Sanitary warnings on alcoholic beverages French experience Pierre-Yves Bello, MD, MPH
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Transcript of Sanitary warnings on alcoholic beverages French experience Pierre-Yves Bello, MD, MPH
Direction générale de la Santé
Sanitary warnings on alcoholic Sanitary warnings on alcoholic beverages beverages
French experienceFrench experience
Pierre-Yves Bello, MD, MPH Pierre-Yves Bello, MD, MPH Protecting the unborn baby from alcohol
Eurocare’s policy debate, the European Parliament
17th of September 2013
Direction générale de la Santé
Plan
Context
Implementation of the “No alcohol during pregnancy logo” on alcoholic beverages
Elements on the evolution of beliefs and behaviours
Conclusion
Alcohol & sanitary warnings in France
Direction générale de la Santé
The French context
The French regulatory framework on alcohol ads is included in the Public Health code since the “Loi Evin “(1991) publication
• Total ban on television
• Partial ban on radio broadcasting
• Total ban on newspapers, magazines and websites specifically for young people
• Sponsoring is forbidden if it produces propaganda or advertisements
• Content of ads is regulated (only the products and its description)
Alcohol & sanitary warnings in France
Direction générale de la Santé
The French context -2-
• • A sanitary warning on ads is mandatory (Art L3323-4 PHC) :
• “all advertisement […] must display a sanitary message explaining that alcohol abuse is dangerous for health.”
Alcohol & sanitary warning in France
Direction générale de la Santé
Logo on alcoholic beverages
•Impossible to define a non problematic threshold of consumption of alcohol during pregnancy : No alcohol during pregnancy
•February 2005 :
• law on disabled people’s rights
•Senator’s Payet amendment : “All units of alcoholic beverages display a sanitary message advocating avoiding alcohol consumption by pregnant women.”
• Decree (02/10/2006) : “the sanitary message must be either a text or a logo”
•A warning message has been mandatory in France since October 2007
Alcohol & sanitary warnings in France
Direction générale de la Santé
Alcohol & sanitary warnings in France
Logo on alcoholic beverages -2-
“La consommation de boissons alcoolisées pendant la grossesse, même en faible quantité, peut avoir des conséquences graves sur la santé de l'enfant.”
or
Direction générale de la Santé
Alcohol & sanitary warnings in France
logo on alcoholic beverages -3-Some concrete examples
Direction générale de la Santé
Alcohol & sanitary warnings in France
logo on alcoholic beverages -4-
The implementation of the mandatory warning was accompanied by :
Information at schools
Communication campaign
Information within pregnancy follow-up document
Professionals training
Experimental surveillance system
Direction générale de la Santé
Beliefs and behaviour
GP-2005 GP-2007 GP-2008 PW-2012Not definitive
PW must not drink 82% 87% 87%
Some wine is good 33% 31% 4%
Beer & breast-feeding
29% 25% 9%
Drunk = risk for baby
81% 82% 90%
Alcohol & pregnancy = danger
22% 27% 70%
Alcohol & sanitary warning in France
Direction générale de la Santé
Beliefs and behaviour -2-
Among pregnant women or those who recently gave birth
Non definitive results
Knowledge of the sanitary warning : 66%
Among alcohol consumers before pregnancy : 77%
Among alcohol consumers during pregnancy : 75%
Logo is remembered by 93% of women knowing the warning
Logo is understood by 99% of women
Alcohol & sanitary warning in France
Direction générale de la Santé
Beliefs and behaviours -3-
Alcohol consumption of pregnant women
1995 1998 2010 2012Not definitive
O after knowing 3.2%
0 drink 3 trimester 75% 77% 77% all pregnancy
89% all pregnancy
1-6 20% 19% 17%1 or
less/month
8%1 or
less/month
7-13 3,5% 3%
more 1,4 0,9%
2-4/month or more 2,5% 2,5%
Alcohol & sanitary warning in France
Direction générale de la Santé
Conclusion
Pregnancy and alcohol :
An increase in positive knowledge and attitude during the last 10 years
Dangers linked to alcohol are still underestimated in France
8% PW had 4 drinks or more during the first three months
Warning logo
A relatively high knowledge of the warning message and its meaning, despite industrials’ reluctance, but
25% of drinking pregnant women not aware of it
Necessity of making it more readable for consumers
A useful tool which must be included within a global strategy
Alcohol & sanitary warning in France
Direction générale de la Santé
Alcohol & warning message in France
Conclusion
Thank you for your attention