,13HOHHble pOJIHKH o6 anlCorone MOryT nOATOJIKHyTbnpeApacnon0)KeHHbIX niOAeF1 BbInHTb HJIH, ecnH OHH y)Ke nbK)T,BbrnHTb 6onbrIIe, gem OHM HaMepeBanHcb. PeKnaMa anKOronSl MO)KeTAeiiCTBOBaTb KaK CIIyCKOBOri KpIOHOK, KOTOpbIIi yKpenJISIeT B

CO3HaHHH Bb16Op B nOnb3y BbInHBKH, HanOMHHaSr 06 OLL(yTHMbIXBblrOnaX BbIHMBKH Will )Ke KaK ycHJIHBaIOLLjHIi HnH pacTopMa)KI-rsa-IOLqHIi (lIaKTop. B nro6oM cJly=rae 3(p(peKT OCHOB3H Ha npenbinyII),HXOTHOxIeHHSIX H nOBeneHMH.

B HenaBHHX 3KCnepHMeHTaX, H3ygaBLIIHX nOBeneHMe nbIOLLEHX,

nonbITanHCb cHMynxposaTb yCJIOBHSI, B KOTOpbIX nIOAH HMenHBO3M0)KiiOCTb BbInHTb H MOrnH yBHAeTb peKnaMy anKOronSl.ABCTpanxriCKHX CTyneHTOB BO3paCTa 18-20 neT 3aCTaBHJIH nOBepHTb,tITO OHH yilaCTByrOT B HCCneAOBaHHH TeneBH3HOHHbIX nporpaMM(186). CTyAeHTaM nOKâ3aJIH 90 MHHyT 3anHCaHHbIX Ha BHneonporpaMM, H,i1ZyLL(HX B JlyHUree BpeMSI, KOTOpble conepxcanH LLIeCTb,ABeHaALjaTb HnH HOnb peKJlaMHbIX Coo6lueHHFt o6 anKOrone (nase,BHHe HnH KpenKHX HanHTKaX). bbInH npennOXCeHbI nHBO,

npoXnanHTeJIbHb1e HanHTKH H nerKaSl 3aKycKa, SIK06br WM Toro,LiT06bI cAenaTb TeneBH3MOHIIyIO CHTyauHlo eCTeCTBeHHOri.

ripOCMOTpbI npOBOA1311xCb BO BpeMSI, KOrna CTyneHTbl KonneAxCeri,KaK nonaraioT, iIaLIZe Bcero ynoTpe6nslloT anxoronb. O6Hapyxcexo,LITO CTyAeIiTbl, BHAeBLHHe LHeCTb pOJIMKOB 06 anKorone, BbIHHnH6OnbLHe nHBa, geM Te, KTO He BHnen pelCnaMbl anKOrOnSI. t10Ka3ABexaALjaTH ponHKOB, He yBenHLrHn, oAHaxO, noTpe6neHHe anKOTOnSI.iZpeAnonaranOCb, qTO 3T0 n1360 CBSI3axO C 3C1)(1)eKTOM nnaTO, HnH )Ke

cTyAeHTbI orpaHHLrHBana csoe noTpe6neHHe anKOrOnSI ARA TOED,1-ITO6bI cOXpaHHTb CIIOCO6HOCTb OL[eHHTb TenenpOrpaMMbl.

92

Page 98: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Hccnej-1osaTenH Tax]Ke H3yLIanH - CB5I3axO JIM KOnHYeCTBO B6I11H-

Toro cTygeHTaMH nHBa c Hx HaMepeHHeM BecTH MaLIIHHy. HHKaxoiiB3aHMOCBA3H He HaHneHO. OLIeBHAHO, BO3MO3KHOCTb OnpereneHHACyLLleCTBeHHbIX 3I14eKTOB 6bina OrpaHHLieHa npHroTOBneHHAMH:3KCnepHMeHT npOXoAHn B KOJLIlen>Ke, rAe CTyneHTbl >KHByT, TaM,OTKyra OHH MornH A06paTbCA Aomori neinKOM. HCCnejjOBaTenH TaK>KeOTMeTHJIH, WO y CTyreHTOB 6bIJI OrpaHHLIeHHblli AOCTyn K MaLIIHHaM

H OHH 06bHLIH0 6bIJIH npOTHBHHKaMH BO>KAeHHA B HeTpe3BOM

COCTOAHHH.

B pure HeAaBHHX HCCnejjOBaHHIi H3yLIanaCb peaKLjliA nbAHHLj HapexnaMy BJIKOrOnA. B npOBeneHHOM B KaHare 3KCnepHMeHTanbHOMHCCneroBaHHH H3yLIâ110Cb B03reI3CTBHe peKnaMHbIX C0o6LneHHii o6aJlKorone H H306pa>KeHHA âJIKOrOnSi B Conep>KaHHH TenenpOrpaMM Ha3noynOTpe6nui0IIjHX anKOrOneM my>KT-IHH, Ha6paHHbIX H3 OTAeneHHHAeTOKCHKa1.1HH H aM6ynaTOpHOH KnHHHKH (187). HHTepeC K 3TOiirpynne OCHOBbIBanCA Ha pe3ynbTaTaX npenblAyLI.iHX HCCneAOBaHHid,nOKa3aBIUHx, LITO Te, KTO 3noynoTpe6nAeT aJlKOroneM, B

npOTHB01IOJI0>icILOCTb TeM, KTO nbeT yMepeHHO, 60nee LIyBCTBHTenbHbI

K BHeIIIHHM, LIeM K BHyTpeHHHM anKOrOnbHbIM CTHMynaM. MHHMOH

L(enbi0 HCCnenoBâHHA 6bIJI0 oljeHKa HrpOBbIX TenenporpaMM,nOKa3aHHOii yLiaCTHHxaM 3KCnepHMeHTa nH60 C "HOpMaJIbHbIMH",nH60 C BbIpe3aHHbIMH nHTeFiHbIMH CIreHaMH H BKJIIOLIaBIIIHM pexJlaMy

nHBa, npOXJIarHTenbHbIX HanHTKOB HnH nHLIreBbIX npOryKTOB. TaxKaK He CLIHTanOCb 3THLIeCKIi onpaBnaHHbIM OL(eHHBaTb 34(l-reKTb1 no

peaJlbHbIM BbInHBKaM, B pa6oTe H3yLIanaCb rOTOBHOCTb yLiaCTHHKOBnpOTHBOCTOATb >KenaHHIO BbinHTb B THnHLIHbIX CHTyaIrHAX peLjHAHBa,

KOTOpaA H3MepunaCb C noMOLLjbiO BOnpOCHHKa 3anOJIHAeMOCO no HnOcne npOCMOTpa BHreoKacCeTbl.

bbin0 o6Hapyxcexo, LITO 111OrH C 6onee TA>Kenoli nHTeHHoilHCTOpHeH 661nH 3HaLIHTenbH0 MeHbLne yBepeHbl B CBOe1i CIIOCO6HOCTH

COnpOTHBnATbCA >KenaHHIO BbInHTb nocne npocMOTpa nporpaMMbi CnHTeIïHbIMH CneHaMH. YLIdCTHHKH, CMOTpeBLiIHe npOrpaMMbi C

nHTeiiHblMH CL[eHaMH H pexnaMoi3 nHBa, HMenH 60nbIIIyiOyBepeHHOCTb, =rem Te, KTO CMOTpen npOrpaMMbI TOnbKO C nHTeKHbIMH

CueHaMH. He 6b1n0 06Hapy>KeHO 3c1(1)eKTa OT npOrpaMM, me 6bUIaTOnbKO pexnaMa nHBa. Pe3ynbTaTbI HCTOJIKOBbIBanHCb B

COOTBeTCTBHH C TeOpHelï n03HaBaTenbHOFI peafowl. 3Ta TeopHAnpennonaraeT, LITO, CTanKHBâSICb C y6e>K,IraIOLi(HMH nOCnaHHAMH, C

KOTOpbIMH OHH He COrnaCHbl, nIOnH MOryT B CBOeM CO3HaHHH

93

Page 99: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BbIABHraTb AOBOAbI npOTHB nocnaHHSI, Aenasl TaKNM o6pa3OM ero34)43,eKT HeraTHBHbIM. DI'O 06bSICH2eT n0'IeMy peKnaMHble ponHKx OnHBe, SiBHO npeAHa3Ha'ieHHble ,iIJISi nOOLL(peHHSI BbIIIHBKH, He

nOKâ3ânH BO3AeiiCTBHSi Ha CHJIy COnpOTNBneHHSI yLiaCTHHKOB.

KOHTpAOBOAbI, BbI3BaHHble peKJIaMOH nHBa, BO3MOM(HO, CBenH Ha HeT

343CpeKTbl H306pa)ICeHHSI BbIIIHBOK B XOAe nporpaMM. HCCneAOBaTenH

peKOMeHAOBanN pa6oTHHKaM KJIHHHK rOTOBHTb CBOHX naLjHeHTOB00O3HaBaTb aJIKOrOnbHble HaMeKH B COAep)KaHHH TenenpOrpaMM.

BOcnpHSITHe aJIKOrOnbHOH peKnaMbI 'Ipe3MepH0 nbiOILjHMH,

HâXOASiIIIHMHCSI Ha cTaAHH JIe'IeHHSI iinH pea6NJINTaLjHH H3y'IanOCb B

AByX OCHOBaHHbIX Ha HHTepBbiO pa6OTaX. B BbIIIOJIHeHHOM BO

cDpaHl.ixH NccneAoBaHHH yCTHble OTBeTbI y'-IaCTHHKOB BapbiipoBanHOT COnpOTHBneHHSI AO yCTynOK (183). B npOBeAeHHOM B HOBOIi3enaHAHH NCCneAOBaHHN HCIIOnb30BânNCb peKJIaMHble pOJINKH,

3anHCaHHble Ha BHAeOKacCeTy (184). C+TBeTbI yYaCTHHKOB 3TOr0

HCCneAOBaHHSi HHOrAa 6bInH HeoAHO3HaHHbIMH: HeKOTOpbie pOnHKH

C'IHTanHCb npHBneKâTenbHblMH HnH XOpOLIIO CAenaHHbIMH H B TO wespew' OCKOp6HTenbHbIMH HJIH HaBSI34HBbIMH. HO'iTH Bce

HOBO3enaHACKHe y'IaCTHHKN C0061IjHnH, 'ITO Ha HeKOTOpOM 3Tane MXHbIHeLIIHeH Tpe3BOCTH, npOCMOTp peKnaMbI aJIKOrOnSI 3aTpyAHSin HM

BO3Aep)KaHHe OT BbInHBKH. Pe3ynbTaTbl 3THX HCCneAOBaHHIi, a TaK)ICeKâHâ,CACKOrO 3KCnepHMeHTa, nOKa3bIBâIOT, 'ITO npOXO)KAeHHe ne'IeHHSI

MO)KeT nOBbICHTb CIIOCO6HOCTb nbK)LLjHX COBnaAaTb C npOnHTeÎ-iHbIMH

nOCnaHHSiMH aJIKOrOnbHOki peKnaMbl.

Pe3ynbTâTbI TaK)Ke yKa3blBaiOT Ha Ba)ICHOCTb H3y'ieHHSI peaKLliIHnbSIHHIZ, KOTOpble He npOXOASiT ne'IeHHSI. bbtna BbICKâ3aHa rHIIOTe3a,'LTO B03AeiÎCTBHe anKOrOnbHOii peKJIaMbI KpHBOJIHHeHHO B

3aBHCHMOCTH OT yBne'IeHHOCTH BbIHHBKaMH (35). PeKJIaMa anKOrOnslHe 3aHHTepecyeT H He 3aTpOHeT HerIbiOILIHX. C ApyroH CTOpOHbI,nbSIHHL[bI, CTpeMSILLmeCSI K Tpe3BOCTH HRH yMepeHHOCTH MOryTCOnpOTHBnSITbCS cTHMynHpyfOIIjHM BbInHBKy npH3bIBaM B peKnaMe,no KpaHHeH Mepe, ecnH 3T0 noAAep)Kaxo ne'IeHHeM. Bo3AeHcTBHepeKnaMbl anKOrOnSI 6yAeT Ha136o11bLIIHM Ans[ nbIOLLHHX H, TaKHMo6pa3oM, BO3MO)KHO, SIBJISIeTCSI IbaKTOpOM COXpaHeHHSI HJIiI

yrJIy6neHNSi nbSiHCTBa.

94

Page 100: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

ViccneRosaNrui - onpocbl

Bo3AericTBHe AonrospeMeHHOro npocMoTpa peK.rlaMbl anxoronsi,BeposlTHO, 6onee cyluecTSexxo, LIeM HeMeAJlennble 34)ctleKTbI,

npOCne)KeHHb1e B 3KCnepHMeHTâx. BOnbLIiNHCTBO HCCneAyiOLLjMX

AOnrOBpeMeHHble 3cI(keKTbi pa6oT OCHOBaHO Ha AaHHbIX OnpoCOB. BuccneAOBaHI3Hx npOCMOTpOB eCTb KaK KOHilenTyanbHble, TaK HMeTOAOJIOruLieCKHe npo6neMbl. OAHOrI H3 Ba)KHbIX np06neM slBnSieTCSI

yCTaHOBneHlie npHLIHHHOH B3aHMOCB5I3H MexcAy npOCMOTpOM

peKnaMbI H Ha6nlOAaeMbIM B03AeriCTBMeM Ha Cy)KAeHFiSI H nOBeAeHHe,

a TaK)Ke OnpeAeneHMe HanpaBneHMSl npHLIMHHOCTM. TpyAHO OnpeAe-nHTb, HMe1OT JIM Cy6'beKTbi 110314THBH0e MHeHHe o6 anKOrOne nOTOMy

1-1TO OHM HeHaMepeHHO noAsepranxcb B03AeriCTBHio peKJlaMbtanKOrOnSi, HRH )Ke n0314THBHâS1 npeApacnonOXCeHHOCTb BbI3Bana60nbLIiy10 BHHMâTenbHOCTb K TâKOIi peKnaMe.

BTOpOri np06neMOFi SIBnSIeTCSI aAeKBaTHOe H3MepeHMe Aonro-speMeHHOiï nOAsep)xeHHOCTM peKJlaMe. OaKTMLIeCKM HeB03MO)KHOBbIAenMTb KOHTpOnbHble rpynnbl He nOABep)xeHHble peKnaMeanKOrOnx, CpaBHeHHSi MOI'yT 6bITb CAenaHbi MexcAy rpynnaMH HHHAHBHAyyMaMH C BbICOKOri H HH3KO1-1 CTeneHbio nOABep)KeHHOCTU.

HaAeXCHOCTb HCI1onb3yeMbIX B pslAe paHHHx Hccne,i(osaxui%I MepH3MepeHHSI nOABep)iCeHHOCTH 6bina nOCTaBneHa no COMHeHUe (21,33, 36, 188, 189). bbIJIO CKa3aHO, LITO paCCMOTpeHHble THnbI CpeACTBMaCCOBOI3 HH(134OpMaui3li He 6bInH CaMbIMU nOAXOASILI(HMH, npOCMOTp

coAep)caxHSl MCTOLIHHKOB HH(tiOpMaljiiH He 06513aTenbH0 noApa3y-MeBaeT npOCMOTp BXOASIIÜnx B Hux peKnaMHbix coo6LLjexul-i, apa311HLIHSl BO BHHMâHUU H nOHHMaHUH 6binu ynyLlZeHbl H3 BMAy.

3TH np06neMbl 6bIJ1H peLLIeHbI B HeAaBHeM uCCneAOBaHMHOCHOBaHHOM Ha AaHHbIX OnpOCa nOLITH 500 AeTeri Bo3paCTa 10-14 neTH3 KanH(l)OpHHH (157). 34)(1)elCrbl peKnaMbl 6bInH KOHuenTyanH3H-pOBaHbI Ha OCHOBe MOAenH HH(kOpMauHOHHOro npOLjecca KOTOpaSI - B

COOTBeTCTBHH C uepapxHeii MOAeneri B03AeiiCTB145I - yTSep)KAaeT, LITO

peKJIaMHble c006LueHHSI MOrÿT OKa3aTb BnuSIHUe Ha 3HâHHB,

Cy)KAeHMSi H nOBeAeHHe TOnbKO ecnH HM yAensieTCsi BHMMâHUe H OHM

3anOMMHa1oTCSi. YpOBeHb OCO3HaHMSI peKnaMbI anKOronSl, TaKHMO6pa3oM paCCMaTpMBaeTCSi KaK 6onee BeCOMblri (balrrop, LIeM npOCTOnpOCMOTp peKnaMbi. Oco3HaHHe M3MepSIJIOCb C nOMOLLnAO noKa3apecnOHAeHTaM cepMi3 cIDOTOCHHMKOB B331TbIX u3 COBpeMeHHbIX

TenepOnHKOB O nMSe, Ha KOTOpbIX Hâ3BaHMe pexnaMNpyeM6ix COpTOB

95

Page 101: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

6bino 3agepxexo. PecnolineHToB CrlpaluHBanH, BHnenH nH 01-IH

ponHKH H MOryT nH OHH OrlpeAenHTb copTa.

CaMOOTLieTbl O IIpOCMOTpe no TeneBH30py CIIOpTHBHbIX

MepOIIpHATHLi H 18 HrpOBbIX IIpOrpaMM, rIOKa3bIBaIOLgHXCA B nyLiLIIee

BpeMSi, HCIIOnb3OBanHCb AnA OLjeHKH rIOABep)KeHHOCTH cy&beKToBpexnaMe anKOrOnA H HHbIM CB5I3aHHbIM C anKorOneM CIo)KeTaM.Bb16op HMeHHO 3THX THIIOB rlporpaMM OCHOBbIBanCA Ha HH(llOpMa-LIHH, C06paxxOli B XOAe ljonroBpeMeHHoro MoxHTOpHHra anxoronA BconepxcaxxH TenenepeAag. PexnaMa rIHBa accouHHposanacb B co3Ha-HHH CO CIIOpTHBHbIMH TenerlpOrpaMMâMH, a TaK)Ke C lIpOCMOTpOMTeneBHAeHHA B AHeBHOe H BezlepHee BpeMA B BbIXOAHble ,IÿHH. IZOKa3

=corons' aCCOuHHpOBanCA C HrpOBbIMH TenellpOrpaMMaMH.

JIA OLleHKH 3CkCi)eKTOB 003HaH1i5I peKnaMbl Ha 3HaHH31 H CyxcAe-

HHA 06 aJIKOrOne, Ha HaMepeHHe BbIrIHTb KaK B3p0Cnb1H, a TaK)ICeOAHOBpeMeHHOrO B03AeFICTBHSI 3THX rlepeMeHHbIX Ha OCO3HaHHe,HCIIOnb30BânHCb MeT0AHKH HepeKypCHBHOrO MOAenHpOBâHHA.

Pe3ynbTaTbl IIOKâ3ânH, LrTO TOrAa KaK CB513aHHble C anKOCOneM 3HaHHSi

H Cy)ICAeHHA yCHnHBafOT 00O3HaHHe peKnaMbI =corons!, 3TOT 3C1-4eKTcna6ee, YeM- BnHAHHe OCO3HaHHA Ha 3HaHHA H Cy)xneHHA.

O6HapyxceHO, zITO yclulexxe rIO3HTHBHbIX Cy)iCAeHHIi rIpHBOAHT KycHneHH10 HaMepeHHH rIHTb KaK B3pOCnblli. 3TH 3C14e1CrbI

COXpaHAJIHCb Aa)Ke TOrna, KorAa KOHTpOnHpOBâJIHCb pa3nHtiHA BOLIIywaeMOM OTHOLIIexxH H IIHTeiixoM noBeAeHHH poAHTeneFr HcBepcTHHKOB, a TaK)Ke Bo3AeIiCTBHe 3HaHHN H Cy)ICAeHHri Ha

oc03HaHHe. TaK xax 6onbIJSHHCTBO AeTeH HHKOrna He BbrrIHBâJIO,Henb351 6bIIIO 1-13y1-IHTb B03AeliCTBHe Ha peanbHOe rIHTeI4HOe

rIOBeAeHHe. 3Ta pa6oTa 6bina 6a3HCOM AonrospeMexxoro06CneAOBaHHA, rAe IIOBeneHYeCKHe 344eKTbI 6yAyT H3riaTbC2 Hapâ3HbIX 3TarlaX )KH3HH.

O HacTOALnerO BpeMeHH COO6LIPnOCb TOnbKO 06 OAHOMAOnrOBpeMeHHOM HCCneAOBâHHH, KOTOpOe 6bIJIO Bb1II0JIHeHO B HOBOH

3enaHAHH (47). C06paHHble Ans! II0LrrH 670 rIOApOCTKOB naHHbleo6cnenosaHHA Hc11Onb3OBanHCb AnA OLjeIIKH cBA3eli Me)KAy

XpaHeHHeM B IIaMATH peKnaMbl anK0001151 H HHOCO H306pa)KeHH5IanKOronA B CpeACTBâX MaCCOBOH HHCPOpMaLjHH B 13 H 15 neT, HIIOTpe6neHHeM ânKOCOnA B 18 ne-r. BOCIIOMHHaHHA H3MepAnHCb CrIOMOLInIO onpoca. PecnOHAeHT06 cnpaLUHBanH, He orlpenenAAnepHOA BpeMeHH, BHAenH I-IJIIi CnbILLIanH nH OHM 4T0-HH6ynb o6

96

Page 102: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

anxorone B cpej[CTSax MaccOBOFi HH4lopMauHH. Cpe,gH peKnaMHblxc00611WHHH IOHOIIIH gaule, Lieh geaylllKH, BCIIOMHHânH pexnaMyIIHSa, H, TaK KaK cTpyxrypa noTpe6neHHSi anK000nsz iOHOüIeIï 11

jjesyLLleK 06bILiHO OTJIH4aeTC5I, aHanH3 npOBOjjHJICSi OTj(enbHO j[nxIoHOIIleËi H j[eByIIIeK, a Tax)Ke AnSi ynoTpe6neHHSI nHSa H HHbIXHanHTKOB.

XOTSi He 6bIJI0 06Hapy3KeH0 B3aHMOCB313H Me)Kay

BOCIIOMHHaHHeM peKnaMbl anKOCOnSi H nOTpe6neHHeM BHHa HKpenKHX HanHTKOB, 6bUI0 oTMeLIeHa CyLueCTBeHHa3l B3aHMOCB513bMe)Kj[y 3THMH BOCIIOMHHaHHSIMH H nOTpe6neHHeM nHSa. Te, icroBCIIOMHHn 60nbllle peKnaMHbIX C006LueHHH B 15 ne-r, BbIIIHBanHGomme nHBa B 18. CBSI3b COXpaHSinaCb H TOrjja, KOrjja npHHHManHCb

BO BHHMaHHe )KHJIHLuHble yCJIOBHSi, 3aHSITHe H OLuyIuaeMOe

O,go6peHHe B6IIIHBKH CBepcTHHKäMH.

3KOHOMeTpN4eCKb1e HCCJIe,qOB1HHSa

MaKp03(ixPeKTbI anKOrOnbHOH peKnaMbi Ha 06LIlee nOTpe6neHHeH3yLIanHCb B 3KOHOMeTpHLieCKHX HCCne,IjOBaHHSIX, HCIIOnb3oBaBLIIHX

j[aHHble BpeMeHHbIX CepHii. 3rH HCCne,gOBaHHSi 06bIt1HO BKniO4aIOT B

ce6x noclpoeHHe H HCnbITaHHe 3KOHOMH4eCKHX MO,geneH. genbx)SIBnSIeTCSI BblgeneHHe 3CpCpeKTos pexnaMbl, KoHTponHpySi ,tjpyrxe(1)axTopbi, xoTOpbie BnHSIiOT Ha noTpe6neHHe aJIK000ns, Taxxe xaKueHbl H jlOXOj(bI. 06-beM peKnaMbl o6bI4HO H3MepSiJICSi BenH4HHOiipacXOgOS, a 06beM noTpe6neHHSI - BenH4HHOM npoga)KH. BpeMeHHblecepHH o6bI4HO OXBaTbIBanH nepxojL B 20 neT. Tor,ga KaK paHHHe3KOHOMeTpH4eCKHe aHanH3bI OCHOB6IBanHCb Ha nojjXOAe npoCTOrO

ypaBHeHHS, npH KOTOpOM pexnaMa H npo,i[axca H3yLIanHCb ggSi

Ka)iCj(Or0 THna HaIIHTKOB OTj(enbHO, HeCKOnbKO HCCnejIOBâHHii,

npOBejjeHHbIX nOCne Cepe,iZHHbI 1980-x, HCIIOnb3oBanH MOjjenH

CHCTeM CnpOCa, 1103BOJISIBLIIHe H3y4HTb BO3geNCTBHe O,gHOrO 'rima

HanHTKOB Ha ,gpyroI, a Tax)ICe OAHOBpeMeHHOe B03,geFICTBHe

npOjiaxcH Ha pexnaMy. B pige pa6oT npocTO H3y4anHCb TeHj(eHuHHpexnaMbl H nOTpe6neHHSi anxoronSi, HnH we OHM cocpejjoTa4HBanHCbHa 3(l(tleKTax orpaxH4eHHH pexnaMbl anKOrOnSt.

iccne,aosaHHSi, H3y4aBLUHe B3aHMOCBSI3b Mexcjry peKnaMoH HnoTpe6neHHe anKoronSl 6bInH HejjaBHO npOBejZeHbl B ABCTpanHH(190), Benxxo6pHTaxHH (191, 192), CILIA (193, 194 ) H (DHHnSIHjIHH

(49). 143 3THX gaHHbIX MO)KHO Cj[enaTb o6LuHF1 B61BOj( O TOM, 4TO B

97

Page 103: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

86

`Hw14IrOOd£a H Ol4NCOTIOUOw /CT1NC0w 103hHIr£Ed `dawHduEH `KHHauaOEH uu,Cd1 X14HhHlr£Ed KHHaIr9ad.L0U adICLN,Cdio a aHrrlTiarllo£HOdu

`ISHHaxa£H 9.I.19dN0 1X1ow 10fO10NIrE HHHaLr9ad1O11 a KI3H2Haw£H aHm90 'KHHa1ra0EH aa0110 XI9HhHIr£Ed wEIfEHEN wI4HhHIr£Ed

OU HHHEIfOOU X19HhHlf£Ed aHHOHawHdu aoaauaTl 1.aEaHd.LEwOXVadu

KEdo.LON `E1HH103idew i(NH.LNEdu o1ÂHhI9gO OH.LEaNOTIE .LOiENCEd.LO

OH 19wE1fNad IAa9.90 ,C0m90 Ou a19HHEV 'KUOIONL'E KHHalrgad.LOu

adÂ.LNÂd.LO a H NE1. `I4wEUNOd OIHa1,0H011 H.LOOHHONCdaaTlOu

a MEN KHHauaOEH 1I11,Cd1TlOU HTIadO KHhH1rEEd a19HNCea 9.L19dx0 .I.,ClOw

H aHHOUaOEH 00a 10IEâI91.EfiX0 OHh1490 0I4HHETl aI4H11,C1OOV

'I4dX170TI0du aI4HhHUEEd

40H1fEg0£4UOU0H `HNCEk7odu H 14wElnlad xEwa4.go a HHhxu£Ed

XI9HHOEOO aNC HUH 19wEUN3d a01310(1(1)6 XI4HHOwada0l1101I KUOd.LHON

KIlg 'KHH01r90d.LO1.1 0J0m90 I9d0111 HOHHT70 01113a a 4.LKIraE.L0T1adu

fiON1.i3UEH ao1114a XI4HhHU£Ed ÂNCET7odu HIf OHNCÂH H KUOIONUE O1010Hh wOa.LOahHUON HUH aOTIOXOEd HOHHhHIrafi KO4,LKdaw£H ENCETlOdu

HU EHNCUOi1 `,C£ENOU ou HUH wETIOXOEd ou /CwEUNad 4.LKdaw£H ,Laa7auo `WM.. O KHHOHw 019HhH1rEEd .LOIXa.LOam,CD 'KHH0119ad.LOU/HNCET1Odu

H 14141Elrxad aodl,awedEU aHHadaw£H - walr9odu xH1,CdTl HTiadD

'HwKHHE9OTIaU00H 19HOhEâXO HU149 OH KU010NUE 14T1HEIE110du I4wdOCP

aI4H4IrE100 00a `HOwEUNad OH17Ed-aUa1. H HOH.LEhau KO.LOiEai3hHHEd10

0I9HHET7 aI4HU,C1.0011 MEN NE j, 'wEd.LawEdEU w14H4UOd.LHON 11I490hOl01 Ou aNCNE,L E`KIrOIONUE aNCETlOdu H awEUNad O X19HHETI XI4HNCOTIEH

H X14HhO.LE100T1 KHHhÂ1rOII 91,OOHTIXd1. KO.LOKLraK HOwaugodu

HOH4UEhEH '(OZ `61 `SI) waugodu XHNaahHloUOT1O1.aw )1Kd K9a0 a 1.aEhOIUNa KHHEflodHUOTIOw OIONOahHiItOHON£ 0001I0du ii14HNCOUD

'Haual7ow XHNOahHwOHONe HHHOOd.LOOLI HdII XI4HHEaO£4UOUGH `d/Cl7011odu

XHNOahH1.HUEHE H IiHHONCOUOUTladU XI4H170XOH HwKHhHU£Ed

KO,LOIETINCOaoduo0 xKUaTIOw XHNOahHl,adoa.L XHmOiE1EUO110aOH00

a KHhHUEEd 'ololÂdTt 10 OHT7O KO.LOIEhHIr.LO xE.LOgEd

XI9HEEd a aHHadaw£H XH aNCNE.L E 5CI4HHawad0u XI4waEh/C£H dogEH 'OHOHT7Ad.LEE ONCNEI. HHawada HwEl7oxdau H HwEHEd.LO HwI4H£Ed

&NCaw OHHOHaEdO HUH aOTloal4a xI4H4IfE.Lal7 aalrOg axHEaodxUiriwdoo '(S6I) waHHaugad.LOU H HowElrxad ,ClriKaw aHHlrioH.LOOwHE£a

aON1.3h 1.,CNCENOII HIf TIKda ISHHEaOT1aLr00H aHNOahHd.LawOHON6

H `K041EmEdN00 XKHflOUO/C XHNE,L a .LÂ17X9 HHO `OH41fEw13HHw /CIAIEUNad

EH ao17oX0Ed aHHamaw£Oa NUN NE.L 01h `OHahawE£ 0UI9g 'ONHUafiaH

KuoloNlre /CNCE11odu EH 19welrxad aHaiOHaTf£Oa xENHI9d KXI91f3d£» xH.L6

Page 104: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

ManO H MHOrO nbIUIIIHMH. bbinO OTMe4eHO, LITO, TaK KaK

cTaHJIapTHble 3KOHOMeTpHLIecKHe nOJOXOJjbI He npHHHMaIOT BO

BHHMaHHe B03Z(eÎ-ICTBHe npHBbILIeK Ha noTpe6neHHe, OHH He COBCeM

nOJIXOJjSiT ,E0A H3ytieHHSi BeüjeCTB, BbI3bIBaiOLLIHX 3aBHCHMOCTb (15).

TaK KaK OL(eHHBaeMble MOJOenH OCHOBaHbI Ha j.IJIHTenbHblXBpeMeHHbIX CepHSiX H OrpaHHLIeHHbIX H3MeHeH14SIX JjaHHbIX nopeKnaMe H nOTpe6nexHlo, OHH He nOjIXO%(SIT ZIJISi npeAcxa3aHHx3clociDelrros 3HanHTenbxoro coxpalljeHHSI pacxoJ(oB Ha pexnaMy,KOTOpble MoryT npOH3OkITH, HaIIpHMep, npH pe3KOM H3MeHeHHHnOnHTHKH B OTHOIIIeHHH anKOrOnbHOii peKnaMbl. TOnbKO B

HeCKOnbKHX CnyLiaHX y HCCneJ_jOBaTeneii 6bina BO3M0)KHOCTb OL(eHHTb,

KaK BBeJOeHHe HRH OTMeHa 3anpeTa Ha peKnaMy B03JjeÎ-iCTByIOT HanpOJ.jaHKy anKOrOnSi. HCCneJIOBaHHe, npOBeJIeHHOe B 70-e rOZIbI B JZByX

OTJ(enbHblX IIpOBHHLIHSIX KaHajlbl, BbIBHnO, LiTO BBeJ(eHHe 3anpeTa Ha

peKnaMy OKâ3ano TOnbKO ManOe B03Jje1iCTBHe Ha np011a)Ky anKOTOJISI(196, 197). 06a 3anpeTa HMenli OrpaHHLIeHHyIO npOJjOn)KliTenbHOCTbH He MOrnH KOHTpOnHpOBaTb peKnaMy B HaLjHOHanbHblX H

Me)KJjyHapOJIHbIX CpeJ_ICTBaX MaCCOBOH HHcl>OpMaLIHH.

B HeJOaBHeM KaHaJjCKOM HCCneJjOBaHHH H3yLIanHCb 34)C1)eKTb1

OTMeHbI 3anpeTa, Jje)iCTBOBaBLIIerO B npOBHHLjHH CaCKaTLIeBaH 601lee

50 neT (60). 3anpeT JjeHCTBOBan B OTHOIIIeHHH peKJIaMbI anKOrOnsl Bne9aTH, Ha paroi° H TeneBHJOeHHH, 3a HCKn)OLIeHHeM peKnaMblHCXOJjSnijeli H3-3a npeJlenoa npOBHHLjHH. B 1983 rOJjy 6binapa3peulexa peKnaMa KpenKHx HanHTKOB B neLiaTHbIX H3JOaHHSIX, apexnaMa aHHa H rama Taxxce Ha paJ(HO H TeneBHJjexxH.HCCneroOBaHHe, HCnonb30BaBffiee BpeMeHHb1 JoaHHble 3a 1981-1987rOJjbI H JoaHHble H3 CpaBHHBaeMON npOBHHL(HH, nOKa3ano, LITO 3aH3MeHeHHeM B 3aKOHOJIaTeJIbCTBe nocneJOoBaJIo CyLL(eCTBexxoe HnOCTOSIHHOe yBenHLMBHHe npOrjaxcH misa, HaH6onee nonynxpHoroTHna HanHTKOB. IIpOJIa)ICa KpenKHX HanHTKOB 3HaLIHTenbHO

CHH3HJIaCb, LITO npeJjnOJIO)KHTenbHO paCCMaTpHBânOCb KaK 30:1)eKT3aMeILjeHHSi. H3MeHeHHSi B npOJja)Ke BHHa H 06ujeM 0fteMe npOJZaXC6bInH He3HaLIHTenbHbIMH. HCCneJjOBaTenSiMH 6bIn CJjenaH BbIBOJj, LrrO

rnaBHOH c13yHKL(Heil peKnaMbI 6bino 3aMeJjneHHe npeo6naJjalouleHHHCXOnSiLIjeI4 TeHJOeHIjHH B nOTpe6neHHH anKOT0115l YI, B TaKOMCMbICJIe, BBeroeHHe peKnaMbi nO3HTHBHO CKa3aJI0Cb Ha np°Jja)ICeanKOTOnSI.

99

Page 105: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

B pAAe pa6oT, BbIfïOJ1HeHHbIX B HaLiane 80-x roAOB B CHIA,AaHHble 06061I1eHHbIX BpeMeHHbIX cepHH H np0(iHnbHbIXi3CCne.IZOBaHHIi HC11Onb30BânHCb ARA H3yLIeHH31 B3aHMOCBA3ei3 MexcAy

peKnaMHbIMH OrpaHHLIeHHAMH H npoAa)KeH anKOrOnH B pa3nHLIHbIXIIITaTâX (198, 199). Pe3ynbTâTbl nOKa3âJIH, Lrro orpaHHLieHHA BCe xceOKa3âJIH H3MepHMOe B03AeliCTBHe Ha npoAaxry anKOrOnA. XOTSIpeKnaMa ânKOrOnA 6bina 3anpeHjeHa B HeKOTOpbIX nlTaTaX B TeLIeHHeOxBaTbIBaeMorO HCCneAOBaHHAMH nepHOAa, pa3nH11145i B KOHTpOneIIITaTOB 3a aJIKOronbHOH peKnaMOFi 6bInH HeBenHKH.

Ha Me)KAyHapOAHOM ypoBHe pa3nHLIH2 Bbfpa)KeHbI 6onee ACHO. B

Me)KHaLmOHanbHOM HCCneAOBaHHH AJISI H3yLIeHH51 3c134/eKTOB

OrpaHHLIeHHA peKnaMbl anKOI'OnSi Ha paAHO H TeneBHAeHHH

HCIIOnb30BanHCb AaHHbte BpeMeHHbIX cepHH H3 17 cTpaH OpraHH-3aL(HH 3KOHOMHLIeCK0r0 COTpyAHHLieCTBa H pa3BHT1431 3a 1970-1983rOAbI (61). bbulH npoBeAeHbl OTAenbHble aHânH3bl A)151 TpeX rpynnCTpaH: CTpaHbl, 3anpeTHBIIIHe pexnaMy nHBa, BHHa H KpenKHXHanHTKOB; CTpaHbl, 3anpeTHBffiHe TOnbKO peKnaMy KpenKHX

HanHTKOB; CTpaHbl, B KOTOpbIX HeT 3anpeTOB Ha peKnaMy anKOrOnAno pâAHO H TeneBHAeHHfo.

B aHanH3aX HCrIOnb30BanHCb TpH 3aBHCHMble nepeMeHHble:noTpe6neHHe anKOronSi Ha gyn1y HaCeneHHA, ypOBeHb CMepTHOCTH OTLjHpp03a neLieHH H ypOBeHb AOpO)KxbIX aBapHii CO CMepTenbHbIMHCXOAOM. 3TH nepeMeHHble HMenH CaMbIH HH3KHÎi ypoBeHb B cTpaHaX3anpeTHBIIIHX nfo6yfo peKnaMy anKOronSl Ha paAHO H TeneBHAeHHH, HHaH60nbLLIHi B CTpaHax, pa3peluafowHx pelcnaMy BCeX THnOBHanHTKOB. 11oTpe6neHHe anKOrOnA BO3pOCJIO BO BCeX CTpaHaX, HOpOCT 6bin HaHMeHbnIHM B CTpaHaX c HaH60nee CTpOCOIi peKnaMHOHnOnHTHKOfï. CMepTHOCTb Ha AOporaX oco6eHHo 3aMCTHO CHH3H1IaCb B

TaKHX CTpaHâX. He 6buI0 OTMeLfeHO 3HaLIHTenbHblX H3MeHeHHIi BypOBHAX CMepTHOCTH OT L[HppO3a neLIeHH. bbin cAenaH BbIBOA, LITO3anpeT peKnaMbl AeI%ICTBHTenbHO BHOCHT 3Ha9HTenbHblIi BKna,IZ BcHH)KeHHe O6uterO nOTpe6neHHA âTIKOronSl H ypoBeHb AOpO)KHbIXaBapHH CO CMepTenbHblM HCXOAOM.

Me)KHaLjHOHanbHble HCCneAOBBHHA HMefOT OCO6ble np06neMbiCB513aHHble CO CpaBHHMOCTb[O H HaAe)KHOCTbfO AOCTynHbIX AaHHbIX, a

TaK)Ice KynbTypHbIMH H nOJIHTHLIeCKHMH pa3nHLiHSIMH (195, 200).3anpeTbI Ha peKnaMy anKorOnSl =fame CyIueCTByfoT TaM, rAe cci)epaanKOronA B LjenOM KOHTpOnHpyeTCSI 6onee cTporo. Pa3nH4HSI B 17

100

Page 106: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

TOT

EoNatloN tiHHamXdEH oLfHNVCdEHgo 3H HdonK - HwE.131ÂI7odu

141NI9HH O XIfEhiCIfO 8 w3h `3111Eh 308178 - BaEhiufO XI91-19110J03111E

aH1480110u 1A13h 031109 g ÎjOZ) I414H3mÂdEH ISHHad.LOWOOEd

KII17 /CLVOHHahEH£EH `HdOINC wI9H9IfEH1I3LI0 KOXHm8Et1SK(090

`83EhX11O %17 33H31N HIfHBE.L000 311OJ0NLfE 90 KHH31I19000 319H1NEll313d

`1101lO.1 S86I-996I axxaha.I g 'XErtO.I x-0961 E HaxdLOT11IH

HOHwEIfNad o,]oHHam,(1II98 `KHHEBOdHUÂ.IadowEO 3ONa17oN

EH 9oEIfE8I98oHO0 Ewada aoJLCOi7 KI10dJ.HON EwaZOHO KENOHK9I(E.LH KIrOCLIHON OJOJOd.lO 331109 X£91fOLI 8 198I9£HdU 9OH1fEwHHt7oL1

14NO3hxt70Hd3U 80110J x-0861 tIHON o HHIIE.IH &`dawxduEH

'Ki7t71E1f3£ EPSON H EHI7HELfHHc13 NUN HWHNE,L `HWKHH3hOI1fNOH

HwH)19I1oNO3H E£ `KIIOdIHON doh! XHNJKw Wah `XHJOd.IO aadoxo OIHHa17a88 N KHtIHatlHa.L EIfE808.L03m,CD d.LOwO3daU xH Eo1fHT(o8odu

`HH80I1'0X XHNO3hH.lH1fOLI H X14)IO31hHiNOHONe `XHiIO3hHJO1fOHXa.l

wKHH3Haw£H N KIfodJ.HoN claw HHiIE.L11E17E H 13o1r3godu EHH3HIfOLIE£

KLft7 `E110d1HON 191148 3198oH 9OHI11417088 :HHH3Haw£H XI9HH1f0.I00u

HHHE01O0O 8 90HIf14170XEH KLfodJ.HON 191V01.0140 31E191Aad

g 3HHE80d1411/CJ3dOwEO 1411E1114E1010 HHd.LOX17HH KEHI-I014tIEwdOCI)HH

H KEHiNEIfN3d `KEH9If0J0NIrE E `9110d.LHON HI9H9113.LEûOHONE£ I3HJOd.LO 031109 E£ HIIEU.LOI98 K98OdOI7£ OJOHH38.IOam90

HNHHHOdo.LO xl9do.LON S `801Eg317 XI9H8I9d3d113H wol.awtladu If199 KI10J0NLCE 19wELCNad 9110d,LHON 8O110J X-0861 O KEHHhEH 'xxJXdti

aHHE80£91fOUGH XHmOIKLfBEduEH `HHH3mEI1J00 X19H911080d90I7

H 19wE1rNad HWEIIEHEN H1VI9d010N3H XHmO1E1f8EdUX `80HONE£

clomp 140900 .L01EIf8E.LOtladu EIfOd.LHON I91N310HO 319H9IfEH0HtIEH

aHJOHIN 'HINKHd.LOÂI7HH tIoHHOHïIEwdO113HH H HOH1VEIrNad

`1,,i0H4Lf0J0N1fE a19HH01r80HE.LO/C ISHH3mE1fJ00 aI9H9Lf080dgOt1

H 081O91101E170HONEE KO,IOIKIrBK KHHEBOdHI1kJad HYVEI.HaiNXdJ.OHH

HwI9H8EII 'KOI,aXdHIr/(13d wo£Edgo wI9dOI,ON3H BoNI.HUEH

XI9H9I10J0)1IfE EwEUNad HEd3.0 XI9HI7EUE£ 0BI.OH14m91109 g

KLtOJO}ILPd I9W`dLt)13d 9LfOd1HO)I

EHhxI1LO aHNOahH.L1i110L1 H.

3I9Hdk1.9Ir/CN 3HNOdHm 331109 H OH `3NHZHIIOLI HoxwElfNad g KHhHIr£Ed

ON9LfO.L aH 9.LENCEd.LO `w0£Ed90 wHNE.l `J.Â10w XEHEd.lO XI9HHahAH

Page 107: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

3aKOHojjaTenbHbie OrpaHHLIeHHSi 6buIH BBejjeHbl B HTanNH BHaYane 1990-x rOROB, KorAa Ha TeneBHjjeHHH 6bina 3anpeujexapexnaMa HanHTKOB, cojjepxcaLullx 6onee 21% anKOronA, a TaxxceOrpaHHLieHO CnOHCOpCTBO npOH3BO,aHTenert TaKHx HanHTKOB.

Co,gepxcaxxe anx0ronbHbtx pexnaMHbix coo6lueHHli Taxxce

OrpaHHLIHBâJIOCb 3aKOHOM, CMOjIenHpoBaHHOM B COOTBeCTBHH C

yKa3aHHAMH nO anKOrOnbHOii pexnaMe TeneBH3HOHHOIi jjHpeKTHBbIEC. Tax KaK nOJIO)ICeHIiA 3aKOHa nOtITH TaKHe xce, KaK H B Koj[eKCe

CaMOperynALjiiH, 3aKOHOjjaTenbCTBO BpAjj JIM OKa)KeT 3aMeTHbIH

3clCbeKT Ha npaKTHKy peKnaMbl. O6lljeCTBeHHOe O6Cy)ICjjeHHe

anKOronbHOli peKnaMbi npojion)ICaeTCA: B 1992-1993 rojjax 4nenaMHnapnaMeHTa 6bIJIO C,IjenaHo nonj[i0)KNHbi npejjno)KeHHH o 3anpeTeHnH OrpaHHLieHHIO peKnaMbl anKOronA (202). OjjHHM 13 y'IaCTHHKOB

06CyxdjeHHSi 6brna rpynna 06u1eCTBeHHbIX HHTepeCOB Gruppi diSolidarieta, OCHOBaHHax B 1987 roily jjnA nopL(ep)KKH 3anpeTapeKnaMbi anxoronsl. Fpynna pa3pa6oTana co6cTBeHHble

npennoxceHHA no 3axoHy o pexnaMe anKOronA, H npHHSlna y'-IaCrue B0611jeCTBeHHbIX jje6aTâX C noMOLLjbIO CTaTeil, ny6nHKaL[Hii H

ajjpeCOBaHHbIX Bej(yüjHM jjeSlTenSIM OTKpbITbIX nNceM (203).

CaMoperynripoBaHHe

CaMOperynHpOBaHHe anKOronbHOii, HHC1/0pMaL1HOHHOH H

peKnaMHOIi HHjjyCTPHii OKyCHpyeTCSi He Ha o6beMe peKnaMblanKOronA, a Ha ee cojjep)ICaHHH, Ha ee HaljeneHHOCTH HIM )Ke HaOnpejjeneHHblx KaHanaX HH(pOpMaL(HH. CaMoperynHpyIOLL(a5I CHCTMBKnIO'-IaeT B ce65i COBeTbI, OTBe4alOujHe 3a BbInyCK pyxoBOjtAUjHxnpHHLjHnOB LIRA npoH3BojZHTeneH peKnaMbl, ap6HTpaXCHbie

npouej[ypbl H HHOrjja TaK)Ke npogejjypbi npejjsapHTenbxolinpoBepKH. CnejtoBaxxe pyKOBOj[AIuHM npHHljHnaM SISnSIeTCSi

jjo6p0BOnbHbIM. CpejjCTBa BbinOJIHeHHA 4aCT0 COCTOSIT H3 CJIOBeCHbIX

OCy)ICIjeHHii, npHMeHHMbIX TOnbKO XIS( 4neHOB yCTaHOBHBLUHX KOjjeKC

TOproBblX aCCOLjHaLjHH. CaMOCTOSiTenbHO npHHATbie KOj[eKCbI

06bI'IHO npHMeHAIOTCSi j[JIA BHyTpeHHeii ToprOBJIH H HHCpOpMaLjHH, HO

He orpaHHLIHBaIOT TaKTHKy MapKeTHHra HCCIOnb3yeMyK) npH

3KcnopTe.

110n0)KeHHA KOjjeKCOB 0 pexnaMe anKOCOnA pâ3nH4HbI B pa3HbIXCTpaHâX, 4aCTO Ha pa3HbIX KaHanaX HHCpOpMaL(HH, H HHOrjja jU[Apa3nH4HbIX THHOB HanHTKOB. OnpejIeneHHble 6a3oBble 3neMeHTbIMOryT 6bITb HaÎijjeHbl B 6O11bIIIHHCTBe KOjjeKCOB, BKnI04a5I yKa3aHHA

102

Page 108: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

110 anKOrOnbHOi%I pexnaMe TeneBH3HOHHO1i ANpeKTNBbI EC. HCT04HH-

KOM 0611114X n0J1o)KeHHIï 6bin KOAeKC 3THKH Me)il;L(yHapOAHOri

4)eAepauHH BNH N KpenKHX HanNTKOB, Me)KAyHapOAHOri OpraHN3auHH

anxoronbxorl HHAycTpHH, yLlpe>xAexxorl B 1950-x roAax.

CoeduHeHHbie Wmambi AMepuxu

B CLUA Ka)KAax oTpacnb anKOronbHOH HHAyCTpHH HMeeTCo6CTBeHHbIri KOAeKC AeIiCTBHr[. HHCTHTyT BHHa, 4bH 4neHblBbIIIyCKa1OT nOpAAKa 60% npOAasaeMOrO B CLIIA BHHa, BBen CBOriKOAeKC B 1970-x rOAaX. COBeT AHCTHJInNpOBaHHbIX CnHpTHbIXHanHTKOB (DISCUS) BbInyCTHn KOAeKC HaAnexKaweri AeSiTenbHOCTHB 1983 roAy, a AccouxauHA nHBOSapoB - Ha6op IIpHHuHnoa pexnaMblB 1984 roAy. IlposeAexxoe B Koxue 1980-x rouos HccneAosaxxenoxa3ano, LITO npo(tseccHoxanbl peKJIaMbI, 3aHHMa1owHeCH peKnaMoHrxsa 06bI4H0 He 3Ha1OT o6 3THX npHHuHnax (34). )Kan06bl HapeKnaMy KpenKHX CnHpTHbIX HanHTKOS paccMaTpHSaIOTCA

npOBep04HbIM COBeTOM, 4b51 BnaCTb He npOCTHpaeTCA AaneeHH(bOpMaL(HH o CBOeM MHeHHH OTBeTCTBeHHbIX peKnaM0np0H3BOAH-

Teneri. PexnaMa KpenKHX HanHTKOB He AOnyCKaJIaCb Ha HaLIHOHanb-Hoe paAHO fi TenesNAeHlie COrnaCHO KOAeKcy HauNOHanbHOHaCCOUHauHH TenepaAi3oBeü(aHHA (NAB) AO 1982 roAa, KorAa KOAeKC6bin OTMeHeH peLneHNeM cyAa H3-3a HapyLIIeHHrI aHTH-TpeCTOBCKOrO3aKOHOAaTenbCTBa. Ho Aâxce BO BpeMeHa CyluecTBOBaHHA KOAeKCa OH

He npeAoxpaHSln OT nepeAa4N pexnaMbl crNpTHOro, HanpHMep HaHCnaH0513bI4HbIX KaHanaX (32). IIOCne OTMeHbI KOAeKCa NAB KOAeKC

DISCUS He pa3peLL1aJI 11pOH3B0ANTenSIM KpenKHX HanIiTKOB peKnaMyHa HaL11,1OHâJIbHOM paAH0 H TenesHAeHHH. 3aMeTHEIM OTKJIOHeHHeM

OT Ao6poBOnbHOrO 3anpeTa 6bina "KâMnaHHA 3KBHBaneHTHOCTi3",npOBOAHBn1aSICA OAHHM H3 npOH3BOA4Teneli CrHpTHOrO B CepeAHHe1980-x rOAOB (204, 205). IlOcnaHHe KaMnaHNH Ha3BaHHOe "IIOpaAMepNKe 3HaTb (baKTbI O BbInNBKe", COCTOAJIO B TOM, 4TO Te ofteMbI

misa, BHHa H KpenKHx HanHTKOB, KOTOpble o6b14H0 nOAa1oTCA,cOAep)KaT OAHHaKOBOe KO11144eCTBO anKOrOnA. TaK KaK pbIHOKKpenKHx HanHTKOS npHXOAHn B ynaAOK, npeAnonaranocb, 4ToKaMnaHHA 6bina HanpasneHa Ha BOCCTaHOBneHlie yTpa4exxorl AoJIHHa pbIHKe. EOSI3Hb, 4TO KâMnaHHA MO)KeT noAorpeTb 4yBCTSa Bnonb3y perynxpoBaHNSI, TpH rnaBHble TeneBH3HOHHb1e CeTH

OTKä3anHCb nOKa3bIBaTb 3TH poJINKH. OAHaKO, AaHHble pOnNKHTpaHCJTHpOBanHCb 110 HeKOTOpbIM Ka6enbHblM CeTAM.

103

Page 109: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

t70

KEHHOH£H901101. Eû,IOx `HHHEUOx a `dawHduEH 'H1.00HHa1fL17I41/iOdU

HOH4IfO1ox1IL N KHHamOHZO XI3hIOlawH OH `aO.LMXTIOdu Ol4mOI110LI

3 gOx,LHIIEH X14H41f010NIfE 14wE1f)lad HHHamOH.LO a H KO41,KHawl3du

LrtTl/g KHHahHHEd10 `XKHHadOwEH O O1HHaIfaKE£ OHOEUIOD

'HNIENHO10101/%1O1aE O 14wElfxad 11HH2HH1700O aH,LOdu H aa.LOdoOHOUO

H aoixiCllodu axaooEcpoEd o KHHaNCad0ioo170du 10EaI4£EN3I4a axcME.L Ox0170)1 xHHHIfx XH)IOahH1o11oxdEH KHHad£ alfou a axC

HLM `aHH.LaUGHHamdaaOOaH `wo£Edgo w14HaElC1 `,LolEmaOou a14do.LOx

`tiHHallNCadhX XI4H41fa.LEaOEEdgo KHHad£ aLfOU a 41EHH1raEHE.LOX

K£41r0H XwElfNad OIXI-IxCçdEH oi4NCaT10IIOw X141+10E11103011

wOHflOHOO a XKHH3170aE£ â 0x01E1 E`a03HEa3 XI4HaaH11 xHNO.La17 macla Oa XEd.LEa.LOHHN a`4MCa1701rO w0£Ed90 w14HâEIf1 .LaEmXIfO H .LHd.LOwO

0I4d010x `xEwwedlodu oH17Ed H alral, a `Oi4MC0ilOI1Ow wOHflOHOO

a X141NaE.LHh `XKHHEII£H a EHamaduE£ EWELfxad 'I41lidx93 Hd.L adaw H0m4Haw ou H14HI1Ha `111X£0Ir 41OOHH0d01/%1Â HHmoiÂdH11HE1EUOdu

HuExcdal7OO `XEd.LEa.LOHHN g H 0017H13 EH `xEwwEd.lodu XI4HaH.Ld0110 â a14waEa14£ExOU `HNHIrOd 0311 H `fioxHIfod XI4Hi1IELfNad

X14HHOH£Hfi01101 %gb 149O1h `10X90d1 3N0170)1 'EHamaduE£

aOM,Li3UEH X14H4If010NIfE fiOUH.L EwElfNad KEHHamgOgo `o1oâONE.L

MEN KI1O1ONIIE KHHaIrgad.LOU 014Haml4aOU EH EHaLfa17EH 4.L14g EHDKIf017

OH EwElfMad KHH0NCOLf011 KoaHmOiEhad,LOa aNCad 113NCd0170o 0M01E1

OH `KHHEaodHlliCladowEO 143N011Ox 0H1/Cd17 H o1.h `1411S33Ha1raEdIIEH

axC 1/%101. .LaAa.LO1.aa.L0o0 3xaTlox HI4HHad.LOw3adaH '14H11KIfIrauE XI49011f

,LO owHOHâE£aH 14H01faOHE1OO 41149 l.rt101/%1 `0M0170N HYVHmaHIILtdEH

I4HEH£Hdu 014do1.0N `HHHamgO0O X14HwELfMad KHiIKIfOHEd1,

HUM KHi1EMHIf9iCH Ki3HamiçdEH E£ KHHE£ENEH aI4HNC2Ha11 4.LEIEL1EH ,Lrt.IOw H MCEd.rHgdE E£ ,LOlEhafi,LO .LagOD H14HH0HII1fLrLf0Ud H /CON017Ox

XINOI-IwELfxad OU KHOOHwOx '(90Z) Xro1 6861 s woal,o4ual.iiaEdu H H2Hd.LOÂI7HH HEHOOEI1103 IfI4g Ox017Ox HI4HHadHmOEd

H HI4HHad.LOw3adaH 'KHHEaOdHlfkladOwEO X£4uou a dogt4a 1rEIral2'o

.LHawE1ldEU ONEH110 `KI101ONIfE XwElfMad EH 1,aduE£ HI4H4Ifa,LETlOHONE£

HENCda1111OU Lf149 H)IH.LHLfOI1 H0H4I1010xuE awwEd.lOdu HOHHaa.to4lfa.LHaEdu g £10110.1 X-0861 axHlladao g'KHHEâHMC/CI1390

14d0C1)0 H HHd.LOÂ17HH FiOHhHHH1O01 `Hlfao1d01. HOHhHH£Od aNCNE.L

E `fiOM.LHUEH xHxuadx H EHHa `Eaxu sodal,doLlwH H Haua.11317Oa£HOdu

HailIOlKIfaE.L011adu HaH11E£HHE1do `yl1.1.LS o.lo.LKxHdu KHH0170a011

00310170x wOH1,1110 EH EHEâOHOO EwO1OH3 '(al4xxt70 a14ux17boxnll9rfuoaH

` d `Jaruv.rp utnulnd) 110170.1 X-0L61 a11HOx a o113170aa

011149 KLfoloNlre 14wE1fNad axHEaodHIil.IadowEO xE17HEIfda17HH g 19pHeudapnH

Page 110: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

pexnaMa HanHTxoB, coAepx(auwx 6onee 20% anxoronsl 6btna3anpeluexa B 1988 roAy, npoH3BOAHTenH cnHpTHOro FICn0nb3OBanHKaK 6e3anKOronbHble npOAyKTbt, TaK H CIIOHCOpHpOBaHHe

CIIOpTHBHbIX H KynbTypHbIX MepOnpHSiTHrI AJI51 TOCo, MT06bI 06oHTH

3anpeT. BbIXOAHnH peKJIaMHble TenepOnHKH Ans 6e3anKOTOnbIiblXHanHTKOB, Tpy60MeK AnSI KOKTeruleH H 3aKyC04HbIX OpeXOB, HeCyLuHe

Te xce HMeHa H 3M6neMbI, 4TO H COT KpenKHX CnHpTHbIX HanHTKOB.

BenuKo6pumaHug

B BenHKo6pHTaxxH CHCTM caMOperynHposaHHSI ocxosaxa HaHeCKOnbKHX KOAeKCâX AeSiTenbHOCTH, OTHOCSIISIHXCSI K pa3nH4HbIM

cpeACTBaM Maccosorl HHCPopMauHH (19, 20, 160, 207).Ao6posonbxble cornaIlleHHSi no OrpaHHMeHHiO onpejjenexxblx THITOBpeKnaMbl anKOrOnSi 4aCT0 BBOAHnHCb KaK Mepa 3aI1jHTbI Ansl

6noxHposaHHx nOnbITOK 3aKOHOA8TenbHblX orpaHH4exHH.rlepecMoTp rOnnaHACKOrO KoAexca peKJIaMbI anxoronSl H pa3BHTHepexnaMHbrx KoAexcos pa3nH4Hbrx OTpaCneH anxoronbxol3 HHAyCTpHHCL1lA npoHCxoAHno nOA yrp03011 npaBHTenbCTBeHHOrO

perynHpoBaHHSt. B BenHKo6pHTaHHH KoAexc PexnaMHot3gesITenbHOCTH, npHHSITbIIi AjI51 He TpaHCnHpyloumX CpeACTB

MaCCOBOH HH(bOpMauHH, TalUKe 6bin pa3pa6oTaH B cepeAHHe 1970-xrOAOB YnpaBneHHeM CTaHAapTOB PeKnaMbl (ASA), opraHH3auxeFI,(1)HHaHCHpyeMOli peKnaMHbIMH areHTCTBaMH, HH(pOpMauHOHHbIMHOpraHH3anH5IMH H rnaBHbIMH peKnaMOAâTenSiMH, AnSI TOrO, 4TO6bIAOKa3aTb, MTO HHKaKOe BHeIIIHee perynHposaHHe He Tpe6yeTcx.IZpaBHna TpaHCJISILjHH pexnaMbl anKOrOnbHbIX HanHTKOB,

pa3pa6oTaxxble He3aBHCHMbIM YnpasnexiieM TenepaAHoseulaHHSI(IBA), Cyu(eCTByIOwerO Co BpeMexH Hagana He3aBHCHMOTO

TenesHAeHHSt B 1950-e roAbt. B bpHTaHHH peKJlaMa KpenKHxCnHpTHbIX HanHTKOB He AOfIyCKanaCb Ha TCneBHAeHHe noCOrnaLUeHHlo Me)KAy 11pOH3BOAHTenSIMH anKOronSl H

TeneKOMnaHHSIMH. rIpHMHHbI 6onbflie CBSI3aHbI c 6naronony4HeManKOTOnbHOH HHAyCTpHH, 4eM nOTpe6HTeneli: COrnaüleHHe oHeHCIIOnb3OBaHHH HOBbIX KaHanOB COXpaHStno AeHbrH, orpaHH4HBano

KOHKypeHLiHIO CpeAH 6pHTaHCKHX npOH3BOAHTenerl H 3aTpyAHSfnOHHOCTpaHHbIM npOH3BOAHTenSiM npOHHKHOBeHHe CO CBOHMH COpTâMH

Ha 6pHTaHCKHrf pbIHOK (208).

C KOHua 1980-x rOAOB CHOBa CTanH nepHOAH4eCKH pa3AaBaTbCSInpH3bIBbI B IIOnb3y 6onee 34)(1)eKTHBHOrO perynHpoBaHHSf, npOTHB

105

Page 111: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

KOTOpbIX B CKOOpAHHHpOBaHHOti KaMnaHHH BbICTynHnH anKOrOnbHäH,

peiuiaMHasi H HH(l)OpMaLIHOHHasI HHJrycTpHH. B 1988 ro,gy KOJ(eKCblASA H IBA 6bInH nepecMOTpexbt B OTBeT Ha npocb6ynpaBHTenbCTBa. ,E(06p0BOnbHble KOJjeKCbI 06bILIHO cpopMynxpytoTcslHetieTKO H OCTaBnSIK)T MeCTO JjnA pâ3nH1IHbIX TOnKOBâHHti. MHorHe

CgenaHHble B 6pHTaxCKHX KOJZeKCaX H3MeHeHH51 nbtTânHCbnpoSICHHTb, KaKxe XapaKTepHCTHKH COJ[epxKaHHSI CLiHTatOTCSI

HeJ(OnyCTHMbIMH. O,2ÿHaK0, HeKOTOpbie H3 HOBbIX noJIO)KeHHH CKOpee

nOBbICHJIH, LieM nOHH3HnH BO3MO)KHOCTb pa3nH1iHbIX HCTOnKOBaHHÎi,

TaKxe KaK 3anpeT KOJ;eKca IBA HC11O1Ib30BaTb tOMOp, He rOBOpSI yxceo ,gpyrxx Tpe6oaaHHstx K coAepxcaxHlo. HanHTKH c cOCepxcaxxeMMeHee 1,2% anKOrOnsi He BOLLIJIH B nepeCMOTpexxbte npaaxna IBA,'Tome cnytiaes, KOrJSa HH3KOe CoJ>;epx<axxe anKOronSl He otieBHJ;Hoxnx xce Kor,aa Co3,13aeTCSt BnetiaTneHHe, LiTO cylL(eCTBexxOH IjenblOpeKJIaMbI SiBnSIeTCSi nponaraHwa copra anxoronbxoro HanHTKa.

B TeLleHxe 1980-x rOzoB OTZenbHble KOJleKCbI 6bInH pa3pa60Ta-Hbt ;VIA Ka6enbHOrO TeneBliJjeHHSI H BHJteOTeK. KO,geKCbI pâ3nHLIHbIXCpeJI;CTB HHpOpMatjHH 60nbtne OTnHLIanHCb no McTO.gaM HCnOJIHeHHSI,LieM n0 COJZepxKâHHIo. HeKOTOpble KOjeKCbl HMenH no1Iy3aKOHHbItiCTaTyc, TaK KaK COOTBeTCTByiOIJ.IHe BnaCTH, TaKHe KaK IBA HnH weKa6enbHOe ynpasnexxe, HMenH 3aKOHHOe npaso paccMaTpHBaTb)iCan06bI. KpaFIHHM HaKâ3aHHeM 3a HapyLLleHHe Ka6enbHOro KOJjeKCa6bIJIa oTMeHa nHIZeH3HH., C JcpyroH CTOpOHbI, CLIHTanOCb, LITO

Co6niOJjeHHe yCTaHOBneHHbIX HOpM KOHTponA B CJIyxK6aX BHJjeOTeK3aTpy,aHHTenbHO, TaK KaK MOxKeT H He 6bITb nOCTOSIHHOti 3anHCHnepe,IjatotlJ,i3XcSi no CHCTeMe nOCnaHHM. Ka6enbHbiii KOJZeKC TaKxcenpHMexHM K nepeJ[atiaM clfyTHHKOBOro TenesHeHHSi npHHHMaeMbIXKa6enbHblMH OnepaTOpaMH. C nOMOmbiO Ka6enbHOrO KOJleKCa

J.I06pOBOnbHbIiï 3anpeT Ha petcnaMy KpenKHX HanHTKOB OKa3anHeKOTOpOe Bo3J(eIiCTBHe Ha MexKJjyHapOJ[HyK) npaKTHKy peKnaMblanxoronsl: Cynep Kaxan, nepeJjatouiHHca B BenHKO6pHTaxxH noCHCTeMe Ka6enbxoro TeneBliJ;exHSi, H3-3a 6pHTaHCKHx npaBHJI HMeeTorpaxHtlexxyio pelKnaMy cnxpTHOro (209).

CnOHCOpCTBO ânKOIOnbHbIX KOMnaHHI4 He oXBaTbIBaeTCSI 6pH-TaHCKOH CHCTeMOii CaMOperynHpOBaHHSI. Tax KaK aJIKOrOnbHaSi

HHJtyCTpHSi HrpaeT BaxKHyK) pOnb B CnOHCOpHpOBaHHH CnOpTa,nOnbITKH OrpaHHLiHTb CnOHCOpCTBO BbI3BanH npOTHBOJjeHCTBHe

6p1-1TaHCKHX CIIOpTHBHbIX OpraHH3aL(HH. gO6pOBOnbHbie KOJ(eKCbI He

OrpaHHLIHBaIOT aCCOuHHpOBaHHSi anKOronSt CO CnopTOM; TOnbKo

106

Page 112: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

KOJ(eKC ASA peKOMeHJ(yeT H36eraTb HaMeKOB Ha TO, i-iTO ycneXHCnOpTCMeHOB CBA3aHbI C ynOTpe6neHHeM HMH aRK0C0115l.

OyHKuuoHuposaHue caMopeaynupoeaHuA

B bpHTaHHH npOIIU1a o6IIlHpxaA noneMHKa o6 344eKTHBHOCTHCHCTeMbI CaMOperynHpOBaHHSI (19). 3TH J(e6arbl 6blJlo TpyAHOpa3peIIIHTb, TaK KaK cneuHliHtlecxxx CB5I3aHHbIX C anKOrOneM

aHHbIX, rOBopSinZHX 0 4)yHKi(HOHHpOBaHHH CHCTeMbI, ManO. KOJ(eKc

IBA conposoxcAaezcrl JjByXCTaJ(HIiHOFi CHCTeMOÎi npeJ(BapHTenbxoilnposepKH. B 1986 6b1no npeJ(BapHTenbHO H3ytlexo 6onee 20 000 cue-HapHes peKnaMHbIX C006UieHHr1 J(nSi pa,[ZHO H TeneBH,I(eHHSI; 6binOyKa3aHo, tiTO 22% H3 HHX Z(OnUKHbI 6bITb nepeJ(enaHbl. 143 npeJ(CTaB-neHHbIX J(nSl npOBepKH 3aBepUIeHHbIX ayJ(HO/BHJ(eOKaCceT TOnbKO 4%

Tpe60BanIi H3MeHeHH1i. B 3TOT xce rOJ( IBA nonyLIHna 3500 ]iCano6 H3KOTOpbIX TOnbKO 15 6bInH yJ(OBneTBOpeHbl (160).

IIOJZ06Hb1e Ha6nK)J(eHHA 6bInH cJjenaHbl B KaHaJ(e, rJ(e TpaHcnx-uHS[ anK0ronbH0li peKnaMbI perynHpyeTcsl KO,L(eKCOM KaHaz(CKOHpa,3HO-TeneB143HOHHOIi H TeneKOMMyHHKauHOHHOI%I KOMHCCHeFI

(CRTC). IIpeJ(BapHTenbHO H3yLIanHCb cuexapHH peKnaMHbIX

coo6luexHil, xoTopble J(asanH cMyrHOe npeJ(cTasneHHe o6OKOHziaTenbHOM ayJ(HO-BH3yanbHOM npol(yKTe. B nHKOSb1e nepHOAbInpOBepOIIHb[ïi KOMHTeT MOr nonyYaTb COTHH cueHapHeB B J(eHb. Bpe3ynbTaTe 6bUI0 yCTaHOBneHO, HTO 3Ha*-IHTenbHa51 LiaCTb peKnaMHbIX

C006U(eHHii o6 anKOrone Hapyluana KOJ(eKc HnH 6bina Ha npeJ(ene3TOro (Anderson, J., neony6nuxoeannb[e dannb[e, 1989).

IipHTâHCKHIi KOgeKC peKnaMHOFi J(e5lTenbHOCTH ASA perynHpyeTHapyxcHylo pexnaMy anKOPOnSI, TaIUKe KaK peKnaMy B nezIaTHbIXH3,£(aHHSIX, B KxxOTeaTpax H Ha BHJ(eoxacceTax, ASA KOHTpOnHpyeTneLiaTHyIO peKnaMy nyTeM axanH3a O6pa3uOS ny6nHKauHIi HRH cnOMOH(bK) npoBeJ(eHHA Bb160pOYHOIi nposepKH onpe,geneHHbIXnpOJ(yKTOB, TaKHX KaK anKOrOnbHble HanHTKH. B 1986 rOJ(y

Ha3HaLieHHblii J(JISi paCCMOTpeHHS[ >[can06 KOMHTeT nOnrIHn 6o1lee7800 3aSiBneHHH, 143 KOTOpbIX 32% 6bIRH H3ymeHb[; HaH60nee LIaCTOkinpHHHHO[ï OTKa.3a 6bIR0 TO, trrO He 6bIR0 SIBHbIX HapyLUeHHii KOJ(eKCa.

Kor,qa perxCTpxpoBanocb HecornacHe (19 cnyiaeB B 1986 roJry),KOMHTeT BbIITyCKan 3anHCKy J.(JIS[ CpeJ(CTB MaCCOBON HH(l)OpMauHH, B

KOTOpOïI npOCiIJI H3J(aTeneFi He ny6nHKOBaTb peKJlaMHbIX

C00611(eHHii, 110 KOTOpbIM He J(OCTHTHyTO COrnaCHi1 (160). B

107

Page 113: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

KHHOTeaTpaX, rAe anKOronb npHHOCHT no4TH TpeTb BceX npH6bIneFi

OT peKnaMbl, ACCOuHauHSi peKnaMbl B KHHOTeaTpaX y4pe,gHnaCH:cTeMy npeABapHTenbxoro npocMoTpa pexnaMbl 11UISi nposepKHCOOTBecTBHx xoAexcy ASA (209).

B CMOJIenHpOBaHHOH n0 6pHTaHCKOH C14CTM aBCTpanHricKOH

CHCTM CaMOperynHpOBaHHSi rnaBHbIM OpraHOM, OTBeTCTBeHHbIM 3aBbInyCK yKâ3aHHii no peKnaMe, HX HCTOJIKOBaHHe H npOBepxy xcano6

SiBnSieTCSI (bHHaHCHpyeMblii peKnaMHOM HHz(yCTpHeN H peKna-MOJZaTenSIMH COBeT peKnaMHbIX CTaHJZapTOB (ASC). B npOIIUIOM,CO6nIoueHHe KOjleKca 6buI0 nOCTaBneHO noj( BOnpOC H yCHJIHJiOCb,gasneHHe B 110nb3y BBe,geHHSi 6onee cTpororo KoHTponR (210). Bpa6oTe, H3yLiaBLileli (l)yHKUU3OHHpOBaHHe ap6HTpaX(HOru npoueJZypbl,npellCTaBHTenH npOCTOrO HaceneHHSI, HCIIOnb3yS1 BOnpOCHHK, npxMo

OCHOBaHHbIH Ha KOJ(eKCe ASC, OueHHBânH 16 ne4aTHbIX H

TeneBH3HOHHbiX peKnaMHbIX COO6LueHHri (211). YCTaHOBneHO, 4To

ace c0061ueHHSI B Tai HJIH HHOH Mepe npOTHBOpe4aT KOJjeKCy, H HaHHX 6bInH nO.I(aHbI )KanO61DI B COBeT. CpeAHee BpeMSi OTBeTa 6bIJI0JZJIHTenbHblM, 4TO 11O3BOnSIJIO npeAnOJIONCHTb, 4TO He OTBe4aioLuHeKOJteKCy TeneBH3HOHHble pOJIHKH MOrnH n0Ka3bIBaTbC51 2-3 MecSlua HOXBaTHTb IIIHpOKyiO ayrprTOpHio ,i;0 TOro, KaK HX y.qanslT. B KOHe4HOM

CLIeTe, TOnbKO OJ.[Ha xcan06a 6bina yJ.jOBneTBOpeHa COBeTOM, H eueo,3Ha yTepSUHa anMHHHCTpauHeru.

3aKOHO,garenbcTBo

Toraa KaK CaMOnpoBo3rna[üeHHble KOJZeKCbI peKnaMHOri

JZeSiTenbHOCTH (kOKyCHpyIOTCSI Ha CoZjep)KaHHH anKOtOnbHOH

peKnaMbl, 3aKOHOJjaTenbHble orpaHH4eHHSI 06b14HO orpaHH4HBaiOTHCnOnb3OBaHHe OnpeJjeneHHbIX KaHânOB HHCpOpMauHH, 4auue BCerOTeneBHJZeHHSI. 3aKOHO,naTenbHble OrpaHH4eHHSU CyLueCTByuOT H HaMeCTHOM ypOBHe, HanpHMep, B CHIA, rAe Hapy)KHaSI peKnaMa 4aCTonO,gna.gaeT nOJj ynpaBneHHe MCCTHbIX BnaCTeH, H Ha perHOHanbHOMypoBHe, HanpHMep, B ICnaHHH, r,ge psrA aBTOHOMHbIX perxoxOBHMeuOT CO6CTBeHHb[e 3aKOHbI O peKnaMe anKOrOnSU, HO gaule BCerO Ha

HauHOHânbHOM ypoBHe. B TaKHX CTpaHaX, KaK CHIA H KaHaJ.(a,peKnaMa anKOCOnSI perynHpyeTcsi KaK (l3e,gepanbHblMH

nOCTaHOBneHHSiMH, TaK H 3aKOHOJZaTenbCTBOM OT,genbHblX LIITaTOB H

npOBHHUHN.

108

Page 114: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

COedUHeHHble Wmambi AMepuKu

B Mepbl KOHTpOnA 3a peKnaMOFi anKOFOnA OCHOBaHbI Ha

KOM6HHaijHH CaMoperynHpOBaHHA, 3aKOHOnaTenbCTBa ckeAepalzHH HIIITaTOB H iopH.EHLiecKHX noCTaHOBneHHAX. CrTBeTCTBeHHOCTb 3aperynHposanHe peicnaMbI armerons! Ha cbeAepanbHOM yposxenoRenexa Me)Kjly cDeAepanbxoli Toprosoii xOMHCCHeii (FTC) H Biopono anxOronio, Ta6axy H orxecTpenbxoMy oppicHlo (BATF)MHHHCTepCTBa (f)HHaxcOB. IIpaBI-IJIa BATF 3anpeivaioT, HanpHMep,no>KHble H BBO,gAÜIHe B 3a6nyxuxeHHe 3a51BneHHA, a TaKxceH306pa)KeHHe nbioüjHX anKOronb cnopTCMeHOS. HeCMOTpA Ha COTHH06uuecTBeHHbIX ne-rHuHli FTC H BATF npoxBnAioT HexcenaxxeyCTaHOBHTb cTporxe MepbI KOHTpOnA 3a pexJlaMoû aJIKOTOJIA (34).PeKnaMa anKOFOnA TaK)Ke perynHpyeTcA 3aKOHaMH OTzjenbHbIX

IIITa.TOB; CyüjeCTBeHHble 3aKOHOgaTenbHbie OrpaHHLIeHHA

Cyü.[eCTByIOT B nATH IIITaTaX. MaCcaiiyCeTC OrpaHHLIHn pexnaMyKpenKHX HanHTKOB CO Cpe,IjHHbI 1970-x rojl0s. B LIeTbipeX npyrHXIIITaTâX BBeReHHe OrpaH Hile HHi-i RaTHpyeTCA I98O-MH rORaMH.

HanpHMep, B IOTe 3anpelaeHa nio6aA peKnaMa KpenxHX HanHTKOB, 3aHCKJIIOzieHHeM 0,11HOFO 06bABneHHA Ha BHTpHHy. MHOrHe IIITaTbI HropoAa HMeioT a4MHHHCTpaTHBHbie MepbI, perynHpyioumepa3MelSjeHHe H co,gep)KaHFie 06151BneHHIi C pexnaMoii anxoronbxbIXHanHTKOB (63).

B 1980-e rOnbI yClinNnHCb npH3bIBbI B nOnb3y 6onee CTpOrHXorpaHeiexHli. (I)eRepanbHbiii 3anpeT Ha pexnaMy armerons!nepHOnHLIeCKH BblnsHrancA Ha CnyIIIaHHAx B KoHrpecce H no,azkep)KH-BanCA Mej[HLIHHCKHMH H 03,aOpOBHTenbHbIMH opraHH3auHAMH. B 1989

rojjy rnaBHbiii spatI CHIA npeZ[CTaBHn CeHaTy KOMnneKC Mep nocnep)KHSaHHiO noTpe6neHHA anxoronA H BO)KAeHHA B HeTpe3BOMCOCTOAHHH, OCHOBaHHbIX Ha BbIBOnâX ceMHHapa 3KCnepTOB (212). BLIHCJIO 3THX Mep BXOAHJIO CHH)KeHHe 06'beMa peKnaMbl anKOrOnA g0

yposHA, paBHOTO ypOBHio C0061neHHH O 3JjOpOBbe H 6e3OnaCHOCTH, HorpaHHLIeHHe Onpe,geneHHbIX BHJjOB pexnaMbl, HanpaBnexxblx HaMono,ae)Kb,

AJIKOFOnbHaA HH,IjycTpHA une-ri-ma BBe,geHHeM CaMoperynxpo-BaHIiA, nposejjeHHeM IIy6nHLlHbix npoCBeTHTenbxbtx KaMnaHHH HyTBepAKgeHHAMH, LITO 3aKOHOAaTenbHbie OrpaHHLIeHHA HapynlaTcB06ouy cnosa, rapaHTHpoBaxxyio IlepsoFi Ilonpasxoli K

KOHCTHTyI.CHH CHIA. O,iIHaKO, B TeLIeHHe nOLITH Bceii HCTOpHH

109

Page 115: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CTpaHbI KOMMep4ecKHe 061,5IBneHHA paCCMaTpHBanHCb KaK HenoAnaAalouiee nog IIepsylo Ilonpasxy. Tax 6bIJI0 go cepeAHHbi1970-x, Koma Bepxosxblil CyA npl-iHAn peuieHHe, oTHOCAnxeecA KpacxpblTxio IjeH Ha pexnaMe nexapcTS, paculNpHsuiero 3au(FiTyIIepsoH IIonpasKH Ha KoMMep4ecxxe o6bABnexH51, Axis o6ner4eHHAnpHHATHA peuleHHA noTpe6HTenAMH. B ApyroM cny4ae,AaTHpOBaHHOM 1980-M rOAOM BepXOBHbIIï CyA np113Han, 4T0KOMMep4eCKHe 06151BneHHA MOryT 6bITb OrpaHHtieHbl H pa3pa6oTanxpHTepHH OIjeHKH H3 4eTbipeX LIacTeIï. KOMMepiieCKHe 06'bABneHHACLiHTaiOTCA 3aLLjHLI(eHHbIMH, TOnbKO eCJ1H OHH xacaH)TcA 3aKOHHOH

AeATenbHOCTH H He ABnAiOTCA nO)KiibIMH HJ1H BBOAAILjHMH B

3a6nymxAeHHe. Ha 3aIIjHIIZeHHble KOMMep4eCKHe o6bABneHHA MOryTBBOAHTb orpaHHLieHHA, eCJIH 3T0 KacaeTCA CyLLIeCTBeHHbIX HHTepeCOs

npaBHTenbcTBa, eCJIH OrpaHH4eHHA npAMO CnOCO6CTByiOT HHTepeCaMnpaBHTenbcTBa H eCJIH OHH He 60nee 061nHpHbl, 4eM Heo6XOAHMO AnACJIyxfeHHA 3THM HHTepeCaM. 3TH KpHTepHH HCIIO11b30BanHCb CyAaMH

BCeX ypOBHeH B CnyT-IâAX, OTHOCALIjHXCA K perynHpOBaHHK) peKnaMbl.

B CepeAHHe 1980-x rOAOB 3TH KpHTepHH 6bInH npHMeHeHbI K 3aKOHynITaTa MHCCHCHnnH, 3anpeH.ZaBlnero TpaHcnALIHOHHyK), ne4aTH.yiO HHapyAKHyIO pexnaMy KpenKHX HanHTKOS, 3a HCKniO'-IeHHeM nepeAag HH3AaHHH H3-3a npeAenos LüTaTa. (1)eAepanbHblH Cyn peuiHn, 4TorOcyAapCTBeHHbIH HHTepeC B 3aI1(HTe 061LfecTBeHHOro 3AOpOBb2nyTeM KOHTpOnA peKnaMbI anKOrOnA 3Ha4HTeneH, 4TO CynjeCTByiOTBeCKHe npH4HHbI nonaraTb, 4TO pexnaMa H noTpe6neHHe anKOrOJIACB5I3aHbI, H 4TO OrpaHH4eHHA He ulHpe, 4eM He06X0AHM0. CyAOCHOBbIBâJI CBOe nOCTaHOBneHHe TafoICe Ha ITonpaBKe 21 K

KOHCTHTyLIHH CHIA, AaTHpyeMOH BpeMeHeM OTMeHbI «cyxoro3aKOHa» H AaiolueH OTAenbHbIM LUTTM noJIHOe ripas() perynHpOBaTbânKOrOnbHble BOnpOCbI. MOTHBHpOBKa, nOATBepiCAeHHaA B CepeAHHe1980-x B ApyroM CyAe6HOM cny4ae, COCTOAna TOM, 4TO HMeiouleecA yIIITaTOB npaso BbICUlerO ypOBHA perynHposaTb npO.LyKTM H

AeATenbHOCTb, C4HTai0umeCA BpeAHbIMH, TaKHMH KaK anKOrOnb,TaK)Ke BKnl04aeT B ce6A npaBO HH3LLIerO ypoBHA no 3anpeTy peKJlaMbi(62, 63).

C 1980-x roAOB pa3nH4Hble rpynnbI H OpraHH3aL1HH BbICTynanH3a 6onee CTpOrHe MepbI KOHTpOnA 3a pexnaMOFi aJIKOrOnA. BCepeAHHe 1980-x rOAOS KOaJIHuHA H3 25 06ucecTBeHHbIX rpynn,pa60TaI0IIwX no npoexTy Ha3BaHHOMy SMART (OCTaHOBHTbMapKeTHHr AJIKOrOnA Ha PaAHO H TeneBHneHHH) nposena

110

Page 116: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HauHOHanbHyiO KaMnaHHIO no 3anpeTy peKnaMLi anKOrOnA Ha pa,Ijiio

H TeneBHAeHHH (34). XOTA uenb He 6b1na AOCTHrxyra -MeponpHATHAM 6bina npoTHBOnocTaBnexa xaMnaxHA anxoronbxoii HHHI-tiOpMauHOHHOiï HHAyCTpHii - BO3MO)KHOCTb ctleAepanbHblXOrpaHH4eHHH TpaHCnAuHH peKnaMbi BJIKOrOnA OCTaeTCA Ha nOBeCTKe

AHA. Ilpoeicr SMART no3AHee nOMeHAn CBOIO TaKTHKy B CTOpOHbIKOHTp-peKJIaMbI. uenbi0 KOHTp-peKnaMbl 6bIn0 BHeCeHHe TaKHXnpo6neM, KaK âJIKOrOnb B COUHânbHylO H nOnHTHLIeCKyio cpeAynyTeM npxsneiieHHA BHHMaHHSi K pOJIH HHAyCTpHH H o6LuecTSa BCO3AaxxH o6CTaHOBKH, rAe BcTpe'-IaiOTcA CBA3axxbie C anxoroneMnpo6neMbi H 6onee IIIHpoxoro ocBeLueHHA cTpyKTypxblX nOAXOAOB KnpockHnaxTHKe (67). I'pynnbl rpaxcAaH TaKxce ycneuixo pa6oTanH3aCTaBnAA BATF BMeLIIHBaTbCA H npHHriCAaTb BbinOnHATb

CyülecTByIOLuHe cPeAepanbHble Mepbl perynNpOBaHHA, HanpHMep,KOrAa peKnaMHâA KaMnaHHA AnA nHBa 6bina nOCTpoeHa Ha BbICOKOM

COAep)iCaHHH anKOrOnA B HanHTKe (73).

ApyraA cctlepa AeATenbHOCTH rpaxcAaH 6bina HaueneHa HaH3MeHeHHA peKnaMHbIX KOAeKCOB HHAyCTpHH. HeAaBHHH npoeKT,Ha3BâHHbliï OnaCHble O6eivaHHA, HaueneH Ha OTKa3 OT peKnaMblanKOTOnA, KOTOpaA nOKâ3bIBaeT iCeHIIjHH, KaK Helltb H OIIOULJLAeTHaCHnHe npOTHB )KeHLLIHH (213). Bonpoc CeKCH3Ma B anKOrOnbHOi3pexnaMe nOAbIMBnCA TaioKe H B KaxaAe. B Ha'iane 1990-x rOAOB,npOH3BOAHTenH KpenKHX HanHTKOB Tpe6oBanH Aocryna Ha

TeneBHAeHHe, 3a5BnAA, TITO 3anpelualOLuHii peKnaMy KpenxxxHanHTKOB KOAeKC CRTC HapyuiaeT HX CBO6oAy CaMOBblpaxceHHA.3T0 Tpe6osaHHe BbI3BBJIO nOnHTH4eCKHM npouecc, KOTOpbIii MOrnpHBCCTH K 3anpeTy TeneBH3HOHHOii peKnaMbl anKOI'OnA, HO BKOHe4HOM HTOre BbIpa3HJICA He 60nee 4eM OCyKAeHHeM CeKCHCTCKOIi

peKnaMbi anKOronA. IIp06neMa CeKCH3Ma, nOAHATaA mat-fanerpynnorl AaBneHHA, nony4xna 6onbuie BHHMaHHA B npecce, 4eMnpo6neMa 3anpeTa peKnaMbi anKOronA (Geisbrecht, N. & Goodstadt,M, neony6nuxoeannbie dannbie).

EeponeücKUÛ Co1o3

EBponel-lcKHM C0103 CTpeMHTCA paCCMâ'TpHBaTb anKOCOnbHbleHanHTKH KaK TaxOii )Ke npoAyKT, KaK H ApyrHe, XOTA npo(iHnaKTHKaanKOrOnbHbIX npo6neM 6bina oAo6peHa B Ka4eCTBe nOnHTH4eCKOHuenH Ha ypOBHe peKOMeHAauHi-i. COUHanbHâA H McAHuHHCKâA nOnH-THKa B 6o11bLLleH CBOeiï 4aCTH OCTanaCb B KOMneTeHuHH rOCyAapCTB-

111

Page 117: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

4nexoB EC. He,gaBHO B craTbe 129 MaacrpHxTcxoro Rorosopa3aIuHTa 061ueCTBeHHOrO 34OpOBb5I 6bina npH3HâHa COCTaBHOIi 4aCT1,10

nOnHTHKH COiO3a. CTaTbH npeAOCTâBnAeT 3aKOHHytO OCHOBy AJISi Mepn0 yKpenneHHto 3,71Op0BbSI Ha ypOBHe COto3a H Tpe6yeT pacCMOTpe-HHA BOnpOCOB 061.IjeCTBeHHOrO 31(OpOBbSt B ApyrHx noJIHTH4ecKHxo6naCTSIX. B CTaTbe TaK)Ke yTSep)iCAaeTCSi He06XOAHMOCTb AetiCTBHti

no npOciHnaKTHKe 6one3Heti, BKJIIO'iaSl HapKOTH4eCKyto 3aBHCHMOCTbCTaTbSi BBeAeHa B AerrCTBHe MeHee AsyX neT Ha3aZj H eute HeBOIUIOTHJtacb B nporpaMMy AetiCTBHti (214).

IIocTaxosneHlix o peKJlaMe aJiKOrOnA HeMHoro. ,L1HpeKTHBa EC89/552, perynxpyioutaA TeneBH3HOxxbte nepeAa4H 4epe3 rpaxxny,AaeT TeM, KTO nepeAaeT, HeorpaxH4eHHOe npaso Bewarb Ha ApyrxecTpaxbl, HO ycTaxasnHBaeT OrpaHHLIeHHSi Ha TenepeKJIaMy.,,E1HpelCrxsa 3anpetuaeT peKJlaMy Ta6aKa, a ARA pelUlaMbt anKoronSiAaeT TOnbKO paA yKa3aHHt3. PefUlaMHble c0061ueHHSI He AonmKHbI 6bITb

npSIMO HanpaBneHbI Ha MânOneTHHX HJIH H306pa)KaTb M3JIOneTHHX,n0TPe6JISiIOILtHX anKOTOnbHbre HanHTKH. OHH He AOn)KHbI CBS13bIBaTb

nOTpe6neHHe aJIKOrOJISI C yCHneHHeM CI)H3HLIeCKHX cn0006HOCTeH HJIH

Bo)KAeHHeM. OHM He AOn]KIibI yTSep)KAaTb, 'iTO anKOrOnb HMeeTTepaneBTHLIecéCHe CBOFICTBa H 4TO OH SIBnS1eTCSi cTHMynHpylOIuHM HnH

yCI1oKaHBaIOLLjHM CpeACTBOM, nH6o CpeACTBOM pa3pelueHHAnepCOHanbHbIX KOH(ICInHKTOB. KOMMep4eCKHe C0o61ueHHA He AOJIACHbt

nOOLLtpSITb HeyMepeHHOe noTpe6nexxe anKoronx HnH npeAcTasnslTbTpe3BOCTb nH60 yMepeHHOCTb B HeraTHBHOM CBeTe, HnH )Ke CO3AaBaTb

sne4aTneHHe, 4TO noTpe6neHHe anKoronSI CII0006CTByeT

COL[HanbHOMy [üIH CeKCyanbHOMy ycnexy. BbrCOKOe COAep)KaHHeanxoronsl He AOn)KHa noA4epKHBaTbcSI, KaK n03HTHBHOe CBOiiCTBOHanHTKa. 3TH yxa3axHSi, ropa3Ao McHee o61IIHpHbre, 4eM KoAeKCbtCaMOperynHpOBaHHA B TaKTiX cTpaxax KaK BenMKO6pHTaHlisi HHMAepnaHAbt, ycTaxasnHBatoT TOnbKO MHHHManbHble CTaHAapTbi3aLuHTbI nOTpe6MTeneti OT HeyMeCTHOti peKnaMbl. rOCyAapcTBa -4neHbI EC BOnbHbr BBOAHTb 60nee cTpOrHe Mepbi perynxposaHHApeKnaMbl aJIKOronsi Ha HaLtHOHânbHblX TenenpOrpaMMaX. ,T1HpeKTHSaHe AOnyCKaeT TOnbKO 6nOKHpOBaHMSr TenenpOrpaMM, nepeAaioLrtMxcsiH3 ApyrHx rocyAapcTS - 4neHOS EC.

I'ocy,rxapcTBa TatoKe MoryT BBOAHTb 3anpeTb1 Ha peKnnaMyanxoronSi B CTpaxe, ripa ycnoBHH, 4TO OHH He MerlIaioT ToprosneBHyTpH Coo6luecTSa. CornacxO nOJIO)KeHHSIM PHMCKOro ,11orosopaMepbt, Meuiaiouixe cBO6oAHOMy nepeMeuteHHio ToBapoB, Talcxe KaK

112

Page 118: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

orpaHHLieHIiA peKnaMbl anKOronA, MoryT 6brTb OnpaBJÿaHbl, eau! OHHMrpaIOT CymeCTBeHHyiO ponb B 3auiHTe noTpe6ldTeneli HJIH

O6LgeCTBeHHOrO 3%[opOBbA. onpeueneHMA Macmra6a,COAep)KaHHA H 344eKTOB orPaHHLIHTenbHblX Mep EBponeFICKHI%I CyA

pa3pa6oTan KpxrepHH H3 LieTbrpeX 4acTerl, HanOMMHarOLrjMri goHeKOTOpOH CTeneHH KpHTepHH, MCI10nb3yeMbiii B CHIA.OrpaHHlieHHA MOTIF 6bITb OnpaBAaHbI, ecnH paceMaTpHBaeMbIFinpoAylcr HeCeT C C060ii BO3MONKHy1O He3KOHOMHLIeCKyiO OnaCHOCTb.

MepbI AO/UKHbI nOAXOAHTb j(JISI npegoTBpaujeHHe onaCHOCTH, nplfileM

HaHMeHee OrpaHHLIHTenbHbIM CnOCO6oM. gaJlbHeiiLIIHe Tpe60BaHHA,HCXOASIIIjHe 143 nOCTâHOBneHHii CyAa, 3aKJIIO1IaIOTC51 B TOM, LITOOrpaHHIIHTenbHble MepbI AOn)ICHbi 6bITb IIaCTbio nOCneJ.jOBaTenbHOIiCOLlHanbHOii nOJIHTHKH, OHH JjOnDKHbI B paBHOil MepeCOOTBeTCTBOBaTb BHyTpeHHHM H HMIIOpTHpyeMblM npOAylCraM H He

6110KHp0BaTb Bee MeTOAbI MapKeTHHra. B 1980 rouy Cyr( ocy,gxncl)paHLy3cKHki 3aKOH, 3anpelgasmHil pexnaMy KpenKHx HanHTKOB,KpOMe HeKOTOpbIX, BKJIIOLIâA KOHbAK, nOTOMy LITO 3T0 OKa3bIBanOAMCKpHMHHaIIHOHHbIri 3c1)cipeKT npOTHB HMI10pTHpyeMblX npoAyxTOS.

B 1990 rOuy aBTOHOMHbiii perHOH KaTanOHHA B MCnaHHH 3anpeTHnpexnaMy HanHTKOB, couepxcaLui-rx 6onee 23% anKOrOnA B MeCTHbIXM3AäHMSIX, B KHHOTeaTpaX, CI1OpTHBHbIX cOOpy)KeHriSIX,

O6LIZeCTBeHHOM TpaHCIIOpTe H pule Apyrl-Ix MeeT. B nOCTaHOBncHHH 0

KaTâJIOHCKOM 3anpeTe CyA nOATBepgHn orpaHHliexHA PCKJTMManKOrOnA, CI10e06CTByIOLIwe 3aLLuHTe O6LuecTBeHHOrO 3AopOBb5I.

OrpaHHLIeHHSI 6binH npH3HaHbI 060CHOBaHHbIMH H COpa3MepHbIMH,TaK KaK OHM 6binH HanpaBneHbl Ha 3aIL./HTy OCO6bIX rpynn, TaKHX KaKMOJIOj.le>Kb, npHMeHAnHCb K 0006011 rpynne HanHTKOB, H He

3anpeLijanH Bee BHAbI peKnaMbl 3THX HanHTKOB (215).

Q>paHuuA

CpeAH cTpaH EC dlpaxL(HA npe,acTasnxeT cTpaHy, KoTOpaA BTeLieHHe ,iZJIHTenbxorO BpeMexH Hcnonb3yeT 3axoxO,I(aTenbcTBO ARAperynmposaHHA peKnaMbi anKOrOnA (216). PeiulaMa anKOTOnbHbIXHanHTKOB c 1949 roua 3anpeigexa B ny6nHKaLiHAx AnA AeTeit B 1955roAy pexnaMa onpeueJleiiHbrx THIIOB KperlKHx HanMTKOS orpaxHLlexaBO BCeX CpeACTBâX MaCCOBOri HHCi)OpMaIAHH. OCHOBbIBâACb HanOJIO)KeHHH O TOM, LITO HanHTKH O6bILIHO ynOTpe6n2eMbre go eAbI6onee BpeAHbl, gem ynOTpe6nAeMbie BO BpeMA eAbl, 3aKOH AenaeTHcKnloLlexxe, HanpHMep, 1xJrA KoHbAKa. B 1980 rouy EBponertcxxiiCyA noCTaHOBIüI, LITO 3TOT 3aKOH ABnAeTCA AHCKpHMHHarAHOHHbIM,

113

Page 119: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

XI9H9If010NIfE£ag aWEII)iad fi WEN.LHUEH W19H911010NIfE N ISOXHm15O0H10

`E0If08WH0 H HaWH aHHEâ0£9I1OUGH OHamadUE£ HNdEWdK

0I9HHHa NEN xHNE.L `HH.t,ISHduodaW XI9H9IrEHTI0Il0 ioda oa aNCNE.L

E`HNCE170du H Ea.L011Oa£HOdu XE1001A1 a`I91h01.1 019mOWOU O ifl101ONIfE yO1HEIELIOdI1 EH ISHHahHHEd10 I9H3lt0aa 1411I9g 'iS9g0d0TI£ KIf17 OHOEUO

WaIfO10N1fE aHHallgad.LOLIXOIf£ O.Lh `WOZ 0 01HïIE1tH0WONad OiiCNOHHTI

-HT1aW 91ENCd0ttoo 19HNC11017 KHH0m900o 0I9HWEIfx0d H.LOadgoHdu

OHNCOW X11 0111 `WO.L O H KHH01190dLOU XE11Ha `Ea1.0170a£HOdU xattO.LaW

'os-m.000 H HHHattNCOXOHOdU XH `XEN.LHUEH a K11010311rE HHHENCdatt00 o OIHtIEWdO(PHH 9.LEaET1 OHNCOW XKHH0m9000 XI9HWEIfN0d a :HHTINKrOdu

EWE11Nad 9IIIH11 EHarnad£Ed HHawada HN1.rCNCaNIOdu 0199000

a oH1tEd EH H x1911ood£a 151111 xKHTIENH119iCL1 a EHaluad£Ed EWEIfxad E.Ldouo aHHEaodHdooHOUO 0090111 `xEdLEa.LOHHN a H HHHaTIHgaIra.L

EH XWElrxad o1Xgo111 `9NC0t7o11oW EH oiiCHHOI1311EH `X.WE1rNad

IIH.LaduE£ HONEE ' Calf Xad.L aHHOha.L a OHH0U0.LOO11 iC11H0 a HIfEUÂ.LOa

EHONEE ISHHaNC01fOId Dg a H0H9I1'0.LHhHHEd10 HOWEO E11E.L0 HHTIHEd(i)

oa 1S11O10NIrE aWElrxad N OIHHamoH.LO OU ENHiH11o11 `%Z` i 001109 o191301.10d)1 aON.LHLIEH 1HH1,axdEW WHmoadH11X1ad `UTAg WOHONE£

D (6IZ `ôIZ) UTAg HONEE NEN 1,1I9H.LOa9£H `WOHONE£ WI9H9IfEl,ait

H WI9HdHIImgO aaLfOg HOHaWE£ 11199 1jOEZ.TEg HONE£ &01 1661

(L jz) XWE11Nad 01iCH.LEhau H oLCHNCÂdEH EH ISHHai7Ha01f0.L 0 ISItHadau

`H.LOEd H11ENC110ttOdu XWElrxad EH I9ttOXOEd :I9WEIfNad HOH9II010NIfE

E1A109.90 HHHONCHHO a EXauOiC 1H10O17 DH HONE£ HI9a0H 1HiC£O11

91.oOHHadaWÂ HHmoiXdH11HE1EUOdu 9.LENCdatrOO H11799 I9HNC110T1

KHH0m9000 a19H11'E11Nad aI9HHaIIIad£Ed KHHEa0dHIfÂ.10dOWEO WEO

-NaûON OHhH1011EHE 90OI1EaHhHHEd1O HHTIEWdO4)HH xEalattado xH1Xd11

fi x19HHaUIad£Ed `HHHam9000 XI9HWE11310d OHHENCdattOp Oa.LOdOOHOUO

IfHhHHEd10 H HHH017Ha01101 EH K11O10NIrE ÂWEU)IOd 1r111.0dUE£

i319d01AN `LIOEZ1Eg HONE£ NEN HI9H1O0g£H `HONE£ 11KHHdu ,LHaWE11dEu

,(1101 L861 g H3114.I.H110U 17oHWElrxad 13o1od.L3 001109 X£91rou

a aHHa11aE17 EIrx11HOX H I9.LE9317 019HHas.LO0m90 ELfEflOdH£HflH.LNE

KH11E£H11Ed09Hl.( aOIfEHENOIra.L XI9H1OEh XI9HHat7NCadh 0HâE110H KLf17

aOt7oXOt7 NHHhO.LOH 91E17£0O I99O.Lh `O10L Klftt %6 aaHOW o191.00u0dN

fiON.LHUEH EWEIrNad EHalnad£Ed E11I99 WO£ENiC E111oN `Et701 S86 1 Olt

EHamaduE£ ama 00a E11I9g K11O10NIfE EWEIrNad KEHHOH£Hfi01101., '(L 1 z) 9oH11HOd1.iC H.Lhou 191t0x3Ed ITOU 8861 ou 1861 0 :E11ood£oa oN£ad

KI1O1ONIre EWElrxad ao)tOl X-0861 axxaha.L g aH.LII11ou OiiCH91101oNUB

91Ea0£HlfEd0gH11 EHattNGCI-II9a E11199 KHTIHEde. H `EHE17aEdU0

E11I99 KEaONE.L NEN K9a0dOtt£ O1OHHaa.L00m90 191HTIIE£ 911aT1 K,LOX

Page 120: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

STT

0013151-OHTIÂE INOHHT10 fi 19H01151E10T1adu - XExHIfod XI4HHOH£HE01101

fi E `I4HT1Ha Ox.Lah 4119g 14Hx(1f011 HHHIET1HaIVOxad aHNOHHT1

-H11aw iClkElnlad OI,CI-11.Ehau fi 014HHahOIIfNa `0HHEY1IHHa 41.E31Cda11,C

H 4h011aHdu 19901h `O.IO.L KIfd 01.h `HIfE£ENOU KHHE8011a1r00H aI4H -41rE1,HallHdau0N6 win fl 014HHaTlaaodH '11H1IHE4 OR XKHHa1119000

XI4HNIEIfNad a K09.LENCdaT1O0 14HxCIf011 al4do.LON `HHIIET1HaIV

-ONad XHxOHHTIHT1aYV 4O.1010CI(T)6 KHHE9017aIfOOH 40HIIH1108od1I OH

(ZZZ) E17o1 0661 KHaod,C HIr1H10OT1

OH OH `oa.17 EH 90H1rHhH1f0fi,C I411OX0Ed E110,I O10moLCTlalfo axxaha.L s`%£1 EH 40HIrH£HHO 1411oxoEd ICh'O.l 1661 g'KIfO10x1rE iClAlElrxad

EH ao110xOEd OIHHaNCHHO 41E80fi109000u0 HIr.I0YV 1513H0hHHEd.Ip

UTAg EHONE£ 801N006 1-NHaT10 H0HxCIf0T1 4001fH11080dU OH ExOH

'([ZZ) KHHEBOdHOHOLIO HxH.I.)1Edu 03101E1

E`XKHHamg000 X19HWEIrNad 8 4.LE90£41rouOH OIfI4g OHNCOYV 0I9dO1ON

`ao£Ed90 H IiHHamEdgO X17011011 OU H HIfExHH£Og 1SHHaYVX£Ed0110H

014H9011011 aHEd.LO HaOa ou KIfo.IOxIrE ,CwEInlad oi,CHNC,CdEH

olÂmolElnad£Ed ` CxaEduou axdgollo `KHhadoaH.l,odu Irxmad£Ed .11iaYVEIrdEu ,C110.I b66I g 'I?HHalraoHE.LO0u xl9aHhadoaH,LOdu HHdaO

N HIrafiHdU 019d01.0x `41,091101EdH9£Ed x14H9a11Â0 ET1Kd IVO.LaYVl70du

1111E10 14IVEIrNad HOHNC,CdEH KHHE90dH1fiC_Iad I4d01V `L1199 OH Ham,CL119a

EExiC HONE.L mum NEi a£ExiC a 011E11 .I.a11,C9 Ea.L0110a£HOdLI 14H0£ aI1HaIfaTladuo O.Lh `9001fE111iNC0 'Efi,LOT10g£HOdu XEHO£ g EHamad£Ed

1011Â9 `400LB1ELrOU OH4IfBhEHO9d011 NEN `EIlElrNad KEHNC,CdEH

(OZZ) EWELrNad KEHxUtdEH Elflog iiHHa.LhOH£Ed EOxHHhO.LOH £H IVHH11()

'I4uHTIHHdu XE3.NE X19H41Ca1.ETlOHONE£ a 014HHaLC9OHELO,C 101EhEH£O

01I1 `.LOIKLralladu0 019d01031 `HNaEduou H I9£Ex,C EH KO.LaEdHuO EYVa.LOHO

1SEH41ra.LE17oHONE£ KENO£,CTIHEdO HHHEâONIrOL O,Ia XI4HhH1f£Ed

KL('11 ,Cahou LEV HO `i114H4IfE.LaT1 4H0h0 1103,aNCEx UTAg HOxE£ K.LOX

'.LOTI 4.LKU EH EHaIfaOHE.1.00 41149 .LaNCOi1I

E.Lx,Cïlodu ENCET1odu EaHûIiTlad aEhÂ1r0 g 'ÂIlElfNad oi,ClixoNE£aH

EH aoTloxOEd %05 OT1 4.LHaE.L0o0 1.Â.IOYV aI4HNCaxay 17,Co a KHHamEdgo 010gouC 10 OIV13OH9E£aH 14L15I10 OHHaLI'11aI1IaH

91I49 .I1001N KHH01119000 a14HIVEIfNad HONE£ axm0n?IlI/AdEH

XKHTIExH1r9,CL1 WK1411fHdUOd011 X14HHamKaOOU a H XE10I5H9

EH 4.LE£EN,C Ox.LEdN OHNCOIV `ELd00 OIHHEfi£EH 4.LE8041O1.0a1000

aH H .LaxcOYV aodo.I.ox `Eda00iT10du KIVH 0N41f01, oH `oxarnad£Ed i3H.LKHduodall XI9Hd,C.L4Lr,Cx aFiHEaodHdoOHOUp 1,CIro,C HUH aO.Lx,CT10du

Page 121: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

ctiopMaTe (223, 224). Heacxo, MoxceT nH BKJIiOLieHHaSI B pexnaMyMeAHu.IiHCKâSI peKOMeHAauHSf nOApblBäTb KOMMeriecKOe nocnaHHeHnH Ha060pOT. 3c1c1)exTHBHOCTb MeAi3L(HHCKHX npeAynpexcAexH#,nOMeIIZaeMbIX Ha 6yTbUIKâX H 6aHKäX C aJIKOI'OnbHbIMH HanHTKaMH,axTHBHO i3ccneAOBanacb B CHIA, rue, cOrnacHO ci)e,3epanbHoMy3aKOHy, Bce COCyAbi c 1989 roAa AOJL)KHbI HMCTb npeAynpeAHTenbHble

3THKeTKH. XOTSi OCBeAOMneHHOCTb n1oAeH O CyLLjeCTBOBaHHH

npeAynpexKAeHHri BbICOKa, ManO AOKâ3aTenbCTB HX B03AeiiCTBHSI Ha

3HaHH2 O 3AOpOBbe HJIH Ha pHCKOBaHHOe noBeAeHHe (225).HeKOTOpble AaHHble nOKa3bIBaIOT, ATM TOrO, LIT06bI Bb13BaTb

peaxL];Hio OTKa3a npH noxynxax HnH B nHTerlHOri CHTyauHH, HanpeAynpeAHTenbHOli 3THKeTKe AOn)KHbI HCIIOnb3OBaTbCSI TaKHe cJIOBa

KaK SIA HRH pax (226, 227). XOTSL n0nHTHKa npeAynpeAHTenbHblX

3THKeTOK nonyLiHJIa IüHpOKyK) noAAepxcxy o6LueCTBeHHOCTH,

pe3ynbTaTbI HeAaBHerO HCCneAOBâHHSi n0Ka3bIBa10T, LITO n0 Kpai4Heii

Mepe B OAHOH noArpynne - nbloLuxx BOAHTeneii - ycluleHHoenpHMeHeHHe TaKHX nOnHTHLieCKidX CpeACTB MOweT BbI3BaTb

He6narOnpHSiTHOe MHeHHe (228).

rIOCTeneHHOe y)KeCTOLIeHHe nOJIHTHKH B OTHOLLieHHH peKnaMbl

anKOrOnSI BO d)paHuHH He cnyLIHROCb caMO n0 ce6e. 3axoxy EvinnpeAlIIecTBOBânO 6onee LIeM AeCSITb neT 06LI.jeCTBeHHbIX Ae6aToB,o61i(ecTBeHHbIX KâMnaHHii H nponaraHAbl. TorAa KaK peKnaMHâSI HHHCkOpMaLUHOHHaSI HHAyCTpHH 3aIljHlilanH caMOperynHposaxxe,3aKOHOAaTenbHb[e OrpaHHLIeHHSI nponaraHAHpOBanHCb

06LIteCTBeHHOtï rpynnoil, Bo3rnasnsLeMOH rISITbK) BpaLIaMH. Porn"

anKOrOnbHOii HHAyCTpHii B Ae6aTâX 6bina orpaHHLieHa H3-3a

OTCyTCTBHSI CHRbHOr1 n066HCTCKOii OpraHH3aLtHIi. 3aIi[HTHHKH

O61ijeCTBeHH000 3AOpOBb5I, Ha060poT, 6bInH XOpOIIIO OpraHH3OBaHbI H

CR0C06Hbl BOCIIOnb3OBaTbCSi nonHTHLieCKHMH nepeMeHaMH H

nOBbILLIeHHbIM HHTepeCOM CpeACTB MaCCOBOri I-iHLi)OpMaLjHH (68).ABTOpHTeTHble OpraHbl, TaKHe KaK HaLtHOHanbHâSl aKaAeMHSI

MeAHLZHHbI H HaLIHOHanbHâS1 aKâAeMHSi HayK, a TaK)iCe TbICSILIH

HHAHBHAyanbHbiX LIneHOB McAHLjHHCKHX H HayLIHbIX o6n.ieCTB

noAAepxcanH 3aKOHOAaTenbHbie orpaHHLIeHHn. rIpOLlecC CO3AaHHSinoAAepxcKH OrpaHHLIHTenbHOl3 pexnaMHON nOnHTHKH 6bin ycHneHny6nHKaL(HeH onpocOB 061L;eCTBeHHOrO MHeHHSI, nOKa3bIBaK)ILmX,LITO ropa3Ao 6Onbule nOnOBHHbI HaceneHHSi BblcrynaeT 3a3aKOHOAâTenbHblii KOHTponb (229).

116

Page 122: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

OUHJ751HCjUA

B0HHnSiHJIHH pexnaMa anKOronsl Twice 6bina B TetieHHe

j1,n13Tenbx0rO BpeMexi3 3axoxOAaTenbxO orpaxiiT-Iexa. llepsbleorpaxHtlexxx Ha coRepxcaHHe pexnaMHblx coo6ujexHl o6 anxorone6bUIH npHHSiTbI BO spew' OTMeHbI «CyXOTO 3aKOHa» B 1934 rogy. BTeYeHHe nOYrl3 60 neT 60nbIHHHCTBO H3 npHHSiTbIX nonpaBOK 6bini3HanpaBneHbl Ha ycHneHUe KOHTpOnSI 3a peKnaMOH. B 1977 roAynapnaMeHT npxxsln nOCTaHOBneHHe KaCaK)u.jeecSl HanHTKOB,

coJtepxcaluxx 6onee 2,8% anxoronx, xoTOpoe 3anpeulano noLIrHnlo6ylo pexnaMy H cnoxcopeTBO. Pm-lama 6bina pa3peulexa BTOprOBbrX )KypHanaX Ana pecTOpaHOS, HO ace B 3THX ny6nHKauHSIXpa3MemeHHe, ofteM H COAepxcaHHe pexnaMbl 6bino OrpaHULIeHO:H306pa)KaTb MO)KHO 6bUIO 6yTbInKH H COCyJ( jjJISI nHTbsl, a TeKCT

OrpaHHLIHBanCSI HH(l)OpMauHeH O KpenOCTH HanHTKa, eroHHrpeJIHeHTâX, THne, npOHCXO)iCgeHHH H HCnOnb30BaHHH. B eLieHHenslTHneTHerO nepHoJta npeJj npHHSITHeM 3anpeTa peKnaMa anKOrOnsiBO BCeX neT-IaTHbIX CpeJ(cTBaX MaCCOBOFi H4opMaljHH 6binanpegMeTOM noJjo6HbIX orpaHH4eHHH.

PeKnaMa nusa, co,gepxcaLuero McHee 2,8% anxoronx, KOTOpoe HeBKJnOiiânOCb B OnpeJZeneHHe anKOrOnbHbiX HanHTKOB, He noJZnaJZana

no 3anpeT. TaK KaK eJ[HHCTBeHHbIM Tpe60BaHHeM K peKnaMeCna60anKOrOnbHOro nHBa 6binO TO, YTO6bI peKJIaMHble COO6LueHHSI

COUepacanH 3HaK «1», yCTaHOBneHHblFi JUIST Cna6oanKOrOnbHOIixaTeropHH, nl-IBOBapHH nonyLlHnu yJ[o6Hblli cnoco6 nponaraHJjupo-BaTb nHBO 06bILIHOR KpenOCTH, npOH3BOJjHBLLIeeCSI nog TMH xceHa3BaHHSIMH. r1pH CpaBHeHHH C 06-beMaMH npoJCaxc pexnaMaCna6OanKOronbHOrO nHBa 6bina HenpOIIOpL(HOHanbH01%I: B KOHue1980-x rOJ(OB paCXOJLbI Ha peKnaMy COCTaBHnH 20% CTOHMOCTHnpOAaxc (49). i1p0BeJ(eHHbIii B KOHL 1980-x rOJ[OB onpoc nOKa3an,4T0 6onee 80% B3pOCnbIX pecnoHJZeHTOB BOCnpHHHMaIOT peKnaMyCna6OânKOrOnbH0r0 nusa KaK npOnaraH)Ety KpenKOTO nHBa (230).COrnacHO J[pyrOMy onpocy, nposeuexxoMy B TO )Ke BpeMSi, 6onee50% nOJ(pOCTKOB B BO3paCTe 12-18 neT BCrIOMHHnH, iiTO HeJjaBHOBuJLenH peKnaMy anxOTOnsi, LIaIIZe BCerO pexnaMy nHBa H iiaLue Bcerono TeneBHJI;eHHIO.

B3aHMOOTHOLIIeHHe Mexcuy pacxOJjaMH Ha pexnaMy H o6beMoMnpogaxc o6bIgHoro H cna6oanxoronbxoro nusa H3yLlanocb B pa6OTe,npHMexxBLUeH axanH3 BpeMexxblX CepHrl Jlnsl 1969-1987 ro.goB (49).

117

Page 123: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

811

IV19H,LOaYV aNHI9d EH Ea.LOamXINHadll ISEmaEBEïI `EBHU 010H91ro1 -ONIfE09E110 19N1EIfNad ENH.LNEdu E11199 19YVa1.oH0 HONOHHCP H0190If90du

HOH13EIf1 'KIfOJONIfE INKUa,L14170a£14OdU I919HHEd.LOOHH N OIHHamOH.LO

OU H2HOH11EHHINHdN0HI7. OH HO OJ.h `HHa0110Â Hdu 9.LElIaEduO 01131(019

`If9aodOlt£ OJOHHaa.LOamgO I9.1HmE£ 0170a011' EH 1,1I9HHE80H00 `KifOJ

-ONLrE ÂYVELfNad EH J.adUE£ `3 HNH.LHIfOU KHHad£ mho". D 'KHHalfâEit

oJaHmaHB IVah `OJaHHad.IrCHa EC-CH aadoxo 011111o£HOdu Ole `Dg HYVKHHE8093dJ, 0 141143.1.010131000 fi E81091fa.LE17OHONE£ O1OH9IfOJONIfE

OJONOHH41 YIOd.LOYVOadau 0 OHHaYVad80H17o Elfmo£HOdu KuoJONlfe I9wEIrNad HHHamoH.LO a xxH.LHUOU KHI1E£Hlreda9Hlr KJ.oX

'OHElfait0 011199 OH aHHalfBEdUGH

HIfOa `19cIEd.Lm 91EJEIlEH H HHH01119000 X19HIVEIfNad xxmol -iCa.LO.Laa.L0002H KHHa1f8Edu0H NOdO 91Ea11IfaEHE1OÂ `HHI1NXd1.OHH

91.EN0XLI19â O13EdI1 OHEit 011I99 INK.LOEIfa HHHahHHEdJO KHHaIt

-0111900 KI1j/ 'D3 I9aH.LNadHit NOHHOH£Ha1fa.L IIIKHHE£ENX OHOEIIJOO

HHHahHHEdJO 1115d OH0118OHE.LOX 011199 19YNEIfNad aHHEx(daltoo

EH 'E170J S661 KdeaHK 1 iClfHO a IfHU/(I.Oa HONE£ 'HHI1EINdO(IHH

H011000EIQ xEaioitada XaOa Oa `KlfoloNLrE %ZZ aaHalN XHmEN(dal7oo

`gOx.LHUEH XYNEI1Nad HHmaHmad£Ed `HONE£ IrKHHdu LHaYNEIfdEjj

'KIfOJONIrE mown-mad EC KIfOdJ.HON HH11E£HIfEd09HIf H0H9IrENIiitEd

N I1aaHdu ooarlodu HHNOahH.LHIIOU ONEHItp 'It£oIOD XINONOxauodag N

oIHH2HHIl000Hdu N 90ELfx80.1.01 KHIlHKIfHH(1) EIt1ON °1(11o1 17661 a EINE

OJOH9LfOJONIfE 0JO8OH a.Lxaodu a 9oouEx(daitoo aHHax(ouou ax( oJ,E 'KI1010NICE %Z`1 aalrog axmEN(daitoo `HxJ.HUEH EH .LaduE£ 9.1.HdHmOEd

I1Hx(olrTtadu 1,01HINOx 1101/WV smOJ £661 $ 'HHIIENHI19,Cu HltEmolru 9J.ad.L XY1ItO `adalN Ham9Haw OU `aamoiEINHHE£ `31411amxaduiCl7adU OONO

-HHtIHItaIV 9.LEN(dal700 JA7X9 KHHamgooa a19HINElfNad 01.h `HHBOIroX

Hdu IlOHdau H19H9Ira1.EJ19U0H HHHJ.a1fHJ.KU EH XI9IlOOd£a KLrit aooadu

a KIIOJONU-e %171 aaHaly XHmEx(d0170o `aox.LHUEH XINEIfNad 91Hmad£Ed ax11ax(OwadU o.LrtHHBIt19a 0I1199 XL/0-1 6861 $ 'KlfoloNlre I9YNE11Nad

KHHEaodxlfkJad IvEIrHaEdu INHxo11Hct. x HxaEduou olreaxd.LEwooed

aO.La.I.YiINOx ItKd `.Lair Xxx9uoxoaH XHHita1100U aHHaha.l g

'KHHaugad.LOU olamgo XHHaouou OHdaIQHdU 1.0KU8E.L000 EHO KlNada aamKOLOEH B H H.LOEd EIfE31Qf0170dU

Hlaouadx HaHTtado EBHU 1111011 KEHhOH19d `801701 X-08C1 Ei1HON

D '343Ex H XEHH£eJEYN x19a0sx&7Odu xaoa o8 H.1.h011 K00l01-110lE17odI1

`EBHU EUH.L OJOHHaHEd.LOOduoEd 001109HEH `HJ.00uadN H011itad0

EBHU HaN(E17Od1.1 H EBHU HOIVELrxad S.IriI(aIV aHHamoH.LOONIHE£a

aOHBH,LH£OU 00HHaN'3d80J110It a0HHa6J.0amX0 HUMMEL I91.E.L9IriC£ad

Page 124: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

611

HHTIE£HlrEdagHlr N I9H19£Hdjj 'HHdLOiCT1HH HOH4I1010NIfE KLf11 I4t1og0110

Ham4I109 KHHEHOgad.L HLfHWLE£ KHH2HEdXOOHEd17£ 01oHHaa100m90 ISHHad£ iCNh01 `XE.LEgart X19HHaH1031T190 KHHa1raOHE1.00U OIH.LISI-IHdu

xHmoI,CHlaamttadu g 'i5110.1oNIfE t91AIE11x3d ISHHahHHEd10 HNH.LHIfOII

gONHHHOdO.LO XI4H,La.LHdO.LHE H XI9HI7Ha 12H HHt1HKIfHHet g

14H1 HadaCïratlHûHH

H1n99 %OS E'pH 0 aHHaHw 00HHH,LEJ2H HI101,s1H %OZ `HHHat1HHaIra1

EH XwElrxad oliCxE.L HIreHOS.La.Laaxdu Ho1.HatlHOUOad %0£ aaxaw o.I.h `IfE£ENOU KHHaIraOEH ooduo `KlroloxIlE I4wElrMad KHHE9odxukiad

ElrxaEdu 019aOH HlregOa1.O1;10t1 gatlKOaw XdEU axc,S E17.IOx `X1701

S66I g (zEz) H01.H317H0UO3d %SZ OU HIfEHI91.Hh0EH HNHHHOdO,LO

H NE-1, `I41.H2HOI1I10 MEN :ISIfO.10NIlE I41AIELrN3d HNMCdattttoU OIHHaMCHHO

N aadoxo 0IH11H317H31 I1HH1519H X11o,I £661 H HI4HHailafiOdu `oodup oHt1Ed EH H XE.LENE11I1 XI4HiNEIrNad XI9HxuCdEH EH - I4HHHOI1011 aaHaw

E `HHHailHaalfa.L EH XIVEIrNad - XHH EH EHHHO1ro11 0N41101 OH `XKHHEI7£H

X14H.LEhaU g aa 199 o1r1411og£oU `XIVEIn13d LfExcdamlou o1x `xa1 £H

oH.I.OHHm4Irog (jEZ) aoN.LHUEH xI9H1dH110 xxxuadx - %££ oN9Iro.L OH

`EHHH H EHHU XwELrxad I9g H1rHmad£Ed xl4Lrood£a %ZS o.I.h `IrE£Exou

KHHaIraoEH ooduo X1ro.I Z661 H HIgHHatlagodu wolratl a axxalraOEH ah `XISHTIH£oU x19H91fEdagHlr 001109 EH 1.HO1,00xcxE.L .LHawEIrdET1

xEiz'Xo g 19Hamad E£ OH17o LLXiLCg aH sHhadOHH.LOdu

00a 'MOLL `dOU Xa.L 017 1SO41Eh3d,LOa `OwH17HH `1.K11X9 410H 01.h `oxamad£Ed 01h `010.L CIroHOU 011 KHHaw.C£EdotlaH 'Kxxal7o111900 XII

lnrod.LHON O.IONOahH.LEISta.LOHO ULM' g.Lotlado 10H OH `Halra1,E1ro1vE1rxad

KIri1 HHrixXd.LOHH 019H9IrEl.att 001109 9.LE.LogEd£Ed axmauo g 901411E11911 Ea.LOIVOt13a axmolXa.LO.1.aa.LOOD 91.E170llr9O0 oxttXd.L

at9doiox `IsrEdaw x olraaHdu `HHt1EwdocPHH wELCEHEx waOH ON XII 9.1.HHawHdU HDg I9HH.1NadHtt HOHHOH£HgaltaL awE1fMad HoH9110.10x1rE

OU KHHE£ExX 91Hd90tlo E.LHawEIfdE1I axxamad 'ISlro.loxlrE KHHalrgad.tOU KHHaNCIiHO HHtlHailHa.L iC.LOdogOU N iattaHHdu ENIS1-1daaEH

1s1ro.loxlrE HOwElrxad EE KIrOd.LHOx axx0119E11oo aox1I1a17atladuoag H.Lh011 `H10OHU/C100t7 XII 1sHHadxmoEd H Hx,LHIIEH a14H91fO.10NIfE EH

Hall KHHaMCHHO K0HwHmOLEOEN `HwKHH2Haw£H HwH1Xdtt 0 OH1,031'11a0D E1.HawELrdEU HHHamad a 411od OI/CIII4lrogaH HLrEd1H `.CwowxilHa-011

`KHHaNCEdg000 aHxoahHl.HIrOUGHttoo H aHNOahxtlHdOl `oNEHt1p

'«aHONE£ a Xd19t7» Â.LE 9114dME£ I99 OIfHlfOg£OU `ÂwElfNad EH E.LadUE£ HHH2HEdX00 Hdu KI1010NIfE %Z`I H Elratladu axH

-aIrHOHE.LOA 'OHHU 0OH4If0.]ONIfEO9E110 wHmOIENOiCu19a `wKHdEHOHHu

Page 125: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

OZi

OHh14gO HHHE9odHUiClad N1oH4IfoaOdgOû Hdu MEN 'HHN1oHO1.13E

H2O90 1SHH2HEdX00 K1tT 91EIf0170 EfiO,IA.I I1Hd.L0/WiIH 011, `01

H0900 .LOiKII9E.L017adu 190N3170x 'OiHiIMÂ170d1I EH 00du0 IfEUX I9901h `ME,L 191NE1fMad Ewa9L90 1SENCHHO 0H `H.L00H9I1011S017 HOHYVEIfNad 14û1Ia

axnlûXx 91.HHEd.LOÂ 19HEa£Hdu Ki3I-IEfiodHUkladoNlEO I9oxat7ox

'(SEZ

'frSZ `80Z `8£ LS `OZ) HN1.ElaoûaH H EalaamiClNHadu HOao 10101N13

aHHE90dHLrk1ad01NE0 H NE.L `KHHahHHEd.10 a19H41ra.LEû0HOME£ MEN

:ISIf010MlrE I9YVEIfNad ISLfOd.LHON 14W3.10H0 HOH41rE017H 10H `0141H17Hg

19lHaWÂd13HH aNNOahNlHllOU

°HI-mH£ouuo HoH£04d0o

13H 11110.I0MIfE 191VELrNad HH11E£HlrEdagHlr o1.h `axxalf1.EhaU9 011E9E17£00

a000duoa X19HHEû H000adu aHH0m0a00 'KHHaIIIad 0I4H9I1THOH11Ed

9.LEWHHHdu Ha1fa.LHgad.LOU H100H9000110 1OIEU1aN1 H XE.LxS.170du

0MHI9d EH K0XHm1S11oXEH o OiH11EN1doCtHH Halra.LHgad.LOU 1A 1AiE13I4dM0

4E901f0 A7o9oa0 101E9HhHHEd10 HHO 01h `i101 13 90HIfKHHa90 KIf010NIfE 191NELr310d KHHahHHEd.10 'a01rEHEM XI9HNIEIfN0d X19H170dEHiCüNCaNi

KHHE90£9IfOU0H 151117 aoodXoad o1rEN1 xl9do1.ox `Ha1ra.LH17Oa£HOdU

XI4H11001A1 .LaiCdHHHINHdNOHû HO 01h `INO.L fi K0IIKHHag0 .I.aduE£ HHmo1,Ca.Laam,CD EaHU O.IQH9IfO,1OxIfEOgEIfO I91NE1rxad

101.Â1I E9HU O.IOHh1990 191VEIfNad HNH.LNEdu KOHaIIIaHHEdI.00du0Ed

E£-£H 0N01E1 E `KHHEû£H 0I9HHEd.L00HH H aHHaûH9a1ra1, 0O9ONHH,I.Â110 £adah .LH110XHdu EN1EIrxad KEHHEd.L0OHH MEN ME.L

`I9HaH1.M3cPcI)60H OH9Ed aoa KHHEaodHIrS.1ad Elrllasdu axmoaa.LoamXo

01h `9001r1id0ao HOHHEd.LOOHH 0 91.E9odHCIXNHOM HHd.LOiçûHH

H0H.L03N4 H100H9000U0 KHH01rH0X 15Iri7 NiH170X902H Ha1.00HNCONI£Ofi xI9HNlEUxad ood 01h `400lreûxcdasl.A a.LdouoHEd.L EH H aa.LOHK£Ox

NI0M09Ir00 9 `alrao.Ido.L HOHHEd0103d a `HHd.LOÂûHH HOHNiElrNad

9 `xxlldEaoallu EH 1O0N1 xxhogEd ada.LOU N.LiCttaaxdu E13HU 010H91f01 -oxlrEOgEUO I9NIEIrN3d KHH0hxHEd.1O 314171H3H9uE11 01.h `400ul-Idoao,I

HINEMdEIN HINI4HhHIr£Ed kûxC01N dog14a EH OM91r01 E `aHHalrgad.LOU

aamgo EH .LaKHIfa 0H KI1O1OMIfE E1NEIfNad 01h `90o111W9KE£ aooadu H0310HHCI) a 901111E1113030 OMOdHUI (1VE.LEgaû Ni14HûOdEHAûNCaW OU

0I4N1OMEH£) 19.LHaN1ic1dE KOaHUI9E90£9If0U0x 'Halra,LHgad.LOU iN0£0100 H HaIralHgad.LOU 1vElraü OU 1A10xH01raEdUX aNCE17 H H011(iLO/Ç17HH HOHHOHn

-EN1d0C1)HH H HOHNIEIrNad `HalfaoldO.L HOHhHHH,L001 H HOHHEd01_0ad

`90N11dUEH XHNUadx H HHa HN1KIra1.H170a£HOdU H1I9H10Eh `HaHHEUINEN

HOH9If01OMIfE HOH41rEHOH1IEH `HaHd.LOiCûHH HOH13HU 90HIfEINI917ou

Page 126: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

iZ1

(SLI) XEwwEdlOdU X19H2H.LdOUo a aOXHIfOd XI9HwEIfXad XI4H41f010XLrE

OIfOHh olfI-ihHlfaaX ExKHdaaEH 01h `hEi7adau XI4HaH1dOU3

xi9wKdu Kwada oa wK9HaoadXOOa H wE.LOggXo ou /CwElfXad Irxmad£Ed d.LOwoadau `I9H0d010 1;101iCd17 D 'Q£'g 017 9OEIfKIfaKOu O?IITad EwElrXad

KEXE.L aEhXIro 090111 a MEN XE.L `aH&LOi-1a17 OgHIf-aoXEx OIfE£ExO Hlr 1?Kda o.I.E Ed.I.,C 0£8 017 HadxlrloEd 'nag Ed.LX 0£L o17 HHawada 17oxdau

iiHmaH.LEflXO HH17 aHhOg.Ed a I9wEL1313d .LaduE£ «Kwada aOlrOOd£a»

Oa OX4LfO.L `KLf010X1rE I9wELrXad £EXOu 1f19g Ed.LOwoadau O1O16 014I311 1i0H113mE1r1£oaodll 201701 X-0861 3HHl70d3O a 90Hll'EaHd.LEwo3d3u

KII010XI1a I4wEIfXad HOHHOH£Iigalfa.l HHawada KHHahHHEd10

3I4114I1-3.LE770HOXE£aH `HHUEd.LOaV g 14wEIIXad HOHHOH£Haa1fa.L X.I.aduE£ ICwOHI011 14aH.LEHda.L4LrE aa.LOahEX a 430I1E2O£911ou014

HHawada 1917oHd3u a19HHaIral7aduo a 311010X1ra 90 HHH31II9000 XI4HwEI1313d 3HH3LrE17A I4141Elfxad XXHiXEdLI OLCfiOiÂaxoamXo

.LOIE2I4.LHhiC aH HHO HIfOa `I4HaH1313cM)e3H 4114g LroOw I9wEIr310d

gOIfEHEX aHHE20£4II0U0H EH KHHahHHEd10 314H4If3,LEdH9£H

ISHHE£EXEH a14HH3a103mÂ3

KEhOIIfXa `KHHa1701I1900 XH KIfOC1.111OX 110141310110 KO4,LEmxoaodu03

I4HXCIf017 awElfxad O 19HOXE£ `E.LXacPcPe OgHLr-o1OXEX KHHaXCH1O017

Klf)/ 31CO10XLCE 90 iiHHamg000 XI4HwEICXad KHHEXCda70O KHHahHHEd10

KICi7 K01.3iC£9110U0H aXCXE.L 0a1041f31.E2'0HOXE£ 14wEII3I3d 9OIfEHEX

0X4If0XO2H HUH HH170 HHmOIEaHhHHEd1O `170X17ou Ko.LaKHawHdU

O1OEh 331fO914EH (10141r XI4a01010EH 19Haw.LO HUH KIf010XIrE iCwELrxad EH E1OIfEH KHHal7aas 0191110111011 O) KHHaxcoltg001o1rEH

14131/CL1 KHHamEdXOO aa 9hH1O0i7 OHXCOw£Oa K.LOX 0H4101E170HOXE£ HahHHEd1O 41149 .LaXCOw KI1010XIrE I4wEIIXad 11134.90

XgolrEXC 4.LEriou oaEdu

.LOIawH a14do10X `wEHEMKEd1 wI4H4IfESZHaHi7HH 3x01E1 E `HIfa01dO.L

H H.LOOHHa1fm19w0dU HL1OEd.L0 aHm01ÂaLO,Laa.L00O EH Xcad.Ll-19dE

H 41fod1H0X EH I9.LEd1.E£ H iCX£rCd1EH .LaEl7adau aHHEaodHlfÂladOwEa

'41HHaw£H ahlalf H 14103E1E1 33d10149 OHXCOw KHHEaodHlrk.IadowEO

I4w310H0 `H0H11H£ODUO O KO.I.aEaHXIfE.LO OHhI990 aodO.LOX

`woa.LO4Ifa,LE170HOXE£ oIHH2H2EdO ou (KHHa17o11goO Ea.LO4Ua.LE£1590 aI4H4lfECIOw .LaE1ELroL117adu `0a1341fa,LE17oHOXE£ wah `HHaua.Lo

Ham9lrog a `aHHEaodHlrX.Iad 0oH41roaod9oti O.Lh `KO.I.aE1Elroul7adu

amoral, K.LOX) I4HEa0dHdOHlHOdu HUH 14HaIfgELfOO 41149 OX13L1' 1.K101A1

14OXa1ioX `KHHa1701ugoo XH Ea.LoTiado aI4HaH.I.Xacictle LoiiCaLOLCOLO

Page 127: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

ZZI

-EEOdHUkIadoWEO sooxatiox aHHat7o1U9oo 1.ais1ltt,Cd1E£ HHHESOxuOZOH XI9HhHU£Ed 91ooHNCOW£og 011-1HaholuNE£oWX x xualEm/C110 HlOasxdu

aH HUH H.LOasHdu 10NC0141 E01H31N01fe X19HhHU£Ed 011E10HattOWHE£E

OHH3Wx 'iCXaL10iC iC1410H911EiCONOO HUH Ai0H911EHT100 10iCE1090001.I0

`daWHdI1EH `ExEHÜ1913 01h `aHHalflEhallE HHO HIf 1OlEtt£00 `HHHa1II9000 X19HWEIfNad 191H31NaU6 019H9IBÂt7HEHttHli ISEh£H `91HUatTaduo

OHTTiCdj, 'XUHHOIIS1fE£ X19H9odttOL1 EH OH E`EON2WEH H EUOI9190 0.I0119dNO aN19£1S EH if010E9I9gOHOO OHh1990 EWEUNad 'HHHat119000

XI9H1A1E11N0d ifHHENCd0t700 IfHHahHHEd.IO ISIli7 HWE,LHaWM1.OHH HWI99iCd.1

K010IIflfElS Ofl1.0911-01.E1TOHONE£ H NEI `aHHEBOdHUiC.IadOWEO NEM

HHHahHHEd.lO X19H9UEHOHt1EH

91.E.109£H H 19UEHEN 019HttOdEHÂihKaW 9IEE0£9UOUGH 91OOHNCOW£OE 101EhÂ110u HualEttowEUNad HEdlO XI9H9Lf01710 1451111.1411011 HOHWEU)Iad

HHhxU£Ed E£-£H OHHaWH OE100hHHl7rCd100 00H170dEHÂmKaW H NE1 `ISHUHOÂ a19H91fEHOHTIEH NUN 19WH170X90aH `iC17HHEd1 £adah 1914IEUxad

191410119odu IsHHamad Isurj KHHEEOdliUiClad UHEEdu X19H91fEHOHIIEH

WolaWttadu 91199 IaNCOW H1O0H9ua1Kat7 HOE0IHH.L3NdEW

910Eh iSEHHaâlOatILCO `019H4I1EHOHTIEH E `019HtfOCIEHiCmKaW

0H ISOIOI1fUES HHtIEWdOCIDHH HWEIfEHEN HWI9HNCEE aa109HEH HEd.LO aE10HH111911-09 E NEN NEI 'XEHONE£ E HNHa£EU 911SHaW10

HUH 91HttOEE flONH1HUOI1 HIOOHEO10110 1HOHEE£ WO.IOHW OE I9WEUNad

IfIfodlHON 191A1010H0 HOH911EHOHTIEH HIOOWHHUOLII9E H HIOOHEHINaCPCP6

9H311010 01h `ONEHtIO `I0EHI9£ENOII HEd10 XI9HhHU£Ed 114110

amI9E KOHHmHEmKiCo90 EU0191A10 101aWii OH aNCÂ HHO O1.h `HHOLIalO

HONE1 Otl HHHahHHEd.IO 191N3CPCP6 10H EH 11010HO `HHTIEWdOCI)HH

19UEHEN aI9H170dEHiCt7NC2W H a14HHaWadE00 91EEOdHUOd1.HON

9130HNCOW£0E ISEHHahHHEd.IO aNCNE1 E`HHTIE111EttE H 0111Ha17iaWad0L1 N

H100H9Ua1ISat7 HOHO.IHH1031dEW 9100H90001I0 O1h `9oolfemKdaEm_

'WdHCP XHmH2HUdN 3CEOada1HH E HHtlHadiCxHON oixHEEOdHUX.Iad 10IXE1O900011O

HHO HUOa `H0Hd1O&HH 1so91EEOE1O1aEHdu IsHHah -HHEd.IO `19H0d010 H01/CdT7 D HI00HxCOW£OE 019HHa10d90£H 9EOHE

HUH üOaHmEE100 EH HH1fHOiC X19E01HHIONdEW OOHadaLl 10174 EO1701019

HUH EOUEHEx XI9dO10N2H HHHahHHEd.lO HHE1OtfaUO £H WHHtlO

'3C11.1Xdt7 KLflt OIHWOHONe `OHNCOW£OE `H XHHIlO HUI/ EO170XO17 aHHaNCHHO

HUH 191Ed1E£ 91EhEH£O 1rC11Â9 OWaXHH1412H HHO `NOHI9d HI9H9If199HdII

E K010IE.IdOlE Isuo.lONIfE 19WEIfNad IsHHahxHEd.IO MEN NEL HWEOadalxH

H HWEITKU3£13 HINI9HNCO11OII0EH10d1I iCmKaW XEOOHWOduwoN

E H IS01aEEI9EOHOO 0Hh1990 IfHHEEOdHUiC.Iad EWOCp IfE9OiI(

Page 128: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HMI HRH n0A06HbIX nOJIO)KeHIiN 3aKOHOB O peKnaMe anKOrOnSi.11011bITKH TOHHO OnpeAenRTb, KâKHe LlepTbl coAepxcaHHSi

HenpHeMneMbi npRBOASiT K KOHLjeHTpaLjHH BHHMaHHSI Ha AeTanSIX.

KoHTponb co6n1o,geHHx H ap6HTpa)K o6nertIaloTc5i, ecnHorpaxHLieHHSi coJl,ep)KaHHSi ycTaxasnHSaloT, LITO pa3peIIiexo BMeCTOToro, tiro 3anpeLljeHO. arO CAenaHO B HbIHe Ael3CTBylOLneM

(l)paHIjy3CKOM 3aKUHe, rAe yKa3aH0, LiTO B peKnaMHbIX COO6LLleHHSIX

MO)KHO 1IaBaTb HH(pOpMaL(Fiio o COAep)KaHHH aJIKOCOnSi B HanHTKâX,

HX npoHCXO)KJjeHHH H COCTaBe, MeTOAâX npOH3B0ACTBa, BHjZaX

noTpe6neHHSI H O TOM, rile HX MO)KHO npHo6pecTH. B 3aKOHe HeyKa3aH0 MO)KeT nH 3Ta HHtlOpMauHSI AaBâTbCSi BH3yaJIbHO HJIH TOnbKO

B CJIOBeCHOH IDOpMe. C 3TOIti TOLIKH 3peHHSi, (1)HHCKHe npasHna,npHMeHSIBLUHeCSI B 1970-e rogbI K neltarHOH pexnaMe, a no3xce KToproBblM )KypHanaM, 6bInH 601Iee LIeTKHMH: H3O6pa)KeHHe ,IjOJDKHOorpaHHLIHBaTbCâ 6yTbIJIKO11 H COCyAOM xis( nHTbSi. AHanH3 (11HHCKHX

TOprOBbIX xcypHânOB nOKa3an, LITO J(a)ICe 3TH npaBHna MOryT HeCTporo Co6niOJjaTbCA: IIaCTo Ao6asnSIJIHCb ApyrHe BH3yanbHble3neMeHTbI, a CJIOBeCHble yTBep)ICAeHHSi HHOrjja AaneKO OTXOAHnH OT

KageCTBeHHbIX xapaxTepxcTRK npORyKTa (236). OrpaHHleHHbix(DOpMaT, 06MâHLIHBO Hâ3bIBaBIIIHMCSi "HaArpo6HOIi peKnaMOir, KaKOKa3anOCb, ASSan BO3MO)KHOCTb AnSI CO3,QaHH5I LIeTKHX o6pa3osHanHTKa. B KageCTBe npHMepa MO)KeT Cny)KHTb HaLIaBLIIâHCSI B CU1ApeKnaMa LLIBeACKOI-i BOAKH "A6COJIIOT", rAe pexnaMa cOCTOSIna 143KapTHHKH C 6yTbIJIKOii 14 KpaTKOI'O n03yHra (237).

3aKOHOAaTenbCTBO O peKnaMe anKOrOnSi MO)KeT TaK)iCe CJIy)ICHTb

B KaLieCTBe CHMBOnHLieCKOro 3aSIBneH145I 0 p01114 anKOrOnSI B

06LI(eCTSe, a TaK)ICe KaK CHTHân 03a60L1eHHOCTH npaBHTenbCTBaCB5I3aHHbIM C anKOrOneM yluep6oM (42, 65, 208). AHanOrHLIHbIM

O6pa3OM, HeyAalia B yCTaHOBneHHH TaKHX OrpaHHLieHHI%I WWI )ICenH6epanH3aijHSl KOHTpOnSI peKnaMbl MoryT Cny)iCHTb CHrHanOM

OTCyTCTBHSI TaKOFI 03a60LIeHHOCTH. OAHaKO 3aKOHOAaTenbHbie

orpaHHLieHHSi MoryT npHHeCTH 60nbine BpeAa, IieM nonb3bl, eCJIH OHRCaMH n0 ce6e BOCnpHHHMaK)TCSI KaK peLUexxe CB5I3aHHbIX C

anKOCOneM npo6neM, H eCnH OHH OTBneKaIOT BHHMaHHe OT 6onee34)(1)eKTHBHbIX nonRTHliecKRx Mep, BO3AeNCTByIOLIIHX Ha

(1:1H3HLIeCKyi0 H 3KOHOMHLIeCKy10 AOCT)nHOCTb ânKOCOnSi.

123

Page 129: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

t7ZI

HOxO£XTIHEd(tl HOHâEIf,I HamKEd1EH IfI49 141V11IEdIodu

HHTHXtlaâ aaHTl£Ojj %117 EH Elraod£oâ EHHâ o.IOHaEdN ENCET1odu

ETIISO0Y11 O.IamOIÂ?IauOOU aHHaha.L â 0,Lh `40oICL'TngooD ETITldaO

HH£alrog 11OHdEHOdON ExOHd HHH3I1IOHLO s Es1013O20 0I4HdOâ101EIr9 XI-IHâ SIAIOHOEdN axTUaOHdu I4goxii EuOaH£osadu 513â01f3h

EHOHIfIfHN1 tE â oiHd0l.HTlkE KETUOIEgI4,LEgXO `EI1I11IEd1odu soT7o.I

X-066I alrehEH s HH,LI4g00 XHTUXNa.L E1A1NIEd.I0d11 BEx0HENHda1NE

4,LHNCXIfO .LaN(ONi Hai10I1f EH aHâ.LOHaTt£Oâ aoxxautlalkaH H 00N 41E£ENO 1.aNCO11i 0HH31II9000 0OHHOHTIENIdO4)HH

0OHhHHHT1a 031cET7 ExTiad£H K.LOX `E.LOxa.L 010HTf0 HUE EdHENC

0.I0HTlo `14HTIE1QdO(DHH ETiHâ O,IOHTIO HHHahX£H Hdu E.LISHOU 4.LI4g

,LaNCOIH HI! T7sds `Lllaugodu 11Ia1r010NIfE 0 XI4HHE£1030 HHHaTnBdâ.LOTtadu

HUH 14H1.Hâ£Ed â aNC HUH 513h14âHdu XI4HHa.LH11 HHH2Ha11I£H

HIM HHH9HEdX00 â HHTIEL1IdOI1HH 1;10â000EN[ â.LOTtada 41r0d

XIlOXTtOH S11I0HivCEH

141111 HIfaT1oN1 HoNOahH.Ladoa.L 130Hy7O 01.-1,40NEN N XH 11100â0 I4901.h `O.IO.L ISIfTI I4HhHNiEHH4I H 14HxCOIfO 1110xIIIHI10 I40001I0du aHN0ahH.L1iLCOU

14 aI4H4IfßHTI00 `HHTIE11IdOIiHH aHH2HEd.LOOduOEd amoral. B `aHHExCd3T100

14 BYNa.LOHO XH ONEHTIO 'adH11[ 11IOHH21113dâ00 â 4Ifod OaI-I4IfEd1HaTI

1.01Ed1H `oxxaHNIO00H `HHTIELVdo(1xHH U0E000E111 Eâ.LOT1'adD

V1VIYlb'WdOcpHVI

1108000VW XV81Oû3dO 8 1:1110J ON Lfd

3VIH31.18VlOû3dlJ

ii

Page 130: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BHHOnp0H3BOASiII.1e13 KOMnaHHeI3 CneL(HanbH013 iiHCpopManHOHHOi3

HarpaAori (238).

Taxoro poAa CO6bITH51 slBnSiIOTCa cxopee HCKJIIOgeHHeM, LIeMnpasluloM. BnHSIHHe cpe,acTS MaccoBoll HHCpopMaLjHH HanpeAcTasneHHSI, cyxcAeHHSI H noseAeHHe nioAert npoHCxoAHT Llepe3COBOKynHOe BO3AeIiCTBHe B Te4eHHe AnHTenbxoro BpeMeHH, nyTeM

B3aHMOAeHCTBH5I Me)KAy pa3nHLIHbIMH HH(tlOpMagHOHHbIMH

C0061ijeHHSiMH, a TaK)Ke IlÿreM B3a0M0AerICTBH51 HHIpOpMaLjHOHHbIX

C0061.1jeHHrI C HHbIMH COIjHânbHbIMH H KyJIbTypanbHblMH

Bo3JjeiiCTBHSiMH.

AJIKOrOnb H BbInHBKH npeACTaBneHbi B nepeAaLlax nocneAHHxH3BeCTHi3 H HOBOCTei3, B peAaKLjHOHHbIX CTaTb51X H KOMMeHTapHSIX, B

o63opaX H AOKyMeHTâJIbHbIX HCTOpHSiX, B XyAO)KeCTBeHHbIX

npOrpaMMâX, pa3BJIeKäTenbHblX LLIOy, MynbTCpWIbMaX, CTHXâX

nOnynSlpHbIX neceH, B KOMMepLieCKHX H 06pa30BâTenbHblXc006LLleHHSIX. r1peACTâBneHHe aJIKOrOnsl B CpeACTBâX MaCCOBoi3

HHCpOpMaL[HH OTJIHLIaeTCSi 110 cOAepNCaHHio H TOHy. B pa3nHL1HOH

CTeneHH 3T0 H306pa)KeHHe OTpa)KaeT pâ3Hble CTOpoHbl COL1HâJIbHOIAeI3CTBHTenbHOCTH H B CBOIO OLiepeAb BJIHSIeT Ha HHX, yCHnHBâsi oAHH

H Ocna6ns1s1 ApyrHe, HHorAa CTHMyJIHpyA H3MeHeHH51 B HeKOTOpbIX06nacTSix,

C TOLIKH 3peHH3I aHTHanKOCOnbHOro npOCBeIneHHR H306pa)KeHHe

anKOrOJISI B CpeACTSax MaCCOBOH H4opMaL(HH Mo)KHO paccMaTpH-BaTb KaK npOTHBOAe13CTBHe npOCBeTHTenbHblM yCnHSIM rum )Ke KaKCpeACTBO AjI51 npOcpHnaKTHLieCKOrO npocseLL(eHHS1. C TOLIKH 3peHHSI

anKOrOJIbHOr3 nonHTHKH, H306pa)KeHHe âJIKOrOnsI B CpeACTBâX

MaCCOBOri HH1pOpMaLjHH MO)KHO paCCMaTpHBaTb KaK nenbKOHTpOnbHbIX Mep (B cJiyiiae ânKOrOnbHOrl peKnaMbl) HJIH xce KaKcpopyM, rAe npOHCXOASIT OCHOBHb1e o6LneCTBeHHble AHCKyCCHH o6anKOrOne. Ka)iCAbIi3 B3r115IA BeAeT K pa3HbIM nOAXOAaM B

HCCneAOBaHHSLX H AeHCTBHSIX.

B 3TO11 rnaBe OCHOBHOe BHHMaHHe yAensieTcsi HCCJIeAOBaHHSIM B

AByX 06naCTSIX: anKOrOnb B XyAO)KeCTBeHHbIX TenenpOrpaMMaX HalIKOrOnb B HOBOCTSIX, oco6eHHo B npecce. gaeTCSI 0630p AByX THIIOBHCCneA0BaHHi3: aHanH3a CB513aHH000 C anKOrOneM co,IkepxcaHHSI HHCCJIeAOBaHHIi, OnHCbIBaIOLI(HX nonbITKH BJIHSIHHSI Ha CB5I3aHHOe C

aJIKOrOneM COAepNCaHHe.

125

Page 131: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

PA3BJIEKATEJ1bHOE TEJIEBV,qEHOE

IlpocaeqeHHe H pa3eneyeHHe

Ycnex HnH HeyAana npockI-uIaKTHmecxoro npOCBeLueHHA

rnaBHbIM o6pa3oM 3aBHCHT OT 6onee LIIHpOKHX COLiHOKynbTypHbIXyCJIOBHIï, B KOTOpbIX OHO OCyLgeCTBnSIeTCSi. HHKOr,ga He

npexpalualoLLteecsl H3o6paxcexxe aTIKOrOn51 B Cpe,IjCTBaX MaCCOBOi3HH4)OpMaLÜiH Cny-ACHT B KaLIeCTBe (1)oHa, Ha KOTOpOM

BOCnpHHHMaiOTCSI H OLieHHBaK)TCSI npOCBeTHTenbHble C0o6LLieHHA.

OCHOBHOii nOTOK 3THX H306paxceHHii npeACTaBnSIeT noTpe6nexxeanKOrOnSi KaK neCTeCTBeHHOe" 6ecnpo6neMHoe 3aH5ITHe, 3aTeMH5I51pHCK ARA 31IOpOBb5I H lipyriie HeraTHBHble noCnejICTBHA. KOraa )iCeOnHCbIBaIOTCSi HefaTHBHble COLiHanbHble, 3KOHOMHL1eCKHe H

MejiHLIHHCKHe nOCneJ.iCTBHSI, OHH o6bILIHO H306pa-AalOTCA KaK

CJIyLIaiiHble npoHCLIIeCTBHA, 3aTparHBafOLLIHe TOnbKO McHbIIIHHCTBO,

COCTOAL1Iee H3 HeBe3yLIHX HnH Cna6bIX nioAerl, a He KaK

HeOTbeMJIeMbIH pHCK, npHCyIIiHil zi0 HeKOTOpOi-I cTenexH xcH3HHKa,KaOrO nOTpe6HTenA. O6pa3bl OCHOBHOCO nOTOKa MOryT BnHSITb HeTOJIbKO Ha B3rJISIAbI nH)Zieii O nOTpe6neHH4 aJIKOrOnA H anKOrOnbHbIX

npo6neMax, HO TaxxKe Ha CB5I3aHHble C 3THM B3fJI51jIbI no nOBO,gynpOCIHJIaKTHKH H nOJIHTHKH.

TaKOrO pOAa O3a60LieHHOCTb B 00060I1 CTeneHH BblpaxcaeTCA BOTHOIIIeHHH pa3BneKaTenbHOrO TeJIeBHAeHH51. l43-3a ero LIIHpOKOIicCkepbi Ae1iCTBH5i, ero CII0006HOCTH npHBneKaTb 3pHTenei%I H LIâCTOTbIH306paxceHHA alIKOrOJI51, pa3BJICKaTenbHOe TenesHAeHHe CLIHTaeTCSI

oco6o MOLLIHbIM areHTOM cl)OpMHpOBaHHSI KaCafOLLIHXCSI aTIKOrOnSi

Cy)iUieHHii H nOBe,geHHA. TIOnOJIHHTenbHbIM nOBOjiOM gnSl

03a6oLIeHHOCTH CJIy-ACHT TO, LITO TaM, rAe pa3peLIIeHa TeJIeBH3HOHHaA

pexnaMa anKOronsi, npeaanxpyioII.ixe HeFITpaJIbHble HJIH np0-nHTeiiHble CO06LgeHH5I B np0rpaMMaX MOfyT yCHnHTb KOMMepLieCKHe

cOO61IIeHHSI, HJIH xce MOI'yT 6bITb yCHneHbl HMH.

B o630paX HCCneliOBaHHIi (26, 31-39) nOTeHLIHanbHOe

B03ZieHCTBHe anKOfOnbHbIX 06pa3OB, nepeJ.iaBaeMbIX Llepe3

pa3BneKaTenbHOe TeneBHJ.ieHHe, 06CyxUianOcb Ha OCHOBe TeX xceTeopeTHLieCKHX npelinOCbIJIOK, KOTOpble npHMeHSinHCb jinxaHTHanKOrOJIbHOrO npOCBeLLieHHA H peKnaMbl anKOronA. bbIJIH

npe,ijnO)ICeHbI pa3nHLiHble TeOpHH, TaKHe KaK MOACJIi3 j[eHCTBHiï HCy-AKjIeHHH O 3J_IOpOBbe, HepapXHLieCKHe MOjIenH 06LIieHHA H

126

Page 132: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

LZi

aNC HUH KI1O.1ON1fE OiHHalfgad.LOu HIrEHE17Hdu 19.LHal7HOu0ad aHHahEH£

aOH9Ira1H0oH10 aONEN `NMI a HHhHIf£Ed XI9H£09d00 XHNExHH

OuE£ENOU OH W WEdloduallal Edlowoodu Kwada 00m90 (6F6 1011. LI-Z1 01oEd£o9 s 1Iatlotlr x1917o1roW OS£ ouoxo Eooduo 019HHEt1

90HIfEHO£9IfOUGH KHHattNGCO WalfoloxlrE 0 019HHE£149O 0I9d010310H EH WWEdlOduaLral EdloWOOdu KHa1oi,-ia17£os KHHahX£H 11LCI1 HHHEE01talrooH

W0H£09d00 001109 HHHE,LHdgoNHlrag a WOHHattasodu g

'HULLO XH16 KHHa11HaaIra.L H WKIra1HHElOttadU HWI9HhHUH1 901011111915 19111WEd10du aHN0HE114d9 H aHNOHENHdaWE OIHHa17H90I1a1 ÂWON017EHEN

ou 0191AIaEHEttadau 01h `OH1KOdafiollEW `O9WEIfNad i3HH0hiC£H

Hdu `daWHduEH `0HhI911HdII 01h) HHaloHatt£oH H aodolNECI) ,Clratt

H KOXHmKO0H10 x19H14 x19go11r E10hX £09 - adaHEW HOHHamodUX HoNE.L

s HHHEaottalrooH ooduoa 91ESodHU,CWdoc1 Iro19Wo 91oa Hiroo aNCEjT

'oHaNCÂdEH90 011199 0H HEK8001AlHE£9 HOHHafi.LOamXO HONENHH 01h `oH9ua.LHaxttX aH (zE) XEHEd10 XH16 a xxaloalIIOHOdu xI91431C0dott

W0Lf010NIfE 0 XI9HHE£911O H HHahaU E£OddH11 OI9.LOOHH2HEd.LOOdUOEd

H `OiHHatlHaalral iCWONOttEHEx ou X19WaEaEtadau `xEWWEd10du XI9HHa9100NCOttiCX XHNOHENHdaWE H 3C1431O17EHEN

`XHmOHE.LHdg H H0110 XI9HHa1HU H01010Eh XtI3K01A1 9£K900WHE£9 90EIfEhiC£H .LOgEd 30HHHE170H EH H0H170 g'1aXaloamXo aH H.LhOu

X>IHII9ÂLI EH KHH10Hatt H01Na1I(I)6 XI9H9IfEad HHHEHOttalrOOx

'KHHamaaOOdu 010NOahH.LNE1rHC13OdU OiHalOHat!£Oa 1SHHa1raH10dUOO

H NahI9HHdU XHHIII0HI9H XH KHHEtlfiEduO KIftt I91HAWX-IdE

H I91t09011 WK17OiIr 10E11 (iI) WiCITI HI9HaH1EWd0H 1016 `KHa10Hatt£Oa ausod,C WOH91fEWHHHW EH KHH0Ir90dloU H10oi1lalrwaxdU

HOH9I1EH11O0

101EHI9£Exou

091411-XHNEN

H H100HH2HEd100dUOEd 010 9HafiOdiC 1,114310019E1

101010NUE KHHaNCEdgo£H HHal0tta1r0ou x19H£a9dao

cog 0Hh1990 H HWENCEHOOdaU HWHm01ESauoXadu

H HWI9H91ra1ENalraHdu H10oHH09000 a `HN1HUEH aI9H9I1o1oNIfE£ag

ah `amEh 010HWEH K01aa9I10uOH 9110,103111E :CN9100H91ra1Ha10Ha1!

1iOH9I1EHh0o 0 XH 91E13HHHEdO 111100 `I9H11H1N09.902H NOHHUI913

H KlroloNlfE 19£Edgo xEWwsdlodu xH16 a aI9HHEtt£00 OI.h `H1rE£ExOu

I91E19IriC£ad HHawada 1A10HH0ha1 O 90HI1HHaW£H Ki3HaNCEd9o£H

HIC NON `0101

a 11110,103111E

s `10HHENCd0tt0o

KHHahX£H H `xEWWEdlodu x19HH09100NCOtiXx

11HHaNCEd90£H 0l01-noiEHI91EaX0 W0HHOH00

E£HIfEHE 010HH09100hEN H O1OHHaE1OahHIfON

£H 11401000 HHHEH017aI100H Oa10HHIII9IfOg 'KHH01laEduEH

0,101111E11.1 H HHt1EaH19Ir/(N KHdo01 ISEHHEa0dH1H0xd0 H)IOahHlo1rOHi1o0

aalrOg axcNE1 E `11HH0hX90 o1oH9IfEH1100 1114do31 `KHH09.3x09X

Page 133: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CB513aHHbIM C HMM npO6neMaM. EAHHCTBeHH6Iii ACHbIFi H nOCTOAHHb[ii

npMMep, rI03BOJIMBMIHIi npeRnono)KMTb cyluecTBOBaHHe 3IkbeKTOBKynbTMBHpOBaHMSi, 6bin O6Hapy)KeH B OTBeTâX OTHOCAIiIHXCA K

3HaT1eHMIO pâ3nMTIHbIX anKOrOnbH6IX HanHTKOB B CU.IA. BaMepMKaHCKHX XyAo)KeCTBeHHbIX npOrpaMMaX BMHO H KpenKMeHanHTKH ABJISIIOTCA HaH6Onee TIaCTO HCnOnb3yeMbIMH HanHTKaMM. B

6pMTaxcicxx nporpaMMaX BHHO H KpenKHe HanHTKH TO)Ke TiacTOHCIIOnb3yIOTCA, HO 11031,1LjMA nMBa 6onee 3aMeTHa, TIeM B

aMepHKaHCKHX npOrpaMMaX. 11pM6nH3HTenbHO 32% pecnOaEtel-rroB -CXOAHbIM o6pa3oM y TeX, KTO CMOTpHT TeneBH3op MHOrO, CpenHe HManO - IIOnaralOT, TITO BMHO H KpenKHe HanMTKH ABnAIOTCA HaM6onee

TIaCTO HCMOnb3yeM6IMH âJIKOrOnbHbIMH HanHTKBMH B FipHTaHHM,TOrna KaK 41% nonaraeT, TITO BHHO H Kpenxxe HanMTKH

npe06nanalOT B CHIA. gonA OTBeTOB, yKa3blBaiolI.1MX, TITO BHHO HKperlKHe HanHTKH HaH6onee 11106HMbI B CLLIA Bo3pOCna OT 38% yTeX, KTO Mâno CMOTpHT TeneBH3op, Ao 40% y TeY, KTO CMOTpHT eroCpenHe H 47% - y TeX, KTO CMOTpHT ero TiaCTO. 1103TOMy, BMOJIHeBepOATHO, TITO XynO)KeCTBeHHble TenenporpaMMbl MOrnM CblrpaTbpOnb B (POpMMpOBaHHM Cy)KAeHHIi o6 onpeneneHHbIX acneicrax11OZpe6JICHMSI aJ1KOr OJ1A 3a npencnaMM MX nOBCCAHCBHOrO onbiTa.

PeCnOHAeHTOB TaK)Ke CnpaLIlMBanM, MOryT Jill OHM BCI1OMHHTbBHnenH JIM OHM 3a nOCneAHHe LLIeCTb MeCAL[eB 110 TeneBHAeHHIO TITO-

o6 ânKOrOnH3Me HJIH nMTel-iHblX npO6neMaX. H XOTA 60nee 80%BCHOMHHJIH nporpaMMbl O HapKOTMKaX, TOnbKO OKOJIO 30% CMOrnHBCI1OMHHTb Tr1'O-11H6O 06 BnKOrOnbHbIX np06neMaX. 143 KacaioLgHXCA

aJIKOCOnA npOrpaMM, KOTOpb1e OHM BCIIOMHHnM, nOJIOBMHa 661naCOO6M.(eHHAMH B HOBOCTAX HJIM AOKyMeHTânbH6IMH (pHJIbMaMH, a

nOJIOBMHa - MbInbHbIMH OnepaMH H ApaMaMM. 3TH AaHHble, HapAAy C,ilaHHbIMM pAna HeAaBHHX MccnenosaHM1 (239-241) H3yTIaBLMHx

BOCnpMATHe anKOrOnbHOro COnep)KaHMA XyAO)KeCTBeHH6IX nporpaMM,

OKa3anH HeKOTOpyIO nOA.iepx(Ky nnA ycHneHMA nOTeHLIMâJIbHO

KOHCTpyKTHBHbIX acneKTOB M306pa)KeHMA anKOrOnA B

XyAO)KeCTBeHHbIX TenenpOrpaMMâX.

POnb 3pHTeneFi, KaK aKTHBH6IX MHTepnpeTaTOpOB HH(popMa-L[MOHHbIX COO61LIeHHii nomma 6bITb nOATiepKHyTa 3neCb, BO3MO)KHO,

Aaxce CHJIbHee, TIeM B O6naCTH MCCnenOBaHHFi peKnaMbl anKOrOnA. 110

CpaBHeHHio C anKOrOnbHOH peKnaMOFi, KOTOpa51 06bITIHO conepxcHTnOBOnbHO 3aKOH9eHHble TeKCTbI, TeneBH3MOHHOe H306pa)KeHHeanKOCOJISi H BbInHBOK, OTieBHAHO, OCTaBnAeT HaMHOrO 6onbLlIe MecTa

128

Page 134: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

6ZT

Jatt,Cg xl4do.LoN £H 0o1317 `14100114Ifa.LKaT7 HoN.L HNHatIo aodawxdu

OMLfON00H 4UIHLr KO.LaawH EN011 '(LS) XEHEd.LO XI9H4LCEHd.LOX17Hii

X14HT7EUE£ fi H K041E430£4IfOÜOH .LaNCOw HI4d030N `aOt7OxtlOu

XI4H£0I1O1' GH41fEHTIHa1OU £H OJ0Htl0 0g100hEN fi EHEfl017HawoNad

EIfI49 aHHamafi00du-014HahaLra£Ed 1sI-IJa1Ed.LD '(E77Z `zfr6 a01701

X-0L6I O HMV H HNHdLId `HNHdawT HONOHH.LEI( XEHEd.LO XI4HhHIfEEd

fi 15.4a0doT7£ H KH.LHa£Ed XE11IwEd1Odu a OHEao£4LroUGH olfi4g KHHam090OdU H KHHahaLfa£Ed aHH2HHT7a00 aoHHalraEdUEHalran

'104a0doi7£ OJOHHaa.lOamgO 14T7HEJEUOdU NIX OIHtIH£OU 01/CH4L1140

a 010 4114aE.LOOU aNCNE1 1.Â101.41 `K4aOdOt7£ OJOHHaa.LOamgO KIfT7

ÂEOdJX g aHHattHgalra.L aoH4Lra.LEMaua£Ed 4.LEmEdaadu 1/C1o1'41 019do10M

`H01fa.LHd£ 4.LEaH1K,LHdu 4100H9o00u0 KEH4LfENHHX H .LEaXO HHNOdHIII

- HNH.LOHda.LNEdEX 0I41/4IEO OW aL O.Lh `11101 11 11101000 Ka17H KEHâOH00 144aodott£ KHHalruadNX H HxH.1.NEUHcpodu ',carat' xI4Hgamlceda

`HHHam9000 aHHaLraKOU 41H£HHO 15010IEL14U aNCNE.L O.LOEh E

`I4wwEd.tOdu 0I4H4Lr01EN01ra£Ed aI4HdKIfX10d a K4aOdo17£ HHHaLruadNiC

H waugodu aNH.I.NE1rHCpodu 0 Ki31101119000 4.L13.LaawoU KO.LKwad.Lo

19aH.LEHtIHHH HIC KHHamaaaodu OJOHHaa.LOaTltgo KLfT7 Eaiot7ada

aa.LOahEN a I4LVLVEd10du aI4H9Ira.LENaIfa£Ed aI4HdKIrXuou 4.LEa0£4IrOU314 Ko.LHwad.LO i3l4do1oN `K4E0dott£ o1HH011u0dNX H aNH.LNEIrHCl/odu

N tfOXttOU 370900 10IK1raE.Lal7adu I9aH.LEH1IHHH HIC 'KHHa17Haa1fa.L 010H4Ira,LENaLra£Ed H ISL1O10NLfE I414I3.L HHHEflO17aIfOOH aHHalraEdUEH

aOâOH H0900 1011SIraE,Lal7adu 5CwowHTlHa-ou `xEwwEdloduairai xI4HHaaioaxcott,Cx a walfoJONLrE o 14o101EmEd90 MEN `01

EH 41KHIfaOU Ko.LKw0d10 019d010N `aH.LEHtIHHH axxaTlO H OLHHEOHLIO

014HH0mISa0oI1 `I4.1.0gEd `KH,LKHduaoa HwKHHEfiO17aLrooH o XVKdEH

"I4IfEHda.LEw

01431E1 4.LE8O£4LrOUGH KLra.LHd£ H.LOOH9000U0 H H.LOOHHOIfNO

10 H NE.L `aOIrEHda.LEw XI4waEaEtladau .LO MEN JJiOHaEE `ICwOI11HT7Ha-Ou

'10H HIM wwEdJOduaLra.L XI4HHaa1O031CO)1XX IfEHTIH010U i3HmO1Et7NC09/ç

.LKHHduoOa HIS .I.at7X9 `oZ I400duoa w0Ir01ONUE o 0I4HHEEK20

4.1.KHOU wKlra.LHd£ 4h014/011 LÄ.IOw XKEhfIlo XI9dO,LONaH a 14wwEd.IOdu

aI4HHaaJ,OaMCOÛÂX O.Lh `1OIaI4EENOU aNCNE.L I4.LE.L41r£3d 'E3.14110

OJOHhHIf OJa H KLraJ,Hd£ ao17KLrJ£a 10 H.LOOwHOHaE£ a K04.LEhHL110

0H1014EE .I.aNCOw KIfOJONLrE KHHaNCEdgO£H OJOHLadNHON 0J090111

aHHEaONIfO.LOH O.Lh H `EHhHIr£Ed xEwwEdlOdu XI4HHafi,LOaNCOi7ÂX

fi OIIfOJONLrE N KHHEwHHa HwKIra.LHd£ KliHauasodu 4H011010

o1.h `IrE£EMOU KHLKHdU00a HHHEâ017aIf00H HHOwada /twamKO10EH

N 304HH0170a0du T7Kd KHHEBONIf01OH H KH,LKHd1100a OJOHhHIf£Ed KIfT7

Page 135: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

0£ I

T1EIrxa HOHO H.LO2Ha 199O.Lh `WOEEdgO WHNE,L 1900du0a 0I9HHaa.LO3m90 OHHHIfïrOU s Iso.LIS.LEdsadu I900du0a a19H1410ir9odu aI4HHET1

0ih `oH.LKOdaaoifEW `WWEd.loduairai xxxoahdaWWON Efi.LO17oa£HOdu

1SHH3hHHEd.10 KEHI91HhiC `ONEHTIO 'HHHaxGCdNO WOH91fEH110o

WOHHag10170dO0U2H a HwEwalrgodu 171A119HHET1 o KHHamEdgo H

KHHEwHHOU ISll17 I9IfEHda.LEW 9.LHHE,L00170du `OHNCOW£Oa `H HH33tiI3H17

KIfTI wa.L aa.LOahEx g 19Waugodu Hie 9.Li3HONE£rt `WEWaugodu

WI4H4IfaT1.L0 N Ha1ra.LHd£ aHHEWHHa XHïIIOi,Cdxir/CWH.LO `HHH31-119000

H wa.L I9WWEd.I0du a ISHHahO1I1)1H 1So91NgOTr .LÂ..IOW Ea.L04Ifa.LEmaWa

14N.LI4u011 'iSO.LOIiCdHdOH.]H HUH KO.LOIENCHHHdU HHdON 0I4Hd,CLNXd.L3

H a14H4IfEHT1OO MEN ET1.I01 `aHHOd WOH41rEiCT1HHHTIHH EH HW1SHa,L0HaT1

XI4W2Emad `walrgodu XI9H911EiC17HHHT7HH ISHflOdX OTl iSO.LOIEMCHHO

OHNCag£HaH 19ooduoa a19Hwairgodu as.LOTloa£Hoduaua.L woxoahdaWWox }Wu 'EH.LOTIOa£HOdu xH 14141010140 H WWEd.iodu x19H9uai

-Exalrs£Ed xxxoahdawwox E.LEwdocl) KHHahHHEd.IO 9101foTroadu Huowo OH ÂWOWHT1Ha-Ou `H.L00H41fa.LKaT7 HOH,LOa1VH00 HN.LI4uOU `ONEHTIO

HHT1x,CTloduaua.L HoxOahdawwox Eg13110g£HOdu

HWK.LOOHgad.LOU o 19WH.LOawa00 HHaua.LO xam9iro9 s HIf199 UU Cd.i

x19Hmauo,C aalrog 19wa,j '19WWEd.Iodu IsIIHExcdatio5 xKHHaxaW£H XI9H1IiCdx O on E `XExaodHI.NaddON XHm9110g0H O HLfHOOdu 0Hh1990

H `hETladaU KHHExcdairo0 H 9aHdEHaT10 KIfl7 KHHaxCOLCTIadU HLCELfaT7 `I9Ir

-EHda,LEW HUKIfaE.LOOTIadU HHO 'HHTIE.LHOdCI)HON high `Efi1O3hHHTIXd100

HHT1H£011 O aadoNO HHd.LOiCilHH arEHOOdau x HlrmoTlou I9uu.Cd.i ExauoX o.lam9irog KoaHmaxgorj 'os,LOamg000 aoHHOH£Haalfa.l

â 91iCIiNHHOdu HIr,IOWO OH - HHa.LOamOHOdu HWKIra.LHTlOa HWI9HK4U

Xi9HHamd3a00 a.tdaxc HWExHHHaa.LOTlOd aOHHEHOHOO `aHHax{HHTI

aoxOHETIxcEd.i - (98) ((jQVTAj) Haua.LHl7og xI9HK4u aH.lOdjj Hda.LEyAl

`daWHduEH `19uuiCd.I 014d010)10H 'MAL XHxE.L 01HHaIraET1 HHd.LOÂl1HH

-auaL aHHairaH.LOduoo OLr199 WaHa.Lo.LKuadu 141I9HaEI11 'EHhHLf£Ed

uL1Cd 1 ExaUOÂ 9H01131D IMELD `HHawada am-ism-lax o`H aoxH.LOxdEH

aHHaugad.LOU `9.Looxxawadag KEaox.LOOdrrou `4.L00HT1HIfEaHH HIf14g Wairgodu xH.Le HTiadj 19WWEdlodu a19H9ir0.LENaLfa£Ed a WEwaugodu

WI9HHE17 011 IrEHda.LEw 9.LEhOILfN13 LrEHOOdaUaira.L Hirlsdmoou H

WEdO.LaE H WEdao0i170dU 141I9HHOH£Hfialfa.L H.LCIfOÂ 014HHOHTIE141riC0H0N

HLrE.lElrrradu `aoairaxcHd-oou a i9oHctio HLrHTladhX xl4do.LOx CH aH.IOHW `wairgodu XI9H9IrEHTIOO uuXd.i T1Kd ao170.1 x-0L6 i '(SfrZ 'frfrz)

s01OH99011 XHN017XHHLflf0 j X191,112E919£EH )IE.L HWKHa.LOHaTl O xH.LOHd

-a.LNEdEX xNmgO O.]OHW .LO{aWH 19d3WHdli HIC 'aNCHH oxairaE.LOtladu

Page 136: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

B CO3uaHHe nO.IlAepnKKH nOj(XORaM, OpHeHTHpOBaHHbIM Ha

rOCyAapCTBeHHyK)nonHTHKy.

IHZjyCTpH3I pa3BneKaTenbHOrO TeneBHAeHxsl, OLIeBxAHo, CTpe-MHTCSI B HeKOTOpOii CTeneHH COTpyAHHLIâTb c rpynnaMx,3aHHMaLOLLjxMHCSI npO6neMaMx aRKOrOnSI H HapKOTHKOB. drMeLIeHO,

LITO BKnIOLieHxe npO-COIjHâJIbHbIX C0o6LL[eHHN, TâKHX KaK HapKOMa-

HHSi HRH BO)KAeHxe B HeTpe3BOM COCTOBHHH Cny)KHJIO TOMy, Lrr06bl

npeACTâBxrb HHj1yCTpH1O B 611aronpxSiTHOM CBeTe, HJIH )Ice B KaLIeCTBe

34)(keKTHBHOrO 6ycl)epa 06LLjeCTBeHHOIi KpHTHKe. H3MeHeHHSI B

H306pa)KeHHH aRKOrORSI B pa3BneKaTenbHblX nporpaMMax - nx6oBbI3BaHHble CaMOCTOSiTenbHO, nH60 SIBHBLIIHeCSi pe3ynbTaTOM

nonbITOK BMe1IIaTbC51 - MOryT TaK)Ke Cny)KHTb AnSI 3aII1HTbI

TeneBH3HOHHOii HHjyCTpHx OT BHeIIIHerO perynHpOBaHxsi.

AnKOrOnb B xy,gO)KecrBeHHblx Tenenporpannnnax

H306pa)KeHxe ânKOrOnA H BbInHBOK B pa3BneKaTenbHblXTenenpOrpaMMâX aKTHBHO HCCneAOBanOCb a CILIA (23-25, 27, 28, 36,246). B psiAe pa6oT (247, 248) H3yilanocb KacaloLueecsl anxoroJISIcouepiKaxxe 6pHTaxcicxx TenenporpaMM, a B nape H3 HxX

cpaBHxsanxcb IIporpaMMbl, CAenaHHble B bpHTaHHH H ApyrxxaHrnOSi3bILIHbIX CTpaHaX (30, 249). HccneAOBaHxsl x306pa)KeHxslanKOrOJISi Ha TeneBwkeHHx He aHr1105I3bILiHbIX CTpaH (250) BeCbMapeAKx TaK)Ke, KaK H B cepeAxxe 1980-x roAoB (1).

B CLllA HHTepec HCCne,gosaTenel%I K ânKOCOnbHOMy

cojjepxcaxxlo XygoxceCTBeHHbIx TenenporpaMM oTMe4eH ewe BCepeAHHe 70-x rr. ilaxxble no âJiKOronbxoMy co,i[epxcaxxloco6Hpanxcb B HeCKOnbKHX 1ZJIHTenbHblX KOHTpOnbHbIX

HCCneZjOBaHHSIX, LITO jZaBânO BO3MO)KHOCTb npOCneAHTb 03MeHeHH2 C

TeLIeHHeM BpeMeHH. 11yTeM aHanH3a apXHBHbIX 3anHcelï, nepxoAoxsaTa 6bin paclllxpeH Ao 1950-x roAos.

C 1950-x go HaLlana 1980-x rO,goB onxcaHHe BbInHBOK H Apyroe11306pa)KeHHe aJIKOronSl B ApaMax H KOMeAxSIx yCTOIiLIHBO

B03paCTano, H anK000nb CTan Hax60nee LIaCTO noKâ3blBaeMbIM Ha3KpaHe HanHTKOM. B nporpaMMaX AaTHpyeMblX 1950-MH roAaMH,AOnSI anKOrOnSI B nOKa3bIBaeMbIX HanHTKaX COCTaBnSina 48% , a B1982 roAy anxoronb xcnonb3osancsl B 62% cnyitaeB (23). TaKasl xceTeHAeHLixSI OTMeLieHa B HCcneAoBaHHx, oxBaTHBIUeM nepxoA C 1969

131

Page 137: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

no 1985 roA: AOnA nonynApxblx ApaMaTHilecxxx nporpaMM, rAenepCOHâ.)KH nOKâ3aHbI BbInHBaIOILjHMH HJIH coAepxcaTcA HHOe

ynoMHHaHHe o6 anxorone, BO3pocnO C 10% B 1969 roAy go 70% Bcepeuxxe 1980-x (246). B oxsaTHBU.Ieil nepHoA 1976-1986 roAoBpa6oTe o6Hapyxcexo, =iTO OCTp H3o6paxcexHA anxoronA B

nonynXpxbrx xyAo]KecTBexxblx nporpaMMaX AoCTHr csoero mixanpHMepxo B cepeAHHe 1980-x roAoB, KorAa aJIKOronb noABnxnCA Ha3KpaHe npH6nH31-1TenbH0 10 pa3 3a qaC (27). B TeLIeHHe BTOpoiï

rnOJIOBHHbI AeCATHnCTHA H3oOpa)KeHHe anKOTOJlA B TaKHX nporpaMMâX

CHH3HJIOCb, a B Hamane 1990-x CHOBa B03p0CnO. B 1991 roAyanKOrOnb nOABJIAJICA Ha 3KpaHe 6 pa3 B LIaC, 81% rnaBHbIXXyAOXCeCTBeHHbIX nporpaMM coAepxcanH HeKOTOpOe CJIOBeCHOe PMIBH3yanbHOe ynOMHHâHHe o6 anKOrone, a 55% nOKa3bIBânH XOTA 661OAHOrO nepCOHawa nbIOLLjHM (36).

B OTHOLLIeHHH nOABneHHA KypeHHA Ha 3KpaHe TeHAeHHHA 6bIna

nOJIHOCTbiO npoTHBOHOJIo)KHON. C 1950-x go Haqana 1980-x Fo,RoBH306pa)KeHHe KypeHHA Ha 3KpaHe Cyli(eCTBeHHO CHH3HJIOCb. 3rOCHH)KeHHe, O,ieBHAHO, OTpa)ICanO rnaBHble CO6bITH51 B COL[HânbHOMnnaHe H B perynHpOBaHHH TeneBeiijarixA. B KOMcAHAX Kype'riHe CTânoCHH)KaTbCA B IIepHOA, HocneAosaBIIIHFi 3a ny6nHKaLmeK B 1964 roAyOTLIeTa rnaBHOrO Bpaga CHIA o KypeHHH H 3AOpOBbe. BApaMaTw-IeCKHX nporpaMMax 3aMeTHOe CHH)KeHHe KypeHHH COBnânOC Ii)eAepanbHblM 3anpeTOM 1971 roua Ha nepeAaLly peKnaMbI Ta6aKa(23). K cepeAHHe 1980-x roAoB KypeHHe, KaK BHAHO, CHOBa CTanOyBenHLIHBaTbCA B OCHOBH6Ix xygo)KeCTBeHHb1x nporpaMMaX (25). Taxce TeHAeHLjHA Ha6n10Aanacb B HeuaBHeM HCCneAOBaHHH MbInbHbIXonep AHeBHOrO BpeMeHH: noABneHHe KypeHxA 1104TH yTpOHJIOCb C1986 no 1991 roA. OAHaxO no cpaBHeHHIo C H3o6paxceHHeManKOronA pacnpOCTpaHeHHOcTb 6bina He3HatiHTenbHOH: B 1991 roAyanKOI'Onb 6bin nOKa3aH B 208 CLjeHaX H3 1064, a KypeHHe - TOnbKO B11 cizexax (28).

Pa60TbI, H3yiaBLLIHe H306pa)KeHHe ânKOFOnA Ha 6pHTaHCKOMTeneBHAeHHH OXBaTbIBa1OT nepHoA C 1984 HO 1988 roA. B bpHTaHHH,paCnpOCTpaHeHHOCTb H3O6pa)KeHHA anKOTOnA, BHAHMO, TO)Ke KOne6a-

nacb, no KpaRHeii Mepe B HeXyAo)KeCTBeHHbIX nporpaMMax. B 1984roAy 64% nOKa3bIBaBLn1-IxCA B nyilLUee BpeMA nporpaMM (KaK Aoxy-MeHTanbHblX, TaK H XyAO)KeCTBeHHbIX) HMenH KaKOe-nH60ynoMHHaHHe o6 anKorOne, a B 31% 66111H CL.IeHbI BbIHHBOK (247). B1988 roAy ynoMHHaHHe o6 anxorone BCTpeyanOCb B 72%, a CueH6I

132

Page 138: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BbInHBOK - B 42% HaH60nee nOIIÿnApHbIX nOKyMeHTanbHbIX H XynO-)KeCTBeHHbIX nporpaMM (248). B 1984 rony B 88% OCHOBHbIX XyAO-)KeCTBeHHbIX nporpaMM, a B 1988 ro,zty - B 89% HaH6onee norry-nApHbIX H3 HHX H3o6pa)KânCA âJIKOrOnb.

B 6p14TaxcKHX Xyj(0)KeCTBeHHbiX nporpaMMaX BbInHBKH, n0-BHAHMOMy, 6onee 3aMeTHbI, tieM B nporpaMMax H3 ApyrHxaHrnO5I3bILIHbIX cTpaH. CpaBHeHHe HaH6onee nOnynApHbIX MbinbHbIX

onep, TpaHCJIHpOBaBUIHXCA B bpHTaHHH B 1987 roAy, noxa3ano, LrTO

KOnHLIeCTBO nHTeI%IHbIX CI.(eH B (lac 6bUIO BbILIIe B 6pHTaxCKHxnporpaMMax, geM B aMepxxaxexxx HRH ascTpanxûcxxx (249).CpasxeHHe TpaxcnHposastuHxcA B KaxaAe 6pHTaHCKHX,aMeplixaH-CKHX H KaHaACKHX XyAO)KeCTBeHHbIX npOrpaMM BbIABHRO, LrrO

npOnOpqHA BbInHBOK B 6pHTaHCKHx nporpaMMaX 6bina 3HaLIHTenbH0

Bbtule, LIeM B aMepHKaHCKHX H KâHanCKHX nporpaMMaX (30).

ZTHCnO ynOMHHaHHIï O BpenHblX nOCneACTBHAX ynOTpe6neHHAanKOronA BO3pOCJIO C rOAaMH B aMepHKaHCKHX XyAo)KeCTBeHHbIX

npOrpaMMâX, HO BbInHBKH BCe ewe H306pa)KaIOTCA rnaBHbIM o6pa30MKaK HeiiTpanbHOe HRH nO3HTHBHOe H OTHOCHTenbHO 6e3BpeAHOe3aHATHe (25); Torna KaK B 1969 rony TOnbKO 5% OCHOBHbIX

nporpaMM ynOMHHBRH O KaKOM-nH60 H3 HeraTHBHbIX nOCnenCTBHii

noTpe6nexHA anxoronA, B 1985 rony 3Ta AonA cocTaBnxna 25% (246).B 1991 roily HeraTHBHble nocnencTBHA H3o6paxcanHCb B 18%nHTeIiHbIX 3nH3OAOB OCHOBHbIX nporpaMM. 1103HTHBHble

nOCneACTBHA OnHCbIBâJIHCb B 13%, a B 12% 6bino KaKOe-nH60npenynpexcAeHHe O BbInHBKaX B OnaCHbIX CHTya[jHAX, HanpHMep BOBpeMA 6epeMeHHOCTH H npH BO)iU(eHHH aBTOM06HnA (36).

B OCHOBHbIX aMepHKaHCKHX Xyno)KeCTBeHHbIX nporpaMMaXKaxcnblii IueCTOH nepcoxaxc nbeT. IIoABJIAIOUjHeCA perynsipHonepcoxaxcH nbiOT C 6o1IbuleÎ-i BepOATHOCTbKI, LIeM nOABnAiOUjHeCA

HeperynApHO. TIbIoIItHe 06bILIHO ABnAIOTCA 60raTbIMH, 6enbIMH,cpenxero Bo3pacTa my)KLixxaMH-npo(peccHoxaJIaMH (27). XOTA L{HCnO

ynOMHHaHHFI O BpeAHbIX nOCJIenCTBHAX noTpe6neHHA anKOronABO3pOCJIO C rOnaMH, anKOrOnH3M npOAOnxcaeT OCTaBaTbCA peAxHM

ABnexxeM. B nepHon 1969-1985 ronos 1-2% rnaBHblx nepcoxaxceH B

OCHOBHbIX npaMaTHLieCKHX nporpaMMaX 661n14 H306pa)KeHbI KaK

anKOrOJIHKH. O6paIlZeHHe K np06neMHbIM C(pepaM nOTpe6neHHAânKOrOJIA, TaKi3M KaK nOnpOCTKOBOe nbAHCTBO, BO)K,IjeHHe B

HeTpe3BOM COCTOAHHH H ânKOrOJIH3M 66IJI0 601Iee n0Ap06H0 H3yLIeHO

133

Page 139: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

B cepiiSiX KaLIeCTBexxblx aHanH3oB. Ka'-ieCZ Bexxble Hcene,iZosaHI3HOXBaTbIBaIOT Bap14auH14 H Kone6aHH5i coj(epîKaHHA H 3Ha'-IeHH51,

KOTOpble HenerKO OXBaTHTb rpy6blMH McTORaMH KOnH4eCTBeHHOroaHânH3a.

B aHânH3e COJIep>KaHHM 4aCTO CTânKHBaIOTCA C TpyJIHOCTAMH

HpH ITOIIbITKe oHpeJlenHTb HpH4HHbI H MOTHBbI HepcOHa>Keli ARABbIHHBKH, H IToLIeMy aRKOrOnb BOO6UIe HpHCyTCTByeT B

XyJIO>KecTBeHHbIX rlpOrpaMMâX. B HepeJlaBaeMbIX c 1986 no 1991 rOJI

aMepHKaHCKHX MbinbHbIX onepax TOnbKO HeCKOnbKO HOABneHHliânKOrOnM 6bÜIO HpMMO CB53aH0 C CIO>KeTHOlt 11141114e11 (28). CpaBHeHHe

TpaxcnHpoBaBHIHxcA B bpHTaHHH B 1987 rOJIy HOilynApHbIX

MbIRbHbIX onep ITOKa3ano, 4TO aJIKOrOnb 3aHHMân 3Ha4HTenbHOeMeCTO B CK)>KeTe 14% 31114301IOB 6pHTaHCKHX HporpaMM, 12%

aMepHKaHCKHX H 5% aBCTpa11HIiCKHX (249). 0JIHHM 143 14CTOJIKOBaHH11

3TOr0 AB11eHHA 6bUIO TO, 4TO 6011b1IIHHCTBO 113 HOABneHHli ânKOrOnSi

51B1151eTC51 6eCHp14414HHbIM.

Ho ecnH B3r1151HyTb 11011 HHbIM yrnOM, BpAJI 1114 Ri-060e ITOABneHHe

anKOronM MBRAeTCA 6eCIIpH1iHHHbIM, CKOpee BCC OH14 JIO6aBRMIOT

HeKOe 3HaLieHHe HRH HIOaHC K TeneBH3HOHHOMy TeKCTy (255).BbIHHBKa 145I14 HoJIa4a HaHHTKOB - 3T0 rIIa611OHHa5I JlpaMaTH'IeCKaAynOBKa, HCITOnb3yeMâM J(JIM TOFO, 4TO6bI HpHJIaTb cueHe JIBH.)KeHHe,

CJIenaTb Hay3y HRH MOCTHK K CneJIyK)Hlelt cuexe. Tora KaK HHTHeH1IH HOJIa4a KOcl)e Mo>KeT TaK>Ke XopOUIO 3a8O11HHTb BH3yâRbHb1ii pAJI

B CueHe, ânKOrOnb HMeeT TO HpeHMylIIeCTBO, 4T0 eMy MO>KeT 6bITbIIpHJIaHO MHO)KeCTBO COIIyTCTByIOIrIHX 3Ha4eHH11. AnKOrOnb ABHOABnAeTCA HaH6onee 4aCTO HCIIO11b3yeMbIM HarIHTKOM KaK Ha

aMepHKaHCKOM (213), TaK H Ha 6pHTaHCKOM (248) 14 4H1114IICKOM (250)TeneB14JIeHH14. ARKOronb Ha Tene3KpaHe HHKOr1Ia He ABnAeTCA HpoCTo

"aJIKOroneM" - 3TO 11 1180, BHHO 141114 KpeHKHN HaHHTOK, KOTOpb111 HbIOT

143 oco6oro COCyJIa H 0006blM 06pa30M. Bb[1114BKa C11y>KHT ARA TOFO,

4TO6b1 11OKâ3aTb KJIacC HepCOHaxCa, ero o6pa3 >KH3HH,

14HJIHBHJIyanbHOCTb, 3MOuHOHanbH0e COCTOAHHe HRH >Ke 06O3Ha4HTb

OCo6yI0 CHTyauHiO, JIeATenbHOCTb HMI MecTO. 04IH14M H3 HaH6oneeABHbIX HpHMepos ABnAeTCA HCII011b3OBaHHe IHaMHaHCKorO JIRA TOrO,

4T06bI 0603Ha41471, Hpâ3JIHHK HRH >Ke 1TpHJIaTb Ii1HK 06CTaHOBKe.l_l.laMHaHCKOe HCHOnb3yeTC11 B TeneHepeJla4aX HaCTOnbKO 4aCTO, 4TO

ero HepeJIKO BbIJIenMiOT B OTJIenbHyiO KaTerOpH10 HpH aHânH3eCOJIep>KaHHA (25, 28). ACCouHHpOBaHHe OCo6bIX HaHHTKOB C OCO6bIM

CTMneM >KH3HH HRH COuHanbHblM KnaCCOM TaK>Ke ABnAeTCA 1IOBOnbH0

134

Page 140: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

06bILIHbIM. KaK OTMeLIeHO B OJjHOM 143 HCCne,IjOBaHHFf OCHOBHbIX

aMepHKâHCKHX nporpaMM "TOrJja KaK Te, KTO 3aHHMaeT BbICOKOeCOIjHanbHOe nOJIOxCOHHe nOTS1rHBafOT csoe BHHO 143 XpyCTanbHbIX6OKanOB Ha 3neraHTHbIX 06eJ(eHHbIX npHeMax, *-IJIeHbI HH3I1.I14X

COLjHanbHbIX KnaCCOS nOKa3bIBaIOTCSi nbfOIuHMH H3 6yTbI1I0K,

CnpSITaHHbIX B KOpHLiHeBbIX 6yMaxcHbIX naKeTaX HJIH )Ke

nornOLljaIOILjHMH KpyxcicH nHBa H 3aHHMafOLL[HMHCSi CKaHJ.janaMH B

6apax" (25).

5136IK anKOronst npHCyllj He TOnbKO TeneBHjjeHHiO, HO H HHbIM)KaHpaM: KOZjbI H yCJIOBHOCTH, HCIIOnb3yeMble B TenenpOrpaMMâXH3BeCTHbI H3 KHHO H nHTepaTypbl, a TaK)Ke 6epyTCSf 143 COLjHanbHOlipeanbHOCTH 14 OKa3bIBafOT O6paTHOe BJIH51HHe Ha nee. 3TH KOZjbIMOryT 6bITb LIaCTHT-IHO CneI1141HLIHbI üJIR Jjaxxoli KynbTypbl, aLIBCTHLIHO 6bITb 0611IHM14 ZjnSI CO3ZjaTeneN H 3pHTeneil TenenpOrpaMM

B pa3HbIX KyJIbTypaX, a TaKxce pacnpOCTpaH51T6CA B pa3Hble KynbTypblLfepe3 MexCZjyHapO,ijHOe pacnpOCTpaHeHHe TenenporpaMM. IIpHpOAa H3HaLIeHHe nOTpe6neHHSI anKOCOJISf - aCCOI.jHaLjHH MexCJry HanHTKaMH,

nfOJZbMH, CHTyaIIHSIMH H CTHnSIMH )KI43HH - MO)KeT 6biTb OjjHOf1 143

06JIaCTeIi, rJje MOxceT npOHCXOJjHTb 3Cl/CkeKT KyJibTHBaLjHH, OCO6eHHO

ecnH Me)KJjy H306paxCaeMbIM Ha 3KpaHe MHpOM H peanbHblM MHpOM3pHTeneFf CyLLjeCTByeT rny6oKOe Kyn6TypHOe paCXO)Kz(eHHe.

B aMepHKaHCKHX XyjjO)KeCTBeHHbIX nporpaMMaX TpaHCnHpOBaB-

IIIHXCSI B JIyLIILIee TeneBH3HOHHOe BpeM51 B 1982-1985 roAax, CaMbIM

11I06HMbIM HanHTKOM 6bIJI0 BHHO (25), TOCJja KaK B JjHeBHbIXMbIJIbHbIX onepaX TpaxcnHposaslllHxcs{ B 1986-1991 roAax, gauleBCero HCnOnb3oBânHCb KpenKHe HanHTKH (28). 11I14BO, HCn011b3OBaH-

HOe MeHee 1-lem B 10% CnyLIaeB, 3aHHMaeT Kpal%IHIOiO n03HIjHIO. XOTSi

B 6pHTaHCKHX Xy,gO)KeCTBeHHbIX npOrpaMMaX, nepeAasasulxxcx B1984 roJjy, BHHO H 'Tel-lime HanHTKH HCIIO11630BaJiHCb 'lame BCero,11031411HSf rama 6b1na 6onee 3aMeTHa: OHO HCn011b3OBanocb B 19%cnyLlaeB (247). b6IJI0 o6Hapyxcexo, Lao s 6pHTaHCKHx xyAoxcecT-BeHHbIX nporpaMMâX THn HCnOnb3yeMOrO anKOrOnSi CylijeCTBeHHoBapbHpyeT B 3aBHCHMOCTH OT CTpaH6I npOHCXOxCJZeHHSI npOrpaMMbl. B

HaH6onee nOII)/nslpHblX MbInbHbIX Onepax TpaxCJIHpOBaBIIIHxcSI B1987 roJjy, 1114s0 H Kpenlcxe HanHTKH 66111H B pasxoll cTeneHH3aMeTHbI B 6pHTaHCKIiX nporpaMMâX, BHHO H KpenKHe HanHTKH - BaMepHKaHCKHX, a KpenKHe HanHTKH - B aBCTpaJIHi1CKHX, rJje nHBonOSIBJISInOCb gaule, (lem B aMepHKaHCKHX nporpaMMâX (249). KaK BaMepHKaHCKIiX, TaK H B 6pHTaHCKHX XyzjOxCeCTBeHHbIX npOrpaMMâX,

135

Page 141: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

nHBO 06bILIHO 6bIJI0 my-Acclaim HanHTKOM H/HnH aCCOL[HHpOBânOCb C

pa6oiIi3M KJIaccOM. TOrjja KaK B aMepHKaHCKi3X nepeAanax nHBO06bITIHO noSIBnSIROCb B 3anaAHOii HJIH CenbCKOii McCTHOCTH (255), B

6pHTaHCKHX npOlpaMMâX, OCO6eHHO B MbIRbHbIX onepax, nHBonOKa3bIBânOCb KaK CyIueCTBeHHblii 3neMeHT na6a, I.jellTpanbxorony6nHmHoro McCTa AeIiCTBHSi nporpaMM KaK B CenbCKHX, TaK H BropoAcKHx paiioHax.

Apyroe pa3nHi-IHe Mexclty aMepHKaxcKHMH H 6pHTaxcicliMi3XyAOAcecTBeHHbIMH nporpaMMaMH npOSIBnSIeTCSI B TOM, *ITO TOrjja KaK

anKOrOnbHble HanHTKH B aMepHKaHCKHX npOrpaMMâX 06bIYHoSIBnSIiOTCSI HeOnpeAeneHHbIMH (28), 6OnbIiIHHCTBO 6pHTaHCKHX

nporpaMM CO,IjemicaT yKâ3aHH5I Ha nO,IjJIHHHble copra (248).110AnHHHble aJIKOrOnbHble copTa, rnaBHbIM O6pa3OM nHBa H KpenKHXHanHTKOB, 06bILIHO AOBOnbHO 3aMeTHbI, OCO6eHHO B 6pHTaHCKHXMbInbHbIX onepax (249). IIoxa3 nOAnHHHbIX COpTOB MOxKeT 6bITbnpHMepOM KOCBeHHOii peKnaMbl, HnH npOCTO iiaCTbK) CTHnSI

COIjHâJIbHOro peanH3Ma XapaKTepHOrO Z[JISI 6pHTaHCKHX MbInbHbIXonep. B CHIA, rAe AaBneHHe no perynHposaHHK) TenesH3HOxHOiipeKnaMbl ânKOrOnSI OKâ3bIBaeTCSI Ci3JIbHee, LIeM B BenHKO6pHTaHHH,OTHOCHTenbHOe OTCyTCTBHe nOAJIHHHbIX COpTOB MONKeT OTpaxcaTbLjeneHanpaBneHHOe cTpeMneHHe H36eraTb nOneMHKH.

BneyarneHHsi 3pHTeneH

Bo3AeIicTBHe TenesH3HOHHbix o6pa3oB Ha CyxcAeHHSI 3pHTeneii3aBHCHT He TOnbKO OT TOro, TITO nOKâ3bIBaeTCSI Ha 3KpaHe, HO TaKxCe

OT TOrO, LITO BHASIT 3pHTenH H KaK OHH HCTOJIKOBbIBaIOT TO, WOyBHAenH.

Onpe,ijeneHHe xapaKTepa H3o6paxKeHHSI anxoronSi HnH BbInHBKHB KOHKpeTHOri CueHe HRH nporpaMMe SIBnSIeTCSI OAHOii H3 CaMbIX3aMeTHbIX 06naCTeii HCCReAOBaHHIi, nOCBSIHZeHHbIX aHanH3yCOAepAKaHHSI nporpaMM. KOAHpOBKa XapaKTepa nHTeiiHOli CljeHbl HRHMOTHBOB nepCOHa>Ka grim BbInHBKH Tpe6yeT yMCTBeHHOrO

OCMbICneHHSI H HCTORKOBaHHSI. Pe3ynbTaT 6yAeT 3aBHCeTb OT

TeneBH3HOHHOIi H KynbTypHOIi KOMneTeHIjHH H TOLIKH 3peHHSi

Ha6nioAaTeRSI. B aHanH3e 14306paSKeHHSI HapKOTHLIeCKHX BeweCTB BBeAyIIwX aMepHKaHCKHX XyAO)KeCTBeHHbIX nporpaMMaX, 6bIJIo

O6Hapy-AKeHO, iITO OnpeAeneHHble pâ3nHiiHSI B KOAHpOBaHHH 6bIRHCB3I3aHbI C nepCOHanbHblM OnbITOM nOTpe6neHHSi HapKOTHiieCKHX

136

Page 142: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BeLI.jeCTB KOAHpOBLIZHKaMH (25). Kypxll{He KOAHpOBLIZHKH 06bIL4HO

paCCMaTpHBâIIH KypeHHe TenenepcOHa)KeFl KaK npHMTHOe, TOrAa KaKHeKypMLiZHe KOAHPOBLgHKH LiaCTO 0603HaLIanH TO )Ke AeHCTBHe KaK

He3AOpOBOe nOBeAeHHe.

(13aKTHTIecKOe BOCnpHSITHe H HCTOJIKOBaHHe Tene3pHTenSIMH

H3o6pa)KeHH2 anKOI'OnM B XyAo)KeCTBeHHbIX npOrpaMMaX H3yLIanOCb

B pMAe esponeilcicxx HccneAosaxHH. B npOBeAeHHOM B 111BeI1M14HCCneAOBaHHH, 112 3pHTensIM B so3pacTe 20-60 neT 6bina noKa3aHanonyTapoT;acoBasl nporpaMMa 113 aMepHKaHCKOro TeneIloHJIbMa,

BKnioLlâBLnasi HeCKOnbKO aJIKOrOnbHbIX CLIeH, THnHLiHbIX AJISI

TeneB143H0HHOH ApaMbl (240). OKOJIO nOJIOBHHbI 3pHTenerl 6b1J10Ha6paHo 110 nHCbMy, pa3OCnaHHOMy CnyTia%iHO Bb16paHHbIM )iCHTeJISLM

CTOKrOnbMa, OCTanbHble 6binH Ha6paHbl B LLIKOnaX AnM 06yLIeHHSIB3pOCnbIX B CTOKI'OnbMe. r1pOCMOTp npOrpaMM npoHCXOAHJI BIIIKOnaX HRH nOMemeHHSLX HaLjHOHaJIbHOIi TeneKOMnaHHH. 1-10CnenpocMOTpa npOrpaMMbl yT{aCTHHKH 3a110nHSIJIH Asa Borlpocxxxa. BnepsOM OHM OIIHCbIBanH CsOHMH CnosaMH COAep)KaHHe

OnpeAeneHHbIX cL(eH. BTOpo{i BOnpOCHHK 6bin nOCBSIIneH

HCKnK)LiHTenbHO anKOronIO: yLIaCTHHKOB npocHnH HanHCaTb O BCBX3aMeLICHHbIX HMH nOS1BneHHSIX aJIKOCOnSi H OTBeTHTb Ha pS1A BOnpOCOB

O MX B3rnsiAaX Ha aJIKOOnb H nHTeiiHble npHBbILiKH.

TorAa KaK OTBeTbI BTOpOrO BOnpOCHHKa nOKa3anH, TITO

60nbLLIHHCTBO 3pHTeneli 3aMeTHJIH HeCKOnbKO nOMBneHHii aJIKOrOnSi,

KâxCAbIIi nSiTbIH, CaMO11p0H3BO11bH0 OnHCbIBaR CLjeHbl B nepBOMLloOpMe, He CMOr ynOMMHyTb XOT51 6b1 oAHy. KOnHLieCTBO

anKOrOnbHbIX CneH ynOMSIHyTbIX BO BTOpONi CloopMe 6bIJI0 B nepsyioOLlepe,iZb CBM3aHO CO C110006HOCTbIO 3pHTeneil nOMHHTb AeTanH, 14

TOnbKO BO BTOpyIO oLlepeAb C HX OTHOLIIeHHeM K anxoronlo HnHTeIIHbIM npHBblLiKaM. C HaH60nbLlleii BepOMTHOCTbIO OTMeLIanHCb6onee AnHTenbHble cL(eHbl C anKOroneM H Te, B KOTOpbIX anKOrOnb6bin Ha nepBOM IUIaHe. no-BHAHMOMy, HaH60nee 3aMCTHbIMH 6bIJIHCLjeHbl, rAe nbiOLL[HMH H306pa)iCanHcb rnaBHble nepCOHa)KH. 3rHAaHHble MOI-yT nOMOTIb B 061,51CHeHH14 TOrO, nOLieMy pe3ynbTâTb1OAHOrO aMepHKaHCKOrO HCCneAOBaHHM AHeBHbIX MbinbHblX oneppa3HTenbHO OTnHT-IaJIHCb OT pe3ynbTaTOB ApyrHx HccneAosaxxïl. BnpOTHBOnOJIO)KHOCTb 06bILIHOMy pe3ynbTaTy O TOM, LITO anKOrOnb,

KaK npaBHno, H3o6pa)KaeTCM B HeNTpanbHOM TOHe, B 3TOM

HCCneAOBaHHH 661.110 06Hapy)KeHO, LITO 6onee nOJIOBHHbI

H306pa)KeHHFI anKOrOnM 6bI11H HeraTHBHbIMH (256). BMeCTO

137

Page 143: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

npocMoTpa peaJlbxbcx nporpaMM B 3TOM HccneAOBaHHH B Kat{ecTBeMaTep{iana jjnA H3yt{eHHA HCIIOnb30BânHCb MHeHHSI nOCTOAHHbIX

3pNTeneFi MbinbHblX ()Hep. 110-BHj(HMOMy, Fi3o6pa>iCeHNe npo6neMHbIX

BbInHBOK Ha nepBOM nnaHe 6b1n0 nert{e 3aMeTHTb 14 3anoMHHTb, TIeMHeriTpanbHble (1:1OHOBble nOABneHHA anKOrOnA.

B FpHTaHCKOM HCCne)_(OBaHHH, OCHOBaHHOM Ha 14 rpynnoBblx

j1,14CKyCCH5IX CO 109 MOnOjiblMH nlO,gbMH Bo3paCTa 12-16 ne-r,H3yT-{anaCb HHrepnpeTauHA 3pHTen51MH H3O6pa>ICeHHA ânKOrOnbHbIXnpo6neM B nOnynApHOiï Mb{nbHOr1 onepe Hcm3xdepc, xOTOpylo BOCHOBHOM CMOTpAT noApocTKH (239). CpeAH nepeAaBaeMbIX nobpHTaHCKOMy TeneBH,IZeHHK) MbInbHbIX onep Hcm3Hdepc 6bIna BbILLIeBcex no 11O51BneHH1O anKOrOnA (249) . XOTA BO BpeMA rpynnoBblxj(HCKyCCHIi anK0r0nH3M 6bIJ1 OjjHOr{ 143 C1O>KeTHbIX nHHHN, HH OjjHa 113

rpynn He ynOMAHyna anKOrO1IH3M B KaLIeCTBe nepsort npo6neMbi,KOr,IZa Hx CnpaIIIHsanH 0 TOM, KaKHM npo6neMaM IIOCBALLjeHanpOrpaMMa. KOrna anKOronbHble np06neMbl 6bInH ynOMAHyTbI, 3T06b1n0 B CB51314 npo6neMHbIMH BbInHBKaMH Op,HOrO 143 nepcoxaxcerl.HeCMOTpA Ha pa3nHT3H31 B BO3paCTe H COLjHanbHOM nono>KexxH,rpyiirtbi ManO OTnHt{anHCb B HX HCTOIIKOBaHHH BbIr.HBOK nepCOHa>Ka,

KOTOpble 66InH npHnHCaHbI T-IyBCTBaM genpeCCHH 14 6e3Haj1e>KIiOCT14,

14J1 >Ke HeCn0C06HOCTH CnpaBHTbCA C 06CTO51TenbCTBaM14. TOnbKOnocne TOro, KaK HX npOCHJIH 061,51CHHTb nOLIeMy TOnbKO OJ1HHnepcona>K ynapHJICA B BbInHBKH, Toue KaK j>,pyrHe c He MexeeTpyjl,HbIMH 06CTOATenbCTBaMH He j),CnanH 3TOr0, rpynnbI CTânHCCbinaTbCA Ha COL1,HanbHble H BHeIIIHHe 43,aKTOpbI. COLjHanbHble061,51CHeHH51 CCbinalOTCA Ha 13111451H14 j[pyrHX nioj[ert, 06151CHeH1151BHeLIIHHX (l)aKTOpoB Ha jZOCTynHOCTb anKOrOnA: >K143Hb H pa6oTa Bna6e npej[ocTaBnSIeT nepcoxaxcy nerKHli j[OCTyn K anKOronlO. ORHa143 rpynn COCnanaCb Ha Tpe60BaHHA (POpMaTa MbInbHOr{ Onepbl: ROTAHeCKOnbKO nepcoxaxcert HMCIOT npo6neMbl, B nporpaMMe HeJIb351nOMeLLjaTb 6onee Oj);HOro anKoronHKa.

XOTA ICm3HdepC jIerICTBHTenbHO j(aeT HeKOTOpblri MaTepHan Opa311 14LIHbIX nyTAX nOHHMaHHA nHTerIHbIX npo6neM, ABHO

npeo6naAaeT HHj(HBHj[yanHCTHt{eCKâA TOL{Ka 3peHHA, BepOATHO,

yCHnHBâA B3rn51j1 Ha anKOrOnHKOB KaK Ha He60nbLLIOe MeHbIiIHHCTBO,

KOTOpble nbK)T HenpaBHnbHO no Cna6OCTH xapaKTepa, TOrj[a KaKHOpManbHble nbIOLIIHe MOryT LIaCTO BbInHBaTb 6e3 6011e3HeHHbIX343(beKTOB. Oj[HaKO H306paNCeHHe np06neMHblX BbInHBOK B

npOrpaMMe He 6bIJI0 npHHATO B nOJIHOri Mepe. HeKOTOpble rpynnbl

138

Page 144: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

6£T

H HHdE.LHawwoN aH1OHN xKHOOXNOHTI xl9aouLiÂd1 a H 31E1 `xE.i.oNa.i.

s MI 90HLrEaodH.LHawwoN O.LOEh `4110d oIXHaEir1 irEd1H 4iroloxire aT11 `I4wwEd10di1 `xisHdEiHawwoN X14HHaw90HU a KHHEHHwOLLC NUIT

wHmISOLO 4001rE£EN OH iiIf0lONIfE aHHaMCEdgO£H aOHhHÜHL If.LOX

HNBOHE1090 HOH9IrEH1100 10 HZOOWHOHBE£ a âON3.HLIEH aOLIH.l aHHEâOdH4dEa aNCNE.L E `waHHaMKOa O xoaHÜl4a aHHEBOdHHTI000E

OLr14g HHHaTlOIIrgEH XH1ÂdT1 HT7adD 'HNaHU14a .LO £Ex.LO HIfH 14w01190d1.1

aI4HHa,LHLI `aHHaHK4L10 .LOTENCEdgo£H OH ETl1oNHH I4wwEd10dLl

a14HHaa1OaMCOT1XX 01h `90o1rHdoao,l xEwwEdlodu XI9HHaâ.LOaNCOT1iCX

XHNOHENHdawE a OHHag000 `HamiCOaTi£aa 40EIrE.I.HhO

ENâHL1I9g ISHHENCdaT100 a0£14I1EHE HWEI,E.L4If£ad o HLrET1EU800

omodox XEwwEdlOdllalra.L XI4HHaB.LOaNCOT1iCX a K03.aEMCEd9O£H 0HhI490 41101031IrE MEN '01 EH aONHH.LOEhiC 19T1FSIf1£g 'HaTIO XI4H9Lf010NIfE

HNOHLIO a19HIfOII H.LhOLI 911-1B0101TTOH OHBHLxaLflfON HIf101,1O HHO `xEwwEdlodu a 911o1oM1rE Hir LSOLrEMCEdgo£H `HLfaBHIIIEduO aONHH.LOEhiC

HHOOkMoHT1 XI9a01ILIiCd1 aT1oX a E171ox `w01s Hdu xOIrEHHwou/C

OH H.LhOLI 4IfO1ONLrE N08HLII4â XI4H4LfEHTI00 I9HaTIO H HM111900 019so1-1o4) xHmEMCdaI7oo wEwwEdlodu wad.L ou xxxdEiliawwox g

'XNHHdahaa amaENCEdgo£H `Eire»dao aTTO£HUS a

H Ofi3.OHIS4L1 HamaEhOlLfxa `HHTIEÂI.HO HHT1aw0M a`0900 B xEwairgodu

XI4HHa,LHLI o a0a4L1 H0HHOH£HBOIfa.L a:HO.Ldah HOHBELf1 III9g 91r010xirE XEwwEdlOdLl XHNOHH(i) Xad.L g '41r010NIre EH lixm400 a19aOH0(I) aNC

HLM MOâHLII4a X19H9LrEHT100 I4HOTIO 90HIrENCdaT1o0 aoLfBHdaO xET10£HLI6

Xad.L g 'IreHdal,Ew HI4H4Lra.LHHLfOLIOTI HEdg00 HH00ÂNOHTI XI4aOLIUÂd.I

at-ox s EqwwEdlodU EH aaxdE,LHawwoN p£ Exmsdou OHahXlrou

oltl9g HHdE.LHawwoN HHN.LOdoN HaH 0 LrEOHU 4Ira.IHd£ HI4T1MCEx

`I4UIIÂd1 HHHEd900 EH I4wwEd10dLI 0011Ha EH HOHHEOHUE£ Ed.LOWOOdLI

airoou ( jfrz) I9odiCx aI4H£olootiodu xHmaEmaoou `xl4lrood£a

6ZZ HT1adO ISHHENCdaTToO 010H41r010NirE XII H (XI9HHEd.LOOHH

3{ÂaT1 H XHNOHH(1) X0dI4Lah) wwEdloduarrai X14HHaa.LOaNCOTTXx

14100m aH.LKHduooa 4001rEaHHâEd0 HHHEBOT1aLfOOH woNOHH(l) g

'HHHEH£ ENHHhO.LOH aB.LOahEN a wlSlra.LFid£ OLCHNGCIrO

OH `HMBHLII9a aI4Hwalr9OdL1 awwEdlodu a 90HLfeNCEd90£H MEN `01 `w£HLrEXO310OOwo1 H jT4110 `41OOHHawad39 ISEBON.LOOd17oU NEx xHNE.L

`wairgodu xH1iCd5 IsHHEwHHOU eut' HHTLEwdO40HH HoHxCÂH H HOH£atrOu

wONHHhO.LOH 90HIfE.LHhO Odapxeu/ON IS,LOX 'ooaTlodu OH E `NOaHU14a

XI4HwaLfgOdLI axi-IaLfalSOdU ELrENCEdgo£H EwwEd.7OdII - I4H2HOK4.90 w0£Ed90 wI4HMCLfOT1 HIf199 OH HNaHL1I4a a14Hwaifgodu O.Lh `HIrEa14£ENOTT

Page 145: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

OPI

HHflOHE,LOOU KHTiNHiC0 XEOOduoa XI9HHalraTladuO EH aONii.LIi110u H NEI `H.LOOHHaa,LOaTIigO MEN aHHEINHHa 101EâHhO.LOT10d000 `I91A131 KEdH919a

`0I9d0.L031 `I4>IHHt70d00u XE)i `.LOI/Ca.LOxall HH11Ewd0(iHH H0a000E1AI Ea.LOilado 01h `.LO1E1E110H 'KHTI iCN.LOaaOU a I900duOa 91HaE.LO HHTDiH/C1:1)

XH KdETloJE119 9110d oiÂH)KEa .1.01EdJH Hi3TIEwdO(iHH HOe000Ew Ea.L011ado 01h `KO.LaE.LHhO `HMHlii11011 HOHHaa.LadEIT/CoOJ Ha.LOEIrgO

X11J/Cd1l H NMI `14NH.LH11011 HOH9110JONIrE KOlaEOEN o.Lh w011godu HNH.LNEIrH(POdu HIM KHHaTlaaOU 0J0H911E/CTIHaHTIHH wah `H3IH3.HIfOu

HOH9110JOMIfE wEOOduoa aHHahEH£ 03irl9uog 9.LEaETIHd11 19HHOICNO

XELfEHdiCMC H XE.L3£E1 a KIf010N1fE I9wa,L HMaO,LMEd1. KHHEaOi7011OO14

NNHa1T19000 XI9HHON1lEWdOCOH11 aNlOaaOLI 9 I900dL109 a19H9LfOJOMLfy

V110O9OH

HINEINa11godu HwxxE.L o Ko9.IKiraEduo Hirl9g i9H31aro17 HUH

HIfJOw H900 MEN `iCwO.L H wa1fgodu X19HHaixu H.LOOHH2HEd100duOEd

KHHEwHHa am9lfog HLrHIraTIiC HHOOiCMoiiTl ` aI9a0uuiCd wa11godu xHJ/CdI7 1E1911iC£0d MEN HUH `1410119odu XI9HH EHHhHdu

MEN `1110119odu XHJOHw EH EHTIO MEN `H9IN00 Ewalrgodu KEHaE11J MEM

40H11K11fiELOTladu HMflHU19a XKHdE.LHawwOx X19HH3w90HU g 'w3ir9odu HH£HMC HOHH31,110da00 1511ïl XI9HhI990 aHHaNCEdgo£H a0H£a110U

NEM 90E11EâHdJEwoOEd wo11aTi a Eoa9ll I9wwEdJOdu Ed.LOw00du Kwada oa 91109 HIM Oa.LOHONOU009 HIrEfi19.LI9LIOH XHH EH 0I9d010N0H

HOMaHUI9fi O XI9HHE£KEO OH91101E£K90 aH wahi3dU `xKiiHEai-1NCad3u

XI9HhH11 X19H90TlOU O wK113.LHd£ wI9d010N2H EIfHHWOUEH XEwa119odU

x19HHawao wair010MifE o XI9HHE£Ka0 O EO0911 KEHHOH£HSa11aL 'Ha.Lail Ku17 KHHaTlaa0u OJOHK9u 019IraTlOw .LENUC110 3191100d£a MEx `w01

O H `HwE1101.1 iCTTMCaw XKHHamOH,LOOINHE£fl O `dHM£EwO HOH9IrEHTI00

REM K110J0NIfE HUOd O`Ew£HUEad aa HHaua.LO O HHOO/CMOH17

H KHHa1Im191N£Ed 0IrEfl19£19a HNHHdahaa 3HI-IaMCEd9o£14 'HNH.LHUOu

H0H9110JON11E HONOHHCI) H.LOOJOd.LO OIT `19d/C.L911/Ûi HOHTIOdEH

13,0NOHHCI) NamawOEH E.I.N09.90 0J0Hh1990 NEN 4X0aH1119a H Efi.LOHK9I1

H.LOOHHaHEdLO0d110Ed .LO I9wa.L EH HHOO/CMOHTi H HHdE.LHawwoM

EIfEfiI9£19a HHTIEÂlHO KHTIawOx 'flo.LONa,L X19HHOH£Hfi01101

.L0 XHN01fET1 Ew90aa `Ha11oI9w KHHaMCEd19a Kill EHHIruwEd.L

aa.LOahEN a H11HMC/C110 19wwEdJOdu aaEh,Ciro a17Kd a OH `xEwwEdJOdu

a OHE£EN011 011199 O.Lh `iCw01 aHHEwHHa aOHâEIfJ H11K11aTLC HHOO/ÛiOHTI

Page 146: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

KHhHU£Ed .LOIXa.LOamXO `.wi4H)KOirO Ko.I.aEai4£Exo Xx.LOaaou a s000duoa H)IBOHE.LOOÜ ooaTlOdu `wO.LS Hdu 1SHH017xcX090 O,IOHHa8,I.0011190

X3LL03EO1I EH .LaKHIra HxE.L HHtIEINdO1)HH H08000E1N â.LOttado

HHH01179000 EN1008OU 01h `I01 E 1H010O0 170E19fi HHmgp

*(IL `OL) xKHHEaOttairOOH

XHxOahHdxUINe fi aHHattx(das.LttOU IfHhXlrou KHIt Ä31100a011

a000duoa H)laOHE.LOOU ooatiodu `OHTtXd.L 4.LEhiC£H olxtlHattHa.L KLe MEN Ett.IO,L 01rI49 11H 01 1(1g attl HHHattx(XOgO woxOahHI.Hlrou HIrH woxxaa100mgo E o.LOaIN aoH.LaiNE£ 1rC1NHE£ Hic TtKda `HHtIEINdo4)HH

H08000EIN HWEfi1.OltadO 0141NaiCdHdOH1H OI4I.00HIrOU `I4.L3I0UOE

HIfH 1400duoa :410OH)K0lrouoaHl.odu oiofi0 H.LaEaaNIX£EdttoU KW/

tiI.LOaaou fi sOOOduog HxaoHE.LOOU KattH Ha1ra.LKatt xi4xxaa.LOdEtLXO01

KLfit Xxl.OaaoU OI/Cx0ahHlHUOU a)KxE.T. E`HxHIrg/Cu HttadO KHHatt)ICXOgo

Xx.LOaaOU 41.Hir0ttaduo 1.Â1o1N HHTIEwdo(1)HH xoa000ElN Eai0l7adD 4.LENIiC1t kWh 0 `KE8I4£ExO0Ed INah `4.LE1NiCit O.Lh `INK170111 I0IE8I4£E)]30Ed

Ett,IO)I `EXauOiC 01011I4HaW 101E1H10017 HHTIEWd013HH H08o30E1V Ea.LOttadO 01h `KO.LaEI.Hhp KHHEiNHHa OJOHHaE.LOatrlgO (10ixa4.90 0810ahE)I a 41400dU0a aH)IE.L I,OIEBHHOxE£X a)IOIE.L OH `OIHTIEWdO(1)HH

.LOiETtadau O)i4ir01 OH HHTIEIVd049HH H08000ENI EalaTtadO `xEOOduoa H XEIVa.L XI4HHalrattaduO 90 KHHamgoöO KEfiEIÏ

a000duoa INaICO10xIIE

O XI4HHE£Ka0 HHT1Ewd0CI)HH H08000EIN HINES.LOttadO aHHam0s00 EH OiHHKHIra OU EOada.LHH UUiCd.I XI4HhHIr£Ed KHIrHOiC XiimOIE8I4011110

XKHHEaOttairOOH a 101iCa1O1rC0Hdü HHhEwdO{13HH H0fi000E1N Ea.LOttadO EH KHHad£ HxhOI. KOaxmOlExaoadau OH 4014HhHIr£Ed

HIC aog iC1Na1r9odu HHa.LOHaTt 01X117oiiC9ad.L MEN o1a I.KirattaduO

OH HXOOduoa N H.tooHHaalaamgo aHHE1NHHa I.iC)IalraHdu OH H1ca.LKatt

al4do.LOxaH ExOU `dou Xa,L ott .LOaa.LOamiCo OH I41N0irgodu 014x4irEHt100

01h `I,OIE1ELfO11 141Na1rgodU a14H4irEHtI00 K0101Ett£00 attl `EHadE O.L£

- HHTIE1NdoCI)HH HOEOOOEIN Eg1.OttadO `I4HOdO,LO Ha4iadl, goOOduoa

XH.Le KHHalrattaduo H 14ttKirl£s aI4HhHir£Ed .LO1KUaE.LOttadu H `141NI4H3IcEa

.LOIE.LHhO HHO 014do10x `1NEa0duOa N KHHENIHHa .LrCtIIH HIraI.Katt

H I4uuXd1 a14HhHIr£Ed aIN,CdoCI1 11101e EH HHOOXxOHtt aHxoahH.I.HUOu

H aI4HHagI.0amg0 .LKt7OX0HOdu atil `1NiCdoct) MEN 4I1HaEI.OttadU o1131co1N

HHt1E1Nd4HH H08000E141 E9I.Ot7ad0 `I4H0d013 Ho.LCdtt D HHHait>iaOgO

IVOxOahH.LHIroU H INOHhHIrgiCU Hdu Ko4,LKUattaduo JA/X9 l400duoa aI41NaEfiEûOU MEN `01 EH JLOLCa.LOHatt£Oa HHTIEINd01fHH H00000E1,1I

'

Ea.LOttado `0H1Xdtt KExoÂUG H I4.LNauoE HHtto KKIraTt149 :HaxmiHiC421

HOHh08OdHWdOq) XH Ko.LaKHirOUOTt KHI! kx.tOaeOU E 8000duoa

Page 147: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Me)KIIy BOnpOCaMH, pa3HbIMH yCJIOBHS{MH H BpeMeHeM, Cpe,aCTBaMH

MaCCOBOH HH(kOpMaLIHH, a Taiolce pa3HbIMH n1OjIbMH.

B3aHMOOTHOLIIeHHe MexcAy 06LLIeCTBeHHOIi H HHepopMaLIHOHHOii

nOBeCTKaMH MO)KeT 6bITb H He OZIHOHanpaBJleHHbIM;

HH43OpMaLIHOHHble nOCpejIHHKH 06bIyH0 HMeIOT KaKHe-TO

npe,aCTaBneHHSI O TOM, zrro HHTepecyeT ny6nxxy, OTpaNCaeTCS{ Ha

HX Cyw1IeHHSiX O LIeHHOCTH pâ3nH4HbIX BonpoCOB RJISi HOBOCTe'1i. HH

HHCpOpMaLjHOHHas{, HH 06n.jeCTBeHHaSi nOBeCTKH He S{Bn5{IOTC5I

O,L1HOp0J:4HbIMH. BnHSIHHe CpeRcTS Ma000B01-I HHCtiOpMaLIrIH HaHHjIF{BHIlyanbHble TeMbt 21TI5I jIHCKyCCH41 H B3rn5{jlbl MO)KeT 3aBHCeTb

OT TOrO, HaCKOnbKO nIOjIH nOnarafOTCS{ Ha KOHKpeTHbIIi HCTOT-IHHK

HHCliOpMaL1HH, OT CTeneHH ;Josephs! K CpejICTBaM MaCCOBOIi

HHCkopMaLIHH H OT HanHi-IHSI anbTepHaTHBHbIX KaHânOB HHCkOpMaL(HH,

TaKHX KaK Me)KnH4HOCTHble KOHTaKTbI H nHz{Hb{N OnbIT.

LlOnHTHKH 06bIliHO pacCMaTpHBaIOT HHCpOpMaIMOHHyIO

nOBeCTKy, KaK HH,1IHKaTOp 06LLIeCTBeHHO4{ nOBeCTKH. O6L1IeCTBeHHâa

nOBeCTKa 06Cy)K,ZIaeMbIX TeM, yCTaHaBJIHBaeMaSl HnH OTpa)KaeMafiCpejICTBaMH MaCCOBOii HHci)OpMaLIHH, MO)KeT OKâ3bIBaTb npSIMOeBo3µeriCTBHe Ha nOnHTHeCKy7o noBeCTKy. B HeKOTOpbIX cnyL:aAXCpe)ICTBa MaCCOBOFi HH(POpMauHH MOryT OKa3bIBaTb 601Iee npxMoeBnHSIHHe Ha nOnHTH'-IeCKyIO noBeCTKy: yCKOpHTb npOneCC npHHSITHSIpeLHexHH, 1103HTHBHO oCBelI.jaS{ 3TH BOnpOCbl, HJIH 3aMejIJIHTb,OCBeLLIaS{ HX HeraTHBHo.

HCCne,gosaHHe no Co3JjaHHIO COLIHânbHbIX npo6neM SIBns{eTC5I6onee COBpeMeHHbIM H LIIHpOKHM nO,IZXOAOM, KOTOpbIFI yRensleTOCHOBHOe BHHMaHHe npoL[eccaM, 6narOaapA KOTOpbIM OCO6bleBOnpOCbi nO,iIBO,tISITCSI K TOMy, TiT06bI paCCMaTpHBaTbCS{ KaK Bax(Hble

COL(HaJIbHble np06neMbl (257). COLIHanbHb{e npo6neMbl MOryTnojlblMaTbCSI H naJlaTb B HH(l)opManHOHHOH, 0611IeCTBeHHOfi H

nOnHTHLIeCKOiï noBeCTKe, axe 3aBHCHMOCTH OT H3MeHeHHil B

o61e{crHBHOH pacnpocTpaneHHocTH ABneHHN, KOTopble, KâK

nOnaraloT, CoCTasn5110T npo6neMy. TaKHe HCCne,LIOBaHHSI npHBnexaiOTBHHMaHHe K KOHKpeTHbIM HCTOpHLieCKHM yCJIOBHSIM, B KOTOpbIX

npOHCXOZIHT TaKHe KOne6aHHS{, HJIH K rpynnaM, KOTOpble nblTanHCbHJIH npeyCnenH B TOM, 4T06bI nOMeCTHTb HeKOTOpble BOnpOCbI BItiOKyC 06LLIeCTBeHHOCo BHHMaHH51 H 0603HaLiHTb HX KaK COLIHanbHble

npo6neMbl.

142

Page 148: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

IIpHMepoM Taxoro nonxona ABnsleTCx HeAaBHee co6paHHeHccnetosaxHrl, H3yllasulHx TpaKTOBKy onpeAeneHHbrx BonpocoB,BKJIiOLIâSI anKOTOnb H HapKOTHKH, KaK npo6neM B ra3eTaX,

IIy6nHKOBaBLLIHXCSr B gal 14 3CTOHH14, OHHnAHAHH, nOnbüIe,LLIBeuHH H CaHxT-IIeTep6ypre (258). CTaTbH nOKa3bIBaIOT, LITO

3aHHMaeMâA CpeACTBaMH MaCCOBOrï HHCloOpMauHH ponb 3HaLIHTenbHO

OTnHLlânacb B pâ3HbIX yCJIOBHAX H B pa3Hbre nepHOAbI BpeMeHH. BHeKOTOpbIX yCJIOBHSIX npecca MOrna OKa3bIBaTb MOLUHOe BO3neHCTBHe

Ha rOCyAapCTBeHHbIX AeATenerr, B ApyrHx ee rnasxort cttyHKuHeH6bura BepHOnOAAaHHaA noAAepxcxa rOCynapCTBeHHOH nonHTHKH.OAHH H3 BbIBOAOB 3THX HCCnenOBaHHN COCTOHT B TOM, LITO CpeACTBa

MaCCOBOri HH(tiOpMauHH, no-BHAHMOMy, o6natanH MOHOnOnHeH Ha

yCTaHOBKy nonHTHIIeCKOH nOBeCTKH; COUHanbHble ABFUKeHHA,

nonHTHLIecKHe napTHH H npaBHTenbCTBa conepHHllanH CO

CpeACTBaMH MaccosoH HH(kopMauliH H Apyr c ApyroM, a CneUHciHKapaccMaTpxsaeMorr npo6neMbl HMena perualoLuee 3Hallexxe AnABO3MO)KFiOCTH pâ3nHLIHbIX AeATeneri BJIHATb Ha nOnHTHLIeCKyrO

nOBeCTKy.

McCTO änKOTOnbHbIX BOnpoCOS B nOBeCTKe CpeACTB MaCCOBOH

HH(i)OpMauHH " MO)KeT 3aBHCeTb OT CTeneHH CB513aHHO1-O C HHMHnonHTHIieCKOrO Beca. HanpHMep, aHTHanKOCOnbHaA KaMnaHHA BCOBeTCKOM COIo3e B cepeAHHe 1980-x rOAOB nonyLlana ulHpoxoeHHCl-OpMauHOHHOe OCBeüjeHHe B TeLIeHHe HeCKOnbKHX ne-r, nOTOMy

LITO OHa aCCOUHHpOBanacb C nOJIHTHKOrI nepecTporrxH, 6oneeOCHOBaTenbHOH 11011bITKH H3MeHHTb o6LuecTBO (259). Henasxo BLllBeuHH BOnpOCbl anKOronbHOrl nOnHTHK 3aH501H BaACILoe McCTO BnOBeCTKe CpeACTB MaCCOBOFi HH(pOpMaUHH H 6brnH npeAMeTOMaKTHBHbIX Ae6aTOB, H3-3a HX CBA3H C neperOBOpaMH O LIneHCTBeLIIBeuHH B EC (260).

B HeKOTOpbIX CnyLiaSiX HCCnenOBaHHA 110 CO3naHHIO COUHânbHblX

npo6neM MOryT LIaCTHLIHO COBnataTb c HCCneAOBaHHeM

o6rl.teCTBeHHbIX ABHxceHrIIi. TaKHM cnyLlaeM H 6b1no Hccneno6aHHe,H3yLIaslIlee ponb opraHH3auHH MaTepH 11poTHB rlbsrxoro BoXCAeHHA(MADD) B npHAaxxH BOxcAeHHIO B HeTpe3BOM COCTOAHHH cTaTyca60nbulOrl COL(HanbHOM npo6neMbl B CLLIA B 1980-e roAbl (86).MADD ABnAeTCA oAHHM H3 npHMepoB aKTHaxoro H ueneHanpas-neHHOTO HCnOnb30BaHHA CpeACTB MâCCOBOrr HHckOpMauHH AnA

npOABHACeHHA Mep aJ1KOronbHOli nOJIHTHKH. B nOCneAHeM pantelle

3TOrI man,' oI1HCaH0 HCIIOnb3oBaHHe CTpaTerHH npOnaraHAbI B

143

Page 149: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CpejtCTBaX MaccoaoFi HH(kopMauHH pa3nH4HbIMH rpynnaMH HHTepecaB CHIA. flpOnaraHAHCTbi CTpeMSITCH BKIII04HTb Onpejl,eJIeHHbie

CB5I3aHHble C anKOroneM TeMbI B nOBeCTKy CpeACTB MaCCOBOrt

HHCllOpMauHH H CctiopMHpOBâTb j[HCKyCCHK) n0 3THM TeMaM.

OKOHLiaTeJlbHOrl uenbio TaKOiï npOnaraHj(bI SIBnSIeTCSi BnHSIHHe Ha

rOCyjtapCTBeHHbiX J1;eSITeneri. OnbIT, co6paHHblri H3 HHHuHaTHBHH(pOpMauHOHHOIï nponaraFiubl, BepOSITHO, MO)KeT 6bITb OnHCaH KaK

COBeT O TOM, KaK CO3AaBaTb COUHanbHble npO6neMbl.

nOMHMO HHCkOpMauHOHHOIï nponaraHJZbI, jZJ75I B03AerICTBH5I Ha

TO, KaK aJIKOrOnbHble BOnpOCbl OCBeLuaIOTCSI B CpejjCTBaX MâCCOBOii

HH(kOpMauHH, TaK)Ke HCHORb3yiOTCSI H 6onee TpaZjHuHOHHble

nojjXO,IjbI. B TaKHX cTpaHax, KaK KaHaAa (261) , Hopser (262) H

111BeuHSI (263) aHTHânKOrOJIbHble areHTCTBa perynSlpHO npOBOjSITnpeCC-KOHCl)epeHuHH; B,gpyrHX, TaKHX KaK CHIA, nOn06HbleKOHCi)epeHuHH npOBOjZHnHCb KaK np06Hble npoeKTbl (264). genbio6bUI0 n0M04b )KYHJ1HCTM nOHATb Ba)KHOCTb HX pORH B

HHCbopMHposaxxH nloAeri o noTpe6neHHH anKOronx H npo6neMax, aTalcxce O COOTBeTCTByiOLuH)C npocf)HnaKTH4ecKHx H nonHTHtiecKHXMepax, H npej[oCTaBHTb HM HHCtiopManHIO H npeZjJIO)KeHHSI.

PeKOMeHz(yeTCSi 6onee Tecxoe H aKTHBHOe CoTpyRHHiiecTSO C

)ICypHanHCTaMH, KaK CnoC06 nOBbICHTb HarnSij;HOCTb npoctlHnaKTH-LiecKHX KaMnaHHI-i H nporpaMM (57), a TaK)ICe 06uteri z(eSiTenbHOCTH

aHTHanKOronbHbIX areHTCTB (265). Zut ycneLUHOrO COTpy2IHH4eCTBa,npOCi)eCCHOHanbi B o6nacTH anKOCOnSi j(On)KHbI o6naAaTb OCO6bIMHHaBbIKaMH 06LueHHSI, H, npexcue Bcero, nOHHMaHHeM )KypHanHCTCKOH

T04KH 3peHHA H TOCO, KaK cbyHKuHOHHpyK)T CpeRcTBa MaCCOBOriHHCPopMau13H. 17epBbIM npHOpHTeTOM 3KypHânHCTa SiBnSIeTCSI B uenOM

He npOCBeIueHHe, a nepeAa4a HOBOCTeN H pa3BneKaTenbH0iïHHCbOpMauHH, KOTOpble npHBneKaIOT 3pHTenerl HRH cnynIaTeneH.AJIKOCOnbHble BOnpOCbi C 60RbLUeii BepOSITHOCTbIO 6yAyT HCnOnb30-

BaHbI B HOBOCTSIX, eCnH B HHX cOJjep)KaTCSI npOTHBOpe4HSL HAM HOBâSI

TOiiKa 3peHHSI. KOrAa CyLueCTByIOT COnepHH4alOLuHe TO4KH 3peHHSInui HH(kopMauHSI, )ICypHâRHCTbI CKOpee o6paTSIT BHHMaHHe HaHCTOpHH, KOTOpbie j[enaiOT 3arOROBKH, 4eM Ha Te, KOTOpble ny4LneBcero CnyxcaT yxpennexHlo 3u0p0sb51 (266).

B 06naCTH HccnejÿosaHHii ocBeLueHHSi âJlKOronbxblX BonpocoB BHOBOCTSIX, BOCnpHSiTHe H HCTORKOBaHHe CB23aHH0C0 C anKOrOneMcOjjepxCaHHSI nio,nbMH nOJIyLIHRO ManO BHHMaHHSI. Pe,L(KHM npHMepOM

HCCne,g0BaHHi4 Toro, LITO peanbHble 3pHTenH nOny4aloT 113

144

Page 150: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

SVI

'141191OI1aHloou 4.i,o3c1(1. KEmaaoo oxdK `wxHa.l,oHatt x 41.HttÂ9OU JOIN HO `I4Wai190d11 aHHEIVHHOU IfH014a0u OH 143190131Ed.L UH.L

HONEL K.LOX 01h `INO.I, a KOLrEhO1IINE£ aO1TO9i4a £H HHITO 'HHHISO1000 WOa£ad,LaH a KHHa11NtOfl 01E14irX£ad a XHIIIaEitEdJ.001.1 `Ha1ToI1f

KHHairaKE£ aI4H4IfEHOHii0W6 HmOHKIfa1?I4a `HOHhHIf H 1,10114110.12.10d1 L

001109 EL1149 XEHHhHdU 0KH00CxOHt1 `XEHHhHdu O HHOOXxOHïl

4.LOOHNCOIrouoaH.LOdu a wO.te Hdu I4HHhHdu wah `o.LOEh aaxarN XEWINEd10du a 40HL1THHHYOUii HHHK01000 INOa£ad.LaH a KHHa1ri1COa

ISHa.L01TaIfOOH 'KHOEIfJOO2H HIfH 15H0E1f100 I4.I.NHÂ1.1 0I4H4LfZCT1H3aHI1HH

4.LEdg149 1,1aua.LHd£ HlfKdmoou aadoxo E `aoixalN,C.IdE

X14HdAJ)HiCd10 15III1 E1faHda.LEVa HLreaElT aH 14HYHQEdJ0dH 'HHHK01000 INO9£ad,LaH a KHHa1txCOa aaElvClfO 091O0hH1f0N aHmO1EIU4HaINiC

HItH aHmolEaHhxlraaX MEN 40HLrEaHd.LEIN00Ed a14do.Lox `aodo.LxEcp

x14H41rai1.LO NoOHUO KoIrHIToaHdu xKHHam1C,SOgO a O1016 o.LOawa `.o1f14g

aH OHaufaE.L0170du HHHKO1.O00 IN0a£0d1aH a KHHai1)KO9 KHH2HOK4.90 oJOHHHhHdU 010H315 OJONENHH HWKHHam9090 H HINE,LHaiNX..IdE HIN14H

-HEaOdHdla.LHH Wah `HIVKHHaxCEdl4ß HIN14H4L12HOH110IN6 H HIN11I10I10HV

`HIIIE10i151HE 14HaLraE.Lottadu aadoxo H1rI49 xEININEdlodu a aO1E90I1 I4INdo(D (ggZ) HHH15O1000 IvOfl£0d1aH a OIHHat1NCOa a14HHamKaoou

`I4ININEdlodu 014HHOHO3k1OHIT ad1412h 401,1LrEaOdH£HIreHE `a0110J

x-0861 ariHON a HHHE.LHd9oxHlrag a INOxxalTaaodu `HHHEao11a1rOOH

'aHHahEH£ 30H4ureH1100 HIfH 30H4urE/CL3iE axlnolaHNH I400du0a .L01E11)KX090 KHd01.H1TiCE KEHHHTIiCLO H H110111 314Hh1490 `14.Ld0113Ne

XI4dO,LON a `iNIVEdlodu MIL .LHNCaIr WaHHahaLra£Ed H HINK1O0a0H ,CrlxcalN

311HHEdJ EH 01-a1T1 1400d110a a14HNaEINHHIIOU KO10IEhEH£090 NEN `01

a H aN,LOasoU HioHH9.LOamg0 a KOXHfiKI10XEH `ao00dlIoa oixxdedaH

a 11ELCNa Hi0a0 H10214a IrC]OIN EHstELrxad aNCEIT H aHHENCd31t00 aOH4Lr31 -ENaira£Ed `HNIK.LOOaOH O 1531O1XdHH11000E HVOHaOHOO a KHHOLCIVd0CI)0

H KHI/ kl.LOaaou a a000duoa HxaOHE,LOOU HHIIxHX(1) K.LOX

HNKUa.LKatT H INE.H.HaHNKJdE `INKHHaLralTadLIO

`HNEitKI1J£a xE.LONa.L a wI4HH3IraE.LOtiadu N 4OH11HOOH.L0 H HLCea0xL101OH HNHH.LOEhiC NEN `01 H NE.L `E.LON21 I4d(LN/Cd1O NEN 40HIrEaOdH£HI,feHE

HHHEflOilalfOOH g 'I4.LOH13H.LNE aI4H£o1001)0du H I4.L0HIfEHdC)K

`HNH,LHIfOU :11HH2HIN OJOHHaa10011.190 aodallHll HINEUILCdJ

HI1II4HhHIr£Ed KINad,L 14HaLraE.LOrt3du HxHH,LOEhA EIfEHdiC)K OJOHHvCEH

EH K4.LE1O H K4.LE.LO KEHHOHOOkNOHt `XE.La£EJ a H4.LE.LO X14HHOHIDHEttad

Hd.L - HxH.LHIIOU HOH4IIOJONIrE IVEOOduoa Ou Ha.LE.LO HJ,KU aH.LKHdu00fl

KO.LaEh£H HHHE90I13110OH g'(L9Z) HHLTHKIfHH0 a aHHE9OI131rOOH

orna KoaamolENCIrotodu KO.LagifalS `aolrexda.LEIN XI4H4IfOJONLre

Page 151: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

AnKOronb e npecce

B CHIA H3o6pa)ICeHHe anxoronsl B npecce (21, 22, 45, 174)nonyLlHno Mexbute BHHMaHH51 HccneAosaTeneH, 4eM Ha TenesHAexxH.

B 0HHnsIHAHH (269-275) H llIBewHH (260, 276) TpaKTosxa TMManKOrOnSi B ra3eTâX H )KypHânaX H3y4anaCb B HeCKOnbKHX pa6oTax.

HCCneAOBaHHe, H3y4HBILIee CTaTbH, Ony6nHKOBaHHble B nSiTHKpynHeHLUHX HaLjHOHanbHblX aMepHKaHCKHX ra3eTax 3a nepHoA1985-1991 rr. o6Hapyxcl-Uto npHMepxo 1680 cTaTeH, nOCBaIueHHbIXaJIKOrOnLO - B cpenHeM Mexee 50 CTaTeli Ha ra3eTy B rojt(Lemmens P. & Vaeth P., HeolTy6nxxoBaHHble Raxxbte, 1993).rlonosxxa cTaTeH 6btna nocBHlueHa anxoronH3My, nemeHHiO HnHCOLjHanbHbIM 6ecnop51j1KâM, CB513aHH6IM C 4pe3MepHbIM

nOTpe6neHHeM. EOLITH 40% 6bIn0 nOCB51LLjeHO BFiAaM pHCKa, 60neeLIIHpOKO pacnpOCTpaHeHHbIM cpejzH HaCeneHHA, TâKHM KaK BO)KAeHHe

B HeTpe3BOM COCTOSIHHH, HeC4aCTHble cnyLiaH, BbInHBKH BO BpeMH

6epeMeHHOCTH H HHOH pHCK jZJISi 3j10p0B63l. MeHee 20% 6bI1I0nOCBSIIIjeHO 061IjeCTBeHHbIM npO6neMaM H BOnpOCaM anKOrOnbHOHnOnIiTHKH. Jle4eHHe H BO)K,IjeHHe B HeTpe3BOM COCTO5IHHH 66InHHaH60nee 4aCT0 OnHCbIBaeMbIMH TeMaMH.

Bonee TluaTenbHOe HCcnejjOBaHHe 264 nOKa3ân0,penopTa)KH COCTaBnSIJIH HeMHOI'O 60nee nOJiOBHHbI H3 HHX, a 3a HHMH

LIUIH 60nbLnHe CTaTbH (22%) H KOMMeHTapHH (16%). B 6onee 4eMn0JI0BHHe cTaTeH OTHOLLIeHHe K ânKOrOnIO 6bIn0 HeHTpanbHblM HIMnpOTHBOpe4HBbIM. )-1eraTHBHOe OTHOIIIeHHe 6b1n0 Bblpa)KeHO B 45%,a n03HTHBH0e - TOnbKO B HeCKOnbKHX CTaTbSIx. Koma jzaBanHCb06bSiCHeHHSI anKOrOnbHbIX np06neM, 4enOBeK, HCnbITbIBaIOLLjHH

Tame np06neMbl, 06b14H0 pacCMaTpHBanCH KaK )ICepTBa

06CT05ITenbCTB, HnH )Ke np06neM6I C4HTanHCb pe3ynbTaTOM

eCTeCTBeHHOI'O npOLjeCCa. SIBHO MejzHLjHHCKHIi B317151)2( Ha

anKOrOnbHble np06neMbI (anKOronH3M KaK 60ne3Hb) 6bin o4esxgeHTOnbKO B HeCKOnbKHX CTaTbSIX.

,E(Ba LUBenCKHX HCCnej[OBâHHSI H3y4âJiH TpaKTOBKy ra3eTaMHaJIKOrOnbHbIX np06neM B nepHO,gbI BpeMeHH, KOrj(a aJIKOCOnb 6binnpejl;MeTOM HHTeHCHBHbIX jZe6aTOB H CTOSIn HCO6bI4aFIHO B6ICOKO B

HHCI)OpMaUHOHHOH nOBeCTKe AHA. B OjZHOM cnriae jje6aTbI 6bUIHBbI3BaHbI npecC-KOHIl)epeHL(Heli, npOBej(eHHON HIBenCKHM COBeTOM3jjop0BbSI ARA Toro, 4TO6bI 061,51BHTb O 11O11HTH4eCKOM npejTnONfeHHH,

146

Page 152: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HauenexxoM Ha CHH)KeHHe o6luero noTpe6neHHA anKOronA Ha 25%, BCOOTBeTCTBHH c uenbio B03 (276). B ApyroM HccneAosaxxHH3y4aJIOCb OnHCaHHe âJIKOrOnbHbIX BOnpOCOB B 11 HauHOHanbHblX H

perHOHanbHblX ra3eTax B Te4exxe TpexMeCA4HOro nepHoAa 1993rOAa (260). B Te4eHi3e H3yLiaeMOrO nepHOAa anKorOnbHbie BOnpOCblnOnyiIHJIH 6011bIIIe BHHMâHHA, 4eM 06bIgHO B CB513H C BCTynJleHHeM B

CHJIy cOrnaIIIeHHA Meffly 111BeuHe4i H EC, 3aTparHBafouZerO CpeAHnpo4er0 H CHCTMY KOHTpOnA Ha,g anKOrOneM. 143 183 CBA3aHHbIX CanKOrOneM CTaTeii, 52% 6bInH penopTaiKH, 15% 6bin0 nOCBAIueHOCBA3aHHbIM C anKOroneM npo6neMaM, a 33% CBA3aHO C pa3nHiiHbIMHMepaMH H nonHTHiieCKHMH nOAXOAäMH K peIIIeHHIo 3THX np06neM. B

np06neMH0 OpHeHTHpOBaHHbIX CTaTbAX anKOCOnb gaule BCeroCBA3bIBanCA C npeCTynHOCTbiO H pexce - C 3KOHOMHLIeCKHMH H

COuHanbHbIMH np06neMaMH. ABe OTHOCAII(HXCA K eBpOneriCKOiiHHTerpauHH TeMbI npeO6naAanH B 11011HTH4ecKH OpHeHTHpOBaHHbIXCTaTbAX: AHCKyCCHH O CHCTeMe MOHOnOJIHH Ha anKOCOnb H OAOCTynHOCTH anKOrOnA.

,TAHCKyCCHH 6bI1IH COCpe,gOTO4eHbI Ha nO1114TH4eCKHX H

CTpyKTypHbIX npH4HHaX H peuieHHAX anKOCOnbHbIX npo6neM HXapaKTepH30BanaCb paCKOJIOM MHeHHN. 111BeACKâA aJIKOI'OnbHâA

nOnHTHKa KpHTHKOBanaCb KaK CnHIIJKOM CTpOraA HnH KaK CnHÜJKOM

11H6epanbHa51, B COOTBeTCTBHH C TeM, H3MeHeHHe ee B 6oneenH6epanbHOM HanpaBneHHH HnH y)KeCTO4eHHe nOnHTHKH

paCCMaTpHBânOCb B Ka4eCTBe peüieHHA npo6neM. BeAOMCTBeHHbieHnH HHAHBHAyanbHble npH4HHbI H CpeACTBa nOny4HnH McHbIIIeBHHMaHHA. C4HTân0Cb, 4TO np06neMbi npOHCXOAAT H3-3anOBbIIIIeHHOÎi A0CTynHOCTH anKOrOnA, Ha 4TO MO)KHO B03ACIiCTBOBaTb

601Iee 34)(1)eKTHBHbIMH MepaMH KOHTpOnA, HnH xce H3-3a OTHOnICHHA

nioAeH, KOTOpOe MO)KeT 6bITb Hcnpasnexo C nOMOnjbiO

pacnpocTpaxeHHA HHCliopMauxH.

IIOMHMO Ae6aTOB no anKOrOnbHON nonHTHKe, Apyroi-i

npesanHpyioHwï-I THn HHCi)opMauHH o6 anKorone COCTOAn 143

penOpTa)Keti O Ka4eCTBe BHH HJIH HHbIX anKOrOnbHbIX HanHTKOB HJIH

ace O na6ax, KOTOpble noceTHJIH )KypHanHCTbi. XOTA B 3TOM TuneNH(pOpMauHH OTCyTCTBOBanH ABH6Ie AHCKyCCHH 06 anK000ne, KaK O

npo6neMe, OHH MOCJIH BHCCTH CBON BKJ1aA B TO, KaK nOHHMaeTCAanKOCOnb, npeACTaBJIAA ero KaK nHlnb OAHH 173 TOBapOB cpeuHApyrxx.

147

Page 153: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

HaH6onee O6LHHpHOe cl)IiHCKOe MCCneßOBaHHe, NCnonb3osaBluee

B KatieCTBe MaTepHana ra3eTHble cTaTbH, B nepByiO ogepeAbpeßaKuHOHHb1e, H3y4ânO H3MeHeHHA B TOM, KaK ânKOCOnbHble

np06neMbl H CBA3aHHble C HHMH nonHTH4eCKHe nOßXOßbI

onpeAenSinHCb Ha 06LueCTBeHHOri apeHe c 1950-x ßo Hagana 1990-xroJ1,OB (271). B Te4eHHe 3TOr0 nepHoßa, B 06LueCTBeHHbIX

ßHCKyCCHAX ORHOBpeMeHHO CyLueCTBOBanO HeCKOnbKO OnpeßeneHHli

anKOrOnbHOH np06neMbl, npH TOM 4TO OßHO HJIH ßpyroe nonyganO60nb1i1yio noßßepicxy OT npeCCb1 H ßpyrMX ßeATeneii B anKoronbHOiicckepe. B 1950-x roßax npecca Hrpana ßBOËlHyio ponb, noßßepxcHBaAKaK B3rnAßbl TpaßHuHOHHOrO Tpe3BeHHH4ecKOrO ßBMiICeHHSI, TaK HnH6epanbHble nonHTH4eCKHe Mepbl, HaueneHHbie Ha TO, 4TO6bI

npHBeCTH clHHCKHX nOTpe6HTene11 ânKOrOnA K yMepeHHOCTH. KCepeßHHe 196--X 3TO pa3ßeneHHe B3rnAßOB HC4e3n0: npecca no4THeßHHOßyILIHO noßßepxcHBana npeßnOiKeHHA nH6epanH3oBaTbnpOßa)Ky anKOronA, C OTCTaBaHHeM O6iijeCTBeHHOrO MHeHHA Ha napy

neT Ha3aß. B Te4eHHe 1970-x B3r1151ß6l OCHOBHbIX ßeATenelianKOronbHOii nOnHTHKH nOBepHynHCb K onpeßeneHMiO aJIKOronbHOlinp06neMbl, Kat( np06neMbI o6iuero noTpe6neHHA, Tpe6y5{

perynxpoBaHHA ueH H ßOCTynHOCTH. r1peCCa BOCnpHHSina ueHOBOiiapryMeHT, HO-B 6OnbLneii cTeneHH noßßep>KHBana aHTHanKOCOnbHOenpocsell.(eHHe, 4eM Mepbl KOHTponA 3a ßocTynxocTblo. B Te4eHMe1980-x npeO6naßaloiuHri o6uiecTBexxbIli KnHMaT npoßonxcanCTaxoBHTbCA BCe 6onee nM6epânbHb1M, npM4eM npecca Hrpana B TOMBeßyLLrylo ponb. B KoHue 1980-x - Ha4ane 1990-x roßoBo61uecTBeHHoe o6cy>KßeHHe B noßßepxcKy nM6epanH3auMH MepanKOrOnbHOH nOnHTHKH CTaHOBMJ10Cb BCe 6onee arpeccHBHbIMeAJIKOrOnbHaA np06neMa OnpeßenAnaCb KaK npo6neManaTepHanHCTCKOCO KOHTponA: HMeHHO orpaHH4HTenbHâAanKOronbHâA nonHTHKa He ßasana ciHHHaM Hay4HTbCA TOMy, KaKnHTb uHBHnH30BaHHO. CBA3aHHOe C 3THM OnpeßeneHHe npHI1HCbIB3nOanKOCOnbHbMe np06neMbl mammy McHbLLIHHCTBy nl0ßeii, Ha KOTOpbIX

MCpbI KOHTpOnA He ßeriCTByIOT. EßHHCTBeHHbIMH CpeßCTBaMH

anKOCOnbHOii nOnHTHKH, nOJ5/4HBIi1HMH noßßepxcxy OCHOBHOCO

nOTOKa 06LueCTBeHHOrO 06Cy)KßeHH2, 6binH pacnpOCTpaHeHHeHH(POpMauHH H 06LuecTBeHHoe npOCBeIueHYie.

B ßpyrHX 4JHHCKHX pa6oTaX, KOTOp61e HCnO11b30BâJJIH B Ka4eCTBe

MaTepHana CTaTbH Ha TeMbI ânKOCOJIA B ra3eTaX H >KypHanaX,HCCneßOBaTenbCKHe BOnpOCbl H nOßXOßb1 BapbHpOBanH OT H3y4eHHA

148

Page 154: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

o6n(ecTSexxoro o6pa3a Tpe3BeHHH4ecxoro ABH)KeHIdA (269, 270) HnHCHCTeMbI ne4eHHA (273) AO npeACTaBneHHA Hay4HbIX pe3ynbTaTOB o63L1)Li)eKTâX nOTpe6neHH2 anKOrOnA Ha 3AOpOBbe (274). B O,gHOH H3pa6oT H3y4anoCb npeRcTasneHHe anxoronA, My]K4HH H MceHLLIHH B

CTaTbAX, KapTIiHâX, LLIyTKâX H pacCKa3aX Ony6nHKOBaHHbiX B

McypHanax B 1955 H 1985 rr. B Mcypxanax, AaTHpyeMbix 1955 roAoM,anKOronb 6b111 1104TH nOJIHOCTbIO My)KCKHM genoM. r11,51HCTBO

C4HTanOCb My)KCKHM 3aHATHeM, 4aCTO KOHTponHpyeMOM

)KeHIIjHHaMH. O6bI4Hble BbInHBKH npOHCXOAWIH B nOJIHOCTbIO

My)KCKHX HJIH CMeulaHHbIX rpynnax, HO HHKOrAa B nOnHOCTbiO)KeHCKHX rpynnax. Ta )Ke KapTHHa o6Hapy)Kexa B McypHanax,,gaTHpyeMbIX 1985 roAoM, HO B HHX yMCe 6b41114 CCbIJIKH Ha 06bI4HbleB6InHBKH H nbAHCTBO cpeAH nOJIHOCTbK) MCeHCKHX rpynn, LaonpeAnonaraeT H3MeHeHHe KynbTypanbHbIX o6pa3os BbInHBOK (272).Z[pyroe HCCneAOBaHHe cocpejZoTO4Hnocb Ha TOM, KaK nonosaSicTpyKTypa o6wecTSa oTpaMCaeTcA B CTaTbAx no noTpe6neHHIoanKOrOJISI MCeHIIIHHaMH, O1I3/611HKOBaHHbIX B ra3eTaX H McypHanaX B

1987-1988 rOAâX. bbIJIO o6HapyMCeHO, 4TO CTâTbH cO,gepMCaT KaKnpAMbie, TaK H KOCBeHHble nOnbITKH KOHTpOnHpOBaTb BbInHBKHMCeHILIHH. Tora KaK npAMOii KOHTpOnb B OCHOBHOM MOTHBHpOBanCA

OTBeTCTBeHHOCTbIO MCeHnIHH 3a BbIHanIHBaHHe AeTe4I, KOCBeHHbIH

KOHTpOnb OCHOBbIBanCA Ha KynbTypaJIbHOM OnpeAeneHHHMCeHCTBeHHOCTH ii 6b1n Hal.ZeneH Ha yCTaHOBKy rpaHHL[ y3aKOHeHHOto

noTpe6neHHA anxoronA (275).

B aMepHKaHCKHX MCypHanaX aJIKOrOnb nOny4Hn CKyAHOe

OCBeLLIeHHe. B AByx pa6oTax BbIABneHO o6paTHoe B3aHMOOTHOLLIeHHe

MeMUIy OCBeLIIeHHeM anKOrOnbHbIX npo6neM H O6beMOM

ânKOtonbHOiï peKnaMbl B MCypHane, 4TO 1103BO115IeT npeAnOJIOMCHTb,

4TO H3AaTe11H H36erafOT npo6neM, KOTOpble MOryT pa3ApaMCaTbpeKnaMOAaTeneM. B OTHOLileHHH Ta6aKa 3T0 ABneHHe 6b11I0 Hâ3BaHO

3arosopoM MOn4aHH51 0 pHCxe AJIA 3AOp0Bb31 (22, 45, 174). BcepeAxxe 1970-x roAos, B pa6oTe, H3y4asuLeN 30 =pox()pacnpocTpaHABI7IHxCA MrypHaJIOB, BbIABnexo, 4TO MCypHanbl C

HaHMeHbIneii AOneH anKOrOnbHON peKnaMbl 06b14HO BblpaMCaK)T BLIenOM HeraTHBHbIH B3rnAA Ha anKOCOnb (277). B 6onee HeAasxeFipa6oTe H3y4anOCb peKnaMa anxoronA H CB513aHHble C anKOrOneMpeAaKLIHOHHbie CTaTbH B eMCeMeCA4HHKe, HaLleneHHOM Ha MOJIOA6IX,

XOpOLL10 06pa3oBaHHbIX MCeHLIIHH (174). B nepHOA 1972-1986 rr. HHoAHa H3 188 CTaTeii ABHO nOCBAILICHHbIX BOnpOCaM 3AOpOBb51 He

149

Page 155: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

ynoMSIHyJIH ânKOrOnb HJIH BbIHHBKy B 3aronosKe. BOnee TwaTeJlbxoeHccneJjoBaxxe BOCbMH BblrlycKOB, Ony6nHKOSaHHbIX B 1983-1986 rr.06Hapy>Ki1JI0 B COjjep)KaHHH pejjaKLjHOHHbIX CTaTeIi B LjenOM 70CCbIJIOK Ha aJIKOrOnb. r1On0BHHa H3 HHX 6bina nOCBSiLIjeHa pHCKy Z[nSi

3Jj0pOBb5I H npO6neMHbiM BbInHBKaM, TOrna KaK B JjpyrOli nOJIOBHHe

anKOronb 3aHHMaJI HeliTpanbHyK) HnH n03HTHBH3/IO no3HL[H1O.

CCbInKH Ha ânKOrOnb B TeKCTe 4HCneHHO npesocxojjHna peKnaMaânKOIOJLSI. AJIKOrOnb 6bIJI BTOpOFi HaH60nbLLleli peKnaMHOii

KaTerOpHeH, cneJjoM 3a CMeLLIaHHOii KaTerOpHeli nHLLjH H One)iCjjbl.COBMeCTHO CO 3Ha'1HTeJIbHOii peKnaMOii anKOrOnbHbIX npOJjyKTOB,

nO3HTHBHble HnH HeiiTpanbHbie C006LLjeHHSi o6 anKOCone B

COjjep)KaHHH pejjaKljHOHHbIX CTaTeii, BHj7HMO, HeliTpanH3oBânH

ynOMHHaHH51 O pHCKe jjJISI 3J(OpOBbSI.

PABOTA CO CPEACTBAMP1 MACCOBOVI NHOOPMAL(V11/1

B cneAyiOlijeM pa3zjene OnHCbISaIOTC51 cTpaTerHH pa3nHLIHbIxrpynn HHTepeca jjnsl BnHSiHHSi Ha TO, KaK anKOrOnb H3o6pa>iCaeTcSl Hapa3BJIeKaTenbliOM TeneBHJ(eHHH, HJIH jjn5l OTKpbITHSI ci)opyMa cpejjcTsMaCCOBOii HHCI)OpMaLjHH ;VIA 061LjeCTBeHHOrO 06Cy)KJjeHHSI

anKOrOnbHbIX BOnpOCOS. Bce npHMepbl B35ITbI H3 CHIA. B jjByXCnyLIaSiX - AJIKOrOnbHOrO npoeKTa rapBapJjcxoro yHHBepcHTeTa HMADD OCHOBHOe BHHMaHHe yjjenSieTCSi BO)KJjeHHIO B HeTpe3BOM

COCTOSIHHH. B 1980-x H Hagane 1990-x rOJjOB B CHIA np01130HIn0cxxxceHHe 'iHCna CBSI3aHHbIX C anKOrOneM aBapHÎ1 (278). KaK MADD,TaK H rapBapACKHii AJIKOrOnbHbl}1 11pOeKT, BO3MO)KHO, BHeCJIH CBOIi

BKnajj B 3Ty TeH,geHLjHiO, HO cKOpee COBMeCTHO Jjpyr c JjpyroM HHHbIMH claKTOpaMH, LIeM n0 oTjjenbxoCTH. B LjenOM ,ijsH)KeHHenpOTHB BO)KjjeHliSl B HeTpe3BOM COCTOSIHHH, B KOTOpOM MADDSIBnSIeTCSI HaH60nee 3aMeTHbIM npHMepOM, MOrnO CblrpaTb ponb BB03AeiiCTBHH Ha rOCyjjapCTBeHHyIO nOJIHTHKy H o6LLjecTBeHHblenpeZjcTasneHl-ISI B OTHOLLIeHHH BO)iCjjeHHSi B HeTpe3BOM COCTOSIHHH.

17Ojjo6HbIM 06pa30M, rapBapjjcKHli anKOrOnbHblii npoeKT 5IBn5IeTCSITOnbKO OJjHHM npHMepOM jjeNCTBHii rpynnbl HHTepeca C TeM, '-ITO6bInOBbICHTb HHTepeC pa6OTHHKOB pa3BneKaTenbHOTO TeneBHJjeHHSI K

anKOI'OnbHbIM BOnpOCaM.

B 1980-e rojjbl, KorJja npo6neMa BO)KjjeHH51 B HeTpe3BOMCOCTOSIHHH nOJjblManaCb BBepX B nOBeCTKe jjH51 aMepHKaHCKHX

150

Page 156: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CpeACTB MaccoBOi HH(kopMauxH, alIKOronbHasl HHAyCTpHSi yciinI-UIaCBOIO KaMnaHHio npOCBeLueHHSi 06L1(eCTBeHHOCTH. KaK MOTHBbI, TaK H

COAepxcaHHe npocloHnaKTHmecKHx geHCTBHii HHAyCTpHH 6binHnoj(BeprHyT'bI COMHBHHIO (205, 279), HO anKOrOnbHble KOMnaHHH HeKOne6anHCb B TOM, tiTO6bI HCIIOnb30BaTb 1103HTHBHb1e H3MeHeHHS1. B

1991 rojly OAHa H3 HaH6011bIIIHX nHBHbIX KaMnaHHil CTpaHbl,noMeCTHna B Haui3oxanbxblx ra3eTax pexnaMHoe coo61L(eHHe Ha BCiOcTpaxx[Jy, rAe 3aSIBnSInOCb, 4TO CHH)KeHHe ypOBHH BO)KAeHHSi BHeTpe3BOM COCTOSIHHH npoH3OIIIno 6narOAapsi npoijyKTy KaMnaxHH H

pexnaMe yMepeHHOCTH (67). 3T0 HnniocTpHpyeT jipyroFI McTOAnpOHHKHOBeHHA B Kpyr 06Cy.ifAeHHSI cpeACTB MaccoBoN HHCpopMaui-IH

- AOCTynHbIii AnSi TeX, y KOrO AOCTaTO4H0 CpeACTB, 1-IT06bI KynHTbHmtOpMauFiOHHOe BpeMSI H MeCTo.

KOHC)/J7bTa1.4NSi COTp)/,GHIA4eCTBa

HaH6onee AnHTenbxax H BCecTOpoxHSISI pa6oTa noMOAHCiHKauiiH H306pa)KeHHSi anKOrOnSI B TeneBH3HOHHbIX

pa3BneKaTenbHblX nporpaMMaX 6bina Ha4aTa B cepeAHHe 1970-xrOAOB Warren Breed H James DeFoe. Ha3BaHHax KOHCynbTauHSICOTpyAHpieCTBa, npoeiCr 6bin HaueneH Ha TO, 1-iTO6bI 11OMO4b

TBOp4eCKOMy nepCOHany rlry6xce nOHSiTb TO, 2iT0 OHH npeACTaBnMioT

H AenaTb 6onee HHC})OpMHpOBaHHble penieHHSi o 6oneepeanHCTHLIeCKON TpaKTOBKe anKOrOnbHbIX BOnpOCOB, 6e3 yLLj6p6apa3BneKâTenbHOH ueHHOCTH. B McHbliieM MacLIITa6e KOHCynbTauH51COTpyAHH4eCTBa npHMeHSInaCb K TpaKTOBKe anKOrOnSI B KOMHKCaX,

ra3eTâX KOnneA)KeH, B AenoBOË1 KOJIOHKe e)KeAHeBHbIX ra3eT H KTpaKTOBKe HapKOTHKOB Ha pa3BneKaTelI6HOM Tel1eBHAeHHH (280-282).

McTOAHKa KOHCynbTauHH COTpyAHH4ecTBa OCHOBaHa Ha

npeAnOnOXCeHHH, 4T0, oco6eHHo B pa3BneKaTenbHOM coAepxcaHHH,60nbLLIHHCTBO H3O6pa)KeHHM anK000JiSI SIBJISiiOTCSi CnyLIaNHbIMH H

He3aIInaH4poBaHHbIMH H 4TO npOH3B0AHTenH COrnaCHTcSI HCnpaBHTb

np06neMHbie acneKTbl, eCnH npHBne4b HX BHHMaHHe y6eAHTenbHO H6e3 yrpo3. McTOAHKa OIIHcbIBaeTCSl KaK 4eTblpeX-CTaAHHHbIH uHKn.IlepBbiii mar COCTOHT H3 HCCneAoaaHHii. rlpoeKT npeAJIaraeTTenenepcOHâJIy AâHHble aHanH3a COAep)KaHHSi O TOM, KaK aJIKOrOnb HBbInHBKa H3o6pa)KaIOTCSI B pa3BneKaTenbHblX nepeAa4ax. KorAaKOHCynbTaHT npoeKTa Haqan KOHTaKTHpOBaTb C TenenepCOHanOM, OHnpHHeC C Co60ii AaHHble HCCneAOBaHHi-i TenenepeAa4 ce30Ha 1976-1977 rr. Pa6OTHHKH TeneBHAeHHSI 6bInH 60Jlbmeii 4aCTbi0 He

151

Page 157: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

ocsenoMnexbl o noBTOpAIOLueHCA cTpyxType anxoronbxorocoZ[epicaxxsl H, XOTx peaKuHA 6bina pa3Hoo6pa3HoN, MHOrxeBblpaxcanH coxcaneHHe no nOBOny TOrO, KaK H306pa)KaeTCSi aJIKOrOnb.MOHHTOpHHr H aHânH3 anKOrOnbHOrO COnepxcaHHA pa3BneKâTenbHblXnporpaMM, a TaKxce npejZCTaBneHHe pe3ynbTaTOB TenenepCOHanynpOZ[omKanocb 60nee neCATH neT.

0006aA MeTOnHKa KOHCynbTaLIHH COTpynHHtieCTBa BbIpOCna H3aHânH3a HCCnenOBaHHi-1, LIbH MeTOnbl pa60T6I c TeneHHnycTpxeriOKâ3anHCb pa6oTaIOLuHMH HnH Heyna4HbIMH. B 1976 roj[y 6bInHnpOBeneHbl HHTepBbIO C pyKOBOnHTenAMH ceTeil H npOH3Bo,aCTSa,nHCaTenslMH, pejjaKTopaMH H pexcxccepaMH. Fibino OnpeneneHO jZBarnaBHbIX nonXOna, HCIIOnb3yeMbIX rpynnaMH HHTepeca fins( BnHAHHAHa nporpaMMbl. r10nXOn "60nbLIIOrO KHyTa" BKnfOLiân B Ce6A yrpo3bI6oiiKOTa H IUIOXHX OT3bIBOB, eCnH onpeneneHHble Tpe6oBaHHA -KOTOpble qaCTO CiiHTanHCb CpejZCTBaMH MacCOBOH HH(POpMauHHHeo60CHOBaHHbIMH - He 6yjryT ynOBneTBOpeHbl. CpencTBa Ma000BOHHH(pOpMaLjHH, KaK npasHnno, MOrnH npOTHBOCTOHTb TaKHM yrpo3aM3C1)(1)eKTHBHO OCBeLUaA CBOIO TOHKy 3peHHA. IZOnXOn "InnAna B pyxe"

npaKTHKOBânCA nlOj;bMH, 3aIIuHIIjaioIItHMH j(OCTOFiHble Aena, KOTOpbieHe yrpoxcânH,r a npOCHJIH cpej;cTSa MaCCOBOil HH(POpMaLwH npHHATboco6ble 3aMeLiaHH2 O HHX. 3TH nIOnH B L(enOM npHHHMânHCbno3HTHBHO, HO H3MeHeHHii nOLITH He npOHCXOnHnO, cpejjCTBaMaCCOBOi-I HHIbOpMaIjHH IiyBCTBOBanH, HTO CyLaeCTByeT CnHLIIKOM

MHOro XOpOLLIHX nen, LITO6bI 3aHHMaTbC5I BCeMH. TaK KaK HH O,aHH H3

nO,aXO,aOB, KaK BHnHO, He no6HJICA ycnexa, HyxcHO 6bIJI0 pa3pa60TaTbHOBbIÎ-i. HCCnejZOBaHHA noKa3anH, '-ITO TaKON nOnXOn nOnxceH 6bITb He

yrpOxcaiOLuHM H KOnnerHanbHbIM, 6e3 HaMeKa Ha ueH3ypy I-IJIH yTeplonpecTHxca B cpene TeneHHnycTpHH. IIpH o6Mexe nocTyna HBHHMaHHA, OH nOJlxceH npenJIaraTb HHnyCTpHH IIpeHMyLLjeCTBa, TaKHe

KaK COBpeMeHHâSI H TOLIHâA HHCi)OpMauHA no ânKOrOnbHbIM BOnpOCaM,

KOTOpaA nOMOxceT HM j[eIïCTBOBaTb 6onee 3(P(beKTHBHO. t-ITO6bI

C(POpMHpoBaTb COBeLLjaTenbHbn%l OpraH ;VIA nOMOLuH B pâ3BHTHHMeTOna pa6oTbI C TeneBH3HOHHOI-I HHnyCTpHeli 6bInH npHrnaIIIeHbIH3BeCTHble nHCaTenH, pexcHCCepbl H nponlocepbl.

BTOpaA CTanHA KOHCynbTauHH COTpynHH4eCTBa BKniOLIana Bce6A o6Luee npocseuxeHHe jjJIA TeneBH3HOHHOrO coo6luecTSa. HacpencTsa Cnyxc6bl O6LqecTSexxoro 3nopoabA CHIA H

n06poBOnbHbIX areHTCTB, KOHCynbTaHTbI Co3nanH O(iHC B J1OC.-

AHxcenece, OpraHH3oBânH CeMHHapbl H Hat1anH yCTaHaBnHBaTb

152

Page 158: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

EST

1fea0t'alf0011 XT/0-1 9861 a`HHd1aXt'HHaua.L wEIfexoHOOacpOdu OOS ZI 111I9HHElr00£Ed `wo1HaiNXNOt7 wH,L£ E£ aO.LHE14IrX0HON XKHTIEt'HawONad

EH 0I9HHEaOH00 `1f11O.ION1fE 0IHH3NCEd9O£H OU 19aH1.N3di3t I9HET' H1fI99 wodo.LON a`.LHawXNOt' /070.1 £861 a o111110X11I9a WIC aoa 3xHEd9oD

`Et1kaH1r1f0 j 1917£3a£ Hd,L I4HEIIIawE£ H11199 wodO.LON a `HHHKOI.000

woa£ad.LaH a waHHai7NCOfi o KHa1.o01rl0H0du OJOxOhHJEdJ 01f0011

oN91ro,1 HHd.LOX17HHa1ra.L HHt1E£HHEJdo HatIIOIKHHt'a190 HoxxcHlaadu `aodaooHNCad H aaLOHdEHatlO `aodaoolt'odu KHHEd9OD 19H0do.Lo

00 XNNCdatrnou 91HhXI10U 90HIfE.L19U oH101I11 19113E1,9LfXoHOx

Ew£HLfOJONIre 10 aHHarraodott£19a 3OH0at7Xh 01-NEM `walr9odu

X19HHa.LHII aHHaNCEdgo£H aOH,LEaxat'EaH aNCNE.L E `.wON133uEH wHadi7 H2H2wE£ 91199 10NCOw ONJaLf HO at'J `wE.L KLfOJONIfE aHHEfio£9IfoU0H

3OHHHhHd11039 `.91.EfiH1.1I9a KOXHTU01EaI9£EN.LO `HaNCEHOOdau E£ENOU aHa101X010 `waHHatlNcoa o Noa111119a aHHEa14£15a0 `.H1oox1-13a1o3Naw

ENEI-1£11dU NEN NoaHU19a 3HHaxcEd9o£H `.IfH.LIfHE£ o.lolrood£a

HUH 0J0HHahH01.X MEN `NOaHUI9a OIHH3NCEd90£H ifHHEaOdEhO

0HH'Et1Hdu `.HwKHa.LOt'a1r0o1I Hw19H.LKHdu 0 Ox9L101 HUH HHa.LOt'auoou £39 HNaHUl9a 319Hd3£3dh MEN wHNE1. `wEHH.LdEN 14114HhH.LEwaLf90d11

331f09HEH 19d010NaH 900LfKIrat'iC aHHEwHHa 30HaOHOp aotl£Edgo XI4Ha1311-1£ou H KHHaNCEdgO£H OJONOahH.LOHIraad fiaEhÂlfO aHHahHlfaaiC

H g01.N0110E K9aodo17£ OJOHHaa103t1190 XI9HT'ada 0HH311I9H3X :HHtIENH4/Ht'ow Et'Ha Eat' EH I4H0Lf0tIEH HIf149 oIHHaIUhXIrX

OU KHHaxcOlrt7adu HNOdU 019Hd3a3H .tolEt'OUadu wK113114d£

01h H`HHHaT'Haa1ra.L EH 9001fKLfaKOU O.LOEh NOâHU19g axHaxCEd90£H

O1.h `wO.L a OIf1501000 a0.LHE1911X0H0N aHHELfOOU 30HfiElr1

a000duoa aLfOJONIfE 0 X19HHE£1180 KIfi EH01)31131

dawoH xH ELfaaHdu ao.LOHdEHatlo IfHt'9IrH1 E `aO.LHE14I1C0HON HJ.AfOiC

oIÂUIaEaoT'Hawoxad `0191E10 3Hal.31f11O19 waoao a ELfeaoNHlrg,Cuo

aodaooHNCad KHt791fH HHi7Ewd4HH HoHh01 NHHhO.LOH MEN

ao113E19I1-iC0HOx 41HaE10173du o11I99 HalratI £H HOHt7O `HHtIE£HHEJdO

H uIIÂdJ XI9H91fEHOH00a4)OdU XI9HhHIf£Ed XN31Cd3t717ou 9113hirIr0U

901411e119U 191.HE1911iC0HOx H91E1O H HHa1.alrlfOl9 3I4HHOHTIEwdOCPHH

£adah KoIrKHEdlaoduoEd win a KLf01ONIfe HHH0Ir93d1OU O LfEHda.LEw

i3H4aoHOCP H KHHaNC01(T7adU `I4LCEHda.LEw aHN091ra1,EaOt7alfOOK wwEdJOdU 01HHaU1hiClfiC ou HwKIixaxco11170dU 9oHlret'NCoaoduoo

a19do1.oN `319HHEt' 0I9HhkEH 19Ha1raEl.ot'adu HII19g wedaOOHNCad

H wEdO1,NET'3d `wKlra.LEOHU `wEd3OO1t70dU I9HHOH£Ha3u0,1, wolraxoOdalI wHNOahdoa.L O KHHamoH.LOOwHE£a 0I9HhH11

Page 159: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

SI

'800Eh aHHahai a E131110 OxlladaH H aivdo4l No14cPEd101101

HHHaxcO11170dU `had.LOS ELNiCINHHHLN HIra.LOx KHHatIHgalraJ. HNHH.LOgBd :KO1rH.LOOdLIiC HHriE1411-X0HOx ooatlodLl aiEi4lrX£ad

g 'HHd.LOa'HH H.LOOHgad.IAU EH 91Ehaa.lO amh./Clr xEN `YVO.L O ISHH -axcOlrtladLl aNCNE.L E`HJ.00H41r0,LK011 XH HXH0110 HIrehfufOU H HICHOOdII

14.LHE.L41rÂaHOx '1SHH011Hfia1r0.L sONHH1O9Ed aoxHlrx.LO £ii ELfK01000

E a.LOahHHtlML,OO HHhE.L9IfiC0HOx Eooarlodu 910Eh 1SEJ.d3a12h

14J4Ha17 H KlNada 4h0d0g0 HIlJOIN a19dO.LOx `HJiCIfOiC HLfHHaII Oxo0I4a H

aHHONCHâtI 0140110 91E1/14dLI 19901.h `OJOZ KIf17 KLCOJONLre ISHHEHO£41rOUGH

91ExC39£14 H1ra1ox 19d0oo14NC0d aaHdEHa110 1414Haxcxali0du

HUH WOlrgodu KHHamad KIft! HH17EJ.9IfiCOHON x19HHa1r11awaH HLrEaogad.L 9axdEHa110 I9do.1NE11ad 'HaH11ELNdoCINHH HOSOHOCP H HLNKa1lH

HINI4aOH 40HLCEaO00da.LHH 14.1,0HdEH0tID I4110X17011 aI9H£Ed 14HxGCI-I

HIrI4g iNEUUÂdJ INI9H9LrEHOHOOa(loOdU 1111911E-Ed 'EOOHINOduINON iNOlratl

40EIfHaOHE.lO KHtIE.L9IfiCOHOx `14H01N0da H J0Ha17 I4T27LCiCH aHxOahH.LxEdu H1fEfi14J.Hh 0x{)1E1 KHH0xCOLr170du NMI NEI 'HNJ.ÂU1 a19a0H

4114fiE90l7 axcBtl H .LxHIrCPHON 91iid100g0 `o1141IE£Hda.I.xEdEx 91139/CIr.1/Ç

`daikHduEH `01110LN K1rOJON1fE aHHaxcEd9o£13 00HH0111O10si000

H aOHhoJ, - XwO .LK1ladaou wah `HHdB14at10 .LEmhiClf aadoxo a19do.LOx

`I4aH.LEHda,L4IrE NUN `olHHamhXLrX ou KHHaxcoirlladu Hoao 9.LHLNdoci)o

40HIrEdE.LO I41HE.L4IriCOHOx HHt1xiC410duaLra,L xoxoahdalnlwox xxHEaogad.L ElreaEH£Hdu Ea.LOahHH11Âd.LOO KHtIE.L41LC0HOx

am4LrE17 HHdEHatlo JALEJHatI

H NEIL `aLrOJONIrE 90 01H17EINd4H14 oI,CHho.L .LOLEtI MEN a19do.LON

`HHHHII 014H.L0xC010 0I914aH,LEHdaJ.4IfE axC HIIH I4110£144I6 .11E014410dau

NMI `iNO.L O KHHa)KOIrtladlI HIfEflEtl 1r1-LHatlHa0Lra1. INExHHJAgEd 'XEhEtladau x19H4Lra17JA g Koai-imolKdoJ.aou `I4.Ldah oa.LOHOxouoag

aHtIIOLESI9£14a EH HHHEaodHJEad a H aaHdEHatlo HH.LHa£ed a HtIIOINOu `1414I1ELNdOCPHH 1409O0O 90 190OduE£ EH iNELaaJA 40O1f1fIfa11Â aHHEINHHs

00H20HO0 'KHHamaflOOdU OJOH9IrE110U0 14H11E10 x Ifamadau J.xaodu `KHHatllasoodu OJamgO H HHLrHOÂ HHHETiaEduO IS= HJ,OOiNHl7ox9oaH

Hom9lrog oLleaoa.LOalmCo aH aa1109 MEN xEy 4oE1fHHaIN£H Ea.I.OahHH17i(d.LO0 HH11E.L9LLCOHOx Elrodxdu `QQVj^j 11OIrea14.LHUt7Ou

`oJahodu H)1ado HI9do.LOx `INEINalrgodu NlalroJOxlrE 0 111I4HHE£ISâO

X Eoada.LHH oJO14Has.LOain90 KHHE.LOEd£Oa H HHd.LO&IHHaIta.L

I4HOdO1O oo HHriNEad HOHZKHdUOJEIlg KdE11OJEIfg

I9HE13od14.LHa1TNEadau H 14HE8Od14£14Hd011O1N

xII14g Klfo IoxlrE KHHaxcEdgo£H I4uH17HHdu at1J `HHtlo ama

Page 160: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

B HeKOTOpbIX CnyL1aAX KOHCynbTaHTbI A0614JIHCb ycnexa BMoaH(1)Hu14posaHHH cuexapHes, B ,gpyrHx HX npennoxceHHA OKa3anHMano3aMeTHOe sO3AeFICTBHe, XOTSi jja>Ke oTBeprHyT6Ie npeAJIO>KeHHA

MOrnH BHeCTH CBOH BKJIaA B npOCBeiueHiie Tenenepcoxana. PlpoueccKOHCynbTauiiH H ero ,I[OCTH)KeHHA 6bInH OnHcaHbl, HanpHMep, BAOKnaAe nOCBSIIueHHOM nOnynSIpHOii AHeBHOFI MbInbHOPt onepe (281).

Pe3ynbTâTbl aHanH3a COAep>KaHHA nOKa3anH, LITO nporpaMMaTpaKTOBana HeKOTOpble a.JIKOrOnbH6Ie BOnpOCbI C OCTOpo>KiiOCTbIO, HO

TaK>Ke 613In MaTepHan Ans KOHCynbTauHii. HeKOTOpble AaHHble;KOTOpble 6bUIH AOJIO>KeHbI Ha HayLIHOFt KOH(l>epeHuHH, npHBneKnH

BHHMaHHe CpeACTB MaCCOBOri HH(l>OpMauHH H OAHH ra3eTHbIIi>iCypHanHCT CBSI3âJICSI C npOAiocepaMH nporpaMMbi, LITO6bI HanHCaTb

06 3TOM otiepK. KorAa otiepK nOSIBHJICSI, KOHCynbTaHTbI nocnanHKOnHH CBOHX pe3ynbTaTOB CB513aHHbIM C nporpaMMort npoAlocepaM,nHCaTenSiM H pe>icHCCepaM. 3TO Bb13BâJIO AHCKyCCHio, B KOTOpOIiKOHCynbTaHTbI no3ApaBNnH TBOpLieCKHX pa6oTHHKOB C TpaKTOBKOIi

ânKOrOnbHbIX BOnpOCOB B nporpaMMe, HO TaK>Ke yKa3anH Hanp06neMHble 06naCTH. OAHH 143 CueHapHCTOB 6bin Bb16paH

pa6OTHHKaMH npOrpaMMbl AnA CB513eii C KOHCynbTaHTaMH. AHânH3H3o6paaceHHA_anxoronA B nporpaMMe nepeA (B 1984) H nocne (B1985 H 1988 rr.) BMenIaTenbcTSa, noxa3an HexoTOpble H3MeHeHHSi B>KenaeMoM HanpasnexHH. B TO apeMA KaK B 1984 roAy anxoronb 6btnHaH60nee gaCTo HCIIOnb3yeMbIM HanHTKOM, K 1988 rOAy . eroHC11o11b30BaHHe ynan0 no Toro >Ke ypOBHA, LITO H KO(I3ebiaH Jr BOAa.

bbinH Tax>Ke npH3HaKH KaLIeCTBeHHbIX nepeMeH: HeKOTOpble

nepCOHa>KH HHOrAa OTKa3b1BânHCb OT B61nHBOK, B6InHBKaM

npHAaBanOCb MeHbIIIe OL1apOBaHHA H 6bina 6Onee 3HaIOLuaA

TpaKTOBKa BO>KAeHHA B HeTpe3BOM COCTOAHHH, BKJIfOLIâA

H306pa)KeHHe co6paHH51 MADD. B 06JIacTH nHTeFIHbIX npo6neMBMenlaTenbCTBO 6bIJIO McHee ycneluHblM, OAHH 143 nepCOHa>KeH,

H306pa>KaBUIHHCA K a K anKOrOnHK, 6bin 66iCTp0 H nerKO BbineieH.

PerynApHbii4 npOCMOTp ApaMaTHL1eCKHX nporpaMM H KOMeAHi%I,TpaHCnHpOBaBUIHXCA B nyiiuIee spew{ B TeLieHHe LeCs{TM neT,

nOKa3aJI, LiTO pa3BneKaTenbHbie nporpaMMbl npoAon>KanH noAasaTbMaTepHan, He COBMeCTHMbIH C o6ü);eCTBeHHbIM o6y4eHHeM 3AOpOBbiO.

B CepeAHHe 1980-x rOAOB H3o6paxceHHe BOxcAeHHA B HeTpe3BOMCOCTOAHHH CTaJIO MeHee CTepeoTHnHbIM, LIeM B CepeAHHe 1970-x, a B

HeKOTOpbIX nporpaMMâX 6bino He60nbuJOe HanOMHHaHHe opeanbHOCTH H306pa>KaBIIIee npaBHnbHOe nOBeAeHHe, HanpHMep

155

Page 161: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Tpe3Bblli nepcoxa)iC, He n03BOn5IBLnHIi IIbSIHOMy nepcoHaHCy BeCTHMaLUHHy (24). TeM He Mexee, CLICHbI BO)KJjeHH51 B nbSIHOM BHJJe TaK)xe

110xa3b1Baniicb, a ero nOCneJJCTBHSI tiaCTO pa36aBnSinNCb LIIyTxaMH. BTaKOH tiyBCTBHTenbHOFi o6nacTH KaK BbIHHBKIi MOJIOJJbIX nioJJeIi,

TeneHHJJyCTpHSi, KaK BHJJHO, 6bina OCTOpO)KHOii. AHaJIH3

TpaxennpoBaBLLIHxcx B JIytiLilee speMS< nporpaMM, oXBaTHBIiIHIi 1976-1986 rr. 110xa3a1I, tITO BbtnxsxH MOJIOJJbIX nIOZ[eil, He JJOCTHrInH.XOnpeJjeneHHOrO ,ana 3T01'O 3aKOHOM Bo3pacTa, nOKa3bIBanHCb peJJKO(251). 3aMeTHbIM HCKnIOtIeHHeM B HeJJaBHHX nporpaMMâX CTanaCTaHJJapTHâA HCTOpHSI O TpyJJHOM nOJJpOCTKe, CTaBLIIeM np06neMH0

nbIOLLJHM, HO B KOHLJe KOHLJOB nOH5lBlnero, tiTO anKOrOnb He peHIaeT

HH Oj(Hy 113 npo6neM, a nHliIb BbI3bIBaeT JIOnOnHHTenbHble. B T8Ki3XCnytia5lX npej(n0)KeHI33i n0 ynytiLileHHIO COCpeJJOTatiHBânHCb HaMOJJenHpOBaHHH yMeCTHOro nOBeJJeHHSI B3pOCnbIX npH 06paiueHHH cnHTeiiHblMH np06neMaMH MOJIOZIbIX niojJeN. TaK)Ke jlenanl3CbnpeJJJIO)ICeHHSI O TOM, KaK CHH3HTb npHMeHeHHe npoTHBOpe'-IHBbIX HHeyMeCTHbIX LHa6noxoB npH TpaKTOBKe o6pa30B anKOrOJIHKOB, aTaKhCe I-Ix ceMeii H JJpy3eii (252-254).

XOTSi KOHCynbTaHTbI npH3HanH, tITO npHMeHeHHe HX MeTOJJHKHMO)KeT Bbi3blBaTb np06neMbl, OHM CtiHTaiOT, tITO npo6neMbl nepese-IIIHBaIOTC51 B03M0)KHOCTSiMH. COrnaCHO HM, KOHCynbTaLIHSt COTpyJJHIi-

tieCTBa Mo)KeT, npH 6narOnpHSiTHbIX yCJïOBH51X, HMeTb nOTeHLJHanBnHSIHHSi Ha H306pa)KeHHSi B CpeJJCTBaX MaCCOBOii HH(lDOpMaLJHH H B

HHbIX 06naCTSIX, noMHMO anKOronSl. IIpH 3TOM, 1,136paHHa5I JJnSI

BMeLIIaTenbCTBa TeMa He JJOnxCHa 6bITb npOTHBOpetIHBOH, a CantoBMeLIIaTenbCTBO He (taHaTHtiHbIM no xapaKTepy. flpuCOTPyJJHHtieCTSe C TeneHHJJyCTpHeIi KOHCynbTaHTbI nOJJtiepKHBânH,tITO OHH He npOTHBHHKH aJIKOronSl, a npocBeTHTenH, 3aHHMaIOLIJHeC2CBSI3aHHbIMH C nOTpe6neHHeM anKOrOnSI npo6neMaMH. KOHCynbTaHTbI

He npOCHnH, '-ITO6bI BbIHHBKH 6bInH yJJaJIeHb1 143 pa3BnexaTenbxoroTeneBHJJeHHSI, a TOnbKO npennaranH He6onbLUHe KOppeKTHpOBKx,KOTOpble MOrnH 6bITb HCnOnb30BaHbI 6e3 yHJep6a pa3BneKaTenbHOliLJeHHOCTH nepeJJatl. BMeCTO TOrO, tiTO6bI HCKaTb npH3HaHH5I 3a n1060e

H3MeHCHHe B cgexapH5lx, OHii oCTaBanHCb Ha 3aJJHeM nnaHe. J1.ns1ycneLlIHbix JjeiiCTBHL He06X0JJHMO KaK 3HaHHe TeMbI, TaK H

nOHHMaHHe 3aJJatl HHJjyCTpHH HHCI)OpMaLJHI1 H ee 17HCTHTyTOB. BCnytiae C TeneHHJJyCTpHeii, CHOCO6HOCTb KOHCynbTaHTOB npOHHKHyTb

B Tenec006LLJeCTBO H O4:1OpMHTb CBOH yCHJIHA B BHJJC CpeJjCTBa JJnx

TBOpt1eCKO0O nepconana, 09eBHJJHO, 6bina 9aCTH4HO o6ycnosnena

156

Page 162: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

LST

i70181017 Na£Xdtl XHI71flHÜI9a 91HEE.LOOt1 I9901.h `O101 KIt17 HNflHLII92

Lo Ko.I.aEaHNCdatt£oa 0131 `O1-010N - HIfal.HtlOâ 01OHHaihEH£EH Ed0g19E

Ha17H KHHEâodHï7HE1ElIOdII HUE' H HHHK01000 NIOa£adiaH â KHHat7NCOE

xK.LOOHOEUO go Ha1ra.LHd£ HHHattx(adUiqladu KLf17 19iN1NEdlodu aI9H -91131EN3lra£Ed 91EE0£91f0U0H Oa.LOafi9000 aOHHOH£Hâalra,L 9.1.HttX9Ou

19901.h `01 EH INI9HHaLfatIEH `INaNa.LOHatT I'1II9H103N1a00 K01aKIraH 1alaodu 09aodo17£ o HHt1EwdOCPHH od.l.xari 1NHN01a1.HodaaHHis,

&lo1 8861 a .LEhEH u19g .LNaodil aooduoa INOxtto EH K0IfHhO.LOûad000 E1.a1.HOdaaHHiC 010N017dEadE .LNaodu HI9H9I1010Nlfd `Eâ1.0ahHH17iCd1.00 HH11E1.91fiCOHON ,LNaodu HauaEduEH 1119g

319do10x EH `a000duoa .K.1XdN XwoxodHUl 9.LOOHNCOI10110aH.LOdu g .LNaodu HI9H9u01o)ILfe HHHOlddeade

EOaH£Hg HwKHHEaogad.L o axhdoaH.LOdu a 91H11/C10a

1.Â101A1 019do10x `INaLfgodU X19HdiC.Lx,Cd1.o H XHHIIIaHa 91Ex(a9£H I9901.h `0101 HO.LaEaHgotl KHd1OiCt1HH `KU010NIfe H31a01xEd1 Kuod.LHON Nutt

I91N£HHEXaIN aHHHad1.iCHa HOaO KEaE17£0O 01h `axHaHIN 1,aiCa.LOat11ÂD

HHHa17H93L131 INOH9L101EN3IfE£Ed EH KlfoloNIfE OiHHaN(Edgo£H

OU HH11E17HaiNONad 019HH3a1O90O IfH.LO/CIII9a pig 1K9aodo17£

Ki3H31ru0dNiC alfa)7 â HINEa,LO.LHalE HINI9H9LfOE0dg017 H 1NOE109Ir31.HâEdU

0 9,LEhHHtliCdlA0 aN(NE1. E `I9If2HdaZEi1I H I9NIINEd10dl1allaL aH11I0LC91010a1.000 9.LHrlOa£HOdLI `HHHEUWEN aHNOahH.LNEIfH(POdu

91Htl0âodu I9901h `01O1, Klfil HI9HHatiNCadhiC (DM) HHd.L0Ât1HH

HOH91fa1.EN3ua£Ed 10aOD ,LHN(iCuO aodalNHdu £H INHHtfC) KHHEIfOOU

a19H91feHt10O aI9H.L0aI1LC 1rCOaH I9N'NfEdlodU O.Lh `o1o.L KHHahauOago KIf17 aH.LEHt1HHH x19HH3a1O90O 17Kd Eu,CHdaa£Ed KHd.LOXm-IHaua.L

aotlol X-0861 a1fEhEH gKUO1oxIrE HH.LKHduooa INOHHaal.0am90

a K091H£Ed10 19901h `0101 KLrfl I9Hh01E1O011 HHH2HaNI£H

H.L6 HIT Hlr199 YVI9HOKaH KO13E100 `HHHatIHfi3L1-31. NIOH9Lfa1.ENalra£Ed

EH 1WO1ONIfE HHHaN(EdgO£H aHHaHaNI£H a0C1010)12H a tïElfNa 1,10aO

EuO2Ha `ÂNIGNIHIIHE-GLi `Ea,LOahHH17XC1.L00 KHrIE1.911COHON K.LOX

EilOHdau 010H9Ifa1.Hlftl

aHHaha1. â HOHUiC.LOOtl 91I99 H aHatlO EH HO91EâE1O0 EHN(If017 EûHEiNON

aHâ1.OHat1 aOH9ua.LHN(ubtlodu H 30Ht1KIr1EH 91Eâ19£Ex0 I990.Lh H

`I917HEIV0N HatllOiiCdH1911iC0H0N aHa.LOLÂOHdU 91HflOHE.LOiC 19901h `010.L

Klrtl KlVada HoiaXgadZ HNNCdatrnoU HOaOOHEHHr11 HoH.LEaxatlE iaXgad.L

0.I.h `91.0oH9uaLHN(uotiodu KO.LaKIfaK `oH.LHOdaa `Ea.LOahHHl7iCd.L0O

HHtIE,L9IriCOHON WO.LNaUOE WI9HHOH?IE£HHE1dO NII9HNCEa aauogHEH INO.LOHdEHaïlOaua.L 1119g INOUrllodu a a03 aQ saulEr 01.h `iNa1.

Page 163: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Sc'

'HHHahaIfa£Ed XI9HdK11iCII0l1

wOdHw H wodHw 1A114NO0hHwat7ENE - HwEdHw HI1II9HhHIf£Ed KwÂflt7

lCmKaw (KIM KEHh19900H Elf199 HHt1Ewd0(1)HH HO8000Ew a1.o17ad0

Eoadal.HH HHhHd11 CH HOHI70 ',COm-NO.L H xK.LOOeOHaIra.L a aNCxE.L

E `14Hd.LOÂ17HH0I10.L XKHTIENHIIgiCL1 XI9ao1d01 â `0000dLl HOH411EHOHTIEH

fl HHtIExH119,CI1 £adah KalrEmaaao ONOdHm ix0od11 HWKH174LrH1

141AlI4H91fEHOH000CP0dII O HHHamOH.LOOwHE£a HHHEaOdHwdO(I)

EH KOIrEBOdHd.LHatIHON H alliCaHlfIfO wEwaugodu 14119H9If010xICE

OLI HwHfiO1E10gEd `EOada.LHH Hl'VEllll,Cd1 HWH1,Cd17 0 a0£0I00 1OEiHEt7£OO

10 KOLreai4NCd017£08 .LN0041 'E17dEadE_I wOHEN017 XI9HHEOHL117OII

`ao1.ENHC1)1,11d0o aNC HUH EtrdEadE1 Howaugws O aoNLradg KHHaHEd.LOOdIIOEd walrCLt `d3wHdL1EH `EHaIfHOÂ EIfI9g wo1,aLHOdaaHHA

O KH11EHtI000d 'waHH0T7a8E£ w14H9ahX wHII]OI4a w19HNCH1O0du K3.1.0170a

.LNaOdLi 1a0NEH£Hd11 XI4HNCEa iC115d OII XHH 10 KO.LaEhHIf,LO aNCNE.L

HO OH `KHH0m0aOOdL1 O1OH9LfO1ONIrE o8.LO17ado MEN axxat7Hâa1101 00Hg110l.Exa11a£Ed 4.LEao£911ouo1-1 wKH11H0,C wHm,Ct714170du Lreaot7a110

HHaua.LO Hodol.oxaH 017 .LNaodu IiI4H4Ir01oNIrE HHxol7dEadE1

'HHHKO1000 woâ£ad.LOH â KHH0t7NCO&K0141Hm0iE3EN

`wEwaL I417o£HLI6 a19LfaÏI HLfEfiK80OL1 `H31fa1Hd£ 19HOHIfICHw

0HmO1E8I4.LEaXO `HhEt7ad011 014do1,ox0H 'HHdaO XHNOahH1,EINEd17

H XI4HHHt70LNON XI9HdKLriCi]OLI XETlO£HÜ6 00I wah 001109

â 90HLfN8KOLI (OHHEHHwOLIEH-E£EdC1) EH17O Ox4If01 Et710HH) HHHK01000 w08£0d10H e KHH0t7)iC08 aNH1.NEIfHCpOdII N KO2HmKOOHIA `KHHam9000

E.LxaOdLl .Lauf Xad.L X198dall aHHaha.L g'EINaOdu EIfEhEH HHawada 00 HHawada olamhX11 xEwwedlodu a aox.LOOdt7ou HNâxI114a H HHHKO1000

08£0d1aH a 014H0i7)KO8 EH NOIf1900 90HLIE£ 110a d111ari HHHKO1.000 wOa£0d1aH â KHH017NCOâ 0xH1.NE1114odu 019HhXa£00 `I9L1Iawaue

HhEl70d0Ll 0I9H4I101.EN011a£Ed a 41.EhOIIfxa eodaoolt70du H aO1OHdEH0110

411.1t709,C 14901.h `iN01 â E11K01000 E1.Naodu KH101Ed.L0 KEHaE1

wKHHEIIwEx wI4HHaw0d9OHt7o iCxNCdaûdOlI

HIfE8I9£ENO 0H Et7JONHH H1.00011a.L Hd.L HIC dOLI X01 O1/ 'Kwada E£ENOII

KICI1 aamh,Clf a XH 9.LEt7adau H Ku0111170a 01OHHahEH£EH OiH11LIatIHON

aHmOLiCdHt7HE1EL1od1I `KHHaIfâK9.90 0I4HH0a100m90 9.LE.LOgEd£Ed

H1.aoaual, aHNOahdawlNON Hd.L 11H1709,C d1.Han HHt7E1O Hoadau EH

t78Z `i96 HHHK01.000 wOa£ad.LaH a 01HHa17NC0a N KOXHmKOOHI.O

`wdOH XI9H4IfeH1100 01HH0Haw£H 4.LE8Ofi.LO9000110 - EIMaOdI1 911ari

Page 164: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Hj(eA BCTaBKx COO6II(eHHiI npoTxB BomKj(eHHA B HeTpe3soMCOCTOAHHH B pa3BneKaTenbHble nporpaMMbi 6epeT csoenpoHCXOKrteHHe OT OJ.jHOrO BbICOKOROCTaBneHHOrO LIHHOBHHKa

TeneHHj(ycTpHH. XOTA npOnaraHj(HCTCKMM rpynnaM 066iLIH0 HenerKonORyLIHTb j(OCTyn K KnIOLIeBbIM jjeATenAM, yLIaCTMe pa6OTHHKOB

TeneBH3HOHHOIi HH4yCTpHH BbICOKOrO ypOBHA rapaHTHpoBanoI'apsap,acxoMy anKOrOnbHOMy npoexTy j(OCTyn csepxy j(OHH3y.BHHMaHHe 6bU10 COCpej(OTOLIeHO Ha Oj(HOrI npo6neMe nOCTaBneHHble

nepeA npO,mOCepaMH H CUHPHCTMM Tpe60BaHHA 6binH MMHHManb-HbIMH. COO61ijeHHe nerKO MO)ICHO 6bUI0 BCTaBHTb B j(Manor HRH xcepacnOnOxcYiTb Ha rUIaKaTe Ha 3âj(HeM (bOHe. r1y6nMKa 6bina yxceOCBej(OMneHa o npo6neMe BO)icj(eHHA B HeTpe3BOM COCTOAHHH,

LiaCTHLIHO 6narouapA ,gBH)KeHHIO 1980-x roj(OB npoTHB 3TOrO Bane-H1151. TeneHHj(yCTpiiA TaK)Ke 6bina LIyBCTBMTenbHa K 3TOMy, LiaCTMLIHO

6naroj(apA paxee nposoj(HBLIIHMcA Z[eNCTBHAM nOCBSILL(eHHbIM

anxoronio.

IIpeAnonaraeTcA. LITO Moj(enb I'apsapj(cxoro anxoronbxoronpoexra - 6paK npoCTOIi Hj(eH C Molublo TeneBMReHMA - 6bin TaK)Ke6paKOM n0 paCLIeTy Mexcj(y pa3nHLIHbIMH, HO COBMeCTMMbIMH nenAMH.

B TetIeHHe 1980-x r0j(OB TeneMHjjyCTpMA noAseprnacb KpHTHKe 3apexnaMy anKOrOnA B CpejzCTBaX MaCCOBON HHcbOpManHH. COTpyAHH-LIeCTBO C I'apBaRacicMM anKOrOnbHbIM npOeKTOM n0 npoilMnaKTMKeBO)iCj(eHHSi B HeTpe3BOM COCTOAHHH 66UI0 3I104:1eKTHBHON TaKTIAKOti

06LL(eCTBeHHbIX OTHOIIIeHHH jIJIA ynyLILIIeHMA 06LL(eCTBeHHOrO o6pa3a

TeneCeTerd. KpOMe TOrO, npo6neMa BO)icj(eHMA B HeTpe3BOM COCTOA-HHH MOrna 6biTb HCI70nb30BâHa OTjZenaMM KaMnaHMN no CBA3AM C061i(eCTBeHHOCTbiO jÜIA nponaraHjjbi 0006biX nepej(aLI H yBenHLIeHIiAperlTHHra CpejZH 3pHTenerl.

B OCO6eHHOCTH KOHL(enL(HA Ha3HaLIeHFiA BOjjMTeneM 6bina C3HTÿ3Ha3MOM BOCnpHHATa TeneHHjlyCTpMeri. 3Ta KOHIIenL(HA 6binaLIIHpOKO npH3HaHa B CHIA, HO TaK)Ke nojZBepraliacb KpHTHKe (284,285). COrnaCHO npOBej(eHHOMy B 1989 rojty onpocy 061uecTBeHHOCOMHeHHA, HCnOnb30BaHHe Hâ3HaLIeHHOrO BOj(MTenA nonyLlMnO 60nbLIIee

oj(o6pexxe 06nleCTBeHHOCTH, LIeM nio6aA j(pyraA cTpaTerHA

npOckHnaKTHKH BO)iC,geHHA B HeTpe3BOM COCTOAHMM. KOHIIenL(HA 66[na

oj4o6peHa 061IueCTBeHHbIMH rpynnaMH, TaKMMH KaK MADD, TeMH,KTO TOpryeT B pecTOpaHâX (HeKOTOpbie 6apbI H peCTOpaHb1 6ecrUIaTHO

noRasanH Hâ3HaLIeHHOMy BOj(HTenIO 6e3anKOrOnbHbie HanHTKH) HanKOCOnbHbIMH KaMnaHHSIMH, KOTOp6Ie BKnK)LIHnH KOHIjenL(Hio

159

Page 165: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Ha3HaLIexxor0 BOnHTenA B CBOH KaMnaHNH pa3yMHOro noTpe6neHliSi.bbIJIO naHO HeCKOnbKO 061351CHeHHii Toii nerKOCTH, C KOTOpOFi 3TaKOHuenuHA 3aBOeBana npH3HaHHe. l'1CHO11b30BaHHe Ha3HageHHOrOBonHTenA Ka>KeTCA 6bICTpbIM pewee npO6neMbI BO)KneHHA BHeTpe3BOM COCTOAHHH, nnA Hero Hy)KHO HeMHOrO nHLiHbIX 3aTpaT, H

He Tpe6yeTcA 061ueCTBeHHbIX 3aTpaT. 3TOT nOnXOn TaK)Ke XOpOHIOCOOTBeTCTByeT TOMy, KaK CpenCTBa MaCCOBOFi HmtiopMauHH, peKnaMa

H anKOrOnbHâA HHnyCTpHA npennOLIHTaIOT onpenenATb aJIKOronbHblenpo6neMbI, a HMeHHO KâK OrpaHHLIeHHble H 0006ble npo6neMbI,ABnSiiOluHeCA npenMeTOM HHjjHBHnyanbH011 OTBeTCTBeHHOCTH.

H XOTA nOOHjpeHHe Tpe3BOCTH, no Kpa11He11 Mepe BOAHTenA,MO>KeT B HeKOTOpbIX CnyLIâAX 61:ITb nOlIO)KHTenbHbIM ABneHHeM,noKa3aH0, LITO Ha3HaLieHHe BOnHTenA MoACeT 1103BOJIHTb naCCa>KHpaM

nHTb LIpe3MepH0. bbUIO TaK>Ke yKa3aH0, LITO nOnXOn Ha3HaLIeHHOrOBOAHTenA BpAn 11H cpa6oTaeT nJIA npO6neMHO nbIOHjHX H He Mo>KeTo6ecneLiHTb 6e3OnaCHyiO TpaHCnOpTHpOBKy OAHHOKOro nbIOmero.KoHuenI.T,IiA MO)KeT yCHnHTb OTHOCAH.jeeCA K nOTpe6neHHio anKOTOnA

CTaTyc-KBO, npOH3BOnA BneLlaTneHHe, LITO, 3a HCKnIOLIeHHeM

06cTOATenbcTB CB513aHHbIX C Bo)iCneHHeM, BbInHBKH npHeMneMbl H He

oc06eHH0 BpenHbl. 3TOT B31-n51n nonKpennAeTCA 6nH3KHM CXOnCTBOMMe)ICny CO3naHHbIMH anKOTOnbHOFi HHnyCTpHe11 peKnaMHbIMH

C0o611.1eHHAMH O Ha3HaLIeHHOM BOnHTene H 06b1L1HO1i pexnaMoFiaJIKOI'OnbHbIX H3nenHli. 1-1011aralOT, LITO COCpenoTOIeHHe BHHMaHHA

cpenCTB MaCCOBOii HHIf>OpMauHH Ha KOHuenuHH Ha3HaLIeHHOro

BOAHTenA, oTBnexaeT BHHMaHHe OT 6onee 3(114>eKTHBHbIX Mep

npOTHBOne11CTBHA BO>KneHHK) B HeTpe3BOM COCTOAHHH. HeT HayLIHbIX

naHHbIX 06 34)(11eKTHBHOCTH nojnXona Ha3HaLieHHOTO BO)1HTenA BCHH)KeHHH CB513aHHbIX C ânKOTOneM nOpo>KHO-TpaHCnOpTHbIX

npOHCHIeCTBHIi. 1'13 BCerO 3T0T0 MO)KHO CnenaTb BbIBOn, LITO XOTAenBa 11H OnpaBnaHO npOnaraHnHpOBâTb nOnXOn Hâ3HaLIeHHOTO

BOnHTenA KaK rnaBHOe peHleHHe npo6neMbI BO)KneHHA B HeTpe3BOMCOCTOAHHH, 3Ta npaKTHKa MOMCeT 6bITb peKOMeHnOBaHa KaK onHH H3

BapHaHTOB HHnHBHnyanbHOrO nOBeneHHA, ecnH 3T0 nenaeTCA BKOHTeKCTe 60nee HIHpOKOIi npociHnaKTHLIeCKOIi CTpaTerHH, KOTOpaATaK>Ke HanpaBneHa Ha HMeIOIljHe OTHOLIIeHHe K np06neMe BHeHIHHeaicropbi.

rapBapnCKHii anKOTOnbHblli npoeKT ABHO He Tpe60Ban nOXBan 3acueHapHH, CCitOKyCHpOBaHHble Ha anKOTOnbHbIX Bonpocax, HnH )Ke 3aKpaTKHe coo6ll(eHH51 npOTHB BO)iCneHHSI B HCTpe3BOM COCTOAHHH B

160

Page 166: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

TenenepeJ.AaLiax - BO MHOrHx cny4aAX ItiaKTH4ecKFi 6bino TA)Kenocxa3aTb, oTKy,TZa npHHIna opHrHHanbxaA HAeA. O,LIHaxo, npOeKr, noMcHbIIIeIi Mepe, BHeC CBOFI BKna.q B ysenH4eHHe 4HCna TaKHXC006IIZeHHii. 11pOBeAeHHbIH B 1989 may onpoc nOKa3an, 4TO 78%B3pOCJIbIX pecnoHReHTos BH,IjenH TeneBH3HOHHOe coo6ulexxe,nponaraHuxpyloulee KOHuenuHlO Ha3Ha4eHHOrO BoAHTelIA. THCnoTeX, KTO C0o6LuHn 06 HCIIOnb30BaHHH Ha3Ha4eHHbIX BOAHTeneHBo3pocno OT 62% B 1988 no 72% B 1989 rony. OTpaxcaeT nH 3ToyBenH4eHHe H3MexeHHA B 43aKTH4eCKOM noseAeHHH, Hirn xceH3MeHeHHA B COLjHânbHOM BOCnpHATHH BO)ICAeHHA B HeTpe3BOMCOCTOAHHH, 3T0, BepOATHO, ABnAeTCA 4aCTbi0 60nee nonrOBpeMeHHOri

TeHAeHuHH, Ha KOTOpyIO OKä3ânH BnHAHHe MHOTHe CpaKTOpbI, nOMHMo

npoeirra (284).

OnbIT I'apsapAcxorO anKOTOnbHOrO npoeKTa, KOHCynbTaLjHHCOTpynHH4eCTBa H HHbIX nOA06HbIX HHHLjHaTHB nOKa3an, 4TO MO)ICLLO

A06HTbCA HeKOTOpbIX MOAHCpHKaLjHH CTaHAapTOB H306pa)KeHHA

anKOTOJIA Ha pâ3BneKaTenbHOM TeneBHAeHHH. B 6onee LIIHpOKOMKOHTeKCTe TeneBHAeHHA HJIH CpenCTB MaCCOBOrI HHCpOpMauHH BuenOM, ynytIllIeHHA KOTOpble MOryT 6bITb nOCTHrHyTbI B

cOTpyAHH4eCTBe C TeneHHAyCTpHeI%I CKOperi BCerO npeACTaBnAIOTC060Ii MenKHe CABHrH, 4eM 06LuyIO peCpOpMy. 14HHLAHaTHBbI

COTpynHH4eCTBa BpAA Jill H3MeHAT TeHAeHIIHIO pa3BneKaTenbHOToTeneBHAeHHA OIIyCTHTb anK0r0nbHble np06neMbl AO nepCOHanbHblXBOnpOCOB, HO OHH MOryT yCHnHTb CTeneHb peanH3Ma B HX TpaKTOBKe,

a TaK)ICe, BO3MO)KHO, cTeneHH B KOTOpOi4 TeJIeBH3HOHHble

H306paXCeHHA CJIy)KaT HCTO4HHKOM nOHHMaHHA nepCOHânbHblXBOnpOCOB 3pHTenAMH. OAHaKO KOHCTpyKTHBHble coo6LueHHA Hapa3BneKaTenbHOM TeneBHAeHHH CaMH n0 ce6e, BpAA rIH cMoryTOKa3aTb peu.IaioLLjee Bo3AelïCTBHe Ha noTpe6neHHe anKOTOnA HCB513aHHble C anKOrOneM np06neMbl.

MâTepH npOTHB nbAHbIX BoAHTelIeN

B Te4eHHe 1980-x rOAOB B aMepHKaHCKHx CpeACTBaX Maccosoi3HHCpOpMauHH pe3K0 BO3pOCJIO OCBeLueHHe BOnpOCOB, CBA3aHHbIX CBO)ICAeHHeM B HeTpe3BOM COCTOAHHH: Ka3anOCb, 4TO 3T0 ABneHHe

npeBpaTHJiOCb B rnaBHyK) cOnHânbHylo npo6neMy. B HaLjHOHaJIbHbIXra3eTaX 4HCJI0 CTaTeii Ha 3Ty TM BbIpOCJIO C HH4TO)KHOr0 4HCna BKoHue 1970-x Ao 6onee 150 B 1984 rony (Lemmens, P. & Vaeth, P.,Heony6nxxosaxxbie naxxble, 1993). 3To Bo3pocuiee ocseLuexxe

161

Page 167: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

11pOH30ILUIO He H3-3a jTpaMaTH4ecxoro pocTa pacnpocTpaHexxocTHBONCAeHHSI B HeTpe3BOM COCTOSIHHH. 1lnaBHON npH4HHOFt 6b1naAeSlTenbHOCTb OpraHH3OBaHHbIX rpynn, KOTOpble C KOHua 1970-xrOAOS CTpeMHnHCb npHBne4b BHHMaHHe >KypHanHCTOB H

o6LueCTBeHHOCTH K 3TOH np06neMe.

BepOSiTHO, HaH6onee 143BeCTHbIM npHMepOM rpa-AK,gaHCKOrO nBH-

NCeHHSi npOTHB BONCAeHHSI B HeTpe3BOM COCTOS1HHH SIBnSIeTCSI MADD

(86). MADD 6bIna OCHOBaHa B 1980 roAy B KanH4I0pHHH MaTepbK),*1b51 A04b 6bLTIa y6HTa nbAHbIM BoAHTeneM, CKpbIBLIIHMCSi C MeCTanpecTynneHHSI. Bo BpeMx cyAe6Horo npouecca MaTb 6bina rny6oxoBo3MyLueHa TeM, t1TO oHa BOCnpHHHMâna KaK CHHCXOAHTenbHOCTbCHCTeMbI H Hatlana no66HpOBaTb 6onee cTporHe 3aKOHbI npOTHBBONCAeHHSL B HeTpe3BOM COCTOSIHHH B 3aKOHOAaTenbHbIX opraHaxKBnHLtlOpHHH. IIpOBOASI ApaMâTH4eCKHe npeCC-KOHIbepeHuHH, AaBaSI

rHeBHble nOKa3aHHSi nepeA 3aKOHOAaTenbHbIMH KOMHTeTaMH, oHanpeycnena B TOM, 4TO6bI 3aXBaTHTb BHHMaHHe CpeACTB MaCCOBOIiHHCkOpMauL3H H npeOAOneTb nepBOHa4anbHyK) HHAH(iCpepeHTHOCTbnonHTHKOB. B TegeHHe KOpOTKOrO BpeMeHH 6bina y4peNCAeHa MADDKaK HenpH6binbHâSl OpraHH3auH51 H 6bInH 3aBep60BaHbI fopHAH4ecKHenOMOLLjHHKH i3 n06pOBOnbubl. C nOMOLubIO rpaHTOB OT HauHO-HanbHblX 2106p0BOnbHbIX areHTCTB, MADD cMorna BbIITyCTHTb6poIIIL0pbI H OpraHH3oBaTb MeCTHble OTAeneHHSI. C nOMOLubK)HenpeKpaLuaiolljeliCSl npOnaraHnHCTCKOi AeSiTenbHOCTH,

OpraHH3auHSi nonygana Bce B03pacTâK)LLjee OCBeLueHHe B CpeACTBâXMaCCOBOH HH4)OpMauHH, gTO, B CBOIO o4epeAb, npHHOCHno 4neHOB HnONCepTBOBaHHSI.

Llepe3 rOA nocne Hagana AeSITenbHOCTH MADD nOnytiHna AOXOAOKOno 500 000 Aonnapos. 85% peCnOHAeHTOB y3HaBânH HM51 Opra-HH3auHH. K 1985 rally MADD HMena 360 MecTHbix oTnenexHH noBceil cTpaxe, a 4HCno grleHOB H AOHOpoB npeBblLUano 600 000. Opra-HH3auHSi HMena 10 MHJUIHOHOB AOnnapos 61-onNCeTa Ha COAepNcaHHe

npocDecexoxanbxoro annapaTa. CTaTbH, Coo6ulaloLuHe o nesiTenbHOC-TH MADD, nogTH exceHeAenbHO ny6nHKOBanHCb B rnaBHblx ra3eTaxH NCypHanaX, a npencTaBHTenH MADD 1105IBn51nHCb B McCTHbIX HHauHOHanbHbIX TenenepeAa4aX.

O4eBHAHO, 4TO HeCKOnbKO cPaKTOpoB BHeCnH CBOH BKnaA Bycnex MADD B TOM, gTO6b1 nOMeCTHTb BonpOC BONCneHHSI B HeTpe3-BOM COCTOSIHHH B ueHTp BHHMaHH5I CpeACTS MaCCOBON HH(tlOpMauHH

162

Page 168: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

(86, 278). OAHotiI 113 npH4HH 6bino 6eccnopHoe AosepHe K

opraxx3al;Flx. MADD 6bina y4pe)ICneHa niOnbMH, noTepxsulxMxLUfexa CeMbH Rn( nOCTpanaBnIHMH B gopo)KHOM npOHCIIIeCTBHH noBHHe nb5[HOro BOAHTenSI, H OHa npej(cTaBnAna ce65I xaK opraxH3aIwS[

3aluHTbl ripas xcepTB. Tora xaK MecTHbie opraHH3auHHCOCpenOT04HnH BHHMâHHe Ha TOM, 4T06bI AaTb COBeTbi )KepTBSM H

3aIIjHÜjaTb HX, HauHOHanbHaA OpraHH3auHSi BCe 6oneenOBOpa4HBanacb K AeSITenbHOCTH, HaueneHHON Ha CpeACTBa

MaCCOBOi4 HHcl)OpMauIiH. Ka3anocb, 4T0 MADD OTBe4ana no4THHneanbHO nOTpe6HOCTH CpeACTB MaCCOBON HHcipOpMaIiHH B

ApaMaTH4eCKOM H 3MOLjHOHanbHOM MaTepHane. MADD npeAnarananepCOHanbHbliï OnbIT TOTO, KaK 6bITb )KepTBOii H BO3MyweHHbIXOpaTOpOS, npenCTaBnSIiOIIjHX HeOTpä3HMbie CTaTHCTH4eCKHe AaHHble

O TpaBMâx, CMepTSlx, 3aTpaTaX, a TaK)ice o non4HLuax nbSiHbIXBOAHTeneii Ha noporax, H3 KOTOpbIX nHnlb HeKOTOpbie noAsepraiOTCSIapecTy. gpyroii npH4HHoii, KoTopaR, KaK BHAHO, o6ner4HnaCpenCTBaM MaCCOBOii HHLkOpMauHH H 061AeCTBeHHOCTH

npHCOeAHHeHHe K KaMnaHHH MADD, 6bilI0 TO, 4T0 np06neMa 6binaonpeneneHa TaKHM 06pa30M, 4TO ee nerKO MO)KHO 66In0 yCBOHTb, anpeAnaraeMoe pelueHHe Ka3anOCb npOCTbIM. MADD(liOKyCHpOSanâcb He Ha BO)KACHHH B HeTpe3BOM COCTOSIHHH KaK HaSIBneHHH, a Ha CaMHX BOnHTenSIX, Ha HerOAASIx H y6HlïuaX,3aCny)KHBaK)LLIHX CypOBbIX HaKa3aHHN.

COuHanbHble, nOnHTH4eCKHe H 3KOHOMH4eCKHe yCnOBHSI TaK)iCe,

nOXO)Ke, cblrpanH CBOIO ponb. L(enH H cTpaTerHSi MADD, Ka3anOCb,xopoino cooTBeTcTBOaanH HneonorHSIM H cTpaTerHSIM 3pb1 Peiiraxa.Bo BpeMexa, Korna rnasxoH npo6neMoH 6bin AecliHuHT 61opUlce-ra,xaMnaHHH npOTHS BO)KJneHHSI B HeTpe3BOM COCTOSIHHH npeAnaranaCHCTeMy c06nloneHHSI 3aKOHa C AOBOAOM npOTHB CHH)KeHHSI pecypCOs

IilIH C 3aSiBKOi%I Ha nononHHTenbHbIli nepCOHan H 060pyAOBaHHe.

AnKOronbHâSl HHp+yCTpHS1 CTOnKHynaCb C HHCXOASILi.(eÏ-I TeHAeH-

uHeH B noTpe6neHHH anxoronll, c yrpo3oFl ysenii4eHFiSI Hanoros ATMo6ecne4eHHSi npaBHTenbcTBexxblx Aoxonos H c AasxeH yrpo3oilOrpaHH4eHHSI peKnaMbl. MHeHFie MADD, 4To 3T0 He ânKOronb BbI3bI-BaeT TpaBMbI H CMepTH, a 6e3oTBeTCTBeHHbie ero nOTpe6HTenH,OKa3anOCb CO3By4HbIM TOMy, KaK anKOrOnbHaSi HHAyCTpHSI npenn04H-TaeT OnpeAenSiTb anKOTOnbHble np06neMbl. AnKoronbHbie KOMnaHHHH HX OpraHH3auHH npeAnO)KHnH ciHHaHCOByIO nOMOLub AeSlTenbHOCTH

MADD, H, B OTnH4He OT MHOrHX ApyrHx opraxH3auHii,

163

Page 169: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BbICTynasLllHx rIpOTHB Bo)KZIeHHA B HeTpe3BOM COCTOAHHH, MADDrlpHHxna ee. MADD Taloice nonyLiana noMOlüb OT H4opMaljHoxxol%IHHjIyCTPHH, a npeAcTaBHTenH KaK aJIKOrOnbHOI-i, TaK H TenepaAHO-HHAyCTpHH 6bInH Ha3HazieHbl B npaBneHl-ie OpraHH3au4H (205, 278).

COTpyAHHiieCTBO MADD C aJIKOCOnbHOli HHAyCTpHeIi MO)KHopaCCMaTPHBaTb KaK CII0C06 npeBpaTHTb MOryLIIecTBeHHyiO Kopnopa-THBHyIO Onn03HUHIO B (iHHâHCOByIO H HAeOnOrH9ecKylo 11O11b3y (86).C Apyroii CTOpOHbI, 3T0 MONKHO paCCMaTpHBaTb, KaK CpeACTBoaJIKOrOnbHOH HHAyCTPHH paCKOnOTb ABH)KeHHe, KOTOpOe HMenOnOTeHlIHan AJIA Toro, LiTO6bI nPeBpaTHTbCA B MOIIIHyiO KOanHLII-LIO

o6LIIeCTBeHHOrO 3AOpOBbA. rIOAAep)KHBaA CaMOperynHpOBaHHenpOMbIIIUICHHOCTH MADD B CepeAHHe 1980-x rOAOB oTKa3anaCbnpxcoeAHHHTb K neTHuxH npoeirra SMART o 3anpeTe TenepaAHopelUlaMbt ânKOronA. gpyraA opraHH3aIIHA npOTHB BO)KjICHHA B

HeTpe3BOM COCTOAHHH YAanHM IlbAHbIX BOAHTeneFi (RID), KOTOpaATaK)iCe nOAAep)KiiBana peci)OpMbI Hanor006n0)KeHHA H peKnaMbl cKoHLIa 1970-x roAos, peulxna npHCOeAHHHTbcA K SMART. RID nony-qHna iuHpoxoe ocseulexxe B Hatiane 1980-x roAoB, Ho nocnepeLIIeHHA npHCOeAHHHTbCA K SMART KaK HauHOHanbHble, TaK HMeCTHbie cpeACTSa MaCCOBOFi HH(i)OPMauHH yTpanInH CBOFi HHTepeC K

3TOii opraHH3auHH (205).

rIOMHMO CnyLIaes, KOrAa OTAeneHHA MADD 6bUIH CpeACT,BOMAOCTH)KeHim H3MeHeHHIï MeCTHOiï nOnHTHKH B OTHOLLIeHHH BO)iCAeHHA

B HeTPe3BOM COCTOAHHH (73), MADD B LICnoM 6b1na npH3HaHHOHABHKyuleli cHJIOH npHHATHA 60nee HeM 200 nOCTaHOBneHHI%I LIITaTOsH McCTHbIX BnaCTeii npOTHB BO)KAeHHA B HCTpe3BOM COCTOAHHH BTeYeHIie 1980-x roAos. B pswe LuTaTOS 6b1nH npHHATbI HeKOTOpbie 113npeAnaraBLUxxcA MADD Mep, Taxie Kai( o6A3aTenbHoe TIOpeMHOe3aKJIIOLIeHHe, 6onee BbICOKHe MHHHManbHble Ii1Tpa(l)bl, OueHHBaHHeanxoronbxbIx npo6neM, CHH)KeHHe pa3pellJeHHoro cOAep)KaHHA

anKOrOnA B KpOBH, npHAOpo)KHbie npoBepKH, MHHHManbHbIii BO3paCTNIA 3aKOHHO1-O npHO6peTeHliA anKOrOnA B 21 roil B HauHOHanbHOMMaCIÜTa6e. OAHâKO pAA nOCneACTBHIï iOpHAHHeCKH H3MeHeHHbIX Mep

BbI3Ban KPHTHKy: 3aABnAJIOCb, LITO 3aLuHTa nbAHbIX BOAHTeneH cariaMOAHOii H npH6bInbH0H iOpHAHiiecKOii CneuFiaJIbHOCTbiO, H 'ITO BHeKOTOpbIX MeCTâX IUIaTSIUme Hanor o6BHHAeMble 3aMeHHnH ApyrHXnpo6neMHo nbiOUIHX xax B rOCyAapCTBeHHbIX, TâK H B 9aCTHbiXneLte6Hblx nporpaMMax (86).

164

Page 170: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

BOnpOC O MHHHManbHOM Bo3paCTe JtnA 3aKOHHOT0 npHo6pe-TeHH5I anKO1-0115I 6bin B TeT-IeHHe JtnHTenbHOTO BpeMeHH eJtHHCT-BeHHbIM OTCTynJIeHHOM MADD OT ee y3K011 HanpaBJleHHOCTH HaBO)iCJteHHSI B HeTpe3BOM COCTOSIHHH. rloCne npexpalueHHSiCOTpyJ(HHLieCTBa C ânKOTOnbHOH HHuyCTpHeH B KOHue 1980-x rOJtOB

MADD HaLiana nOJtJtep)KHBâTb HHble Mepbl nOnHTHKH

3JjpaBOOXpaHeHHSI, TaKHe Kat( npeJtynpexcJtatouzHe 3THKeTKH Hacocy,uax c anxoroneM (205). Coo6Luanocb, zITO B Haziane 1990-xOCHOBaTenbHHLta MADD 6b1na npHHSITa Ha pa6oTy KaK

OnnaLlHBaeMblii n066HCT AMepHKaHCKOrO HHCTHTyTa HanHTKOB,

HHJtyCTpHanbHOH npOteCCHOHanbHOH rpynnbl BbICTynafOLueiï npOTHBCHH)KeHHS1 pa3peLIIeHHOr0 00Jtep)KaHHSI anKOTOJISI B KpOBH (286).

XOTSI MADD npeycnena B TOM, LiTO6bI c,genaTb BoxcJZexxe BHeTpe3BOM COCTOSIHHH "ropSlmeH npo6neMoH", KOTOpaSi jtoCTHrnanHKa csoer0 OCBeLueHHSi B CpeJ(CTBâX MaCCOBOH HH(tlOpMauHH B 1984

may, HHTepeC CpeucTS MaCCOBO}i HHCkOpMaLtHH HaLian najtaTb nocnenpHHSiTHH HOBbIX 3aKOHOB O BO)K,aeHHH B HeTpe3BOM COCTOSIHHH.

OJtHaKO OCSeIueHHe ZtaxxoFi npo6neMbl OCTaBanOCb Ha 6onee BbICO-KOM ypOBHe, item OHO 6bInO Jt0 o6peTeHHSI MADD nonynSlpHOCTH. B1985-1991 roJtax BO)KJteHHSI B HeTpe3BOM COCTOSIHHH, Hapxuy CnemeHHeM, 6bIn0 HaH6onee trac-ro ocseluaeMoFi anKOrOnbHOH

npo6neMoH B IISiTH rnasxbIx HalIFioxanbHbIX ra3eTax (Lemmens, P. &Vaeth, P., Heony6nHKoBaHHb1e JtaHHbte, 1993).

lïoJtxOJt MADD K Bo)KJteHHIO B HeTpe3BOM COCTOSIHHH B

OCHOBHOM no11Bepranc51 KpHTHKe 3a ero y3Ky1O HanpasnexxOCTb HaHHJZHBHZtyanbHyiO OTBeTCTBeHHOCTb H Bo3Me3JtHe, KOTOpaSI OrpaHHLiH-

Bana 06Cy)KJteHHe ânbTepHaTHBHbIX nOnHTHLIeCKHX Mep (86, 278).3Ka5I HanpaBneHHOCTb OTBneKana BHHMaHHe OT COI.tHanbHbIX

CTpyKTyp H npaICTHKH, Co3JtaBaBLIIHX Bo)KJteHHe B HeTpe3BOM

COCTOSIHHH, no6yxcJtas< niOjteH BbInHBaTb H He OCTasn5I51 HM HHOrOCpeJtCTSa TpaHCnOpTHpOBKH nOMHMO CO6CTBeHHbIX MaLnHH. BoneeHIHpOKHI3 B3rnSiJt Ha npo6neMy BOH<JteHHSi B HeTpe3BOM COCTOSIHHH

oTPa)KeH B KOMnneKCe nOnHTHI{eCKHX Mep npeJtnO)KeHHbIX CeHaTyCHIA B 1989 roJty rnaBHbIM BpaYOM CHIA. rlOMHMO Mep, KOTOpblenp51MO HanpasneHbl Ha BO)KJteHHe B HeTpe3BOM COCTOSiHHH, TaIUKepeKOMeHJtyiOTCSI CTpyKTypHble nOnHTHYeCKHe Mepb(, TaKHe KaK pOCTHânOT0o6no)KeHHSI H coKpaLueHHe JtOCTynHOCTH H peKnaMbianKOronSi.

165

Page 171: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

991

H ENMCdaTITIOU 0m9U0g 1410h 'UUXd1 X19HHH1T190 'MON H 91OOHHONE£

`91100H17KIr1EH 911411140X H HxH.LHUOU KHHEaOdHYVd04) ooarlodu

a 9100HH0a100mg0 9halra0a KO.LHWad10 HHT'EYVdOCPHH 1408000EYV xEaio170do fi EilHE1EUOdll '14100HH0910017I90 15H1OEh/t aHHaUHOX H

HHI1HUEON aHHE17£00 EH 140HH011011EH `HHmgO aHBOdX EH HOiIHE.IEUOdU

O 19HE£K80 9119g 19HN000I7 HHrlEVVdOCPHH H013000EYV xEa.LOrlado

â I9aH.LEHI7HHH 'HNN!d0Tll7ou HOHHaa10011790 140M0CIHm LO .LHTIOXHdU

Hawadau KUI7 EU14O 01h `KO.LaEBHNdahtlOU `HHTIEYVdOCPHH HOaOOOEW s.LOrlado 0HHE9O£9UOU0H 00HHO119Em0H H aoxOahH.Ia.LEd,LO Ko1.aKUâK

a17HE1EU0du HONOah141.14U0U HOHmaua N 1NOhOIUN MEN Eû101,

'HHI1EYVCIOCIH14

HOâ0aOE1N a10170d0 X14INE0 H1OOH1.OEh fi`aHHOHYV aOHHaB.LOamgO

EH 9.LKHU80II HUH 9oN14iHLfOU EH aHHaUBETI 91E£EMO 0I9dO.LON

`uu.Sd1 £H .L1401000 K14dO1141liCE KEHhHdO.Lg 'H0Hd011417XE HOHhHadau

KO.LOIKUâK HNH.LHUOU E `HN14I.HUOU HOHH3B10dE17Â001 aHH2Ha1V£H

E `0080NE1 NUN `141411E1Ald0CPHH 1408000E1V xEa.LOl7ado a aHHam0a00 aH KaLaKUaK 019U011 'YVa.L X19g000 1Xdxoa Î91Eg011 91,EâodHYVd0C1)0 H

YVa.L HHTIEYVdOCPHH Ho9000EIN HWE8110170d0 dO91911 EH 9111141.113 K0101E1I911

191.O14rIHE1EU0dJi 'WHH N EU/CLOOtI 014H0hX1fOU K0101fUâK HHI7E141dOCIIHH

H013000E1V Ea.LOtlado £adah a11HE1EU0du a NIO.iEm Y,4119adau

`HHO3XNOH17 aHNOahH,LHUOU 0I9HaEU1 .LKTIOXOHOdU YVOdo.LON EH `11LtdoCI)

140900 .LOIKUâE1,017adu HHI1EINd4HH H0a000E1N Ea.LOTlado MEN NE1, KHHamad .LaEINHHHdu 01N `Xa.L EH KHHaU8E17 OIHHE£ENO OU HH131Ed.LO

910Eh E.LE - HHt1E)NdOCPHH 1408000EIN XEfi1.0Tl0do a EiIHE1EUOd11

'1111010NIfE

HHHaIfgad.LOU 0 KHHamad .LO1EYVHHHdu HTIOIU HOdO.LON a `XNâOHE1090

0iXN00h141140HOxe H 01/CI-IdX19IrÂM `OiirtH9IfEH1rO0 101,CdHdf.LNad.LO

019do.LON `I911140 01 EH KHHaTIMaago O1OHHa8.LOa117go Otil04) 91ÂHHaTIO 19901h `YVO.L e 11401000 `0UHT1HHdu a adalN HaHHEdM OU

`HH11EINdOCl/HH 140E000EIN XEa,LOVadO a I9t7HE1EUOdU guar' E`IfHHal7aaou 010H9IrEÂ11HaH17H14 aWalrgodu EH MEN HHH1501000 1A108£0d1aH

a HHHaiINCOB EH 90EIfE8odH0XN0Cp aadyAl 01h `01 olrl9g YvaxhHU£Ed

YIIHmolEmad -(EL 'zz) WE1A101f90du 1A101f010MIrE 0 111I9HHE£K80 N

80170X17OU XHNOahH.LHU011 KHHaNCHBTIOdU KU17 HHTIEYVCIOCiHH H08000E1N EgLOTIadO HIfE80£9U0UGH F/jjD WaOa OU I9uuÂd1 ErI10M `HHiIEINd04)HH

H08000E1V XEE10170d0 s ar7HElEUOdu M KOHIQHmK0oH1A `HYVEaH.LEHIIHH14

HYVHHaErlaH aalrog 0 .Ldah xHmgo 01oH1N 100141H QQy1N

VIV11lVINdOcDHV1 1,109000V1N XV910û3d0 9 VûHVJVLJOdIJ

Page 172: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

yLIacTHe B HHi3uHaTi3Be, TeM 6onee BepoSiTHO, gTO oxa npHBJleiieTBHLIMaxxe cpeAcTB MaccosoFi HH(l)opMaL(HH.

ApyrOH cyIIjeCTBexxblÎd acnexT nponaraHAbl B Cpe,IjCTaaxMaCCOBOIi HHCtiOPMaLjHH 3aKnio'IaeTCSI B TOM, HTO XOTSI OCHOBHOe

BHHMaHHe yuenxeTCx 0006bIM npo6JleMaM H OCO6b1M ularaM, 3THBonpOCbI nOAaIOTCH, HJIH ,gOJDICHbI nOjlaBaTbCSI, B KOHTeKCTe

LIIHPOKOTO, 11,JIHTenbHOro nonHTH'IeCKOTO pa3BHTH51 H nepeMeH.CITJ.);aJIeHHOFi L(enbl0 MO>KeT 661Tb, HanpHMep, onpeAeneHHe pexnaMblaJIKOTOn3I KaK npo6neMbl O6LLjeCTBeHHOrO 3110pOBb51, Tpe6yIOLLl;e1i

3aKOHOAâTeJIbHOrO perynHpOBaHHx.

r1paKTiiKa nponaraHAbl B CpeACTBaX MaCCOBO1ï HHII)OpMaWHHCOCTOHT H3 TpeX LUarOB: nOCTaHOBKH nOBeCTKH 06Cy>KAeHHSI,

(tlopMHposaHHSI Ae6aTOB H npOABFllKeHHSi nonHTHKH. IIepaHLIHOI33aAagelï nponaraHAbl B cpeAcTBax Maccosoll HHCl)opMaLjHH xBnSieTCxnoxHMaHHe Toro, KaK pa6oTaIOT cpeAcTSa HH(tlopMaL[HH, H

HCnO1163oBaTb 3T0 nOHHMaHHe jU751 TOTO, HTO6bI nony'IHTb AOCTyn Ha

O6LI[eCTBeHHbIFi cjaopyM. CpeAH Ha6opa cTpaTerHH, KOTOpble MO>KHOHCIIOn630BaTb ;VIA CTHMynxIJHH HHCPOpMaLjHOHHOro OCBeIIjeHHSI

KniO'ieBblX BOJIpoCOB: yCTaHOBneHHe B3aHMOBbIrOAH6IX npoci)eccHO-HaJI6HbLX B3aHMOOTHOLLIeHH1i C PeAaKTOpaMH, KOHTaKTbI C peAaK-L(HOHHbIMH COBeTaMH OpraHH3aL(HH CpeACTB MaCCOBOI%[ HH(l)OpMawH,

OpraHH3aL1,HSi KâMnaHHIï HanHCaHH51 nHCeM, H3Bne'IeHHe BbITOA61 1,13

BO3MO>ICIiOCTeH CBx3aT6 'MeAHLI;HHCKHe H COIjHan6Hb1e BOnpOCbi ceCTeCTBeHHO npOHCXOAxIIjHMH CO6bITHxMH HnH OCTP6IMH HOBOCTSiMH,

141114 xce CO3AaHHe Co661THii, KOTOpble MOryT 6bITb HHTepeCHbIMH Anx

HOBOCTeIi. I'OBOpxT, tao HaH6onee Ba)KH6IM Anx nponaraHAHCTaxBnxeTCx yMeHHe y3HaTb XOpOLUyio HCTOpHIO H 3HaTb, KaK

npOTOnKHyTb ee, HnH >Ke y3HaTb "He-HCTOpHIO" H npeBpaTHTb ee BHCTOpHIO (287). t-IacTO LjHTHpyeMblM npHMepOM ' xBnSIeTCx

MenKOMacLIITa6HOe HCCneAOBaHHe npoBeAeHHOe ueHTpOM HayKH Bo6111eCTBeHH13Ix HI-rrepecax, nponaraHAHCTCKO{i rpynnoï-I 3aHHMa-iO=FiCx BOnpOCaMH nHTaHHx H aJIKOTOnx. T-1eTBepOKnaCCHHKOB 143BaIIIHHrTOHa nonpOCHJIH Ha3BaTb HMeHa aMepHKaHCKHX npe3HAeHTOsH COpTa nHaa. LIIKOnbHHKH CMOrnH Hâ3BaTb 60116IIIe COpTOB nHBa,'LeM npe3HAeHTOB H gaule MOrnH npaBHnbHO npOH3HeCTH n0 6yKBaMHa3BaHHSi COpTOB, 'ieM HMeHa npe3HAeHTOB. HCCneAOBaHHe 6binOnOCBxLIieHO HeCKOnbKHM BOnpOCaM, npeACTasnxioLL1.HM HHTepeC AnSI

ny6JIHKH - o6pa3osaHHe, Mono,IZe>Kb H anKOronb - H nony'-IHJIO

167

Page 173: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

891

-OI1O1N HONOHK.LHdJaH EJHH.LaNdE1N BH,LOdU K4aOdOil£ OJOHHag.LOafi90

Bo..OHaHJ,NE H E91O01119000 KHHEUWEN KKHBEtlaH .LHxCÂIfO 1NaEhXIfO

1N14H911"aJ.E£ENOil 'HHïlEWdOCpHH H0a0o0E1N XE8.LO17adO a I417HEJELIOdu

HOHIIIauOX HoN1119oouttadu KO.LOiKIfBK XHH JXdNOa 410oH9I1-a.LKat1

H 1NE0OdU08 IN148aho11IN OU KHIIEINd0(1)HH KEHHaINadfl00 H KEHhol,

'14d£Ha11

Hx.Ll9uou MEN EJHH.LaxdEw HNH.LNEdu HxH,LHdx H090111' HHHauaE.LOTIadu

g WIC HUH `Ei109080 KEH9IrEiC17HflHûHH MEN XHxE.L `110J.00HHat1 X19Yi

-Haa..OahIÂINHadU XH08O HHHE80£9IfOU0H fl 19Lf01NÂ E14190aa `I9H0d010

H2O110 00 `HHd1,0Ä17HH KEHHOHT1E1VdOCI)HH H KEHNIEIINad `KEH91foJ

-oNLfd 'Xdo919g iç1NOHhH11- KHHahHHEdJO 91148E100U a,Ll4uou MEN

`aNH.lHlfOU HOH9Ira.LHhHHEdJO ou KHHaNCOIIl7adU 91.1SHHdU008 1,0NCO1N

4.LOOHHaB.LOa11190 `HHHEUINOx XI9H9IfOJO)IIfE EJHH3.axdE1N HNH.LxEdU

`dalNHduEH `aHHOHaIN£H KO.LaKIfBK HahEtlE£ H1f03 'KHH2HIN OJOHHaE

-10011-19O KHHaha.L flH.LOdu aHHE8E1fII aoxHlsO.LOOU MEN K03.aE8I90HUO H1411E1NdOCI)HH H08000E111 xEa,LOtlado E EIIIIEJEUOdil 'I41HaHOD110

41EFi0g.LO I9HNCLf017 019dO.LON EH `I41Ha111X.IdE 4.LEJHatil9a H XHH

EH 9.LEhaB.LO `801HOHODUO 19.LHa1NÂ.IdE 910ilHSTladu I4HNCIfOil I4.LOHl7

-HEJEuodu `oiH00ÂNOHiI 01/CHHa8.L0a11790 9.LE8odH1Vdo4/0 1990.Lh

'K1,1Hal7a8OU OJOH4L1EÂl7H8iH17HH Ki18OLfOiC

EH .LOIKHIIB a19d010N - BONH.LHLfOU `BOxHHBOHHh X14HHafl,.04If01HaEdU

`HH1ïEdOUdON - 11HLf xH1TIo1Xa.LOHa17 amoral, E `I9.L)IauOE aHNOah

-H..HLfOU H 01,1NO3hHINOHON6 `a19H9IfEH1100 9..E£ENOU I99o1h `aooada.I.HH

XHNO10HI7HEJEUOdU H Xl9HHOHi E1Nd04)HH 0OHELfE9 a JJIOJ.000 HHiIE1Nd4HH H080OOEIN XEa.Lallada a 14ûHEJEUOdU Og,LO0Âx0yj '141N

-aLt90du aO.LNaUOE XI9H91rEXtIHaH17HH KHHaiTIaaOO I91r017adU EC Ooduoa 4.LrtHHal7o OH J.k.IOiN HHdO.LOH OHNE.. `HJ,OOgHIfilaaEduoaH aid XI9H

-HHIfiIOU aH11IO1Eh011lxa `KHHEflofi.LOaaOU aI4H1OOHhHIf HHtIE1NdOCIMHH

H08000EIN INE8..0170dO 9.LEilodu ONJ01f OHNCONI KLOX 'KHHaHEdX0O8Ed17£

oJOxxaa1o0m90 EaOdUOS MEN DO HhEtIOU Oi4uatl o aHhadoaH.LOdu

g 41HIALOg J.aNCO/N `aNHJ.NEdU HOHHOHI1EINdO4)HH H HONO,LOHIfEHCENC

EIfEaOa..OJ.aa,lOOO EHO 19901h `NEJ. HHdoJ.OH axxallwdOOPp 'HxH.LHLrou Hoxxaa..odEtlXooJ INEdaw 1A119HaH..NaCI(Pe iCNNCdat117ou oIXHHagJ,0011190

4,LEgiihH1r0a 19901h `NEJ. KHH011NGC090 OJOHHafiJ,0atH90 H HHdO.LOH

aHHalflNd0C10O K0101S11815 HHiIEINdOCIOHH 1108000E/N XEa.LOl7ad0 a at1HEJ

-EUOdu a 1NOJEUI WI9H11Xd.L H 141I9HNCOICO aalfO9HEH `OHNCOIN£Og

'(£L) KIrOJONIrE MINED-Mad

Xooduoa N aHHEINHHB KENaIrBHdu `aooadu a axxamaaaO aoxodxlrl

Page 174: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Ae)KH COnOAOBbIX CIIHpTHbiX HanHTKOB C BbICOKHM COAepxcaHHeM

anKOronA (73). MOnOAble Herpbl, y KOTOpbIX 6naronapA KynbTypHbIM

H penHrHO3HbIM ckaKTOpaM cOXpaHAlICA HH3KHI4 ypOBeHbnOTpe6nexHA anxoronA, B TetieHHe nocnenHHx HeCKOnbKHX neTycHnexxo o6pa6aTbIBaIOTCA anKOronbHON HHAyCTpHeH (288).1011O1IeBbIM HHCTpyMeHTOM KaMnaHHH 6b1na ALCNet (CeTb

anKOronbHOrO KOHTpOnA), KOMIIbIOTepHaA CeTb, AOCTynHâA 3ayMepeHHyiO nK)6oMy, y KOTO eCTb nepcOHanbHblii KOMnbiOTep H

MoneM. ALCNet 6bina pa3pa6oTaxa IHCTHTyTOM MapxH,HHCTHTyTOM o611.1ecTBeHHOro 3A0p0sb51, CMeLIHanH3HpylOLgeMCA HanOnHTHKe KOHTpOnA HaA anKOrOneM AnA TOTO, 4T06bI nOMOiibnpOnaraHAHCTaM 6bITb XOpOIIIO OCBeAOMneHHbIM n0 aJIKOrOnbHbIM

BOnpOCaM npH KOHTaKTâX C npeCCOI1. HHCTHTyT npeACTaBnAnALCNet exCeAHeBHO 06HOBn5IeMble cIaNnbI C ra3eTHbIMH B6Ipe3KaMH

OXBaTbIBaK)IIIHMH MATE) HaI(HOHaJIbHbIX ra3eT H ny6nHKaLIHH

aJIKOronbHOFi HHAyCTpHH. ba3bl AaHHb1X 0 0006LLIeHHAX npeCCblM03BOnAnH MpOnaraHAHCTaM KOHTpOJIHpOBaTb 3Ty 06naCTb H 6bICTp0

HâXOAHTb Hy)KHyIO HHCkopMaLlHlo, KOTOpytO MO)KHO HCIIOnb30BaTb

npH pa6oTe c )KypHanHCTaMH. ALCNet TaK)Ke npHHHMâna

KOHCpepeHLIHH no 06MeHy CTpaTerHAMH, Ha KOTOpbIX npOnaraHAHCTbI

MOrnH 0613eA11HHTb HX HAeH H C00611Ia OpraHH3OBbIBaTb CBOHCTpaTerHH.

B 1991 rony Wall Street Journal ony6nHKOBan cTaTblo,coo6LgaBUrylo O nnaHâX iIHBHOH KaMnaHHH Ha'-IaTb HaLleneHHyiO HaHerpHTAHCICHe coo6iLlecTBa MapxeTHHrOBytO KabmaHHIO COnOAOBOrOKpenxoro cnHpTHOrO HanHTKa, Ha3blBaeMOrO 1-1ay3pMacTep. rlOCneTOrO, KaK KpaTKOe H3nO)KeHHe CTaTbH nO51BHJIOCb B ALCNet,npOnaraHAHCTbI Ha,ianH nepeAaBaTb ee OAHH ApyrOMy n0 ckaKCy n0Bcelï cTpaHe. Ebina HaYaTa KOHltepeHLIHA 06MeHa cTpaTerHAMIi,iiTO6bI nO3BOnHTb nponaraHAHCTaM CpaBHHTb 3anHCH 06 OnHCaHHAX B

CpeACTBaX MaCCOBOH HHCpOpMaLIHH H AenHTbCA CBe)Ke4t HHCkOpMaLlHeii

O McCTHbIX AeiiCTBHAX. 1-1epBHLIHaA HH30BaA neATenbHOCTb B

6onbLIIHX ropoAax 6bina HaLlenexa Ha ToproBLleB anKOrOneM,

n06y)K,2IâA HX He HMeTb B npoAa)Ke 3TOTO npOAyKTa. TaK KaK HHTepeCCpeACTB MaCCOBOH HH(bOpMaLIHH K Bonpocy pacosoli H 3THH'-IeCKOii

HaLleneHHOCTH 6bin y)Ke BbICOK (6naronap5I, cpeAH npo=iero,npenbIAyLLIeI4 nOneMHKe o MapKeTHHre Ta6aKa HerpHTAHCKHM

06iIIHHaM) np06neMa rlay3pMacTepa nonyyHna llIHpOKOe OCBeHIeHHe,KaK B neiaTHbIX, TaK H B 3neKTpOHHbIX CpenCTBaX HHC1I0pMaLIHi3.

169

Page 175: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Korjia 3aTpoHyTa2 Ilpo6neMa cTana rnaBHoN TeMON B HOBOCTAX ce-rH,OjIHH nponaraH.qHCT HanHCan BOnpoCbl HHTepB6IO H nocnan HX BCI4CTMY 06MeHa cTpaTerHAMH ALCNet. O6cyicneHHe cTpaTerHHIIO3BOnHJIO nponaraHjZHCTaM CJjBHHyTb Ci)OKyc 06LueCTBeHHOFi

jIHCKyCCHH OT 3THLIHOCTH HaueneHHOCTH Ha yA3BHM6Ie rpyln7biHaCeneHHSi K Bb1nOJIHeHHiO COOTBeTCTByEOLuHX (pejjepanbHbIX

3aKOHOB. B pe3ynbTaTe bK)po n0 AnKOrOntO, Ta6axy H

OrHecTpenbHOMy opyxcxio OTO3BâJIO CBOe pa3peüleHHe Ha 3THKeTKynay3pMacTep. bbUlo 06Hapy]KeHO, LITO 3THKeTKa HapyulaeT 3aKOH,3anpeulaioujHH yKa3aHHe COjlep)KaHHA anKOCOnA Ha 3THKeTKBXCOJI0J10BbIX HanHTKOB. 3anpeT, jlaTHpyeMblM eLUe 1930-MH roaaMH,6bUI nepBOHaLIanbHO HanpaBneH Ha npejiOTBpaLueHHe KOHKypeHuHHn0 cojTepxCaHHio anKOronA McX(jZy COPTMH nHBa (289).

HCnOnb30BaHHe p311-My3bIKH, ceKCa H HaCHJIHA WISE MapKeTHHra

cpej><H HerpHTAHCKOFi MOnO,ge)KH Apyroro C0110,30B000 HanHTKa

CeHTAiijc BbI3Ban0 eue OrmH nOTOK O6LUeCTBeHHbIX npOTeCTOB. CI'IHCTHTyTOM MapxH KOHTaKTHpOBanH pa6OTHHKH HOBOCTeH CNN,KOTOpble nepBOHaLianbHO 3aHHTepecOBanHCb 3THM H3-3a npOTHBO-nOJI0)KIibIX MHeHHH jIByX XOpOLIIO H3BeCTHbIX HCnOnHHTenelï p3na,KacaK)LI(HXCA -HCnOnb30BaHH51 p311-My3bIKH ARA peKnaMbl anKOCOnA.

IHCTHTyT cor npej;CTaBHTb 3Ty HCTOPHEO TaK, 4TO6bI npHBneLIbBHHMaHHe K HejjOCTBTKy nOCTaHOBneHH{i, KacatoIuHXCA

HaueneHHOCTH ânKOrOnbHOM peKnaMbl Ha MOJIOjje)Kb. PaCCKa3 BHOBOCTAX CNN, 3a KOTOpbIM nocnej(oBana CTaTbA Ha nepsoHCTpaHHLte Wall Street Journal noMorna npHBneLIb 6onbule06LueCTBeHHbIX Ipynn H npeACTaBHTb BonpOC BHHMaHHK) nOJ1HTHKOB.

,E(BH)KeHHe npHBeno K TOMy, LITO HeKOTOpble HaH60nee arpeCCHBHbiepeKnaMHble COO61ueHHA O CeHTANJICe 6binH y6paHbl, HO OHO HeCMOrno OCTaHOBIiTb HaueneHHOCTb Ha HerpHTAHCKyto M0JI0,3e)Kb HRH

cj>;epxcaTb npopcaxcy npojryKTa.

HexOTOpOH cTeneHH nponaranjla B cpejjcTBax MaccoBoHHH(lcoopMauxH 6bina ycnelUHoH cTpaTerneN B nonyHeHHH j[OCTyna KHH(kOpMauHOHHOMy ci)opyMy 06LueCTBeHHbIX nHCKyCCHN. B HCcnejj0-

BaHHH, H3yLlaBLUeM HCTOLIHHKH HH(I)OpMauHH HCI10nb30BaHHble B60nee Hem 260 CBA3aHHbIX C anKOCOneM CTaTbAX, Ony6nHKOBaHHbIX BOCHOBHbIX ra3eTaX CLUA B TeLIeHHe 1985-1991 ro.goB nOKa3an0, LITOHCTOLIHHKH nponaraH,gHCTCKHX OpraHH3aIiHi%[ 6b1nH HCnOnb30BaHbI B

19% CJIyLIaeB, HeMHOCO Haute, LIeM HCTO4HHKH anKOrOnbHO1i HH,gyCT-

pHH (Lemmens, P. & Vaeth, P., Heony6nHKOBaHHble j1aHHb1e, 1993).

170

Page 176: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

B nOnOBHHe CTaTeii 6binH HCnOnb30BaHbI npaBHTenbCTBeHHbie HCTOM-

HHKH, a B KaXCAOH TpeTbeH HCTO4HHKOM 6biJi0 C06cTBeHHOe

paCCneAOBaHHe )KypHanHCTa. CTaTbH npOflaraHAHCTOB maule Bcero6binH nOCBAI1jeHbi BO)KAeHHK) B HeTpe3BOM COCTOAHHH, CBA3aHHbIM C

anKOTOneM HeC4aCTHbIM Cny4aSIM, BbInHBKaM BO 'Tema 6epeMeH-HOCTH H ApyrHM MeAHUHHCKHM BOnpOCaM. TOrAa KaK B 60nbILIHHCTBe

CTâTer1 HHAyCTpHH OTHOL1JeHHe K anKOr011I0 66I1I0 HerlTpanbHblM, B

nOJ10BHHe cTaTei%I npOnaraHAHCTOB OTHOLLIeHHe 6bino HeraTHBHbIM.

TaKHM o6pa30M, nOAXOA nponaraHAbi B cpeACTBax MaccOBOHHH(tsOpMauHH HMeeT HeKOTOpblii nOTeHUHan B BbIABH)KeHHH âJIKO-

rOnbHbIX BOnpOCOB H yKpenneHHH rOCyAapCTBeHHON nOnHTHKH, noKpaHHeri Mepe, eCnH HH(pOpMaLjHOHHble HHHUHaTHBbI nJIaHHpyiOTCAKaK 4aCTb AOnrOBpeMeHHOrO npouecca 143MeHeHHrI. OAHaKO 3TOTnOAXOA ABnAeTCA CJIO)KHbIM H Tpe6yeT BpeMeHH, CpeACTB HCneUHanbHbiX HaBbIKOB. KJIi04eBble BonpOC6I CTaHOBATCA CJIO)KHbIMH

H npOTHBOpe4HBbIMH, 4aCTH4HO H3-3a He06X0AHMOCTH 0603Ha4HTbHX KaK XapaKTepHCTHKH COUHanbHOri, nonHT144eCKOM H 3KOHOMH4eC-

KOri 06CTaHOBKH, 4aCTH4H0 nOTOMy 4T0 3aLUHLUaeMbie nOnHTH4eCKHe

Mepbi KOHTpOJ12 ABnAIOTCA yrp030rt MOry4HM KpOBH6IM HHTepecaM.HaBbIKH, Heo6XOAHMble AnA npOnaraHAbi B CpeACTBaX MaCCOBOiiHH(kOpMaUHH CJIO)KHbI H LLiNpOKH: npOnaraHAHCTbI AOn)KHbI 6bITb3KCI1TMH B KJIIO4eBbIX BOnpOCaX, nOHHMaTb npaKTH4eCKyiO

pa60Ty xcypHanHCTOB H KynbTypy CpeACTB MaCCOBOiï HHCl)OpMaL[HH.C6op OTHOCAIi[HXCA K Aeny AaHHbIX H yCTaHOBneHHe pa6o4HxB3aHMOOTHOU1exHH C peAaKTOpaMH Tpe6yeT CpeACTB H BpeMeHH (73).

CaMOH 60nbuloii np06neMOri ABnAeTCA TO, KaK CJ.ZBHHyTb (kOKyc

06LUeCTBeHHOH AHCKyCCHH K CTpyKTypHbIM KOpHA,M CB5I3aHHbIX C

BJ1KOFOJTM np06neM. CTpaTerHA npOnaraHAbl B CpeACTBaX MaCCOBOiiHH(tiOpMaUHH BO3HHKna AOBOnbHO HeAaBHO H3 HH3OBOii AeATenbHOCTH

B 0006bIX HCTOpH4eCKHX yCJ10BHAX. r1pHHUHnbI CTpaTerHH eue HeyCTaHOBneHbl B nOJIHOH Mepe, a B3r1I5IAb1, nOny4eHHbie H3 OnblTaCHIA, Henb3A npAMO nepeHeCTH B CTpaHbl C HH6IMH CTpyKTypaMH HnpaKTHKOH 3aKOHOAaTenbCTBa, CpeACTB MaCCOBOii HH(liOpMaUHH H

anKOrOnbHOlï npOMbILLIneHHOCTH.

171

Page 177: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

CnV1COK J1I11TEPATYPbI

1. PARTANEN, J. & MONTONEN, M. Alcohol and the mass media.Copenhagen, WHO Regional Office for Europe, 1988 (EUROReports and Studies, No. 108).

2. GOODSTADT, M. School -based drug education in North Amer-ica. What is wrong? What can be done? Journal of schoolhealth, 56(7): 278 -281 (1986).

3. REID, D. & MASSEY, D. Can school health education be moreeffective? Health education journal, 45(1): 7 -13 (1986).

4. DE HAES, W. Looking for effective drug education programmes:fifteen years exploration of the effects of different drug educationprogrammes. Health education research. 2(4): 433-438 (1987).

5. MAUSS, A. ET AL. The problematic prospects for prevention inthe classroom: should alcohol education programs be expectedto reduce drinking by youth? Journal of studies on alcohol,49(1): 51 -61 (1988).

6. THORSEN, T. Oplysning som forebyggelse inden for rusmiddelom-rddet [Education as prevention in the field of drugs]. Copenhagen,Alkohol- og Narkotikarâdet, 1988 (Skriftserie No. 12).

7. DUPONT, R., ED. Stopping alcohol and other drug use before itstarts: the future of prevention. Rockville, MD, US Departmentof Health and Human Services, 1989 (OSAP PreventionMonograph No. 1).

8. GLICKSMAN, L. & SMYTHE, C. A review of school -based drugeducation programs: do we expect too much? In: Engs, R., ed.Contradictions in the addictions field, Vol 1. Dubuque, IA,Kendell/Hunt, 1990.

9. JAMES, R. & FISHER, J. A review of school -based drug education inAustralia 1978 -1990. Perth, Curtin University of Technology, 1991.

10. MAY, C. Research on alcohol education for young people: acritical review of the literature. Health education journal, 50(4):195 -199 (1991).

11. HANSEN, W. School based substance abuse prevention: a reviewof the state of the art in curriculum, 1980 -90. Health educationresearch, 7(3): 403 -430 (1992).

172

Page 178: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

12. O'CONNOR, J. & SAUNDERS, W. Drug education: an appraisal ofa popular prevention. International journal of the addictions,27(2): 165 -185 (1992).

13. TONES, K. & TILFORD, S. Health education: effectiveness, effi-ciency and equity, 2nd ed. London, Chapman & Hall, 1994.

14. GODFREY, C. Factors influencing the consumption of alcohol andtobacco -a review of demand models. York, Centre for HealthEconomics, University of York, 1986 (Discussion Paper No. 17).

15. GODFREY, C. Factors influencing the consumption of alcoholand tobacco: the use and abuse of economic models. Britishjournal of addiction, 84(10): 1123 -1138 (1989).

16. ATKIN, C. Alcoholic- beverage advertising: its content and im-pact. Advances in substance abuse, Suppl. 1: 267 -287 (1987).

17. ORLANDI, M. ET AL. The effects of alcohol and tobacco advertis-ing on adolescents. Drugs & society, 3(1/2): 77 -97 (1988).

18. SMART, R. Does alcohol advertising affect overall consumption?A review of empirical studies. Journal of studies on alcohol,49(4): 314 -323 (1988).

19. HARRISON, L. & GODFREY, C. Alcohol advertising controls in the1990's. International journal of advertising, 8:167 -180 (1989).

20. HARRISON, L. & GODFREY, C. Alcohol advertising. In: Godfrey, C.& Robinson, D., ed. Preventing alcohol and tobacco problems. Vol.2. Aldershot, Avebury, 1990.

21. AITKEN, P. & HASTINGS, G. Advertising and youthful drinking.In: Plant, M. et al., ed. Alcohol and drugs: the Scottish experi-ence. Edinburgh, Edinburgh University Press, 1992.

22. MADDEN, P. Magazines and youth. What messages do childrenand adolescents receive about alcohol, tobacco, illicit and licitdrugs from popular magazines? Berkeley, CA, Prevention Re-search Center, 1989.

23. BREED, W. & DE FOE, J. Drinking and smoking on television,1950 -1982. Journal of public health policy, 5(2): 257 -270 (1984).

24. BREED, W. & DE FOE, J. Television portrayals of drinking anddriving. International quarterly of community health education,6(4): 273 -284 (1985/1986).

25. MACDONALD, P. & ESTEP, R. Prime time drug depictions. Con-temporary drug problems, 12(3): 419 -438 (1985).

173

Page 179: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

26. SIGNORIELLI, N. Television and health: images and impact. In:Atkin, C. & Wallack, L., ed. Mass communication and publichealth: complexities and conflicts. Newbury Park, Sage, 1990.

27. WALLACK, L. ET AL. Portrayals of alcohol on prime -time televi-sion. Journal of studies on alcohol, 51(5): 428 -437 (1990).

28. DIENER, B. The frequency and context of alcohol and tobaccocues in daytime soap opera programs: fall 1986 and fall 1991.Journal of public policy & marketing, 12(2): 252 -257 (1993).

29. SMART, R. ET AL. Declining drug use in relation to increased drugeducation: a trend study 1979 -1991. Journal of drug education,23(2): 125 -132 (1993).

30. WAXER, P. Alcohol consumption in television programming inthree English -speaking cultures. Alcohol & alcoholism, 27(2):195 -200 (1992).

31. NEUENDORF, K. Alcohol advertising: evidence from social sci-ence. Media information Australia, 43: 15 -20 (1987).

32. NEUENDORF, K. Alcohol advertising: regulation can help. In:Engs, R., ed. Contradictions in the addictions field. Vol. 1.Dubuque, IA, KendalUHunt, 1990.

33. ATKIN, Ç. Effects of televised alcohol messages on teenagedrinking patterns. Journal of adolescent health care, 11(1): 10-24 (1990).

34. GERBNER, G. Stories that hurt: tobacco, alcohol, and other drugsin the mass media. In: Resnik, H. et al., ed. Youth and drugs: soci-ety's mixed messages. Rockville, MD, US Department of Healthand Human Services, 1990 (OSAP Prevention Monograph No. 6).

35. FISHER, J. Advertising, alcohol consumption, and abuse: a world-wide survey. Westport, CT, Greenwood Press, 1993.

36. GRUBE, J. Alcohol portrayals and alcohol advertising on televi-sion: content and effects on children and adolescents. Alcohol,health & research world, 17(1): 61-66 (1993).

37. STRASBURGER, V. Adolescents, drugs, and the media. Adolescentmedicine, 4(2): 391 -415 (1993).

38. ATKIN, C. Mass communication effects on drinking and driving.In: Surgeon General's Workshop on Drunk Driving: backgroundpapers. Washington, DC, US Department of Health and HumanServices, 1989.

39. ATKIN, C. Effects of media alcohol messages on adolescent audi-ences. Adolescent medicine, 4(3): 527 -542 (1993).

174

Page 180: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

40. MOSKOWI Z, J. The primary prevention of alcohol problems: acritical review of the research literature. Journal of studies on al-cohol, 50(1): 54-88 (1989).

41. ELIANY, M. & RUSH, B. How effective are alcohol and other drugprevention and treatment programs? A review of evaluation studies.Ottawa, Health and Welfare Canada, 1992.

42. EDWARDS, G. ET AL. Alcohol policy and the public good. Oxford,Oxford University Press, 1994.

43. MEILLIER, L. Sundhedsoplysning og forandring. Mænd, oplysningog forandring of sundhedsvaner [Health information and change.Men, information and change in health behaviour]. Aarhus,Aarhus University, 1994.

44. LAZARSFELD, P.F. & MERTON, R.K. Mass communication,popular taste and organized social action. In: Schramm, W., ed.Mass communications, 2nd ed. Urbana, IL, University of ChicagoPress, 1975.

45. MADDEN, P. & GRUBE, J. The frequency and nature of alcoholand tobacco advertising in televised sports, 1990 through 1992.American journal of public health, 84(2): 297 -299 (1994).

46. BARTON, R. & GODFREY, S. Un- health promotion: results of asurvey of alcohol promotion on television. British medical jour-nal, 296(4): 1593 -1594 (1988).

47. CONNOLLY, G. ET AL. Alcohol in the mass media and drinking byadolescents: a longitudinal study. Addiction, 89(10): 1255 -1263(1994).

48. AHLSTRÖM, S. ET AL. Nuoret alkoholin käyttäjinä. Seuranta-raportti 1977 -1993 [Young people as alcohol consumers.Monitoring report 1977 -1993]. Helsinki, Social Research Insti-tute of Alcohol Studies, 1994 (Report No. 187).

49. HOLM, P. & SALO, M. Mainonnan vaikutuksista alkoholijuomienkulutukseen [On the effects of advertising on alcohol consump-tion]. Helsinki, ALKO, 1989 (Report No. 12).

50. LEISS, W. ET AL. Social communication in advertising: persons,products & images of well -being, 2nd ed. London, Routledge, 1990.

51. ATKIN, C. Be smart, don't start! In: Rice, R. & Atkin, C., ed. Publiccommunication campaigns, 2nd ed. Newbury Park, Sage, 1989.

52. ATKIN, C. & FREIMUTH, V. Formative evaluation research incampaign design. In: Rice, R. & Atkin, C., ed. Public communi-cation campaigns, 2nd ed. Newbury Park, Sage, 1989.

175

Page 181: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

53. RICE, R. & ATKIN, C. Principles of successful public communicationcampaigns. In: Bryant, J. & Zillman, D., ed. Media effects: advancesin theory and research. Hillsdale, NJ, Lawrence Erlbaum, 1994.

54. FLAY, B. Mass media linkages with school -based programs for drugabuse prevention. Journal of school health, 56(9): 402 -406 (1986).

55. BUISMAN, W. Mass media and drug campaigns in Europe: a com-parative study. In: Proceedings of the 35th International Congresson Alcoholism and Drug Dependence, Oslo, Norway, 31 July -6 August, 1988. Oslo, National Directorate for the Prevention ofAlcohol and Drug Problems, 1989, Vol I, pp. 387 -407.

56. FLAY, B. & BURTON, D. Effective mass communication strategiesfor health campaigns. In: Atkin, C. & Wallack, L., ed. Mass com-munication and public health: complexities and conflicts. NewburyPark, Sage, 1990.

57. BACKER, T. ET AL. Designing health communication campaigns:what works? Newbury Park, Sage, 1992.

58. GOODSTADT, M. Substance abuse curricula vs. school drug poli-cies. Journal of school health, 59(6): 246 -250 (1989).

59. MILGRAM, G. Alcohol/drug education: school and communityfactors. In: Engs, R., ed. Contradictions in the addictions field.Vol. 1. Dubuque, IA, KendalUHunt, 1990.

60. MAKOWSKY, C. & WHITEHEAD, P. Advertising and alcoholsales: a legal impact study. Journal of studies on alcohol, 52(6):555 -567 (1991).

61. SAFFER, H. Alcohol advertising bans and alcohol abuse: an inter-national perspective. Journal of health economics,10: 65 -79 (1991).

62. TRAUTH, D. & HUFFMAN, J. Policy considerations for the controlof alcoholic beverage advertising. Journal of broadcasting &electronic media, 31(4): 409 -426 (1987).

63. SHIFFRIN, S. Alcohol and cigarette advertising: a legal primer.Adolescent medicine, 4(3): 623 -634 (1993).

64. WALLACK, L. & CORBETT, K. Illicit drug, tobacco, and alcoholuse among youth: trends and promising approaches in prevention.In: Resnik, H. et al., ed. Youth and drugs: society's mixed mes-sages. Rockville, MD, US Department of Health and HumanServices, 1990 (OSAP Prevention Monograph No. 6).

65. THORSEN, T. Dansk alkoholpolitik: oplysning, afgifter - og hvadmere? [Danish alcohol policy: information, taxation - and whatelse ?]. Nordiskalkoholtidskrift, 7(1): 1 -13 (1990).

176

Page 182: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

66. DUBOIS, G. Alcool et communication. In: Actes de la 1 ère Bien-nale HCEIA, Paris, 1989. Paris, Haut comité d'étude etd'information sur l'alcoolisme, 1990, pp. 85 -94.

67. DORFMAN, L. & WALLACK, L. Advertising health: the case forcounter -ads. Public health reports, 108(6): 716 -726 (1993).

68. CASSWELL, S. ET AL. Changes in public support for alcohol poli-cies following a community -based campaign. British journal ofaddiction, 84: 515-522 (1989).

69. STEWART, L. & CASSWELL, S. Media advocacy for alcohol policysupport: results from the New Zealand Community Action Proj-ect. Health promotion international, 8(3):167 -175 (1993).

70. ROGERS, E. & DEARING, J. Agenda -setting research: where has itbeen, where is it going? In: Anderson, J.A., ed. Communicationyearbook 11. Newbury Park, Sage, 1988.

71. MCCOMBS, M. News influence on our pictures of the world. In:Bryant, J. & Zillman, D., ed. Media effects: advances in theoryand research. Hillsdale, NJ, Lawrence Erlbaum, 1994.

72. WALLACK, L. Improving health promotion: media advocacy andsocial marketing approaches. In: Atkin, C. & Wallack, L., ed. Masscommunication and public health. Newbury Park, Sage, 1990.

73. WALLACK, L. ET AL. Media advocacy and public health: powerfor prevention. Newbury Park, Sage, 1993.

74. AAS, H. Aksjon mot ulovlig spritomsetning: data fra evalueringensforundersokelse [Action against illicit trade in spirits: data frombaseline evaluation]. Oslo, SIFA, 1994 (Rapport Nr. 3).

75. MCGUIRE, W. Theoretical foundations of campaigns. In: Rice, R.& Atkin, C., ed. Public communication campaigns, 2nd ed. New-bury Park, Sage, .1989.

76. TOBLER, N. Meta -analysis of 143 adolescent drug prevention pro-grams: quantitative outcome results of program participants com-pared to a control or comparison group. Journal of drug issues,16(4): 537 -567 (1986).

77. BANGERT- DROWNS, R. The effects of school -based substanceabuse education - a meta -analysis. Journal of drug education,18(3): 243 -264 (1988).

78. RUNDALL, T. & BRUVOLD, W. A meta -analysis of school -basedsmoking and alcohol use prevention programs. Health educationquarterly, 15(3): 317 -334 (1988).

177

Page 183: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

79, HOPKINS, R. ET AL. Comprehensive evaluation of a model alcoholeducation curriculum. Journal of studies on alcohol, 49(1): 38 -50(1988).

80. BOTVIN, G. ET AL. Preventing adolescent drug abuse through amultimodal cognitive- behavioral approach: results of a 3 -yearstudy. Journal of consulting and clinical psychology, 58(4): 437-446 (1990).

81. FLAY, B. & COOK, T. Three models for summative evaluation ofprevention campaigns with a mass media component. In: Rice, R.& Atkin, C., ed. Public communication campaigns, 2nd ed. New-bury Park, Sage, 1989.

82. SOLOMON, D. A social marketing perspective on communicationcampaigns. In: Rice, R. & Atkin, C., ed. Public communicationcampaigns, 2nd ed. Newbury Park, Sage, 1989.

83. HASTINGS, G. & HAYWOOD, A. Social marketing and communi-cation in health promotion. Health promotion international, 6(2):135 -145 (1991).

84. BUCHANAN, D. ET AL. Social marketing: a critical appraisal.Health promotion international, 9(1): 49 -57 (1994).

85. HASTINGS, G. & HAYWOOD, A. Social marketing: a critical re-sponse. Health promotion international, 9(1): 59-63 (1994).

86. REINARMAN, C. The social construction of an alcohol problem:the case of Mothers Against Drunk Drivers and social control inthe 1990s. Theory and society, 17(1): 91 -120 (1988).

87. MOSKOwTTZ, J. Why reports of outcome evaluations are oftenbiased or uninterpretable. Examples from evaluations of drugabuse prevention programs. Evaluation and program planning,16(1): 1 -9 (1993).

88. MESTERS, F. ET AL. Alcohol- en drugsvoorlichting in het voort-gezet onderwijs [Alcohol and drug education in secondaryschools]. Tijdschrift voor alcohol, drugs en andere psychotropestoffen, 13(4): 122 -128 (1987).

89. SLA1"IERY, M. & GARRARD, J. It can't be a drug, miss, it's not ille-gal: student perceptions of drug education in Victorian post primaryschools. Research in human capital and development, 7: 189 -207(1993).

90. KIM, M. & HUNTER, J. Attitude -behaviour relations: a meta -analysis of attitudinal relevance and topic. Journal of communi-cation, 43(1): 101 -142 (1993).

178

Page 184: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

91. AJZEN, I. & FISHBEIN, M. Understanding attitudes and predictingsocial behavior. Englewood Cliffs, NJ, Prentice -Hall, 1980.

92. FISHBEIN, M. & AJZEN, I. Belief attitude, intention and behavior:an introduction to theory and research. Reading, MA, Addison -Wesley, 1975.

93. AJZEN, I. From intention to actions: a theory of planned behavior.In: Kuhl, J. & Beckman, J., ed. Action control: from cognition tobehavior. New York, Springer, 1985.

94. BECKER, M., ED. The health belief model and personal health be-havior. Health education monograph, 2: 324 -508 (1974).

95. JANZ, N. & BECKER, M. The health belief model: a decade later.Health education quarterly, 11(1): 1-47 (1984).

96. EVANS, R. Smoking in children: developing a social psychologicalstrategy of deterrence. Prevention medicine, 5: 122 -127 (1976).

97. EVANS, R. ET AL. Deterring the onset of smoking in children:knowledge of immediate physiological effects and coping withpeer resolve, media pressure, and parent modeling. Journal of ap-plied social psychology, 8: 126 -135 (1978).

98. MACKINNON, D.M. ET AL. How do school -based drug preventionprograms work and for whom? Drugs & society, 3(1/2): 125 -143(1988).

99. PETTY, R. & CACIOPPO, J. Communication and persuasion: cen-tral and peripheral routes to attitude change. New York,Springer -Verlag, 1986.

100. PETTY, R. & PRIESTER, J. Mass media attitude change: implicationsof the elaboration likelihood model of persuasion. In: Bryant, J. &Zillman, D., ed. Media effects: advances in theory and research.Hillsdale, NJ, Lawrence Erlbaum, 1994.

101. BANDURA, A. Social foundation of thought and action: a socialcognitive theory. Englewood Cliffs, NJ, Prentice -Hall, 1986.

102. ROGERS, E. Diffusion of innovations. New York, Free Press, 1983.103. WERCH, C. & DICLEMENTE, C. A multi -component stage model

for matching drug prevention strategies and messages to youthstage of use. Health education research, 9(1): 37-46 (1994).

104. ELLICKSON, P. & BELL, R. Drug prevention in junior high: a multi -site longitudinal test. Science, 247(4948): 1299 -1305 (199Q).

105. PENTZ, M. ET AL. A multicommunity trial for primary prevention ofadolescent drug abuse: effects on drug use prevalence. Journal ofthe American Medical Association, 261(22): 3259 -3266 (1989).

179

Page 185: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

106. PERRY, C. Er AL. Background, conceptualization and design of acommunity-wide research program on adolescent alcohol use: Proj-ect Northland. Health education research, 8(1): 125 -136 (1993).

107. SUSSMAN, S. & STACY, A. Five methods of assessing school -leveldaily use of cigarettes and alcohol by adolescents at continuationhigh schools. Evaluation review, 18(6): 741 -755 (1994).

108. COX, G. On the demise of academic evaluation. Evaluation andprogram planning, 13(4): 415 -419 (1990).

109. WALLACK, L. Assessing effects of mass media campaigns: analternative perspective. Alcohol, health and research world, 5(1):17 -29 (1980).

110. FLAY, B. Evaluation of the development, dissemination, and ef-fectiveness of mass media health programming. Health educationresearch, 2(2): 123 -129 (1987).

111. BAKLIEN, B. Alcohol and drug education: evaluation dimensions.In: Skog, 0.-J. & Waahlberg, R. ed. Alcohol and drugs: the Nor-wegian experience. Oslo, Directorate for the Prevention of Alco-hol and Drug Problems, 1988.

112. NUTBEAM, D. & SMITH, C. Evaluating youth health education:how can we do it, and what should we measure? In: Nutbeam, D.et al. ed. Youth health promotion: from theory to practice inschool and community. London, Forbes Publications, 1991.

113. WIENER, R. ET AL. Evaluation of a drug -free schools and com-munity program: integration of qualitative and quasi -experimentalmethods. Evaluation review, 17(5): 488 -503 (1993).

114. Making health communication programs work: a planner's guide.Bethesda, MD, US Department of Health and Human Services,1989 (National Institutes of Health Publication No. 89- 1493).

115. Prevention plus III: assessing alcohol and other drug preventionprograms at the school and community level. Rockville, MD, USDepartment of Health and Human Services, 1991 (Office for Sub-stance Abuse Prevention Publication No. (ADM)91- 1817).

116. TRICKER, R. & DAVIS, L. Implementing drug education inschools: an analysis of the costs and teacher perceptions. Journalof school health, 58(5): 181 -185 (1988).

117. BACKER, T. & ROGERS, E. Organizational aspects of health com-munication campaigns: what works? Newbury Park, Sage, 1993.

118. NEWMAN, I. & FITZSIMMONS, M. Newspapers as an evaluationtool for a community education program. In: Proceedings of the36th International Congress on Alcohol and Drug Dependence,

180

Page 186: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

Glasgow, Scotland, 16-21 August, 1992. Glasgow, ScottishCouncil on Alcohol, 1993, Vol. II, pp. 1100 -1107.

119. PENTZ, M. & VALENTE, T. Project STAR: a substance abuse pre-vention campaign in Kansas City. In: Backer, T. & Rogers, E., ed.Organizational aspects of health communication campaigns: whatworks? Newbury Park, Sage, 1993.

120. MERTON, R. The focussed interview and focus groups: continuitiesand discontinuities. Public opinion quarterly, 51: 550 -566 (1987).

121. BASCH, C. Focus group interview: an underutilized research tech-nique for improving theory and practice in health education.Health education quarterly, 14(4): 411 -448 (1987).

122. BECK, K. ET AL. Monitoring parent concerns about teenagedrinking and driving: a focus group interview approach. Journalof alcohol and drug education, 37(1): 46-57 (1991).

123. BECK, K. & BARGMAN, C. Investigating Hispanic adolescent in-volvement with alcohol: a focus group interview approach. Healtheducation research, 8(2): 151 -158 (1993).

124. "Sensible drinking" messages in a multi -cultural society. London,Health Education Authority, 1994.

125. Alcohol education training workshop. London, Health EducationAuthority, 1989.

126. MEANS, R. ET AL. Understanding alcohol: an evaluation of an edu-cation programme. London, Health Education Authority, 1990.

127. ROGERS, E. Diffusion and re- invention of project DARE. In:Backer, T. & Rogers, E., ed. Organizational aspects of health com-munication campaigns: what works? Newbury Park, Sage, 1993.

128. KIEFABER, M. Organizational aspects of project DARE. In: Backer,T. & Rogers, E., ed. Organizational aspects of health communica-tion campaigns: what works? Newbury Park, Sage, 1993.

129. MITCHEL, M. ET AL. Cost -effectiveness analysis of an educationaldrug abuse prevention program. Journal of drug education, 14(3):271- 292(1984).

130. CASIRO, O. ET AL. Public awareness of the risks of drinking alco-hol during pregnancy: the effects of a television campaign. Cana-dian journal of public health, 85(1): 23 -27 (1994).

131. VAN GINNEKEN, S. Changes after 6 years campaigning in the Neth-erlands. In: Proceedings of the 36th International Congress on Al-cohol and Drug Dependence, Glasgow, Scotland, 16-21 August,

181

Page 187: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

1992. Glasgow, Scottish Council on Alcohol, 1993, Vol. I, pp.549 -552.

132. VAN GINNEKEN, S.B. & VAN IWAARDEN, M.J. Het Alcohol Voor-lichtings Plan [The Alcohol Education Plan]. Tijdschrift voor al-cohol, drugs en andere psychotrope stoffen, 13(1): 13 -20 (1987).

133. Evaluatierapport Alcohol Voorlichtings Plan 1986 -1994 [Evalu-ation report on the Alcohol Education Plan, 1986- 1994]. Rijswijk,Ministerie van Welzijn, Volksgezondheid en Cultuur, 1994.

134. ARNOLD, D. Drinkwise: a national public education campaignfor England. In: Proceedings of the 36th InternationalCongress on Alcohol and Drug Dependence, Glasgow, Scotland,16-21 August, 1992. Glasgow, Scottish Council on Alcohol, 1993,Vol. I, pp. 512 -516.

135. Drinkwise strategy 1992 -1994. London, Health EducationAuthority, 1992.

136. LO, J. & PINTO, C. Multilingual health announcements on televi-sion: an effective way to communicate with ethnic minorities? In:Leathar, D. et al., ed. Health education and the media. Vol. 2.Oxford, Pergamon Press, 1986.

137. CLABOTS, R. & DOLPHIN, D. The multilingual videotape project:community involvement in a unique health education program.Public health reports, 107(1): 75 -80 (1992).

138. Drinkwise Day evaluation 1992. London, Health EducationAuthority, 1992.

139. STOCKWELL, T. & STIRLING, L. Estimating alcohol content ofdrinks: common errors in applying the unit system. British medicaljournal, 298: 571 -572 (1989).

140. STOCKWELL, T. & HONIG, F. Labelling alcoholic drinks: percent-age proof, original gravity, percentage alcohol or standard drinks?Drug and alcohol review, 9(1): 81 -89 (1990).

141. STOCKWELL, T. ET AL. A test of the proposal to label containersof alcoholic drink with alcohol content in standard drinks. Healthpromotion international, 6(3): 207 -215 (1991).

142. CARRUTHERS, S. & BINNS, C. The standard drink and alcoholconsumption. Drug and alcohol review, 11(4): 363 -370 (1992).

143. MARTIN, C. ET AL. Young adults' knowledge of the strength ofdifferent alcoholic beverages. Journal of drug education, 21(2):149 -157 (1991).

182

Page 188: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

144. OFFICE OF INSPECTOR GENERAL. General reports on youth andalcohol. Washington, DC, US Department of Health and HumanServices, 1991.

145. JEPSEN, M. Alle kan trænge til en alkoholfri uge 40 - en danskalkoholkampagne [Everyone can do with an alcohol -free week 40-A Danish alcohol campaign]. NAD nyhetsbrev, 3: 10-15 (1990).

146. BRINK LUND, A. & MAROSI, K. Vedr. alkohol: evaluering ofSundhedsstyrelsens alkoholkampagne [About alcohol: evaluationof the National Board of Health's alcohol campaign]. Roskilde,Roskilde University Centre, 1992.

147. BARBER, J. ET AL. Reducing alcohol consumption through televi-sion advertising. Journal of consulting and clinical psychology,57(5): 613 -618 (1989).

148. SPIVAK, K. ET AL. Assisting problem drinkers to change on theirown: effect of specific and non -specific advice. Addiction, 89:1135 -1142 (1994).

149. SHORE, E. Outcomes of a primary prevention project for businessand professional women. Journal of studies on alcohol, 55(6):657 -659 (1994).

150. GOODSTEIN, L. Organizational aspects of Project STAR. In:Backer, T. & Rogers, E., ed. Organizational aspects of healthcommunication campaigns: what works? Newbury Park, Sage,1993.

151. CONROY, E. & CONRAN, V. The comic book as a communica-tion vehicle to children in the promotion of positive healthy life-styles. In: Proceedings of the 36th International Congress onAlcohol and Drug Dependence, Glasgow, Scotland, 16-21August, 1992. Glasgow, Scottish Council on Alcohol, 1993,Vol. I, pp. 462 -465.

152. KLINGEMANN, H. Games, risk and prevention: the rehabilitationof Homo Ludens. In: The 19th Alcohol Epidemiology Symposiumof the Kettil Bruun Society, Krakow, June 1993.

153. EISER, C. ET AL. Reactions to drug education: a comparison oftwo videos produced for schools. British journal of addiction,83(8): 955 -963 (1988).

154. MONTONEN, M. Alcohol in television fiction: alternative posi-tions. In: Programme of the 35th International Institute on thePrevention and Treatment of Alcoholism and of the 18th Interna-tional Institute on the Prevention and Treatment of Drug Depend-ence, Berlin, 10-15 June, 1990, pp. 77 -87.

183

Page 189: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

155. MCMAHON, E. & TAYLOR, P. Citizen's action handbook on alco-hol and tobacco billboard advertising. Washington, DC, Centerfor Science in the Public Interest, 1990.

156. THOMSON, A. ET AL. Communication experts' opinion on alcoholadvertising through the electronic media in New Zealand. Healthpromotion international, 9(3): 145 -152 (1994).

157. GRUBE, J. & WALLACK, L. Television beer advertising and drink-ing knowledge, beliefs, and intentions among school -children.American journal of public health, 84(2): 254 -260 (1994).

158. WEINTRAUB, A.E. & MEILI, H. Effects of interpretations of tele-vised alcohol portrayals on children's alcohol beliefs. Journal ofbroadcasting & electronic media, 38(4): 417 -435 (1994).

159. Alcoholic beverages and European society. Amsterdam, AmsterdamGroup, 1993.

160. CLARK, E. The want makers: lifting the lid off the world advertis-ing industry. London, Hodder & Stoughton, 1988.

161. BREED, W. ET AL. Alcohol advertising in college newspapers: a 7-year follow -up. Journal of American college health, 38: 255 -262(1990).

162. WYLLIE, A. ET AL. The response of New Zealand boys to corpo-rate and sponsorship alcohol advertising on television. Britishjournal of addiction, 84(6): 639 -646 (1989).

163. AITKEN, P. ET AL. Ten to sixteen year olds' perceptions of adver-tisements for alcoholic drinks. Alcohol and alcoholism, 23: 491-500 (1988).

164. AITKEN, P. ET AL. Television advertisements for alcoholic drinksdo reinforce under -age drinking. British journal of addiction,83(12): 1399 -1419 (1988).

165. COVELL, K. ET AL. Gender differences in evaluations of tobacco andalcohol advertisements. Canadian journal of behavioural science,26(3): 40.4 -420 (1994).

166. WALLACK, L. ET AL. TV beer commercials and children: expo-sure, attention, beliefs, and expectations about drinking as anadult. Berkeley, CA, Prevention Research Center, 1990.

167. WILLIS, P. ET AL. Common culture: symbolic work at play in theeveryday cultures of the young. Milton Keynes, Open UniversityPress, 1990.

168. CASSWELL, S. ET AL. What children know about alcohol and howthey know it. British journal of addiction, 83(2): 223 -227 (1988).

184

Page 190: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

169. FOSSEY, E. Young children and alcohol: a theory of attitude de-velopment. Alcohol and alcoholism, 28(4): 485 -498 (1993).

170. COTTON, J. -P. Les jeunes européens, le tabac et l'alcool. HCEIAactualités, 1: 21 -22 (1991).

171. LOWREY, T. The use of diffusion theory in marketing: a qualita-tive approach to innovative consumer behavior. In: Holman, R. &Solomon, M., ed. Advances in consumer research. Provo, UT, As-sociation for Consumer Research, 1991, pp. 644 -650.

172. DUFFY, M. Advertising in demand systems: testing a Galbraithianhypothesis. Applied economics, 23: 485 -496 (1991).

173. GERBNER, G. ET AL. Growing up with television: the cultivation per-spective. In: Bryant, J. & Zillman, D., ed. Media effects: advances intheory and research. Hillsdale, NJ, Lawrence Erlbaum, 1994.

174. MINKLER, M. ET AL. Alcohol and cigarette advertising in Ms.magazine. Journal of public health policy, 8(2): 164 -179 (1987).

175. BELL, P. Alcohol advertising in the Australian media. Media in-formation Australia, 43: 21 -23 (1987).

176. SHEPPARD, M. & LOCKHART, D. Alcohol advertising on televi-sion: should we be worried? International journal of the addic-tions, 23(4): 429 -432 (1988).

177. RÄNTILA, K. Greimas och ölreklamens magi [Greimas and themagic of beer commercials]. Nordisk alkoholtidskrift, 10(2): 70-80 (1993).

178. STRATE, L. The cultural meaning of beer commercials. In: Holman,R. & Solomon, M., ed. Advances in consumer research. Provo, UT,Association for Consumer Research, 1991, pp. 115 -118.

179. CONLEY, J. Youth perceptions of broadcast alcohol advertising.In: Programme of the 35th International Institute on the Preven-tion and Treatment of Alcoholism and of the 18th InternationalInstitute on the Prevention and Treatment of Drug Dependence,Berlin, 10-15 June, 1990, pp.106 -114.

180. WEISS, S. & MOORE, M. Cultural differences in the perception ofmagazine alcohol advertisements by Israeli Jewish, Moslem,Druze and Christian high school students. Drug and alcohol de-pendence, 26(2): 209 -215 (1990).

181. LIEBERMAN, L. & ORLANDI, M. Alcohol advertising and adoles-cent drinking. Alcohol health and research world, 12(1): 30-33,43 (1987).

185

Page 191: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

182. YOUNG, R. ET AL. Differences in the perception of alcoholic ver-sus non -alcoholic beverage advertisements. Psychologia, 34(4):241 -247 (1991).

183. LAUVIN, L. ET AL. Réactions à la publicité pro -alcoolique de per -sonnes en situation de soins ou en centre de réinsertion sociale. In:Proceedings of the 36th International Congress on Alcohol andDrug Dependence, Glasgow, Scotland, 16 -21 August, 1992.Glasgow, Scottish Council on Alcohol, 1993, Vol. I, pp. 707 -711.

184. THOMSON, A. ET AL. The responses of in treatment and recover-ing "heavy drinkers" to alcohol advertising on television. Auck-land, Alcohol and Public Health Research Unit, 1994.

185. LIPSITZ, A. ET AL. Another round for the brewers: television adsand children's alcohol expectancies. Journal of applied socialpsychology, 23(6): 439 -450 (1993).

186. WILKS, J. ET AL. Effect of television advertising of alcohol onalcohol consumption and intentions to drive. Drug and alcoholreview, 11(1): 15 -21, 1992.

187. SOBELL, L. ET AL. Severely dependent alcohol abusers may bevulnerable to alcohol cues in television programs. Journal ofstudies on alcohol, 54(1): 85 -91 (1993).

188. STRICKLAND, D. Content and effects of alcohol advertising:comment on NTIS Pub. No. PB82- 123142. Journal of studies onalcohol, 45(1): 87 -93 (1984).

189. ATKIN, C. & BLOCK, M. A reply to Strickland. Journal of studieson alcohol, 45(1): 93 -100 (1984).

190. SMITH, I. Consumption and advertising of alcohol beverages inAustralia, 1969 -1986. Drug and alcohol review, 9(1): 33-42(1990).

191. DUFFY, M. Advertising and the inter -product distribution of de-mand: a Rotterdam model approach. European economic review,31: 1051 -1070 (1987).

192. SELVANATHAN, E. Advertising and alcohol demand in the UK: fur-ther results. International journal of advertising, 8: 181 -188 (1989).

193. FRANKE, G. & WILCOX, G. Alcoholic beverage advertising andconsumption in the United States, 1964 -1984. Journal of adver-tising, 16(3): 22 -30 (1987).

194. LEE, B. & TREMBLAY, V. Advertising and the US market demandfor beer. Applied economics, 24: 69 -76 (1992).

186

Page 192: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

195. SAM -ER, H. Alcohol advertising bans and alcohol abuse: a reply.Journal of health economics, 12: 229 -234 (1993).

196. SMART, R. & CUTLER, R. The alcohol advertising ban in BritishColumbia: problems and effects on beverage consumption. Britishjournal of addiction, 71(1): 13 -21 (1 976).

197. OGBORNE, A. & SMART, R. Will restrictions on alcohol advertis-ing reduce alcohol consumption? British journal of addiction,75(3): 293 -296 (1980).

198. HOADLEY, J. ET AL. The effects of alcohol beverage restrictions onconsumption: a 25 -year longitudinal analysis. American journal ofdrug and alcohol abuse, 10(3): 375 -401 (1984).

199. ORNSTEIN, S. & HANSSENS, D. Alcohol control laws and the con-sumption of distilled spirits and beer. Journal of consumer research,12: 200 -213 (1985).

200. YOUNG, D. Alcohol advertising bans and alcohol abuse: com-ment. Journal of health economics, 12: 213 -228 (1993).

201. COTTINO, A. Alcohol advertising in Italy: the "Sistema di autodis-ciplina". In: The 35th International Congress on Alcoholism andDrug Dependence, Oslo, Norway, 31 July -6 August, 1988.

202. DONNINI, L. Alcool: proposte di legge nella XI Legislatura [Alco-hol: bills presented during the XI legislative session]. In: Eticadell'alcool e pubblicità. Osservatorio permanente sui giovani el'alcool. Rome, Edizioni Otet, 1994.

203. MICHELIN, L. Il bicchiere senza spot [Drinks without ads]. Rome,Elidir, 1994.

204. TUCKER, L. ET AL. Consumer response to Seagram's equivalencyad campaign on TV. Journalism quarterly, 64(4): 834 -838 (1987).

205. MOSHER, J. & JERNIGAN, D. New directions in alcohol policy.Annual review of public health, 10: 245 -279 (1989).

206. Code for alcoholic beverages. Rotterdam, STIVA, 1990.207. CIRCUS, P. Alcohol advertising - the rules. International journal

of advertising, 8: 159 -165 (1989).208. HARRISON, L. ET AL. Regulation. In: Godfrey, C. & Robinson, D.,

ed. Preventing alcohol and tobacco problems. Vol. 2. Aldershot,Avebury, 1990.

209. WILLIAMS, E. European advertising: exploring the new potential.Impact international, 5(4): 1,3-10 (1990).

187

Page 193: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

210. SAUNDERS, B. Guarding the guardians: influencing the regula-tion of alcohol promotions in Australia. Addiction, 88(Suppl.):43S -51S (1993).

211. SAUNDERS, B. & YAP, E. Do our guardians need guarding? Anexamination of the Australian system of self -regulation of alcoholadvertising. Drug and alcohol review, 10(1): 15 -27 (1991).

212. Surgeon General's Workshop on Drunk Driving: proceedings.Rockville, MD, US Department of Health and Human Services, 1989.

213. HUGHES, K. & WOODRUFF, K. Dangerous Promises: amerikanskkampanj mot alkoholindustrins marknadsföringsmetoder [DangerousPromises: an American campaign against the alcohol industry's mar-keting methods]. Nordisk alkoholtidskrift, 12(2): 89 -94 (1995).

214. VAN IWAARDEN, M.J. En alkoholpolitik inom Europeiska unionen?[An alcohol policy for the European Union ?]. Nordisk alko-holtidskrift, 11(5 -6): 264 267 (1994).

215. SAVIA, E. The Finnish alcohol monopoly and the European inte-gration. Helsinki, University of Helsinki, 1993 (Institute of Inter-national Economic Law Publications, No. 7).

216. COMITI, V. -P. The advertising of alcohol in France. World healthforum, 11(2): 242 -245 (1990).

217. COTTON; J. -P. Evolution récente de la publicité pour les boissonsalcooliques. HCEIA actualités, 1: 29 -34 (1990).

218. CRAPLET, M. Alcohol and advertising. Alcologia, 5(1): 37 -41 (1993).219. Loi no. 91 -32 de janvier 1991 relative à la lutte contre le

tabagisme et l'alcoolisme. HCEIA actualités, 3-4: 3 -9 (1990).220. ELINEAU, P. Loi Evin histoire d'un décret mort-né. Alcool ou

santé, 2: 16-18 (1994).221. SMITH, A.T. France's loi Evin takes full effect. Impact interna-

tional, 8(3): 1-6 (1993).222. Legal limbo. Wine & spirit international, June, p. 39 (1994).223. SMITH, S. The impact of product usage warnings in alcoholic

beverage advertising. Journal of public policy and marketing, 9:16-29 (1990).

224. BARLOW, T. & WOGALTER, M. Alcoholic beverage warnings inmagazine and television advertisements. Journal of consumer re-search, 20(1): 147 -156 (1993).

225. HANKIN, J. ET AL. A time series analysis of the impact of the al-cohol warning label on antenatal drinking. Alcoholism: clinicaland experimental research, 17(2): 284 -289 (1993).

188

Page 194: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

226. MACKINNON, D. A choice -based method to compare alternativealcohol warning labels. Journal of studies on alcohol, 54(5): 614-617 (1993).

227. MACKINNON, D. ET AL. Avoidance responses to alternative alco-hol warning labels. Journal of applied social psychology, 24(8):733 -753 (1994).

228. NASH PARKER, R. ET AL. The impact of alcohol beverage con-tainer warning labels on alcohol- impaired drivers, drinking driversand the general population in northern California. Addiction, 89:1639 -1651 (1994).

229. Enquête pour les boissons alcoolisées. HCEIA actualités, 2: 2 -3(1990).

230. Olutmainoksia ehdotetaan sanoma- ja aikakauslehtiin [A proposalto introduce beer advertisements in newspapers and magazines].Helsingin sanomat, 27 June 1989.

231. OSTERBERG, E. Väestön mielipiteitä alkoholijuomien mainon-nasta [The population's views about the advertising of alcohol].Alkoholipolitiikka, 57(3): 179 -181 (1992).

232. Alkoholimainonta ei kuohuta suomalaisia [Finns not excited byalcohol advertising]. Aamulehti, 28 October 1993.

233. Harva vastustaa EU: n vapauttamia alkoholisäännöksiä [Little op-position to alcohol regulations liberalized by the EU]. Helsinginsanomat, 8 March 1995.

234. ATKIN, C. & BRATIC ARKIN, E. Issues and initiatives in commu-nicating health information. In: Atkin, C. & Wallack, L., ed. Masscommunication and public health: complexities and conflicts.Newbury Park, Sage, 1990.

235. ATKIN, C. On regulating broadcast alcohol advertising. Journal ofbroadcasting & electronic media, 37(1): 107 -113 (1993).

236. WIREN, S. Mainonta kielletty: alkoholin, tupakan ja I -oluen mai -nostajien keinot ja mandollisuudet [Advertising prohibited: thetactics and opportunities of advertising alcohol, tobacco and classI beer]. Helsinki, School of Economics, 1993.

237. HAMILTON, C. Absolut: historien om flaskan [Absolut: the storyof the bottle]. Stockholm, Norstedts Förlag, 1994.

238. RUTHERFORD, D. Social aspect groups: the drinks industry count-ers its critics. The globe, November, pp. 4-10 (1993).

239. HANSEN, A. Young people, television and alcohol. Leicester, Centrefor Mass Communication Research, University of Leicester, 1988.

189

Page 195: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

240. NOWAK, L. Vad märker publiken? En studie av hur tittareuppmärksammar alkohol i tv [What does the public notice? Astudy on how viewers perceive alcohol on television]. Stockholm,Sveriges Radio, 1988.

241. MONTONEN, M. Alkoholi televisiodraamassa: vertailevavastaanottotutkimus [Alcohol in television drama -a comparativestudy of reception]. Helsinki, University of Helsinki, 1991.

242. SINGHAL, A. & ROGERS, E. Prosocial television for developmentin India. In: Rice, R. & Atkin, C., ed. Public communicationcampaigns, 2nd ed. Newbury Park, Sage, 1989.

243. ROGERS, E. & SINGHAL, A. The academic perspective. In: Atkin, C.& Wallack, L., ed. Mass communication and public health: com-plexities and conflicts. Newbury Park, Sage, 1990.

244. MONTGOMERY, K. Target: prime time. Advocacy groups and thestruggle over entertainment television. Oxford, Oxford UniversityPress, 1989.

245. MONTGOMERY, K. Promoting health through entertainment tele-vision. In: Atkin, C. & Wallack, L., ed. Mass communication andpublic health: complexities and conflicts. Newbury Park, Sage, 1990.

246. SIGNORIELLI, N. Drinking, sex, and violence on television: thecultural indicators perspective. Journal of drug education, 17(3):245 -260 (1987).

247. HANSEN, A. The portrayal of alcohol and drinking on prime timetelevision. Leicester, Centre for Mass Communication Research,University of Leicester, 1984.

248. PENDLETON, L. ET AL. Drinking on television: a content analysisof recent alcohol portrayal. British journal of addiction, 86(6):769 -774 (1991).

249. HANSEN, A. & KIRK, S. The portrayal of alcohol in popular tele-vision serials. Leicester, Centre for Mass Communication Re-search, University of Leicester, 1988.

250. NAVEILLAN, P. ET AL. Television y bebidas alcohôlicas y analco-h6licas [Television and alcoholic and non -alcoholic drinks]. Re-vista saude pûblica, 21(1): 37-43 (1987).

251. DE FOE, J. & BREED, W. Youth and alcohol in television stories,with suggestions to the industry for alternative portrayals. Adoles-cence, 23(91): 533 -550 (1988).

252. DE FOE, J. & BREED, W. The family, research, and prime -timetelevision in alcohol education. International quarterly of commu-nity health education, 7(1): 33-40 (1986/1987).

190

Page 196: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

253. DE FOE, J. & BREED, W. Response to the alcoholic by "Theother" on prime time television. Contemporary drug problems,15(2): 205 -228 (1988).

254. DE FOE, J. & BREED, W. Four types of alcoholics in reality andon television. Berkeley, CA, Prevention Research Center, 1988.

255. HEILBRONN, L. What does alcohol mean? Alcohol's use as asymbolic code. Contemporary drug problems, 15(2): 229 -248(1988).

256. MACDONALD, P. The "dope" on soaps. Journal of drug educa-tion, 13(4): 359 -369 (1983).

257. SPECTOR, M. & KITSUSE, J. Constructing social problems. NewYork, Aldine de Gruyter, 1987.

258. LAGERSPETZ, M. ed. Social problems in newspapers: studiesaround the Baltic Sea. Helsinki, Nordic Council for Alcohol andDrug Research, 1994 (NAD Publication No. 28).

259. AFANASYEV, V. & GILINSKIJ, Y. Alcohol, drugs and crime in the StPetersburg press. In: Lagerspetz, M., ed. Social problems in news-papers: studies around the Baltic Sea. Helsinki, Nordic Council forAlcohol and Drug Research, 1994 (NAD Publication No. 28).

260. OLSSON,_B. Alcohol and drugs in Swedish newspapers. In: Lager -spetz, M., ed. Social problems in newspapers: studies around theBaltic Sea. Helsinki, Nordic Council for Alcohol and Drug Re-search, 1994 (NAD Publication No. 28).

261. RONNING, G. & MOORES, C. Empowerment of the mass media asa community mobilization strategy in preventing alcohol and drugabuse. In: Proceedings of the 35th International Congress on Al-coholism and Drug Dependence, Oslo, Norway, 31 July -6 August, 1988. Oslo, National Directorate for the Prevention ofAlcohol and Drug Problems, 1989, Vol. III, pp. 812 -819.

262. HOEL, I. Referat fra et presseseminar [Report of a press seminar].Nordisk alkoholtidskrift, 8(1): 50-51 (1991).

263. Alkoholpolitik och alkoholforskning: en rapport fran seminariumom alkohol för journalister [Alcohol policy and alcohol research:report of a seminar on alcohol for journalists]. Stockholm, Social -styrelsen, 1989 (SOS- rapport No. 24).

264. WECHSLER, H. ET AL. "The responsibility to inform, the power toact ": a conference for New England college newspaper editors onthe role of the campus press in addressing substance use issues.Journal of drug education, 22(4): 329 -336 (1992).

191

Page 197: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

265. MEDIA AND SUBSTANCE ABUSE WORKING GROUP. Buildingbridges. How to create effective relationships with the media. Ot-tawa, Canadian Centre on Substance Abuse, 1993.

266. SMITH, T. Alcohol: the role of the media - sense versus sensation.Journal of the Royal Society of Health, 114(4): 219 -220 (1994).

267. TÖRRÖNEN, J. Alkoholpolitik och receptionsanalys - presentationav ett projekt [Alcohol policy and reception analysis - presenta-tion of a project]. Nordisk alkoholtidskrift, 11(4): 239 -241 (1994).

268. LIVINGSTONE, S. ET AL. Debating drunk driving: the construction ofcausal explanations in television discussion programmes. Journal ofcommunity and applied social psychology, 2(2): 131 -145 (1992).

269. PIISPA, M. & KIRSI, T. Raittiustyön muodet ja merkitykset. Tut -kimus lehdistön raittiuskirjoittelusta [The forms and meanings oftemperance work. A study of press coverage of temperance is-sues]. Vammala, Suomen Raittousjärjestöjen Liitto, 1986.

270. KIRSI, T. Raittiustyön arkea, päihdehuollon juhlaa ja raittiusliik-keen krapula. Tutkimus viikko- ja aikakauslehtien raittius- japäihdekirjoittelusta vuonna 1984 [Everyday temperance work,heyday of treatment, and hangover of temperance movement. Astudy of the coverage of temperance and substance use issues inmagazines in 1984]. Tampere, UKK- instituutti, 1989.

271. PIISPA, M. Mistä puhumme kun puhumme alkoholiongelmasta.Alkoholiongelman ja alkoholipolitiikan konstruktiot Suomessa1950 -1990 [What are we talking about when we talk about the al-cohol problem? Constructions of the alcohol problem and of alco-hol policy in Finland 1950- 1990]. Janus, 3: 249 -266 (1994).

272. HEISKALA, R. Pelkästään miesten juttu? Alkoholi, sukupuoli japerhe suomalaisissa yleisaikakauslehdissä ja naistenlehdissä 1955ja 1985 [An exclusively male matter? Alcohol, gender and familyin Finnish general magazines and women's magazines in 1955and 1985]. Alkoholipolitiikka, 53(4): 199 -209 (1988).

273. TUUKKANEN, E. Kaljaan jotain kauheaa ainetta. Tutkielmapäihdehuollon julkisuudesta [Some horrible stuff in beer. A studyof the public image of treatment services]. Tampere, University ofTampere, 1988.

274. MANSIKKAMÄKI, A. Ristiriitaisten tutkin,ustulosten popularisointisuomalaisessa lehdistössä: alkoholin terveysvaikutukset [How con-tradictory research results are popularized in the Finnish press: healtheffects of alcohol use]. Tampere, University of Tampere, 1989.

192

Page 198: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

275. KALLIOMÄKI, J. Joukkotiedotus naisen alkoholinkäytön merkityk-sellistäjänä ja kontrolloijana [The mass media as meaning -giversand controllers of women's drinking]. Tampere, University ofTampere, 1993.

276. OLSSON, B. Alkoholpolitik och alkoholens fenomenologi [Alcoholpolicy and the phenomenology of alcohol]. Alkoholpolitik, 7(4):184 -195 (1990).

277. TANKARD, J. & PEIRCE, K. Alcohol advertising and magazineeditorial content. Journalism quarterly, 59(2): 302 -305 (1982).

278. ROSS, L. The American war on drunk driving: a constructionistcritique. Contemporary drug problems, 18(1): 1 -8 (1991).

279. DEJONG, W. ET AL. A critical analysis of "moderation" advertis-ing sponsored by the beer industry: are "responsible drinking"commercials done responsibly? Milbank quarterly, 79(4): 661-678 (1992).

280. BREED, W. & DE FOE, J. Effecting media change: the role of co-operative consultation on alcohol topics. Journal of communica-tion, 32(2): 88 -99 (1982).

281. DE FOE, J. & BREED, W. Consulting to change media contents:two cases in alcohol education. Berkeley, CA, Prevention Re-search Center, 1989.

282. BREED, W. ET AL. Alcohol education and the media: some oppor-tunities for change. Berkeley, CA, Prevention Research Center, 1989.

283. WINSTEN, J. The designated driver movement in the UnitedStates: promoting a new social norm. In: Proceedings of the 36thInternational Congress on Alcohol and Drug Dependence, Glasgow,Scotland, 16-21 August, 1992. Glasgow, Scottish Council on Alco-hol, 1993, Vol. I, pp. 615 -631.

284. MONTGOMERY, K. The Harvard Alcohol Project: promoting thedesignated driver on television. In: Backer, T. & Rogers, E., ed.Organizational aspects of health communication campaigns: whatworks? Newbury Park, Sage, 1993.

285. DEJONG, W. & WALLACK, L. The role of designated driver pro-grams in the prevention of alcohol -impaired driving: a critical re-assessment. Health education quarterly, 19(4): 429 -442 (1992).

286. Did you know? CCSA action news, 1(5): 4 (1990).287. PERTSCHUK, M. The advocacy perspective. In: Atkin, C. &

Wallack, L., ed. Mass communication and public health: com-plexities and conflicts. Newbury Park, Sage, 1990.

193

Page 199: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

288. HERD, D. Contesting culture: alcohol -related identity movementsin contemporary African- American communities. Contemporarydrug problems, 20(4): 739 -759 (1993).

289. MARTIN, C. ET AL. Alcohol content labeling and advertising: theAdolph Coors Company lawsuit. Journal of drug issues, 22(4):949 -958 (1992).

194

Page 200: accoe ou un45opMatuu - WHO/Europe · JeücmEuSt no npO6neMaM anK020n11 na MecmnoM u MynuuunanbnoM yp08ne, Bruce Ritson. An.KOZOnb u nepeunnan Meôuxo-caxumapnast noMouyb, Peter Anderson

EBP011EliCKNN 1111AH pENCTBINrI 110 60Pb6E C110TPE611EHNEM A11K01-011H

Ai, "1H:IAiCO1OA6110(' 111)(KBCI14CHHC' SII3_nSICIYSI O/411IIM 41:3 ItaHl)OA('('LIIHpOKO HCI10Ab3yCMbIX CpeAcTB iI(1)131141IO1i 11p0(1)IIAaKl 11KH CBS13iI111161XC aAKOrOACM IIp06ACM. -Lem fIC MeHCe, 0/411011 11:3 111)H4HH et-0U1paI1HMC 1IHOr0 ycllCXa 5-1BAïIere51 TO, 411) oiio K01lKVpHpyCr C 14OTOKO14C006114CHHH, Ii1)011alall/4tipyl(H14HX. 1101pC6ACIIHC aA1COrOASI. 11CpBH9HbLMHCTO4IIHIU)M llp(LAKOr(L1601,1X 0006L14C1111ii SHSAnC'lCSI CaMa ('OL4HaAbIlaS1/1,('iiCIBH rCAbHUCII,: It1111)01.0 1)/1( 111)0C p.H1CiIHaS1 II 11'<tl'An/4HaSi

/40Cl VIIIlUCTb FUKOr0Ab11biX Halm 'IKUB, a TaKiKC HpHCy lc' lBite 14

LLpHCMACMOC:rb aAKOi'OASI B0 MB101214X C>KC/411CB11444X CIr1yaL4HSIX 1i

VCA o B IIS1X.

1pO(IBiAalClliKa c13S1:3aHLlbiX C aAKoroACM Hpo6ACM lpCf)VCIHII1Crp11p0I3aII11Ur0 II0/4X0/4a, COC/41HISI1(n14C1O B Ce6C HeCKOAbK0C. Ip:rICrH41, K(YrOpbIC HC CI OAbKO ubr1L110 1C41 OIIyCTH 111)06ACMb1 /40

yl)OBbIA H,H/4HB14,4yaAbHOi'0 IIOBCJ4C11NS1, CK0AbK0 aaIlliMalO'rCtl HMH KaKCBOÎfiCTBaMH gI73H4CCICOH H C0I441aAbH041 06CraLIOBK.1I. ,BCCCIY)pOHlülSirOCy/4apCTBeILHan IIOAlITHKa 110 aAK01'0AH) /40A>KHa 6brrb 11)/4/4cpN:aliaIlpOCBCl7ifCAb1161M11 KaMiLaI1NSIMH H Ii0111p(.IACM pCKAaMIiI.

} ;SIY)11 IIHHfC, MClISep TOH LS CCI)IIH 113 /1,e11111 II, HCII0Ab3OBaI10MIiO>K.CCrBO Hay4HbLX pa60r 143 1!d3p0ltbl HCeßeplLOH AMepHKH aAnOHHCaI1HA pa3L1006paailbiX C006rL4CHHH Cpe,QCTB M$CCOBOH H11pOpMagHHo6 aAKOrOAe: iIpOCBCTHTeAbHbIX, KOMMCp4CCKITX ri ILOSIBA}7K)L14HXCSI B06bp-iliblX IIOBOCrSIX H pa:SBACKa'l'CAbHbIX MaTCpliaAaX.

B KLI1H'C 06CYiK/4aC1('.5I. BAli41104C C006114c'IIH41 Cp0/4CTB MacCOBOIiHll(i)OpMai4F1Il Ha ßarAflAbi A10/4CH 1-La aAKOrOAb Li B6LT1I1l1414. B r1C41I1pHBeAeHO MYiO>KCC1B0Im131:{:GIa`A']WB, BbI4.B.FIPIyTbIX IIpaBHTCAbCTBOM H/1,pyrHMH I'pyrHlaMH C ['IO MO4140Hi.4TipOBarb :)1H COO6114CH4SI 14IlUKa3a'l'b yGAOBHna B KOTOp6I'X AIO/414 IIpHIIHMa10T pCtIIC11H51 110 IIOBO/iyBI,IIIIiB6<. 1lOAy4ClI1IbIC yp0K11 H OIIbIT (IKa>IL'yT 14CIIIIy10 II0M01146 HaCAC/4yN)H4HX pa6U'bl co cpC/4CI'BaMli Mr°1..CCOBON HHqOpM.n1,HH. IIOIIpOq)HAaICrlIKC H 1(01111)0Al0 CBHaaI1HbIX C aA.1COr0ACM IIpO6AeM.

ISBN 92 890 4326 1 llluCIil .c)p.39.