期刊论文详细信息
BMC Public Health
What should be done about policy on alcohol pricing and promotions? Australian experts’ views of policy priorities: a qualitative interview study
Simon Chapman1  Andrea S Fogarty1 
[1] Sydney School of Public Health, The University of Sydney, Edward Ford Building (A27), Sydney, NSW 2006, Australia
关键词: Advocacy;    Public health;    Policy;    Alcohol pricing;    Alcohol advertising;   
Others  :  1162072
DOI  :  10.1186/1471-2458-13-610
 received in 2013-02-13, accepted in 2013-05-07,  发布年份 2013
PDF
【 摘 要 】

Background

Alcohol policy priorities in Australia have been set by the National Preventative Health Task Force, yet significant reform has not occurred. News media coverage of these priorities has not reported public health experts as in agreement and Government has not acted upon the legislative recommendations made. We investigate policy experts’ views on alcohol policy priorities with a view to establishing levels of accord and providing suggestions for future advocates.

Methods

We conducted semi-structured in depth interviews with alcohol policy experts and advocates around Australia. Open-ended questions examined participants’ thoughts on existing policy recommendations, obvious policy priorities and specifically, the future of national reforms to price and promotions policies. All transcripts were analysed for major themes and points of agreement or disagreement.

Results

Twenty one alcohol policy experts agreed that pricing policies are a top national priority and most agreed that “something should be done” about alcohol advertising. Volumetric taxation and minimum pricing were regarded as the most important price policies, yet differences emerged in defining the exact form of a proposed volumetric tax. Important differences in perspective emerged regarding alcohol promotions, with lack of agreement about the preferred form regulations should take, where to start and who the policy should be directed at. Very few discussed online advertising and social networks.

Conclusions

Despite existing policy collaborations, a clear ‘cut through’ message is yet to be endorsed by all alcohol control advocates. There is a need to articulate and promote in greater detail the specifics of policy reforms to minimum pricing, volumetric taxation and restrictions on alcohol advertising, particularly regarding sporting sponsorships and new media.

【 授权许可】

   
2013 Fogarty and Chapman; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150413052231667.pdf 259KB PDF download
【 参考文献 】
  • [1]Parry CD, Patra J, Rehm J: Alcohol consumption and non-communicable diseases: epidemiology and policy implications. Addiction 2011, 106:1718-1724.
  • [2]World Health Organisation: WHO expert committee on problems related to alcohol consumption: second report. Geneva: World Health Organisation; 2007. 08/03/2013; "UL*: Available from: http://www.who.int/substance_abuse/expert_committee_alcohol_trs944.pdf webcite
  • [3]Cherpitel CJ, Ye Y, Bond J, Borges G, Chou P, Nilsen P, et al.: Multi-level analysis of alcohol-related injury and drinking pattern: emergency department data from 19 countries. Addiction 2012, 107:1263-1272.
  • [4]Williams M, Mohsin M, Weber D, Jalaludin BIN, Crozier J: Alcohol consumption and injury risk: a case-crossover study in Sydney. Australia. Drug Alcohol Rev 2011, 30:344-354.
  • [5]World Health Organisation: Global status report on alcohol and health. 2011. [15/10/2012]; Available from: http://www.who.int/substance_abuse/publications/global_alcohol_report/msbgsruprofiles.pdf webcite
  • [6]Descallar J, Muscatello DJ, Weatherburn D, Chu M, Moffatt S: The association between the incidence of emergency department attendances for alcohol problems and assault incidents attended by police in New South Wales, Australia, 2003–2008: a time–series analysis. Addiction 2012, 107:549-556.
  • [7]Byrnes JM, Doran CM, Shakeshaft AP: Cost per incident of alcohol-related crime in New South Wales. Drug Alcohol Rev 2012, 31:854-860.
  • [8]AIHW: 2010 National Drug Strategy Household Survey report. Drug statistics series no. 25. Cat. no. PHE 145. Canberra: AIHW; 2011. 22/02/2013; Available from: http://www.aihw.gov.au/publication-detail/?id=32212254712 webcite
  • [9]Livingston M: Recent trends in risky alcohol consumption and related harm among young people in Victoria, Australia. Aust N Z J Public Health 2008, 32:266-271.
  • [10]Livingston M, Laslett AM, Dietze P: Individual and community correlates of young people's high-risk drinking in Victoria Australia. Drug Alcohol Depend 2008, 98:241-248.
  • [11]Begg S, Vos T, Barker B, Stevenson C, Stanley L, Lopez AD: The burden of disease and injury in Australia 2003. Australia: Canberra; 2007.
  • [12]Collins DJ, Lapsley HM: The costs of tobacco, alcohol and illicit drug abuse to Australian society in 2004/05. Australia: Canberra; 2008.
  • [13]Collins DJ, Lapsley HM: The avoidable costs of alcohol abuse in Australia and the potential benefits of effective policies to reduce the social costs of alcohol. Australia: Canberra; 2008.
  • [14]Alcohol Working Group of the Preventative Health Taskforce: Preventing alcohol-related harm in Australia: a window of opportunity. Australia: the healthiest country by 2020. Canberra: National Preventative Health Taskforce, Australian Government; 2009. Canberra 2009 [06/03/2013]; Available from: http://www.preventativehealth.org.au/internet/preventativehealth/publishing.nsf/Content/09C94C0F1B9799F5CA2574DD0081E770/$File/alcohol-jul09.pdf webcite
  • [15]World Health Organisation: Global strategy to reduce the harmful Use of alcohol. 2010. [06/03/2013]; Available from: http://www.who.int/substance_abuse/alcstratenglishfinal.pdf webcite
  • [16]Babor T, Caetano R, Casswell S, Edwards G, Giesbrecht N, Graham K, et al.: Alcohol: no ordinary commodity research and public policy. 2nd edition. Oxford: Oxford University Press; 2010.
  • [17]Dobson C: Alcohol marketing and young people: time for a new policy agenda. Kingston, ACT: Australian Medical Association; 2012. [19/09/2012]; Available from: https://ama.com.au/alcohol-marketing-and-young-people webcite
  • [18]Australian Medical Association: Alcohol consumption and alcohol-related harms 2009. 2009. [02/02/2011]; Available from: https://ama.com.au/alcohol-use-and-harms-australia-2009-information-paper webcite
  • [19]Alcohol Policy Coalition: A nation drowning: the need for national alcohol reform. West Melbourne: Alcohol Policy Coalition; 2010. [11/11/2011]; Available from: http://117.55.235.172/attachments/123_ADF_Flyer_Fed_Individual_.pdf webcite
  • [20]Cancer Council Victoria: New national alliance formed to reduce harm from alcohol. 2010. [26/04/2012]; Available from: http://www.cancervic.org.au/naaa-formed.html webcite
  • [21]National Alliance for Action on Alcohol: Reducing harm from alcohol - creating a healthier Australia: position statement. 2012. Available from: http://www.fare.org.au/wp-content/uploads/2011/07/101126Attachmenttosub-NAAAPositionStatement-Reducingharmfromalcohol-creatingahealthierAustralia.pdf webcite
  • [22]Anderson P, Chisholm D, Fuhr DC: Alcohol and global health 2: effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol. Lancet 2009, 373:2234-2246.
  • [23]Cobiac L, Vos T, Doran C, Wallace A: Cost-effectiveness of interventions to prevent alcohol-related disease and injury in Australia. Addiction 2009, 104:1646-1655.
  • [24]Purshouse RC, Meier PS, Brennan A, Taylor KB, Rafia R: Estimated effect of alcohol pricing policies on health and health economic outcomes in England: an epidemiological model. Lancet 2010, 375:1355-1364.
  • [25]World Medical Association: WMA resolution on a minimum unit price for alcohol. 2012. [16/04/2013]; Available from: http://www.wma.net/en/30publications/10policies/a32/index.html webcite
  • [26]Wagenaar AC, Salois MJ, Komro KA, Wagenaar AC, Salois MJ, Komro KA: Effects of beverage alcohol price and tax levels on drinking: a meta-analysis of 1003 estimates from 112 studies. Addiction 2009, 104:179-190.
  • [27]Wagenaar AC, Tobler AL, Komro KA: Effects of alcohol tax and price policies on morbidity and mortality: a systematic review. Am J Public Health 2010, 100:2270.
  • [28]DSICA: Submission to the australian national preventative health agency exploring the public interest case for a minimum (floor) price for alcohol issues paper. 2012. Available from: http://www.dsica.com.au/Library/PageContentFiles/17eca36a-c9ed-4f00-90b5-e60dbcd68046/FINAL___DSICA_Submission_on_Minimum_Floor_Price_Issues_Paper.pdf webcite
  • [29]Australian Government Treasury: Australia's future tax system: the review. 2008. [19/03/2013]; Available from: http://www.taxreview.treasury.gov.au/content/Content.aspx?doc=html/the_review.htm webcite
  • [30]Henry K, Harmer J, Piggot J, Ridout H, Smith G: Australia's Future Tax system: report to the treasurer. 2010. [19/02/2013]; Available from: http://taxreview.treasury.gov.au/content/FinalReport.aspx?doc=html/publications/papers/Final_Report_Part_1/chapter_12.htm webcite
  • [31]Australian Drug Foundation: PolicyTalk: the role of taxation in reducing alcohol-related harm. 2011. [08/10/2012]; Available from: http://www.adf.org.au/policy-advocacy/policytalk-april-2011 webcite
  • [32]The Allen Consulting Group: Alcohol taxation reform: starting with the wine equalisation Tax. Foundation for alcohol research and education. 2011. [17/04/2013]; Available from: http://www.fare.org.au/wp-content/uploads/2011/07/Allen-Consulting-Group-Report-Alcohol-Taxation-Reform-Starting-with-the-Wine-Equalisation-Tax.pdf webcite
  • [33]Byrnes JM, Cobiac LJ, Doran CM, Vos T, Shakeshaft AP: Cost-effectiveness of volumetric alcohol taxation in Australia. Med J Aust 2010, 192:439-443.
  • [34]Australian Association of National Advertisers: AANA Code of Ethics January 2012. 2012. [19/02/2013]; Available from: http://www.aana.com.au/data/Documents/Codes/AANACodeofEthics_1Jan2012.pdf webcite
  • [35]FreeTV Australia: The commercial television industry code of practice. 2010. [19/02/2013]; Available from: http://www.freetv.com.au/media/Code_of_Practice/2010_Commercial_Television_Industry_Code_of_Practice.pdf webcite
  • [36]The ABAC Scheme: Alcohol beverages advertising (and packaging) code. 2010. [19/02/2013]; Available from: http://www.abac.org.au/wp-content/uploads/2013/06/ABAC-Code-at-1-March-2012-.pdf webcite
  • [37]Anderson P, de Bruijn A, Angus K, Gordon R, Hastings G: Impact of alcohol advertising and media exposure on adolescent alcohol use: a systematic review of longitudinal studies. Alcohol Alcohol 2009, 44:229-243.
  • [38]Jones SC, Hall D, Munro G, Jones SC, Hall D, Munro G: How effective is the revised regulatory code for alcohol advertising in Australia? Drug Alcohol Rev 2008, 27:29-38.
  • [39]Jones S, Magee C: Exposure to alcohol advertising and alcohol consumption among Australian adolescents. Alcohol Alcohol 2011, 46:630-637.
  • [40]Jones S: When does alcohol sponsorship of sport become sports sponsorship of alcohol? A case study of developments in sport in Australia. International Journal of Sports Marketing & Sponsorship 2010, 11:250-261.
  • [41]Jones SC, Gregory P, Munro G: Adolescent and young adult perceptions of Australian alcohol advertisements. Journal of Substance Use 2009, 14:335-352.
  • [42]Jones SC, Donovan RJ: Self-regulation of alcohol advertising: is it working for Australia? Journal of Public Affairs 2002, 2:153-165.
  • [43]Swan W, Roxon N: Increased tax on 'ready to drink' alcoholic beverages. Commonwealth of Australia: Press Release; 2008.
  • [44]Commonwealth of Australia: Taking preventative action - a response to Australia: the healthiest country by 2020. 2010. [12/03/2012]; Available from: http://www.preventativehealth.org.au/internet/preventativehealth/publishing.nsf/Content/6B7B17659424FBE5CA25772000095458/$File/tpa.pdf webcite
  • [45]Australian National Preventive Health Agency: Exploring the public interest case for a minimum (floor) price for alchol. 2012. [19/02/2013]; Available from: http://www.anpha.gov.au/internet/anpha/publishing.nsf/Content/issues-paper-minimum-price-alcohol webcite
  • [46]Munro G: Why the Distilled Spirits Industry Council of Australia is not a credible partner for the Australian government in making alcohol policy. Drug Alcohol Rev 2012, 31:365-369.
  • [47]Fogarty A, Chapman S: Advocates, interest groups and Australian news coverage of alcohol advertising restrictions: content and framing analysis. BMC Public Health 2012, 12:727. BioMed Central Full Text
  • [48]Fogarty AS, Chapman S: Framing and the marginalisation of evidence in media reportage of policy debate about alcopops, Australia 2008–2009: Implications for advocacy. Drug Alcohol Rev 2010, 30:569-576.
  • [49]Chapman S, Holding SJ, Ellerm J, Heenan RC, Fogarty AS, Imison M, et al.: The content and structure of Australian television reportage on health and medicine, 2005–2009: parameters to guide health workers. Med J Aust 2009, 191:620-624.
  • [50]Australian Drug Foundation. 2012. [17/10/2012]; Available from: http://www.adf.org.au/ webcite
  • [51]National drug research Institute. 2012. [08/11/2012]; Available from: http://ndri.curtin.edu.au/ webcite
  • [52]McCusker Centre for Action on Alcohol and Youth: McCusker centre for action on alcohol and youth. About us. 2012. [12/03/2013]; Available from: http://www.mcaay.org.au/about-us.html webcite
  • [53]National drug and alcohol research centre. 2012. [17/10/2012]; Available from: http://ndarc.med.unsw.edu.au/ webcite
  • [54]Foundation for alcohol research and education. About us. 2012. [12/03/2013]; Available from: http://www.fare.org.au/about-us/ webcite
  • [55]QSR International: NVivo features and benefits. 2012. [08/10/2012]; Available from: http://www.qsrinternational.com/products_nvivo.aspx webcite
  • [56]Gibbs G: Chapter 4: thematic coding and categorizing. In Analysing qualitative data. Edited by Flick U. London: Sage; 2007.
  • [57]Australian Taxation Office: Guide to the wine equalisation tax. Australian Government. 2012. [21/09/2012]; Available from: http://www.ato.gov.au/Business/Wine-equalisation-tax/ webcite
  • [58]National Alliance for Action on Alcohol: Position statement: alcohol marketing and promotion. 2012. [17/10/2012]; Available from: http://www.actiononalcohol.org.au/our-work/position-statements/alcohol-marketing-and-promotion webcite
  • [59]Chapman S, Scollo M, Jones A, Sanders S, Daube M, Hefler M, et al.: Plain tobacco packaging in Australia: a time-line of significant events and news media coverage. 2012. [08/11/2012]; Available from: http://tobacco.health.usyd.edu.au/assets/pdfs/publications/Time-line.doc webcite
  • [60]Stockwell T, Auld MC, Zhao J, Martin G: Does minimum pricing reduce alcohol consumption? The experience of a Canadian province. Addiction 2012, 107:912-920.
  • [61]Black H, Gill J, Chick J: The price of a drink: levels of consumption and price paid per unit of alcohol by Edinburgh's ill drinkers with a comparison to wider alcohol sales in Scotland. Addiction 2011, 106:729-736.
  • [62]Rickard M, Dobson C: Issues Paper: The public interest case for a minimum (floor) price for alcohol. Australian Medical Association; 2012. [15/10/2012]; Available from: https://ama.com.au/submission-exploring-public-interest-case-minimum-floor-price-alcohol webcite
  • [63]Carragher N, Chalmers J: What are the options? Pricing and taxation policy reforms to redress excessive alcohol consumption and related harms in australia. NSW Bureau of Crime Statistics Research 2011. [15/10/2012]; Available from: http://www.lawlink.nsw.gov.au/lawlink/bocsar/ll_bocsar.nsf/vwFiles/R59a.pdf/$file/R59a.pdf webcite
  • [64]Alcohol Advertising Review Board: Alcohol Advertising Review Board. 2012. [19/02/2013]; Available from: http://www.alcoholadreview.com.au/ webcite
  • [65]Carah N, van Horan A: Drinkwise, enjoy responsibly: News frames, branding and alcohol. Media International Australia, Incorporating Culture & Policy; 2011:5-16.
  • [66]Casswell S: Current status of alcohol marketing policy—an urgent challenge for global governance. Addiction 2012, 107:478-85.
  • [67]Foundation for Alcohol Research and Education: NSW/ACT Alcohol Policy Alliance. 2013. [16/04/2013]; Available from: http://www.fare.org.au/support-us/nswact-alliance-for-action-on-alcohol/ webcite
  文献评价指标  
  下载次数:5次 浏览次数:17次