alcohol policy 4 best buys

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ALCOHOL POLICY High-impact, evidence-based measures for Life set free

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Concise overview on four crucial, high-impact, evidence-based alcohol policy measures that have vast potential towards Life set free

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Page 1: Alcohol policy 4 best buys

ALCOHOL POLICY High-impact, evidence-based measures

for Life set free

Page 2: Alcohol policy 4 best buys

This key-note speech…

… is about unleashing the power of alcohol policy -  3 Best buys -  Alcohol free environments -  The global alcohol industry – opponents to what works -  Cost-efficiency of prevention through policy

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 3: Alcohol policy 4 best buys

3 Best buys…

… As outlined in -  WHO Global Alcohol Strategy, 2010 -  Global Action Plan for Prevention, Control of NCDs 2013‐2020 -  World Economic Forum & Harvard SPH report: Global economic

burden of NCDs

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 4: Alcohol policy 4 best buys

3 Best buys…

… As outlined in -  WHO Global Alcohol Strategy, 2010 -  Global Action Plan for Prevention, Control of NCDs 2013‐2020 -  World Economic Forum & Harvard SPH report: Global economic

burden of NCDs

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 5: Alcohol policy 4 best buys

Restricting affordability…

… is about making alcohol cost more -  The higher the price, the lower total alcohol use -  Protective especially for children and young people

-  (Minimum unit pricing) -  Taxes on alcoholic beverages

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 6: Alcohol policy 4 best buys

Restricting affordability…

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 7: Alcohol policy 4 best buys

Restricting affordability…

… through taxation of alcohol -  Revenue for other government activities -  Example Thailand Alcohol Act: finance health

promotion, means double positive power -  Moral goal: alcohol should bear its own costs

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 8: Alcohol policy 4 best buys

Decreasing availability…

… is about lowering outlets, opportunities to purchase alcohol -  The lower the density of alcohol outlets, the lower total alcohol

use -  Protective especially for children and young people, women -  Safer, more free and inclusive public spaces: nightlife, public

transport, streets and squares

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 9: Alcohol policy 4 best buys

Decreasing availability…

… is causing more freedom especially for vulnerable groups

-  Legal age limit -  Licensing system for on- and off-sale -  Opening hours -  Retail monopoly: selling alcohol with public health objectives

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 10: Alcohol policy 4 best buys

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 11: Alcohol policy 4 best buys

Banning alcohol marketing…

… is about de-glamorizing alcohol -  Big Alcohol targets children and young people -  Big Alcohol objectifies and sexualizes women and girls

-  Marketing causes youth to start using earlier and more heavily when exposed to marketing

-  A rich and free life doesn’t need alcohol

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 12: Alcohol policy 4 best buys

Banning alcohol marketing…

… is about protecting the way of life in Asia -  Western lifestyle is obviously consumption driven -  NCDs, life style diseases, are exported by Western multi-

national corporations to “emerging markets” threatening traditional ways of living in Asian communities

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 13: Alcohol policy 4 best buys

Banning alcohol marketing…

… is about protecting the way of life in Asia -  Western lifestyle is obviously consumption driven -  NCDs, life style diseases, are exported by Western multi-

national corporations to “emerging markets” threatening traditional ways of living in Asian communities

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 14: Alcohol policy 4 best buys

The 4th Best buy… … is creating alcohol free environments -  Disregarded factor in alcohol policy today -  But part of list of “guiding principles” in WHO Global Alcohol

Strategy: see principle g) -  Framingham Heart Study -  Hidden influence of Social Networks

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 15: Alcohol policy 4 best buys

Creation of alcohol free environments…

… is about good mental health, healthy lifestyles, communities, inclusion, freedom – especially for children and youth -  67% of young Swedes (age 13-25) use alcohol to socialize with peers -  Only 43% actually like alcohol -  80% say alcohol free environments are safer -  75% say more can join and be included in alcohol free environments

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 16: Alcohol policy 4 best buys
Page 17: Alcohol policy 4 best buys

How do we know all this works?

… we look at what Big Alcohol says:

-  They are against all of these measures. -  Jeopardize profits -  Shield “emerging markets” children, youth, women from Big

Alcohol messages -  Question and change alcohol culture

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 18: Alcohol policy 4 best buys
Page 19: Alcohol policy 4 best buys

How do we know all this works?

… we look at independent research

-  “Alcohol. No Ordinary Commodity” a global analysis of studies analyzing impact of alcohol policy measures

-  Education doesn’t not change behavior, but costs a lot -  Taxes, restrictions of availability and marketing bans cost much

less and have high impact -  Highest impact is unleashed when used in integrated approach

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 20: Alcohol policy 4 best buys

How do we know all this works?

… we look at a chart… -  From “Alcohol. No ordinary commodity.

Research and public policy. 2nd edition” -  Table 16.1 Ratings of policy-relevant

strategies and interventions -  By Babor, Casswell, Holder, Österberg, Rehm,

Room et al.

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 21: Alcohol policy 4 best buys

How do we know all this works?

… we look at a chart…

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 22: Alcohol policy 4 best buys

How do we know all this works?

… we look at a chart…

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 23: Alcohol policy 4 best buys

How do we know all this works?

… we look at a chart…

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 24: Alcohol policy 4 best buys

How do we know all this works?

… we look at a chart…

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 25: Alcohol policy 4 best buys

Anything missing?

Let’s discuss it…

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 26: Alcohol policy 4 best buys

ALCOHOL POLICY High-impact, evidence-based measures for

Life set free

Page 27: Alcohol policy 4 best buys

Enjoy the workshop and good luck with the future work. / 2013-10-14 – Esbjörn Hörnberg

[email protected]

+46 70 538 2872

IOGT International

@IOGTInt #HeartDriven

www.iogt.org

THANK YOU VERY MUCH FOR YOUR ATTENTION Esbjörn Hörnberg Executive Director LIFE SET FREE