Cross‐country comparison of proportion of alcohol consumed in harmful drinking occasions using the International Alcohol Control Study

P Viet Cuong, S Casswell, K Parker… - Drug and alcohol …, 2018 - Wiley Online Library
P Viet Cuong, S Casswell, K Parker, S Callinan, S Chaiyasong, E Kazantseva, P Meier
Drug and alcohol review, 2018Wiley Online Library
Abstract Introduction and Aims This study examines the proportion of alcohol markets
consumed in harmful drinking occasions in a range of high‐, middle‐income countries and
assesses the implications of these findings for conflict of interest between alcohol producers
and public health and the appropriate role of the alcohol industry in alcohol policy space.
Design and Methods Cross‐sectional surveys were conducted in 10 countries as part of the
International Alcohol Control study. Alcohol consumption was measured using location‐and …
Introduction and Aims
This study examines the proportion of alcohol markets consumed in harmful drinking occasions in a range of high‐, middle‐income countries and assesses the implications of these findings for conflict of interest between alcohol producers and public health and the appropriate role of the alcohol industry in alcohol policy space.
Design and Methods
Cross‐sectional surveys were conducted in 10 countries as part of the International Alcohol Control study. Alcohol consumption was measured using location‐ and beverage‐specific measures. A level of consumption defined as harmful use of alcohol was chosen and the proportion of the total market consumed in these drinking occasions was calculated for both commercial and informal alcohol.
Results
In all countries, sizeable proportions of the alcohol market were consumed during harmful drinking occasions. In general, a higher proportion of alcohol was consumed in harmful drinking occasions by respondents in the middle‐income countries than respondents in the high‐income countries. The proportion of informal alcohol consumed in harmful drinking occasions was lower than commercial alcohol.
Discussion and Conclusions
Informal alcohol is less likely to be consumed in harmful drinking occasions compared with commercial alcohol. The proportion of commercial alcohol consumed in harmful drinking occasions in a range of alcohol markets shows the reliance of the transnational alcohol corporations on harmful alcohol use. This reliance underpins industry lobbying against effective policy and support for ineffective approaches. The conflict of interest between the alcohol industry and public health requires their exclusion from the alcohol policy space.
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