Alcohol Policy and Young People

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1 Bridging the Gap Conference Warsaw June 2004 Alcohol Policy and Young People Dr. Ann Hope National Alcohol Policy Advisor Department of Health and Children Ireland

2 Central issues in presentation What is an effective policy response to prevent and reduce harm among young people? How has Ireland acted since 1990s? What of the challenges?

3 Young People not all the same Young adults years Teenagers years Children Under 15 years

4 Reported total consumption, young adults, all adults litres of pure alcohol Men Women Men Women yrs TOTAL Ireland UK Finland Sweden Italy France Germany Source: ECAS, 2002; ECAS-IR, 2003

5 Drinking Patterns: European Comparison % Ireland UK Finland Sweden Germany France Italy 0 Men Women Men Women Source: ECAS-IR, Ramstedt & Hope,2003 Weekly Binge drinking Binge per 100 drinking Occ

6 Experience of Adverse Consequences 14 % Ireland UK Finland Sweden Germany France Italy 0 Men Women Men Women Fight Accident Source: ECAS-IR, Ramstedt & Hope, 2003

7 Experience of Adverse Consequences % Men Women Men Women Ireland UK Finland Sweden Germany France Italy Work Home Source: ECAS-IR, Ramstedt & Hope, 2003

8 European Boys -13,15 years, Drunk at least twice UK-England Boys 15 years Boys 13 years Sweden Slovakia Portugal Poland Lithuania Latvia Ireland Hungary Greece Germany France Finland Estonia Denmark Czech Rep Belgium Austria Source: WHO HBSC 1998 %

9 Effective Alcohol Policy to prevent and reduce harm Measures targeting young people only, are doomed to failure All policy measures are NOT equal. Measures that influence the environment are more effective than targeting the individual drinker. Education is a supporting rather than a lead strategy.

10 We inherit our drinking culture We celebrate if we win We celebrate if we lose We celebrate Christenings We celebrate First Communions We celebrate Confirmations etc.. All in the pub! Any excuse! Even if there's no excuse we still drink alcohol Donegal Youth Council, May 2003

11 What policy measures work 1? Regulate availability Minimum legal purchase age Alcohol taxes Government monopoly of off-license sales Alcohol control enforcement Server liability Source: Babor et al 2003

12 What policy measures work 2? 2. Modifying the Drinking context Community mobilisation Underage drinking High risk drinking, Violence, Drink driving Enforcement of on-premise regulation Source: Babor et al 2003 Enforcement of Legal requirements

13 What policy measures work 3? 3. Drink driving countermeasures Graduated license for novice drivers Lower BAC for young drivers Randon breath testing License disqualification Source: Babor et al 2003

14 What policy measures work 4? 4. Early intervention Brief Intervention with at risk drinkers High risk drinking Harmful drinking patterns Source: Babor et al 2003

15 What policy measures work 5? 5. Regulating alcohol marketing Advertising Bans Restrict sport sponsorship Restrict high-risk sale promotions Restrict volume of alcohol advertising Source: Babor et al 2003

16 Alcohol Mortality & Alcohol Consumption per capita, Ireland rates per 100, Cirrhosis Suicide Cancers r alcohol Alcohol specific Alcohol consumption Source:Central Statistics Office

17 Alcohol Consumption in Ireland, litres of pure alcohol Beer Spirits Wine Cider Total

18 Alcohol Related Harm- Street Violence no of offences Juvenile Adult Source: An Garda Siochana, Annual Reports

19 Underage Drinking Patterns Boys Girls % yrs yrs yrs yrs yrs yrs Source: HBSC Drunk '98 Drunk '02

20 Alcohol Marketing Practices Sponsorship Alcohol Products Alcohol advertising

21

22 Irish Policy Responses Alcohol Availability -increased Community approach college alcohol policy Information & Education awareness campaign, research, server training, youth participation Strategic Task Force on Alcohol 2002

23 Strategic Task Force on Alcohol To recommend specific, evidence based, measures to Government to prevent and reduce alcohol related harm in Ireland

24 STFA Key Recommendations 2002 Increase alcohol taxes Introduce RBT, Lower BAC Prohibit service to intoxicated customers Restrict high risk sales promotions Reduce exposure of children to alcohol marketing

25 Signs of Progress Increased Taxes on alcohol Stronger Laws Intoxicating Liquor Act, 2003 Road Traffic Act, 2003 Drafting laws to reduce exposure of children to alcohol marketing STFA 2004 Report

26 Stronger Alcohol Laws Ban on alcohol to drunken customers Closure order if convicted Ban on happy hours Earlier closing time onthur night Restrict under 18 from bars after 9pm Require to carry ID Plain clothes gardaí can enforce laws

27 Irish experience -Lessons learned Triggers for increased consumption & harm Rapid economic growth Strong alcohol marketing Poor policy choices Taking action Build public support Effect policy measures, evidence based Need for integrated approach

28 Challenges Better Balance at European level Alcohol industry s bottom line Involvement of young people Alcohol polices only for young people, doomed to failure Public Support

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