Reducing alcohol use through alcohol control policies in the general population and population subgroups: a systematic review and meta-analysis

Kilian, Carolin; Lemp, Julia M.; Llamosas-Falcón, Laura; Carr, Thomas M.; Ye, Yu; Kerr, William C.; Mulia, Nina; Puka, Klajdi; Lasserre, Aurélie M.; Bright, Stephen; Rehm, Jürgen; Probst, Charlotte

doi:10.1016/j.eclinm.2023.101996

Cited by 16 publications

(9 citation statements)

References 59 publications

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“…Finally, for alcohol marketing bans to be termed a 'best buy', we would expect more direct real-world evidence that unequivocally demonstrates reduced consumption and/or improvements of health outcomes, as done for pricing policies and availability restrictions (e.g. Kilian et al) [34]. Until evidence is available that can prove so, we recommend (1) to not claim that marketing bans constitute a 'best buy'; and (2) to avoid estimating the impact of alcohol marketing on consumption and health outcomes using modelling studies (e.g.…”

Section: Discussionmentioning

confidence: 99%

Restricting alcohol marketing to reduce alcohol consumption: A systematic review of the empirical evidence for one of the ‘best buys’

Manthey,

Jacobsen,

Klinger

et al. 2024

Addiction

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Background and AimsEven though a ban of alcohol marketing has been declared a ‘best buy’ of alcohol control policy, comprehensive systematic reviews on its effectiveness to reduce consumption are lacking. The aim of this paper was to systematically review the evidence for effects of total and partial bans of alcohol marketing on alcohol consumption.MethodsThis descriptive systematic review sought to include all empirical studies that explored how changes in the regulation of alcohol marketing impact on alcohol consumption. The search was conducted between October and December 2022 considering various scientific databases (Web of Science, PsycINFO, MEDLINE, Embase) as well as Google and Google Scholar. The titles and abstracts of a total of 2572 records were screened. Of the 26 studies included in the full text screening, 11 studies were finally included in this review. Changes in consumption in relation to marketing bans were determined based on significance testing in primary studies. Four risk of bias domains (confounding, selection bias, information bias and reporting bias) were assessed.ResultsSeven studies examined changes in marketing restrictions in one location (New Zealand, Thailand, Canadian provinces, Spain, Norway). In the remaining studies, between 17 and 45 locations were studied (mostly high‐income countries from Europe and North America). Of the 11 studies identified, six studies reported null findings. Studies reporting lower alcohol consumption following marketing restrictions were of moderate, serious and critical risk of bias. Two studies with low and moderate risk of bias found increasing alcohol consumption post marketing bans. Overall, there was insufficient evidence to conclude that alcohol marketing bans reduce alcohol consumption.ConclusionsThe available empirical evidence does not support the claim of alcohol marketing bans constituting a best buy for reducing alcohol consumption.

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Section: Discussionmentioning

confidence: 99%

Restricting alcohol marketing to reduce alcohol consumption: A systematic review of the empirical evidence for one of the ‘best buys’

Manthey,

Jacobsen,

Klinger

et al. 2024

Addiction

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“…A large body of literature has demonstrated the effectiveness of alcohol price and tax increases in reducing alcohol consumption [33] and alcohol-related morbidity and mortality [34]. Heavy drinkers are more likely to purchase cheaper alcohol than other drinkers [35] and to show the steepest decline in consumption levels when prices increase given their high baseline consumption [36]. Pricing policies resulted in greater consumption changes among low-income alcohol users [36].…”

Section: Discussionmentioning

confidence: 99%

Alcoholic beverage types consumed by population subgroups in the United States: Implications for alcohol policy to address health disparities

Cook,

Kerr,

Zhu

et al. 2024

Drug and Alcohol Review

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IntroductionWe aimed to identify alcoholic beverage types more likely to be consumed by demographic subgroups with greater alcohol‐related health risk than others, mainly individuals with low socio‐economic status, racial/ethnic minority status and high drinking levels.MethodsFractional logit modelling was performed using a nationally representative sample of US adult drinkers (analytic N = 37,657) from the National Epidemiologic Survey on Alcohol and Related Conditions Waves 2 (2004–2005) and 3 (2012–2013). The outcomes were the proportions of pure alcohol consumed as beer, wine, liquor and coolers (defined as wine‐/malt‐/liquor‐based coolers, hard lemonade, hard cider and any prepackaged cocktails of alcohol and mixer).ResultsAdults with lower education and low or medium income were more likely to drink beer, liquor and coolers, while those with a 4‐year college/advanced degree and those with high income preferred wine. Excepting Asian adults, racial/ethnic minority adults were more likely to drink beer (Hispanics) and liquor (Blacks), compared with White adults. High‐ or very‐high‐level drinkers were more likely to consume liquor and beer and less likely to consume wine (and coolers), compared with low‐level drinkers. High‐level and very‐high‐level drinkers, who were less than 10% of all drinkers, consumed over half of the total volume of beer, liquor and coolers consumed by all adults.Discussion and ConclusionsIndividuals with low socio‐economic status, racial/ethnic minority status or high drinking level prefer liquor and beer. As alcohol taxes, sales and marketing practices all are beverage‐specific, targeted approaches to reduce consumption of these beverages, particularly among individuals with these profiles, are warranted.

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“…Beyond taxation, the WHO has identified additional cost-effective and feasible strategies at the federal/state level to reduce alcohol use and attributable harm. These include restricting the availability of alcohol (eg, by reducing trading hours) and a ban on alcohol marketing 48,51 ). A recent systematic review indicated that restricting alcohol sales by 1 day a week reduced consumption by about 4%, albeit based on evidence from high-income countries only 51 .…”

Section: Interventions To Reduce Alcohol Usementioning

confidence: 99%

“…These include restricting the availability of alcohol (eg, by reducing trading hours) and a ban on alcohol marketing 48,51 ). A recent systematic review indicated that restricting alcohol sales by 1 day a week reduced consumption by about 4%, albeit based on evidence from high-income countries only 51 . Quantifying the effects of a marketing ban is more difficult, as—contrary to taxation and availability restrictions, which have immediate impact and lasting effects—its effect accumulates over time, so the main impact is expected years after implementation 48 .…”

Section: Interventions To Reduce Alcohol Usementioning

confidence: 99%

“…A recent systematic review indicated that restricting alcohol sales by 1 day a week reduced consumption by about 4%, albeit based on evidence from high-income countries only. [51] Quantifying the effects of a marketing ban is more difficult, as-contrary to taxation and availability restrictions, which have immediate impact and lasting effects-its effect accumulates over time, so the main impact is expected years after implementation. [48] Community-level programs including, but not limited to, educational campaigns and limiting availability of alcohol, training servers, and enhanced enforcement of on-premise laws and legal requirements have also been shown to reduce alcohol consumption and harm.…”

Section: Interventions To Reduce Alcohol Usementioning

confidence: 99%

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A public health perspective on mitigating the global burden of chronic liver disease

Balakrishnan,

Rehm

2023

Hepatology

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Chronic liver disease (CLD) is a significant global health problem. Epidemiological trends do not show improvement in CLD incidence but rather a shift in etiologies, with steatotic liver disease (SLD) from metabolic dysfunction and alcohol becoming increasingly important causes. Consequently, there is a pressing need to develop a comprehensive public health approach for SLD. To that end, we propose a public health framework for preventing and controlling SLD. The framework is anchored on evidence linking physical inactivity, unhealthy dietary patterns, alcohol use, and obesity with both incidence and progression of SLD. Guided by the framework, we review examples of federal/state, community, and individual-level interventions with the potential to address these determinants of SLD. Ultimately, mitigating SLD’s burden requires primary risk factor reduction at multiple socioecological levels, by scaling up the World Health Organization’s “best buys”, in addition to developing and implementing SLD specific control interventions.

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Reducing alcohol use through alcohol control policies in the general population and population subgroups: a systematic review and meta-analysis

Cited by 16 publications

References 59 publications

Restricting alcohol marketing to reduce alcohol consumption: A systematic review of the empirical evidence for one of the ‘best buys’

Restricting alcohol marketing to reduce alcohol consumption: A systematic review of the empirical evidence for one of the ‘best buys’

Alcoholic beverage types consumed by population subgroups in the United States: Implications for alcohol policy to address health disparities

A public health perspective on mitigating the global burden of chronic liver disease

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