Time for carefully tailored set of alcohol policies to reduce health‐care burden and mitigate potential unintended consequences?

Stockwell, Tim; Andréasson, Sven; Cherpitel, Cheryl J.; Chikritzhs, Tanya; Dangardt, Frida; Holder, Harold D.; Naimi, Timothy S.; Sherk, Adam

doi:10.1111/dar.13185

Cited by 4 publications

(7 citation statements)

References 8 publications

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“…However, this estimate should be interpreted with caution. Currently, there is very limited empirical evidence of the impact of reducing alcohol outlet trading hours, so our effect size relied upon the result of a meta‐analysis of reduced days of operation [15], consistent with two previous modelling studies [32, 35]. Additionally, we have a poor understanding of the baseline total trading hours of alcohol outlets in NZ.…”

Section: Discussionmentioning

confidence: 68%

“…A substantial reduction in alcohol outlet density from 63 to five outlets per 100 000 population was estimated to result in 218 000 (95% UI = 138 000–283 000) HALYs gained. Again, these results should be interpreted with care, as the effect size was reliant upon results from one study, which has been used in two subsequent modelling studies [32, 35]. This effect size was our best available estimate, and is supported by a large body of evidence demonstrating a consistent link between increased physical availability of alcohol and alcohol consumption [14, 15, 19, 20].…”

Section: Discussionmentioning

confidence: 89%

“…Few studies have estimated the impact of a suite of alcohol interventions [30,32]. We estimated that our total alcohol intervention package could gain 726 000 (95% UI = 492 000-913 000) HALYs in NZ.…”

Section: Discussionmentioning

confidence: 99%

“…As such, researchers in the United Kingdom [24], Australia [25] and Denmark [26] have developed simulation models to estimate the potential health impact of alcohol interventions. Many modelling studies have focused upon a single alcohol intervention (usually tax) [27][28][29], while some have attempted to model a suite of interventions [30][31][32]. We aim to…”

Section: Despitementioning

confidence: 99%

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The estimated health impact of alcohol interventions in New Zealand: A modelling study

Chambers,

Mizdrak,

Herbert

et al. 2023

Addiction

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AimsTo estimate the health impacts of key modelled alcohol interventions among Māori (indigenous peoples) and non‐Māori in New Zealand (NZ).DesignMulti‐stage life‐table intervention modelling study. We modelled two scenarios: (1) business‐as‐usual (BAU); and (2) an intervention package scenario that included a 50% alcohol tax increase, outlet density reduction from 63 to five outlets per 100 000 people, outlet hours reduction from 112 to 50 per week and a complete ban on all forms of alcohol marketing.Setting and participantsThe model’s population replicates the 2018 NZ population by ethnicity (Māori/non‐Māori), age and sex.MeasurementsAlcohol consumption was estimated using nationally representative survey data combined with sales data and corrected for tourist and unrecorded consumption. Disease incidence, prevalence and mortality were calculated using Ministry of Health data. We used dose–response relationships between alcohol and illness from the 2016 Global Burden of Disease study and calculated disability rates for each illness. Changes in consumption were based on the following effect sizes: total intervention package [−30.3%, standard deviation (SD) = 0.02); tax (−7.60%, SD = 0.01); outlet density (−8.64%, SD = 0.01); outlet hours (−9.24%, SD = 0.01); and marketing (−8.98%, SD = 0.02). We measured health gain using health‐adjusted life years (HALYs) and life expectancy.FindingsCompared with the BAU scenario, the total alcohol intervention package resulted in 726 000 [95% uncertainty interval (UI) = 492 000–913 000] HALYs gained during the life‐time of the modelled population. Māori experienced greater HALY gains compared with non‐Māori (0.21, 95% UI = 0.14–0.26 and 0.16, 95% UI = 0.11–0.20, respectively). When modelled individually, each alcohol intervention within the intervention package produced similar health gains (~200 000 HALYs per intervention) owing to the similar effect sizes.ConclusionsModelled interventions for increased alcohol tax, reduced availability of alcohol and a ban on alcohol marketing among Māori and non‐Māori in New Zealand (NZ) suggest substantial population‐wide health gains and reduced health inequities between Māori and non‐Māori.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Despitementioning

confidence: 99%

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The estimated health impact of alcohol interventions in New Zealand: A modelling study

Chambers,

Mizdrak,

Herbert

et al. 2023

Addiction

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“…Many countries considered alcohol an “essential good” or service [6] and off‐premise outlets (selling liquor to consume elsewhere) continued in some locations (Australia and UK) [5]. In others (South Africa, India), complete alcohol bans were in place with subsequent reports of increased rates of suicide and hospital presentations of people in severe alcohol withdrawal [7–11].…”

Section: Introductionmentioning

confidence: 99%

The behaviour of alcohol‐dependent drinkers of spirits during level 4 COVID‐19 lockdown in Auckland, New Zealand

Falkner

Neave

2021

Drug and Alcohol Review

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Introduction Behaviour of alcohol drinkers during previous major public health or economic crises has varied, with reductions in use generally occurring during periods of reduced availability. This study aimed to discover the behaviour of a group of dependent drinkers of spirits during a 33‐day period of complete closure of physical stores selling spirits during COVID‐19 lockdown in Auckland, New Zealand, March 2020. Methods Electronic clinical records of drinkers waitlisted to complete an alcohol detox at the in‐patient service were followed from day 1 of lockdown and outcomes at the end of the period analysed. Results Drinkers of spirits were statistically more successful in stopping drinking ( P = 0.002) than those of wine or beer. Only 26% chose to switch to an alternate alcohol type initially. Discussion and Conclusion A sudden reduction in availability of spirits resulted in positive behaviour change in spirits drinkers compared to those of other alcohol types, aided by the support of detox services. Internet alcohol purchasing, while not used by this group, deserves close future scrutiny due to its potential to increase alcohol availability in dependent drinkers.

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Reducing alcohol harms whilst minimising impact on hospitality businesses: ‘Sweetspot’ policy options

Fitzgerald,

O'Donnell,

Uny

et al. 2024

International Journal of Drug Policy

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Time for carefully tailored set of alcohol policies to reduce health‐care burden and mitigate potential unintended consequences?

Cited by 4 publications

References 8 publications

The estimated health impact of alcohol interventions in New Zealand: A modelling study

The estimated health impact of alcohol interventions in New Zealand: A modelling study

The behaviour of alcohol‐dependent drinkers of spirits during level 4 COVID‐19 lockdown in Auckland, New Zealand

Reducing alcohol harms whilst minimising impact on hospitality businesses: ‘Sweetspot’ policy options

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