ALCOHOL POLICY High-impact, evidence-based measures
for Life set free
This key-note speech…
… is about unleashing the power of alcohol policy - 3 Best buys - Alcohol free environments - The global alcohol industry – opponents to what works - Cost-efficiency of prevention through policy
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
3 Best buys…
… As outlined in - WHO Global Alcohol Strategy, 2010 - Global Action Plan for Prevention, Control of NCDs 2013‐2020 - World Economic Forum & Harvard SPH report: Global economic
burden of NCDs
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
3 Best buys…
… As outlined in - WHO Global Alcohol Strategy, 2010 - Global Action Plan for Prevention, Control of NCDs 2013‐2020 - World Economic Forum & Harvard SPH report: Global economic
burden of NCDs
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Restricting affordability…
… is about making alcohol cost more - The higher the price, the lower total alcohol use - Protective especially for children and young people
- (Minimum unit pricing) - Taxes on alcoholic beverages
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Restricting affordability…
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Restricting affordability…
… through taxation of alcohol - Revenue for other government activities - Example Thailand Alcohol Act: finance health
promotion, means double positive power - Moral goal: alcohol should bear its own costs
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Decreasing availability…
… is about lowering outlets, opportunities to purchase alcohol - The lower the density of alcohol outlets, the lower total alcohol
use - Protective especially for children and young people, women - Safer, more free and inclusive public spaces: nightlife, public
transport, streets and squares
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Decreasing availability…
… is causing more freedom especially for vulnerable groups
- Legal age limit - Licensing system for on- and off-sale - Opening hours - Retail monopoly: selling alcohol with public health objectives
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Banning alcohol marketing…
… is about de-glamorizing alcohol - Big Alcohol targets children and young people - Big Alcohol objectifies and sexualizes women and girls
- Marketing causes youth to start using earlier and more heavily when exposed to marketing
- A rich and free life doesn’t need alcohol
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Banning alcohol marketing…
… is about protecting the way of life in Asia - Western lifestyle is obviously consumption driven - NCDs, life style diseases, are exported by Western multi-
national corporations to “emerging markets” threatening traditional ways of living in Asian communities
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Banning alcohol marketing…
… is about protecting the way of life in Asia - Western lifestyle is obviously consumption driven - NCDs, life style diseases, are exported by Western multi-
national corporations to “emerging markets” threatening traditional ways of living in Asian communities
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
The 4th Best buy… … is creating alcohol free environments - Disregarded factor in alcohol policy today - But part of list of “guiding principles” in WHO Global Alcohol
Strategy: see principle g) - Framingham Heart Study - Hidden influence of Social Networks
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Creation of alcohol free environments…
… is about good mental health, healthy lifestyles, communities, inclusion, freedom – especially for children and youth - 67% of young Swedes (age 13-25) use alcohol to socialize with peers - Only 43% actually like alcohol - 80% say alcohol free environments are safer - 75% say more can join and be included in alcohol free environments
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
How do we know all this works?
… we look at what Big Alcohol says:
- They are against all of these measures. - Jeopardize profits - Shield “emerging markets” children, youth, women from Big
Alcohol messages - Question and change alcohol culture
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
How do we know all this works?
… we look at independent research
- “Alcohol. No Ordinary Commodity” a global analysis of studies analyzing impact of alcohol policy measures
- Education doesn’t not change behavior, but costs a lot - Taxes, restrictions of availability and marketing bans cost much
less and have high impact - Highest impact is unleashed when used in integrated approach
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
How do we know all this works?
… we look at a chart… - From “Alcohol. No ordinary commodity.
Research and public policy. 2nd edition” - Table 16.1 Ratings of policy-relevant
strategies and interventions - By Babor, Casswell, Holder, Österberg, Rehm,
Room et al.
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
How do we know all this works?
… we look at a chart…
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
How do we know all this works?
… we look at a chart…
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
How do we know all this works?
… we look at a chart…
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
How do we know all this works?
… we look at a chart…
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Anything missing?
Let’s discuss it…
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
ALCOHOL POLICY High-impact, evidence-based measures for
Life set free
Enjoy the workshop and good luck with the future work. / 2013-10-14 – Esbjörn Hörnberg
+46 70 538 2872
IOGT International
@IOGTInt #HeartDriven
www.iogt.org
THANK YOU VERY MUCH FOR YOUR ATTENTION Esbjörn Hörnberg Executive Director LIFE SET FREE
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