Action plan on youth drinking and on heavy episodic drinking (binge drinking) ( ) Related activities in Sweden 2014
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1 Action plan on youth drinking and on heavy episodic drinking (binge drinking) ( ) Related activities in Sweden 2014
2 Area 1: Reduce heavy episodic drinking (binge drinking)
3 Knowledge support Systematic reviews Interventions to prevent misuse of alcohol, drugs and gambling in youth, Swedish Agency for Health Technology Assessment and Assessment of Social Services, 2015 to give an example of one type of knowledge support
4 Activities, municipalities* (number) Activity Alcohol policy in school -Includes preventive activities. Years ANDT policy in school -Includes preventive activities. Years Media advocacy -Active media work to put focus on alcohol to name a few *290 municipalities in total in Sweden
5 Perceived risk assoc. with weekly binge drinking, year 9* students (percentage) Girls No risk Girls Small risk Girls Medium risk Girls Large risk Girls Risk Boys No risk Boys Small risk Boys Medium risk Boys Large risk Boys Risk A 2012B *Age ca 15 years Source: The Swedish Council for Information on Alcohol and Other Drugs
6 Perceived risk assoc. with weekly binge drinking, year 11* students (percentage) Girls No risk Girls Small risk Girls Medium risk Girls Large risk Girls Risk Boys No risk Boys Small risk Boys Medium risk Boys Large risk Boys Risk A 2012B *Age ca 17 years Source: The Swedish Council for Information on Alcohol and Other Drugs
7 Perceived risk assoc. with weekly binge drinking, students (percentage) Year 9 Girls Don't know Year 9 Boys Don't know Year 11 Girls Don't know Year 11 Boys Don't know A 2012B Source: The Swedish Council for Information on Alcohol and Other Drugs
8 Area 2: Reduce accessibility and availability of alcoholic beverages for youth
9 Alcohol retail monopoly Price No commercial interest, no marketing and no discounts Legal purchase age 20 years of age. No sales to persons intoxicated or suspected of peddling to underaged individuals Outlet density Regulated Hours and days of sale Regulated References: Booth et al., 2008, Sheffield Univ; Wagenaar et al., 2009, Addiction; Wagenaar et al., 2010, Am J Public Health; Elder et al., 2010, Am J Public Health
10 Activities, municipalities (number) Activities Parenting program -Structured parenting program with trained personnel. Years Control purchase -Supervision of legal purchase age in supermarkets ( 18 years) by mystery shopping to name a couple
11 Perceived availability of alcohol within 24 hours, year 9 students (percentage) Girls Supermarkets (medium strong beer) Girls Systembolaget B Girls Smuggled alcohol Boys Supermarkets (medium strong beer) Boys Systembolaget Boys Smuggled alcohol Source: The Swedish Council for Information on Alcohol and Other Drugs
12 Perceived availability of alcohol within 24 hours, year 11 students (percentage) Girls Supermarkets (medium strong beer) Girls Systembolaget B Girls Smuggled alcohol Boys Supermarkets (medium strong beer) Boys Systembolaget Boys Smuggled alcohol Source: The Swedish Council for Information on Alcohol and Other Drugs
13 Government inquiry (Fi 2015/05353/S3) To map illegal handling of products subject to excise tax to disclose and evaluate the effects of actions taken Spritbussar stopped by coordinated efforts from several government agencies. Focus on law enforcement. Resultant increase in myrtrafik 25 percent decrease in number of persons who report to have bought smuggled alcohol during eight week period of operations Final report Oct 2017 Source: Government Offices of Sweden
14 Area 3: Reduce exposure of youth to alcohol marketing and advertising
15 Government inquiry (S 2016:06) To propose how alcohol marketing, primarily in digital media, can be limited to protect children and young people Interim report: Regulation of alcoholic ice cream and other products (SOU 2017:59) Pending: analyses and proposals on how to limit alcohol marketing in digital media Final report early 2018 Source: Government Offices of Sweden
16 Area 4: Reduce harm from alcohol during pregnancy
17 National Guidelines for Methods of Preventing Disease Alcohol consumption during pregnancy Counselling (recommendation, level 2 out of 10) Dialogue between healthcare professional and patient Adaptation to the specific person s age, health, risk levels, etc Possible addition of various tools and devices, as well as special follow-up Advanced counselling (recommendation, level 9) Dialogue between healthcare professional and patient Adaptation to the specific person s age, health, risk levels, etc Possible addition of various tools and devices, as well as special follow-up Ordinarily theory-based or structured, such as motivational interviewing Source: National Board of Health and Welfare
18 Knowledge support Systematic reviews Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Spectrum Disorders (FASD) conditions and interventions, Swedish Agency for Health Technology Assessment and Assessment of Social Services, 2016 to give an example of one type of knowledge support
19 Area 5: Ensure a healthy and safe environment for youth
20 Activities, municipalities (number) Activities Responsible beverage service -Method to reduce alcohol-related injuries Kronoberg model -Police method to reduce alcohol-related violence SMADIT -Police method to prevent drunk drivers from relapsing to name a few
21 Area 6: Support monitoring and increase research
22 Indikatorlabbet Monitoring system with a large number of ANDT-related indicators describing the development in the following main areas: Access to alcohol and tobacco based on price, number of points of sale, opening hours, etc. Supervision of municipalities in accordance with the Alcohol act and Tobacco act Consumption/usage of alcohol, narcotics, doping and tobacco Preventive ANDT interventions among municipalities Injuries from personal use and use by others of alcohol and narcotics Access to healthcare and mortality caused by alcohol, narcotics and tobacco
23 Funding of preventive activities The Public Health Agency of Sweden annually administrates 4+ million to projects on helth promotion and prevention in ANDT
24 Thanks for listening!
25 Appendix A Situation in Sweden
26 Self-reported alcohol consumption, year 9 students (percentage) Girls Debut Girls Drinking Girls Binge drinking Boys Debut Boys Drinking Boys Binge drinking Source: The Swedish Council for Information on Alcohol and Other Drugs
27 Self-reported alcohol consumption, year 11 students (percentage) A 2012B Girls Debut Girls Drinking Girls Binge drinking Boys Debut Boys Drinking Boys Binge drinking Source: The Swedish Council for Information on Alcohol and Other Drugs
28 Self-reported alcohol-related problems, female year 9 students (percentage) Got in fight Injured/harmed Problems with parents Problems with police Stolen from/robbed Source: The Swedish Council for Information on Alcohol and Other Drugs
29 Self-reported alcohol-related problems, male year 9 students (percentage) Got in fight Injured/harmed Problems parents Stolen from/robbed Problems police Source: The Swedish Council for Information on Alcohol and Other Drugs
30 Self-reported alcohol-related problems, female year 11 students (percentage) A 2012B Got in fight Injured/harmed Problems parents Stolen from/robbed Problems police Source: The Swedish Council for Information on Alcohol and Other Drugs
31 Self-reported alcohol-related problems, male year 11 students (percentage) A 2012B Got in fight Injured/harmed Problems parents Stolen from/robbed Problems police Source: The Swedish Council for Information on Alcohol and Other Drugs
32 Deaths in explicit alcohol diagnosis (ICD-10), years 4,0 35 3,5 3,0 2,5 2,0 1,5 1,0 0,5 0, Girls Deaths per Boys Deaths per Girls Deaths Boys Deaths Source: National Board of Health and Welfare
33 Estimated alcohol-related disease burden, females, years Source: Institute for Health Metrics and Evaluation, Seattle, WA, USA
34 Estimated alcohol-related disease burden, males, years Source: Institute for Health Metrics and Evaluation, Seattle, WA, USA
35 Public support for alcohol retail monopoly (percentage) Source: Systembolaget
36 Investments in alcohol advertising, old media (SEK) Source: IQ
37 Appendix B Information campaigns
38 Information campaigns Tänk om (Think again) ( ) Parents of adolescents Hejdå alkoholskador (Good bye alcohol-related harm) (2014 ) Brothers, sisters and older peers of adolescents Don t drink & drive (2003 ) Students Tala om alcohol (Talk about alcohol) (2006 ) Students to name a few
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