Benchmarking alcohol policy based on stringency and impact: The International Alcohol Control (IAC) policy index

Casswell, Sally, Huckle, Taisia, Parker, Karl, Romeo, Jose, Graydon-Guy, Thomas, Leung, June, Byron, Karimu, Callinan, Sarah, Chaiyasong, Surasak, , MacKintosh, Anne Marie, Meier, Petra, Paraje, Guillermo, Parry, Charles, Pham, Cuong, Petersen Williams, Petal, Randerson, Steve, Schelleman-Offermans, Karen, Sengee, Gantuya, Torun, Perihan, van Dalen, Wim, & Harker, Nadine (2022) Benchmarking alcohol policy based on stringency and impact: The International Alcohol Control (IAC) policy index. PLoS Global Public Health, 2(4), Article number: e0000109.

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This study developed a measurement tool to assess stringency and ‘on-the-ground’ impact of four key alcohol policy domains to create an alcohol policy index suitable for benchmarking alcohol policy and assessing change over time in middle- and high-income countries. It involved a collaboration between researchers in 12 diverse countries: New Zealand; Australia; England; Scotland; Netherlands; Vietnam; Thailand; South Africa; Turkey; Chile; Saint Kitts and Nevis and Mongolia. Data on the four most effective alcohol policy domains (availability, pricing policy, alcohol marketing, drink driving) were used to create an alcohol policy index based on their association with alcohol per capita consumption (APC) of commercial (recorded) alcohol. An innovation was the inclusion of measures of impact along with the stringency of the legislation or regulation. The resulting International Alcohol Control (IAC) Policy Index showed a very high negative correlation (-0.91) with recorded APC. Greater affordability of alcohol, an impact measure taking into account prices paid and countries’ Gross Domestic Product, was predictive of higher APC (-0.80). Countries in which more modes of alcohol marketing are legally allowed and used had higher APC. Legislation on outlet density and drink driving predicted APC whereas trading hours did not. While stringency and impact measures varied between domains in terms of relationship with APC, overall, there was a strong correlation between impact and stringency (0.77). The IAC Policy Index, which includes measures of policy stringency and ‘on-the-ground’ impacts in relation to four key policy areas, was found to be strongly associated with commercial alcohol consumed in a number of diverse country settings. It showed a larger relationship than previous indices that include more policy dimensions. The index provides a relatively simple tool for benchmarking and communication with policy makers to encourage a strong focus on uptake of these four most effective alcohol policies.

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ID Code: 228406
Item Type: Contribution to Journal (Journal Article)
Refereed: Yes
ORCID iD:
Gordon, Rossorcid.org/0000-0003-1034-8695
Measurements or Duration: 13 pages
Additional URLs:
DOI: 10.1371/journal.pgph.0000109
ISSN: 2767-3375
Pure ID: 105878199
Divisions: Current > Research Centres > Centre for Justice
Current > QUT Faculties and Divisions > Faculty of Business & Law
Current > Schools > School of Advertising, Marketing & Public Relations
Current > QUT Faculties and Divisions > Faculty of Creative Industries, Education & Social Justice
Funding Information: Funding: The International Alcohol Control Study is led by Professor Sally Casswell. The IAC Alcohol Environment Protocol was initially developed by researchers at the SHORE & Wh\u0101riki Research Centre, College of Health, Massey University, New Zealand, with funding from the Health Promotion Agency, New Zealand. Further development involved collaboration between UK, Thai, Korean and New Zealand researchers. The development of the IAC Policy Index was funded by the Health Research Council of New Zealand. The funding sources for eight of the jurisdiction are as follows: The Australian National Preventive Health Agency and Foundation for Alcohol Research and Education funded Australia\u2019s participation in and contribution to the study. Funding for England and Scotland was provided by the Medical Research Council National Prevention Research Initiative (Grant ref.: MR/J000523/1). The New Zealand arm of the study was funded by The Health Promotion Agency and Health Research Council of New Zealand. The International Development Research Centre, Canada funded St Kitts/Nevis and Vietnam\u2019s involvement. South Africa was also funded by the International Development Research Centre, Canada along with the South African Medical Research Council. Mongolia was funded by the National Center for Public Health of Mongolia and the World Health Organization. Thailand was funded by the International Health Policy Program, Thai Health. There are no funding sources to declare for Chile (Guillermo Paraje), The Netherlands (Karen Schelleman-Offermans, Wim van Dalen), and Turkey (Perihan Torun). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Copyright Owner: 2022 Casswell et al.
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Deposited On: 17 Feb 2022 04:58
Last Modified: 26 Jul 2024 21:28