Increasing compliance with alcohol service laws in a developing country: intervention trial in the Kingdom of Bhutan

Dorji, Gampo; DeJong, William; Bor, Jacob; DeSilva, Mary Bachman; Sabin, Lora; Feeley, Frank Rich; Udon, Pema; Wangchuk, Nima; Wangdi, Ugyen; Choden, Tshering; Gurung, Mongal Singh; Chogyel, Tandin; Wangchuk, Dorji; Kypri, Kypros

doi:10.1111/add.13202

Cited by 9 publications

(10 citation statements)

References 19 publications

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“…It is unclear if the intervention would be as effective in other communities and states or outside the U.S., especially where alcohol controls are weak [39]. …”

Section: Discussionmentioning

confidence: 99%

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Effects of a responsible retailing mystery shop intervention on age verification by servers and clerks in alcohol outlets: A cluster randomised cross‐over trial

Grube

DeJong

DeJong³

et al. 2018

Drug and Alcohol Review

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“…It is unclear if the intervention would be as effective in other communities and states or outside the U.S., especially where alcohol controls are weak [39]. …”

Section: Discussionmentioning

confidence: 99%

“…Second, the study was conducted in 16 midsized communities in four states of the USA. It is unclear if the intervention would be as effective in other communities and states or outside USA, especially where alcohol controls are weak [39].…”

Section: Discussionmentioning

confidence: 99%

Effects of a responsible retailing mystery shop intervention on age verification by servers and clerks in alcohol outlets: A cluster randomised cross‐over trial

Grube

DeJong

DeJong³

et al. 2018

Drug and Alcohol Review

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“…A recent study in Thimphu revealed only 20% compliance with alcohol service laws which prohibit sales outside specified hours and to intoxicated or underage patrons 16. There has been rapid growth in the number of such outlets; there are now over 1000 in Thimphu alone: one for every 80 residents over 14 years of age 17.…”

Section: Discussionmentioning

confidence: 99%

Blood alcohol and injury in Bhutan: targeted surveillance in a national referral hospital emergency department

Dorji

Pradhan²,

Tenzin³

et al. 2016

Inj Prev

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Bhutan is a low-middle-income country with poor roads, rapidly increasing motor vehicle use and heavy alcohol consumption. We estimated the proportion of emergency department patients presenting with injury who had positive blood alcohol. We sought to breathalyse and interview all adult patients (≥18 years) presenting with injury at the Jigme Dorji Wangchuck National Referral Hospital in the capital city Thimphu, from April to October 2015. Breath tests and interviews were conducted with 339 (91%) of 374 eligible adult patients. A third (34%) were alcohol-positive and 22% had blood alcohol concentrations >0.08 g/dL. The highest alcohol-positive fractions were for assault (71%), falls (31%) and traffic crashes (30%). Over a third (36%) of patients had a delay of >2 h between injury and breath test. The results underestimate blood alcohol concentrations at the time of injury so the true prevalence of pre-injury alcohol impairment is greater than our estimates suggest. Countermeasures are urgently needed, particularly roadside random breath testing and alcohol controls.

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“…Bhutan's alcohol policies, introduced in the last two decades, are evidence based in many respects—alcohol sales are limited to 1–10 pm Wednesday–Monday, and serving minors (<18 years old) or intoxicated patrons is illegal—but enforcement is poor. A 2013 mystery shopper program using covert observation revealed a baseline of only 20% compliance with these laws . Compliance improved modestly after owners and managers were educated about the law and encouraged to modify their service practices .…”

Section: Alcohol Policymentioning

confidence: 99%

“…A 2013 mystery shopper program using covert observation revealed a baseline of only 20% compliance with these laws . Compliance improved modestly after owners and managers were educated about the law and encouraged to modify their service practices .…”

Section: Alcohol Policymentioning

confidence: 99%

Alcohol and economic development: Observations on the kingdom of Bhutan

Kypri

Dorji

Dalton

2016

Drug and Alcohol Review

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Bhutan is a small country undergoing rapid social change arising from income growth, urbanisation and Western cultural influence. Markers of poverty, namely infectious disease and infant mortality, have improved dramatically. The attention of health authorities is now focused on the non-communicable disease and injury burdens, to which alcohol consumption is a major contributor. The paper draws on official data to characterise the consumption of alcohol and related harm, and the nature of the alcohol market, with commentary on crucial aspects of availability policies and drink-driving regulation that need reform. Kypri K, Dorji G, Dalton C. Alcohol and economic development: Observations on the kingdom of Bhutan. Drug Alcohol Rev 2017;36:333ȃ336.].

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Increasing compliance with alcohol service laws in a developing country: intervention trial in the Kingdom of Bhutan

Abstract: A multi-sector programme to improve compliance with legal restrictions on serving alcohol in Bhutan appeared to have a modest effect but even after the programme, in two-thirds of the occasions tested, the laws were broken.

Cited by 9 publications

References 19 publications

Effects of a responsible retailing mystery shop intervention on age verification by servers and clerks in alcohol outlets: A cluster randomised cross‐over trial

Effects of a responsible retailing mystery shop intervention on age verification by servers and clerks in alcohol outlets: A cluster randomised cross‐over trial

Blood alcohol and injury in Bhutan: targeted surveillance in a national referral hospital emergency department

Alcohol and economic development: Observations on the kingdom of Bhutan

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