WHY WE NEED TO CHANGE OUR DRINKING CULTURE
|
|
- Caroline Fox
- 5 years ago
- Views:
Transcription
1 WHY WE NEED TO CHANGE OUR DRINKING CULTURE OUR DRINKING LANDSCAPE - ALCOHOL IS OVERSUPPLIED AND ADVERTISED HEAVILY Our drinking landscape has changed considerably over the last 30 years. We have seen increases in the number of places selling alcohol and the types of products available and strategies to advertise them, and reductions in the price of alcohol. Beginning in 1989, new liquor laws increased the availability of alcohol across NZ [1] - o o wine and beer became available in supermarkets and grocery stores in 1989 and 1999 respectively [1]; the minimum legal age to purchase alcohol was reduced from 20 to 18 years in P a g e
2 The number of places that sold alcohol more than doubled from to 6,300 in 1990 to 14,200 in 2009 [2]. Today, around 75% of all alcohol in NZ is sold from off-licences: 43% from bottle stores and 32% from supermarkets and grocery stores [1]. More liquor outlets are concentrated in poor suburbs than rich suburbs [3]. The increasingly availability of Ready to Drinks (RTDs) has had a huge impact on heavy drinking in New Zealand, particularly among young girls. Alcohol has become more affordable over time [4]. In 2009, it was estimated that $200,000 was spent each day advertising alcohol in New Zealand [5]. Within prime-time television viewing in New Zealand, a scene depicting alcohol occurs every 9 minutes [6]. New Zealanders spend $85 million per week on alcohol ($4-5 billion per year). OUR DRINKING CULTURE 2 P a g e
3 New Zealanders typically drink large amounts of alcohol. Although, overall, we drink less than the Irish and British (and slightly less than Australians), we drink more than Americans, Canadians and South Africans. In 2016, 474 million litres of alcoholic drinks were available for sale (292 million litres of beer, 109 million litres of wine, 73 million litres or spirits/spirit-based drinks). This equates to 34 million litres of pure alcohol, or 9.4 litres of pure alcohol per person aged 18 and above [7]. To put this into perspective, it is the same as every person aged over 18 years consuming two standard drinks per person every day of the year (i.e. 2 cans of beer (330ml, 4% alcohol) or 2 glasses of wine (12.5%; 100ml) [7] However, in reality we know that most between 40-50% of all alcohol sold in NZ is consumed in heavy drinking occasions. In 2015/16, 4 in every 5 New Zealand adults (80%) drank alcohol in the past year [8]. 3 P a g e
4 In 2015/16, o around 780,000 adults were hazardous drinkers [8]; o Almost half (44%) of young men (aged 18 to 24 years) were hazardous drinkers [8]; o Males (29%) were twice as likely as females (13%) to be hazardous drinkers [8]. o Young adults aged 18 to 24 years had the highest rate (20%) of weekly binge drinking (six or more drinks standard drinks on one occasion) [8]. The percentage of adults with hazardous drinking patterns decreased from 18% in 2005/06 to 15% in However, since 2011 hazardous drinking has increased every year [8]. In 2015/16 the prevalence was 19% (when measured in standard drinks it is 21%). The largest increases in hazardous drinking has been seen in those aged years old. Fewer adolescents are choosing to drink (61% current drinkers in 2007 versus 45% in 2012). However, adolescents who do drink continue to drink large amounts. Of particular concern, young adolescent females in New Zealand may actually be increasing the volume of alcohol they consume when drinking [9]. 4 P a g e
5 ALCOHOL IS A KEY CONTRIBUTING FACTOR TO INEQUALITIES There are a number of factors which give rise to groups in society experiencing more alcoholrelated harm than others. Inequities in harm can be driven by our age, where we live and the number of alcohol outlets close to our homes, the socio-economic circumstances we live in, our exposure to racial discrimination and structural barriers that limit our opportunities, as well as our alcohol consumption patterns. Alcohol is a key contributing factor to health inequalities [10]. In 2015/2016, Māori adults were 1.5 more likely to be hazardous drinkers than non-māori [8]. In 2015/16, adults living in the most deprived areas were 1.4 times more likely (25% vs. 19%) to be hazardous drinkers than those living in the least deprived areas [8]. Māori are approximately twice as likely as non-māori to have alcohol use disorders even after taking into account age, sex, education and income [11]. 5 P a g e
6 Between 2004 and 2007, Maori deaths from alcohol were two and half times greater than non-maori [12]. New Zealand Secondary school students who report experiencing ethnic discrimination are almost twice as likely to report binge drinking as those who do not [13]. In 2015/16 43% of Pacific past-year drinkers were hazardous drinkers. Pacific adults who drink were 1.5 times more likely to be hazardous drinkers than non-pacific drinkers, after adjusting for age and sex [8]. Young Pacific people are less likely to binge drink if they had parental Pacific language use at home and had parents which knew where they were after school and at night time. However, participating in sports teams or a sports club was associated with an increased risk of binge drinking [14]. Harms from alcohol are more prevalent among drinkers in drinkers living in the most deprived areas [15]. HARMS FROM ALCOHOL VERSUS OTHER DRUGS 6 P a g e
7 Many people are aware that alcohol causes more harm than many other drugs available in our society. In a UK study measuring the harm score of different types of drugs, alcohol was found to be the most harmful drug with an overall harm score of 72, followed by heroin (55) and crack cocaine (54) [16]. The study measured - harms to users (e.g., drug specific death and illnesses, dependence and loss of relationships, etc); as well as harms to others (e.g. crime, injury and social costs). COST OF ALCOHOL TO SOCIETY Although the tax from alcohol consumption contributes to Government revenue, it does not match the costs of alcohol-related harm to our society. In 2016, alcohol contributed $950 million of government revenue in the form of excise tax [17]. 7 P a g e
8 Alcohol misuse is estimated to cost New Zealand society $5 billion each year (expressed in 2008 currency) [18]. This includes costs to individuals such as car insurance, lost wages and medical treatments, as well as cost to the government such as healthcare costs, road crashes, police and justice [18]. In comparison to alcohol, the social cost of other drug-related harms and intervention is estimated to be at $1.6 billion (expressed in 2008 currency) [18] and $1.8 billion in 2014/15 [19]. 11% of all ACC claims are attributed to alcohol-related injuries [20]. 18% of the New Zealand Police budget is spent on alcohol incidents. Alcohol also results in loss of productivity in workplaces and schools - o o In 2012/13, male drinkers (4%) were 1.6 times more likely to be absent from work or studies than female drinkers (2.5%) [15]; and In 2012/13, male drinkers (6.9%) were 1.4 times more likely to experience negative financial effects due to their drinking than female drinkers [15]. Every year, 147,500 adults take one or more days off work or school due to their alcohol use [21]. A total of 84,400 adults have experienced harmful effects on their work, study or employment because of alcohol [21]. In 2012, 6% of adolescent drinkers report having their work or school affected in the last year due to alcohol [22]. Among those students living in the most deprived areas, 8% report problems with work or school (exacerbating existing inequities in outcomes) [22]. 8 P a g e
9 OUR HARM PROFILE There are many, many direct and indirect harms resulting from alcohol use. Drinkers should be aware that the harms are both acute and chronic, and don t just relate to heavy drinking. Lower levels of consumption can also cause significant harm. There are 60 different medical conditions that are caused by heavy drinking Alcohol is considered a Class 1 carcinogen. This means the strength of the relationship between alcohol and cancer is similar to that of asbestos, arsenic, tobacco smoke, Ionizing radiation, vinyl chloride and ultraviolet radiation A, B & C [23]. 9 P a g e
10 Around 570 children are born each year in New Zealand with Fetal Alcohol Spectrum Disorder [24]. Every year in New Zealand, 802 New Zealanders die younger than expected due to their current drinking behaviours [12] - o Injuries were responsible for 43% of alcohol-related deaths [12]; o Cancers were responsible for 30% of alcohol-related deaths [25]; o 27% of alcohol-related deaths were due to a variety of other long-term diseases (e.g. liver cirrhosis) and pneumonia [12]; o Twice as many deaths from alcohol are observed in men as women [12]. Alcohol and drugs contributed to 29% of all fatal road crashes in NZ in 2016 [26]. Among young adults aged between 15 and 29 years, road traffic injuries led to more than half of alcohol-attributable deaths followed by self-inflicted injuries [12]. Among women aged between 30 to 44 years, one in five women (22.8%) died younger than expected due to breast cancers attributable to alcohol use [12]. More than a third of these breast cancer deaths in New Zealand are attributable to drinking less that two standard drinks per day on average [27]. 10 P a g e
11 Alcohol is a major risk factor for suicide [28, 29]. In 2014, over one-third of people who committed suicide had alcohol in their system (and a further 23% had traces of alcohol in their system) [30]. Among those who had attempted suicide and were admitted to an Emergency Department in 1999, 29% of young New Zealanders had some degree of harmful or dependent alcohol use [31]. There is no safe level of consumption for adolescents given the irreversible effects of alcohol on brain development. As the amount of alcohol consumed increases, declines in memory recall and learning are shown [32]. Female adolescent brains are particularly vulnerable to the damaging effects of alcohol [33]. The more alcohol-related harms a young New Zealander experiences, the less likely they are to finish high school [34]. From January 2008 to December 2012 Police received 360,166 calls for types of events that are typically related to alcohol (approximately 72,000 per year). HARMS FROM OTHER PEOPLE S DRINKING IS HIGHER THAN HARMS FROM OWN DRINKING We all bear the costs from alcohol-related harm; some more than others. In many cases, the harm from someone else s drinking is higher than the costs to the individual drinker. 11 P a g e
12 Alcohol is responsible for a third of all violence (33%) [35], a third of all family violence (34%) [35] half of all sexual assaults (54%) and homicides (49.5%) [36]. Over 300 alcohol-related offences are committed every day. Each day 52 individuals or groups of people are either driven home or detained in police because of intoxication. In 2008/09, one in nine New Zealanders reported that they called the police at least once in the past year due to other people s drinking [37]. A study in 2012 found that the prevalence of self-reported harm from others drinking was higher than harm from own drinking (18% vs 12% in the past year) and was higher in women and young people [36]. In 2009, alcohol-related presentations accounted for 10% of all presentations in the emergency department on a Saturday, increasing up to 25% during the night shifts (25%) [38]. Between 2003 and 2007, half of all alcohol-related traffic injuries in the year age group in New Zealand were due to someone else s drinking; the highest proportion in comparison to other age groups [39]. More than one quarter (28%) of respondents in a 2008/09 New Zealand survey indicated that they had at least one heavy drinker in their life; 85% indicated they had experienced a range of harms because of this person s drinking. Further, 17% of respondents with children reported that their children experienced harm because of the drinking of someone else [40]. Seventy-one percent of those sampled reported experiencing at least one harm because of the drinking of a stranger [40]. A small study in New Zealand found that Emergency Department staff, in particular nurses, were commonly assaulted by alcohol-affected patients [41]. REFERENCES 1 New Zealand Law Commission. Alcohol in Our Lives: Curbing the harm: A report on the review of the regulatory framework for the sale and supply of liquor. Wellington: New Zealand Law Commission; Connor JL, Kypri K, Bell ML, et al. Alcohol outlet density, levels of drinking and alcohol-related harm in New Zealand: a national study. Journal of Epidemiology & Community Health 2010: jech Pearce J, Day P, Witten K. Neighbourhood provision of food and alcohol retailing and social deprivation in urban New Zealand. Urban Policy and Research 2008;26: Gunasekara FI, Wilson N. Very cheap drinking in New Zealand: some alcohol is more affordable than bottled water and nearly as cheap as milk. N Z Med J 2010;123: P a g e
13 5 Sellman D. Submission to the New Zealand Law Commission. Alcohol Action New Zealand McGee R, Ketchel J, Reeder AI. Alcohol imagery on New Zealand television. Substance Abuse Treatment, Prevention, and Policy 2007;2:6. 7 Statistics New Zealand. Alcohol Available for Consumption: Year ended December Retrieved from ohol-available-for-consumption_hotpyedec16.aspx [Accessed 27 June 2017]. 8 Ministry of Health, Annual Update of Key Results 2015/16: New Zealand Health Survey. Wellington: Ministry of Health; Retrieved from [Accessed 5 July 2017]. 9 Jackson N, Denny S, Sheridan J, et al. Uneven reductions in high school students' alcohol use from 2007 to 2012 by age, sex, and socioeconomic strata. Substance Abuse 2017;38: Smith K, Foster J. Alcohol, health inequalities and the harm paradox: why some groups face greater problems despite consuming less alcohol. Institute of Alcohol Studies New Zealand Law Commission. Alcohol in Our Lives: An issue paper on the reform of New Zealand's liquor laws. Wellington: New Zealand Law Commission; Connor J, Kydd R, Shield K, et al. The burden of disease and injury attributable to alcohol in New Zealanders under 80 years of age: marked disparities by ethnicity and sex. N Z Med J 2015;128: Crengle S, Robinson E, Ameratunga S, et al. Ethnic discrimination prevalence and associations with health outcomes: data from a nationally representative cross-sectional survey of secondary school students in New Zealand. BMC Public Health 2012;12: Teevale T, Robinson E, Duffy S, et al. Binge drinking and alcohol-related behaviours amongst Pacific youth: a national survey of secondary school students. The New Zealand Medical Journal (Online) 2012; Ministry of Health. Alcohol use 2012/13: New Zealand Health Survey Nutt DJ, King LA, Phillips LD. Drug harms in the UK: a multicriteria decision analysis. The Lancet 2010;376: The New Zealand Treasury. Financial Statements of the Government of New Zealand for the year ended 30 June Wellington: The New Zealand Treasury; Retrieved from [Accessed 5 July 2017]. 18 Slack A, Nana G, Webster M, et al. Costs of harmful alcohol and other drug use. BERL Economics 2009: New Zealand Drug Foundation. Drug Use in New Zealand. Policy and Advocacy. Retrieved from: [Accessed 5 July 2017]. 13 P a g e
14 20 Accident Compensation Corporation,. Public injury prevention programme: Logic to reduce alcohol as a contributing factor to in injury. 21 Alcohol Advisory Council of New Zealand, New Zealand Drug Foundation, Accident Compensation Corporation, et al. Alcohol and Other Drugs in the Workplace - Employer Guide. Wellington: ALAC/NZ Drug Foundation/ACC; Clark TC, Fleming T, Bullen P. Youth'12 prevalence tables: The health and wellbeing of New Zealand secondary school students in Auckland: The University of Auckland; World Health Organization, International Agency for Research on Cancer. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Geneva: WHO/IARC; Retrieved from [Accessed 25 July 2017]. 24 FASD Working Group. Taking Action on Fetal Alcohol Spectrum Disorder: : An action plan. Wellington: Ministry of Health Retrieved from [Accessed 25 July 2017]. 25 Connor J, Broad J, Jackson R, et al. The Burden of Death, Disease and Disability due to Alcohol in New Zealand: Research summary. Wellington: Alcohol Advisory Council of New Zealand; Retrieved from [Accessed 5 July 2017]. 26 Ministry of Transport. Alcohol and Drugs. Auckland: Ministry of Transport; Retrieved from [Accessed 25 July 2017]. 27 Connor J, Kydd R, Maclennan B, et al. Alcohol attributable cancer deaths under 80 years of age in New Zealand. Drug Alcohol Rev 2017;36: Pompili M, Serafini G, Innamorati M, et al. Suicidal behavior and alcohol abuse. International journal of environmental research and public health 2010;7: Alexander CW, Amy LT, Kelli AK. Effects of alcohol tax and price policies on morbidity and mortality: a systematic review. American journal of public health 2010;100: doi: /ajph Rossiter P. Coronial Services of New Zealand Bennett S, Coggan C, Hooper R, et al. Presentations by youth to Auckland emergency departments following a suicide attempt. International Journal of Mental Health Nursing 2002;11: Nguyen Louie TT, Tracas A, Squeglia LM, et al. Learning and Memory in Adolescent Moderate, Binge, and Extreme Binge Drinkers. Alcoholism: Clinical and Experimental Research 2016;40: P a g e
15 33 Squeglia LM, Sorg SF, Schweinsburg AD, et al. Binge drinking differentially affects adolescent male and female brain morphometry. Psychopharmacology (Berl) 2012;220: Silins E, Fergusson DM, Patton GC, et al. Adolescent substance use and educational attainment: an integrative data analysis comparing cannabis and alcohol from three Australasian cohorts. Drug Alcohol Depend 2015;156: New Zealand Police. National Alcohol Assessment Retrieved from [Accessed 25 July 2017]. 36 Connor J, Casswell S. Alcohol-related Harm to Others in New Zealand: evidence of the burden and gaps in knowledge. The New Zealand Medical Journal (Online) 2012;125: Huckle T, Wong K, Parker K, et al. Increased use of police and health-related services among those with heavy drinkers in their lives in New Zealand. N Z Med J 2017;130: Stewart R, Das M, Ardagh M, et al. The impact of alcohol-related presentations on a New Zealand hospital emergency department. The New Zealand Medical Journal (Online) 2014;127: Connor J, Casswell S. The burden of road trauma due to other people's drinking. Accident Analysis & Prevention 2009;41: Casswell S, Harding JF, You RQ, et al. Alcohol's harm to others: self-reports from a representative sample of New Zealanders. The New Zealand Medical Journal (Online) 2011; Gunasekara FI, Butler S, Cech T, et al. How do intoxicated patients impact staff in the emergency department? An exploratory study. The New Zealand Medical Journal (Online) 2011;124. Alcohol Healthwatch Trust December, P a g e
Reducing harms from alcohol in our communities
Reducing harms from alcohol in our communities Position statement Counties Manukau Health (CM Health) cares about the achievement of equitable health and wellbeing for the population we serve. Alcohol-related
More informationAlcohol, Harm and Health Inequalities in Scotland
Alcohol, Harm and Health Inequalities in Scotland Penny Rogers August 2017 Abstract: In Scotland alcohol-related harm follows a social gradient, meaning that deprived communities often experience more
More informationTe Ropu Wahine Maori Toko I Te Ora Te Aiorangi Branch. Submission to the Justice and Electoral committee on the Alcohol Reform Bill
Te Ropu Wahine Maori Toko I Te Ora Te Aiorangi Branch Submission to the Justice and Electoral committee on the Alcohol Reform Bill EXECUTIVE SUMMARY 1 Te Aiorangi Branch of the Maori Women s Welfare league
More informationAlcohol Consumption and Alcohol-related Health Outcomes
Alcohol Consumption and Alcohol-related Health Outcomes Key points Total alcohol consumption per person has decreased 25 percent since 1980, although there has been a slight increase in the past year.
More informationAlcohol Indicators Report Executive Summary
Alcohol Indicators Report Executive Summary A framework of alcohol indicators describing the consumption of use, patterns of use, and alcohol-related harms in Nova Scotia NOVEMBER 2005 Foreword Alcohol
More informationAlcohol Reform Bill - Submission
Justice and Electoral Select Committee Alcohol Reform Bill FREEPOST Parliament Parliament Buildings Wellington 6160 February 2011 Alcohol Reform Bill - Submission 1.1 This submission is being made by Family
More informationAUSTRALIAN CHRONIC DISEASE PREVENTION ALLIANCE. Submission to Senate Standing Committee on Community Affairs
AUSTRALIAN CHRONIC DISEASE PREVENTION ALLIANCE Submission to Senate Standing Committee on Community Affairs Excise Tariff Amendment (2009 Measures No1) Bill 2009 Customs Tariff Amendment (2009 Measures
More informationAlcohol in Ireland: Tackling the Financial Hangover
Alcohol in Ireland: Tackling the Financial Hangover Pre Budget Submission 2011 & the Case for Minimum Pricing alcohol action ireland the national charity for alcohol-related issues www.alcoholireland.ie
More informationLIQUOR POLICY REFORM IN BRITISH COLUMBIA
LIQUOR POLICY REFORM IN BRITISH COLUMBIA A Presentation to MLA John Yap Parliamentary Secretary to British Columbia Minister of Justice and Attorney General for Liquor Policy Reform Andrew Murie Chief
More informationMinimum Unit Pricing Saves Lives
Distilling the Facts on MUP November 2015 Table of Contents Foreword... 3 What s the problem?... 5 Why is minimum pricing a good idea?... 6 Benefits of 1 MUP for Alcohol in Ireland... 8 How does minimum
More informationYoung People and Alcohol: Some Statistics on Possible Effects of Lowering the Drinking Age. Barb Lash
Young People and Alcohol: Some Statistics on Possible Effects of Lowering the Drinking Age Barb Lash First published in October 2002 by the Research and Evaluation Unit Ministry of Justice PO Box 180 Wellington
More informationAlcohol-related harm in Europe Key data
MEMO/06/397 Brussels, 24 October 2006 Alcohol-related harm in Europe Key data Alcohol-related harm in the EU: 55 million adults are estimated to drink at harmful levels in the EU (more than 40g of alcohol
More information1. This paper reports on the findings of the independent evaluation into the impact of the increases in tobacco excise duty.
In-Confidence Office of the Associate Minister of Health Chair, Cabinet Social Wellbeing Committee FINDINGS OF THE EVALUATION OF TOBACCO EXCISE INCREASES Proposal 1. This paper reports on the findings
More informationTRENDS IN SUBSTANCE USE AND ASSOCIATED HEALTH PROBLEMS
Fact Sheet N 127 August 1996 TRENDS IN SUBSTANCE USE AND ASSOCIATED HEALTH PROBLEMS Psychoactive substance use is an increasing public health concern. Problems associated with this use cover a broad spectrum
More informationGERMANY. Recorded adult (15+) alcohol consumption by type of alcoholic beverage (in % of pure alcohol), Spirits 20%
GERMANY SOCIOECOMIC CONTEXT Total population 82,641,000 Annual population growth rate 0.1% Population 15+ years 86% Adult literacy rate - - Population in urban areas 75% Income group (World bank) High
More informationWhat the AMPHORA project says for European alcohol policy
AMPHORA NEWSLETTER DECEMBER 2012 What the AMPHORA project says for European alcohol policy Potential impact The main outcomes of the scientific work of the AMPHORA project drive the need for stepped-up
More informationAlcohol as a public health issue in croatia. Croatian Institute of Public Health Prof. Danijela Štimac Grbić, MD.,PhD.,MPH.
Alcohol as a public health issue in croatia Croatian Institute of Public Health Prof. Danijela Štimac Grbić, MD.,PhD.,MPH. Alcohol consumption in Croatia 01 02 03 the total APC (in litres of pure alcohol)
More informationAlcohol in our Lives
Child Poverty Action Group Box 56150 Mt Eden Web address: www.cpag.org.nz October 2009 Liquor project Coordinator Law Commission liquor@lawcom.govt.nz Submission: Alcohol in our Lives Child Poverty Action
More informationAppendix. Background Information: New Zealand s Tobacco Control Programme. Report from the Ministry of Health
Appendix Background Information: New Zealand s Tobacco Control Programme Report from the Ministry of Health April 2016 1 Contents The cost of smoking to individuals and society... 3 What impact is New
More informationExemplar for Internal Achievement Standard. Health Level 3
Exemplar for Internal Achievement Standard Health Level 3 This exemplar supports assessment against: 91461 Analyse a New Zealand health issue An annotated exemplar is an extract of student evidence, with
More informationSLOVENIA. Recorded adult (15+) alcohol consumption by type of alcoholic beverage (in % of pure alcohol), Spirits 13%
SLOVENIA SOCIOECONOMIC CONTEXT Total population 2,001,000 Annual population growth rate 0.2% Population 15+ years 86% Adult literacy rate 99.7% Population in urban areas 51% Income group (World bank) High
More informationThe Economics of Alcohol and Cancer/Chronic Disease
The Economics of Alcohol and Cancer/Chronic Disease Frank J. Chaloupka, University of Illinois at Chicago World Cancer Congress Kuala Lumpur, Malaysia, 2 October 2018 Overview Economic Costs of Excessive
More informationUnderage Drinking and Alcohol Abuse in Kent County, Delaware
Underage Drinking and Alcohol Abuse in Kent County, Delaware Delaware Drug and Alcohol Tracking Alliance (DDATA) Center for Drug and Alcohol Studies University of Delaware April 2013 42% of Delaware 5
More informationHow Alcohol Outlets Affect Neighborhood Violence
Translating Science into Practice How Alcohol Outlets Affect Neighborhood Violence Kathryn Stewart www.resources.prev.org Pacific Institute for Research and Evaluation is one of the nation's preeminent
More informationProfessor Jennie Connor. Department of Preventive and Social Medicine University of Otago, Dunedin
Professor Jennie Connor Department of Preventive and Social Medicine University of Otago, Dunedin New Zealand Population Health Congress 2014 acute and chronic effects benefits and harms pattern and volume
More informationARMENIA. Lower-middle Income Data source: United Nations, data range
ARMENIA SOCIOECOMIC CONTEXT Total population 3,010,000 Annual population growth rate -0.5% Population 15+ years 80% Adult literacy rate 99.4% Population in urban areas 64% Income group (World bank) Lower-middle
More informationA comprehensive strategy for alcohol, narcotics, doping and tobacco policy, Ministry of Health and Social Affairs
A comprehensive strategy for alcohol, narcotics, doping and tobacco policy, 2016 2020 The overarching objective for ANDT policy remains firm A society free from narcotic drugs and doping, with reduced
More informationROMANIA. Upper-middle Income Data source: United Nations, data range
ROMANIA SOCIOECOMIC CONTEXT Total population 21,532,000 Annual population growth rate -0.5% Population 15+ years 85% Adult literacy rate 97.3% Population in urban areas 54% Income group (World bank) Upper-middle
More informationAlcohol. facts and effects
Alcohol facts and effects 1 facts and effects Effects of alcohol The kind of alcohol we drink is called ethyl alcohol. It is one of the family of alcohols. Most alcohols are highly poisonous to humans,
More informationAlcohol consumption in the Ongoing New Zealand Household Travel Survey
Alcohol consumption in the Ongoing New Zealand Household Travel Survey Jennifer McSaveney 1 ABSTRACT The Ongoing New Zealand Household Travel Survey is an ongoing survey of household travel conducted by
More informationAnna Buckner Alcohol Epidemiologist Utah Department of Health
Anna Buckner Alcohol Epidemiologist Utah Department of Health Overview of excessive alcohol use and related harms Describe environmental prevention policy strategies Provide an example of how a coalition
More informationNORWAY. Recorded adult (15+) alcohol consumption by type of alcoholic beverage (in % of pure alcohol), Other 2% Wine 31%
RWAY SOCIOECOMIC CONTEXT Total population 4,669,000 Annual population growth rate 0.6% Population 15+ years 81% Adult literacy rate - - Population in urban areas 77% Income group (World bank) High Income
More informationKAZAKHSTAN. Upper-middle Income Data source: United Nations, data range
KAZAKHSTAN SOCIOECOMIC CONTEXT Total population 15,314,000 Annual population growth rate -0.3% Population 15+ years 76% Adult literacy rate 99.5% Population in urban areas 58% Income group (World bank)
More informationLATVIA. Recorded adult per capita consumption (age 15+) Lifetime abstainers
LATVIA Recorded adult per capita consumption (age 15+) 14 12 Litres of pure alcohol 1 8 6 4 Beer Spirits Wine 2 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 21 Year Sources: FAO (Food and Agriculture
More informationSupply of Alcohol to Young People Aged Under 18 Years. June 2017
Supply of Alcohol to Young People Aged Under 18 Years June 2017 ISBN: 978-0-478-44903-7 (online) Citation: Health Promotion Agency (2017) Supply of Alcohol to Young People Aged Under 18 Years. Wellington:
More informationChanging patterns of adolescent risk behaviour in New Zealand
Changing patterns of adolescent risk behaviour in New Zealand Terry Fleming, Terryann Clark, Sonia Lewycka, Simon Denny, Sue Crengle, Nicki Jackson & the Adolescent Health Research Group Terry (Theresa)
More informationCANNABIS IN ONTARIO S COMMUNITIES
CANNABIS IN ONTARIO S COMMUNITIES That municipal governments support their local Public Health Unit and encourage Develop a funded public health approach to cannabis legalization, regulation, restriction
More informationAlcohol Uncovered: Key Findings about the Use, Health Outcomes and Harm of Alcohol in Peel
2015 Alcohol Uncovered: Key Findings about the Use, Health Outcomes and Harm of Alcohol in Peel Please use the following citation when referencing this document: Peel Public Health. Alcohol Uncovered:
More informationLITHUANIA. Upper-middle Income Data source: United Nations, data range
LITHUANIA SOCIOECOMIC CONTEXT Total population 3,408,000 Annual population growth rate -0.6% Population 15+ years 84% Adult literacy rate 99.6% Population in urban areas 66% Income group (World bank) Upper-middle
More informationViolence Prevention A Strategy for Reducing Health Inequalities
Violence Prevention A Strategy for Reducing Health Inequalities Professor Mark A Bellis Centre for Public Health Liverpool John Moores University WHO Collaborating Centre for Violence Prevention Overview
More informationAlcohol consumption, harm and policy responses in Europe. Dr Lars Møller Programme Manager World Health Organization Regional Office for Europe
Alcohol consumption, harm and policy responses in Europe Dr Lars Møller Programme Manager World Health Organization Regional Office for Europe Burden of NCD in Europe Burden of disease by broad cause group
More informationAction plan on youth drinking and on heavy episodic drinking (binge drinking) ( ) Related activities in Sweden 2014
Action plan on youth drinking and on heavy episodic drinking (binge drinking) (2014 2016) Related activities in Sweden 2014 Area 1: Reduce heavy episodic drinking (binge drinking) Knowledge support Systematic
More informationGlobal Survey on Alcohol and Health. and. Global Information System on Alcohol and Health
Global Survey on Alcohol and Health and Global Information System on Alcohol and Health Management of Substance Abuse www.who.int/substance_abuse/ WHO Department of Mental Health and Substance Abuse The
More informationUNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND (the)
UNITED KINGDOM OF GREAT BRITAIN AND RTHERN IRELAND (the) SOCIOECOMIC CONTEXT Total population 60,512,000 Annual population growth rate 0.4% Population 15+ years 82% Adult literacy rate - - Population in
More informationAlcohol Policies: balancing macroeconomic impacts and public health harms of alcohol
HEALTH IN ALL POLICIES High-level Expert Conference under Finland s EU Presidency Kuopio, 20-21 September 2006 Workshop 3 Alcohol Policies: balancing macroeconomic impacts and public health harms of alcohol
More informationAssess the view that a minimum price on alcohol is likely to be an effective and equitable intervention to curb externalities from drinking (25)
Assess the view that a minimum price on alcohol is likely to be an effective and equitable intervention to curb externalities from drinking (25) Introduction A minimum price of 50 pence per unit has been
More informationEffective Interventions for Reducing Alcohol-relatedHarms
Effective Interventions for Reducing Alcohol-relatedHarms Walter Farke German Centre for Addiction Issues(DHS) Hamm, Germany farke@dhs.de or wfarke@aol.com Presentation Outline Alcohol consumption and
More informationHealthy People, Healthy Communities
Healthy People, Healthy Communities Public Health Policy Statements on Public Health Issues The provincial government plays an important role in shaping policies that impact both individual and community
More informationIn their Eyes: An Average Child s View of their World
In their Eyes: An Average Child s View of their World April 2014 University of Delaware Center for Drug and Health Studies Based on the 2013 Delaware School Surveys And the 2013 Delaware Youth Risk Behavior
More informationTable 1. Summary of the types of alcohol taxes applied by category of alcohol product. 12
Alcohol Policy Coalition Position Statement July 2009 ALCOHOL PRICING AND TAXATION The issues Link between price, consumption and harm There is a strong link between alcohol price, consumption and resulting
More informationPUBLIC HEALTH INTERVENTION GUIDANCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE PUBLIC HEALTH INTERVENTION GUIDANCE 1 Guidance title SCOPE Interventions delivered in primary and secondary schools to prevent and/or reduce alcohol
More informationEmployee Handbook of the Royal College of Physicians of Ireland. RCPI Policy Group on Alcohol Pre Budget Submission
Employee Handbook of the Royal College of Physicians of Ireland RCPI Policy Group on Alcohol 2014 Pre Budget Submission September 2013 Contents 1. Introduction... 3 2. Recommendations... 5 3. Effect of
More informationModule 6: Substance Use
Module 6: Substance Use Part 1: Overview of Substance Abuse I am Martha Romney and I am presenting on substance abuse. This module focuses on the healthy people 2020 objective to reduce substance abuse
More informationThe burden of death, disease and disability due to alcohol in New Zealand
The burden of death, disease and disability due to alcohol in New Zealand Research summary September 2004 Jennie Connor, Joanna Broad, Rod Jackson School of Population Health, University of Auckland Stephen
More informationSection 3: Health and Independence Report 2013
Section 3: Health and Independence Report 2013 Purpose of this report The Health and Independence Report (the Report) gives an overview of the current state of public health in New Zealand. It has three
More informationInitial Report of Oregon s State Epidemiological Outcomes Workgroup. Prepared by:
Alcohol Consumption and Consequences in Oregon Prepared by: Addictions & Mental Health Division 5 Summer Street NE Salem, OR 9731-1118 To the reader, This report is one of three epidemiological profiles
More informationReducing alcohol-related harm. New Zealand Medical Association Policy Briefing
Reducing alcohol-related harm New Zealand Medical Association Policy Briefing May 2015 Copyright New Zealand Medical Association 2015 ISBN 978-0-473-31919-9 (Print) ISBN 978-0-473-31920-5 (Digital PDF)
More informationFINAL NATIONAL LIQUOR POLICY PRESENTATION:
FINAL NATIONAL LIQUOR POLICY PRESENTATION: Presentation to SALBA Date: 02 November 2016 Venue: SALBA Offices, Cape Town Presenter: Clementine Makaepea To brief the Portfolio Committee on Trade and Industry
More informationTobacco & Poverty. Tobacco Use Makes the Poor Poorer; Tobacco Tax Increases Can Change That. Introduction. Impacts of Tobacco Use on the Poor
Policy Brief February 2018 Tobacco & Poverty Tobacco Use Makes the Poor Poorer; Tobacco Tax Increases Can Change That Introduction Tobacco use is the world s leading cause of preventable diseases and premature
More informationAlcohol Minimum Unit Pricing: Mythbuster
Alcohol Minimum Unit Pricing: Mythbuster Is there any proof that MUP will actually work? Is it not just modelling? Evidence on the effect of minimum unit pricing comes from broadly two sources: observations
More informationAlcohol Policy and Young People
Bridging the Gap Conference Warsaw 16-19 June 2004 Alcohol Policy and Young People Dr. Ann Hope National Alcohol Policy Advisor Department of Health and Children Ireland Central issues in presentation
More informationNordic alcohol statistics
Overview Nordic alcohol statistics 2010 2015 Nordic Studies on Alcohol and Drugs 2017, Vol. 34(3) 267 282 ª The Author(s) 2017 Reprints and permission: sagepub.co.uk/journalspermissions.nav DOI: 10.1177/1455072517719626
More informationPOSITION PAPER ON: HEALTH WARNING MESSAGES ON ALCOHOLIC BEVERAGES
POSITION PAPER ON: HEALTH WARNING MESSAGES ON ALCOHOLIC BEVERAGES March 2011 The European Alcohol Policy Alliance (EUROCARE) The European Alcohol Policy Alliance (EUROCARE) is an alliance of non-governemental
More informationThe Canadian context for cannabis policy and public health approaches to substance use
The Canadian context for cannabis policy and public health approaches to substance use Cameron Wild, Rebecca Haines-Saah Cannabis Legalization in Canada: Implications for Public Health in Alberta May,
More informationThe National perspective Public Health England s vision, mission and priorities
The National perspective Public Health England s vision, mission and priorities Dr Ann Hoskins Director Children, Young People and Families Public Health England May 2013 Mission Public Health England
More informationSubmission to the Northern Territory Liquor Commission Review of takeaway licence conditions in Alice Springs 28 September 2018
Submission to the Northern Territory Liquor Commission Review of takeaway licence conditions in Alice Springs 28 September 2018 Executive Summary Congress supports the Northern Territory Government s comprehensive
More informationPermanent Link:
Citation: Gilmore, William and Chikritzhs, Tanya and Gilmore, Ian. 2013. Alcohol: Is the evidence base guiding public policy? International Journal of Evidence-Based Health Care. 11 (2): pp. 85-86. Additional
More informationALCOHOL S BURDEN (with special attention to Africa and the NCDs)
ALCOHOL S BURDEN (with special attention to Africa and the NCDs) Isidore S. Obot, PhD, MPH Professor of Psychology, University of Uyo Director, Centre for Research and Information on Substance Abuse (CRISA),
More informationALCOHOLISM IN AMERICA
Running head: ALCOHOLISM IN AMERICA 1 ALCOHOLISM IN AMERICA Jenna Beach IMC 627 Healthcare Marketing West Virginia University March 17, 2014 ALCOHOLISM IN AMERICA 2 Scope and Significance According to
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
Strategy,, policy and commissioning to delay or prevent ent of dementia, bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They
More informationHertfordshire Young People s Substance Misuse Strategic Plan
Hertfordshire Young People s Substance Misuse Strategic Plan 2014 15 1 1. Introduction and context Young people misusing substances can cause harm to our communities through crime and antisocial behaviour,
More informationNATIONAL ALCOHOL STRATEGY DEVELOPMENT
NATIONAL ALCOHOL STRATEGY DEVELOPMENT DISCUSSION PAPER October 2015 1.1 PURPOSE A National Alcohol Strategy for 2016-21 (NAS) is being developed to provide a framework to guide the work of governments,
More informationAttitudes and Behaviour towards Alcohol Survey 2013/14 to 2015/16: Hawke s Bay Regional Analysis
Attitudes and Behaviour towards Alcohol Survey 13/14 to 15/16: Hawke s Bay egional Analysis October 17 1 ISBN: 978-0-478-44915-0 Citation: Health Promotion Agency (17). Attitudes and Behaviour towards
More informationHow many people died from alcholo in 2016 in the world
How many people died from alcholo in 2016 in the world Learn the best ways to manage stress and negativity in your life. Of the 63,600 drug overdose deaths reported in 2016, 42,249 were attributed to opioids.
More informationInformation sheet: Alcohol facts
Alcohol facts Alcohol harm costs society around 21 billion a year. This includes costs to the NHS, alcohol-related crime costs, and lost productivity 13. In 2014 61% of 11 15 year olds had never drunk
More information2767th EMPLOYMENT, SOCIAL POLICY, HEALTH AND CONSUMER AFFAIRS Council meeting Brussels, 30 November and 1 December 2006
COUNCIL OF THE EUROPEAN UNION 2767th EMPLOYMT, SOCIAL POLICY, HEALTH AND CONSUMER AFFAIRS Council meeting Brussels, 30 November and 1 December 2006 Council Conclusions on EU strategy to reduce alcohol-related
More informationTOBACCO CONTROL & THE SUSTAINABLE DEVELOPMENT GOALS
TOBACCO CONTROL & THE SUSTAINABLE DEVELOPMENT GOALS 1 WHAT ARE THE SDGs? The Sustainable Development Goals (SDGs) are a United Nations initiative, formally adopted by the United Nations General Assembly
More information2. The inclusion of public health focused restrictions around the sale and supply of these products.
1 May 2013 Committee Secretariat Health Select Committee Parliament Buildings Wellington Submission on the Psychoactive Substances Bill (RPH) serves the Greater Wellington region, through its three District
More informationScientific Facts on. Alcohol
page 1/5 Scientific Facts on Alcohol Source document: WHO (2004) Summary & Details: GreenFacts Context - Alcohol is not an ordinary commodity. It has been part of human civilization for thousands of years,
More informationPackaged liquor and harm in Victoria
Packaged liquor and harm in Victoria Executive summary There has been a substantial increase in packaged liquor licences in Victoria, particularly large chain stores, over the past 15 years. These are
More informationSelf Harm: NZ High School. Norms Youth 12. Youth 12 National Health and Wellbeing Survey
Self Harm: NZ High School Youth 12 National Health and Wellbeing Survey Norms Youth 12 Dr Jemaima Tiatia-Seath, Dr Terry Fleming, & the Adolescent Health Research Group Theresa (Terry) Fleming, on behalf
More informationAttitudes and Behaviour towards Alcohol Survey
Attitudes and Behaviour towards Alcohol Survey 2009-2011 Report 1.3 Attitudes and opinions (Adults, 18 years and over) Report commissioned by Health Promotion Agency September 2013 Report commissioned
More information7. Provide information - media campaigns such as know your units, labelling on drinks
Teacher Notes Introduction This activity encourages students to decide on what measures they believe are appropriate for the regulation of alcohol consumption and to present these views as an argument.
More informationAdolescents concerns about their drinking, help-seeking preferences and healthcare access
Monday, 28 November 2016 Adolescents concerns about their drinking, help-seeking preferences and healthcare access Shanthi Ameratunga, Nicki Jackson, Roshini Peiris-John, Janie Sheridan, Emma Moselen,
More informationJenny Chalmers David Bright Rebecca McKetin. Australian Research Council Linkage grant Bureau of Crime Statistics and Research
Jenny Chalmers David Bright Rebecca McKetin Australian Research Council Linkage grant Bureau of Crime Statistics and Research Binge drinking, heavy episodic drinking, risky single occasion drinking? No
More informationHarmful Use of Alcohol A Global Public Health Perspective
GLOBAL ALCOHOL POLICY CONFERENCE COEX Congress Centre, Seoul, Republic of Korea, 7 October 2013 Harmful Use of Alcohol A Global Public Health Perspective Mr Dag Rekve Department of Mental Health and Substance
More informationAlcohol taxes and restrictions could curb problem drinking, but are hard to sell
1 sur 5 20/11/2018 à 22:20 eu.usatoday.com Alcohol taxes and restrictions could curb problem drinking, but are hard to sell Jayne O'Donnell 8-10 minutes USA TODAY Published 6:17 PM EST Nov 19, 2018 When
More informationNSW POLICE FORCE ALCOHOL STRATEGY NSW POLICE FORCE ALCOHOL STRATEGY 1
NSW POLICE FORCE 2014-2018 ALCOHOL STRATEGY NSW POLICE FORCE 2014-2018 ALCOHOL STRATEGY 1 Title: NSW Police Force 2014-2018 Alcohol Strategy Subject: NSW Police Force response to alcohol-related harm Command
More informationASSESSMENT OF THE HEALTH IMPACTS OF LOWERING THE MINIMUM LEGAL AGE FOR PURCHASING ALCOHOL IN NEW ZEALAND
ASSESSMENT OF THE HEALTH IMPACTS OF LOWERING THE MINIMUM LEGAL AGE FOR PURCHASING ALCOHOL IN NEW ZEALAND ALAC Occasional Publication No. 16 Alcohol Advisory Council of New Zealand KAUNIH ERA WHAKATUPATO
More informationHull Alcohol Strategy
Hull Alcohol Strategy 2016-20 Contents: Audit Alcohol Screening Tool 02 Foreword 03 Hull s Alcohol Strategy 04 on a page Introduction 05 What are the issues? 06 The national picture 06 What about Hull?
More informationATTITUDES AND BEHAVIOURS
ATTITUDES AND BEHAVIOURS About the Foundation for Alcohol Research and Education The Foundation for Alcohol Research and Education (FARE) is an independent, not-for-profit organisation working to stop
More informationPrince George s County Health Department Health Report Findings
Prince George s County Health Department 2018 Health Report Findings Our Residents Socioeconomic Factors Compared to Maryland, Prince George s residents: have a higher median household income, are employed
More informationLegalization and Regulation of Cannabis Enforcement Challenges
Legalization and Regulation of Cannabis Enforcement Challenges Thomas Carrique Deputy Chief of Operations Deeds Speak Overview Criminal Market & Organized Crime Legal vs. Illegal Use of Cannabis Road Safety
More informationTHE ROLE OF UNEMPLOYMENT INSURANCE ON ALCOHOL USE AND ABUSE FOLLOWING JOB LOSS ROBERT LANTIS AND BRITTANY TEAHAN
THE ROLE OF UNEMPLOYMENT INSURANCE ON ALCOHOL USE AND ABUSE FOLLOWING JOB LOSS ROBERT LANTIS AND BRITTANY TEAHAN MOTIVATION 2013 National Survey on Drug Use and Health finds that 17% of unemployed have
More informationAlcoholism: Community aspects and social perspective
Alcoholism: Community aspects and social perspective Dr. Navya Krishna.N 1 st year PG Department of Community Medicine Outline Introduction Definitions Problem statement Social factors leading to Alcoholism
More informationSubmission on behalf of: Cancer Society of New Zealand. Claire Austin Chief Executive. Contact person. Shayne Nahu
Submission on behalf of: Cancer Society of New Zealand. Claire Austin Chief Executive. Contact person Shayne Nahu Health Promotion and Campaigns Manager PO Box 12700, Thorndon, Wellington, 6144 Email:
More informationHazardous drinking in 2011/12: Findings from the New Zealand Health Survey
Hazardous drinking in 11/12: Findings from the New Zealand Health Survey This report presents key findings about alcohol use and hazardous drinking among adults aged 15 years and over, which come from
More informationMinimum Unit Pricing & Banning Below Cost Selling: Estimated policy impacts in England 2014/15
Minimum Unit Pricing & Banning Below Cost Selling: Estimated policy impacts in England 2014/15 Dr John Holmes Dr Yang Meng Dr Robin Purshouse Prof Alan Brennan Prof Petra Meier Sheffield Alcohol Research
More informationLibrary of ALCOHOL HEALTH WARNING LABELS
Library of ALCOHOL HEALTH WARNING LABELS Page - 1 The European Alcohol Policy Alliance (EUROCARE) is an alliance of non- governmental and public health organisations with around 51 member organisations
More information