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Assessing alcohol industry penetration and government safeguards: the International Alcohol Control Study
BackgroundThe alcohol industry uses many of the tobacco industry’s strategies to influence policy-making, yet unlike the Framework Convention on Tobacco Control, there is no intergovernmental guidance on protecting policies from alcohol industry influence. Systematic assessment of alcohol industry p...
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Published in: | BMJ global health 2024-11, Vol.9 (11), p.e016093 |
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creator | Leung, June Yue Yan Casswell, Sally Randerson, Steve Athauda, Lathika Banavaram, Arvind Callinan, Sarah Campbell, Orfhlaith Chaiyasong, Surasak Dearak, Song Dumbili, Emeka W Romero-García, Laura Gururaj, Gopalkrishna Kalapat, Romtawan Karki, Khem Karlsson, Thomas Kong, Mom Liu, Shiwei Maldonado Vargas, Norman Danilo Gonzalez-Mejía, Juan Felipe Naimi, Timothy Nthomang, Keitseope Oladunni, Opeyemi Owino, Kwame Herrera Palacio, Juan Camilo Phatchana, Phasith Pradhan, Pranil Man Singh Rossow, Ingeborg Shorter, Gillian Sibounheuang, Vanlounny Štelemėkas, Mindaugas Son, Dao The Vallance, Kate van Dalen, Wim Wettlaufer, Ashley Zamora, Arianne Jankhotkaew, Jintana |
description | BackgroundThe alcohol industry uses many of the tobacco industry’s strategies to influence policy-making, yet unlike the Framework Convention on Tobacco Control, there is no intergovernmental guidance on protecting policies from alcohol industry influence. Systematic assessment of alcohol industry penetration and government safeguards is also lacking. Here, we aimed to identify the nature and extent of industry penetration in a cross-section of jurisdictions. Using these data, we suggested ways to protect alcohol policies and policy-makers from undue industry influence.MethodsAs part of the International Alcohol Control Study, researchers from 24 jurisdictions documented whether 22 indicators of alcohol industry penetration and government safeguards were present or absent in their location. Several sources of publicly available information were used, such as government or alcohol industry reports, websites, media releases, news articles and research articles. We summarised the responses quantitatively by indicator and jurisdiction. We also extracted examples provided of industry penetration and government safeguards.ResultsThere were high levels of alcohol industry penetration overall. Notably, all jurisdictions reported the presence of transnational alcohol corporations, and most (63%) reported government officials or politicians having held industry roles. There were multiple examples of government partnerships or agreements with the alcohol industry as corporate social responsibility activities, and government incentives for the industry in the early COVID-19 pandemic. In contrast, government safeguards against alcohol industry influence were limited, with only the Philippines reporting a policy to restrict government interactions with the alcohol industry. It was challenging to obtain publicly available information on multiple indicators of alcohol industry penetration.ConclusionGovernments need to put in place stronger measures to protect policies from alcohol industry influence, including restricting interactions and partnerships with the alcohol industry, limiting political contributions and enhancing transparency. Data collection can be improved by measuring these government safeguards in future studies. |
doi_str_mv | 10.1136/bmjgh-2024-016093 |
format | article |
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Systematic assessment of alcohol industry penetration and government safeguards is also lacking. Here, we aimed to identify the nature and extent of industry penetration in a cross-section of jurisdictions. Using these data, we suggested ways to protect alcohol policies and policy-makers from undue industry influence.MethodsAs part of the International Alcohol Control Study, researchers from 24 jurisdictions documented whether 22 indicators of alcohol industry penetration and government safeguards were present or absent in their location. Several sources of publicly available information were used, such as government or alcohol industry reports, websites, media releases, news articles and research articles. We summarised the responses quantitatively by indicator and jurisdiction. We also extracted examples provided of industry penetration and government safeguards.ResultsThere were high levels of alcohol industry penetration overall. Notably, all jurisdictions reported the presence of transnational alcohol corporations, and most (63%) reported government officials or politicians having held industry roles. There were multiple examples of government partnerships or agreements with the alcohol industry as corporate social responsibility activities, and government incentives for the industry in the early COVID-19 pandemic. In contrast, government safeguards against alcohol industry influence were limited, with only the Philippines reporting a policy to restrict government interactions with the alcohol industry. It was challenging to obtain publicly available information on multiple indicators of alcohol industry penetration.ConclusionGovernments need to put in place stronger measures to protect policies from alcohol industry influence, including restricting interactions and partnerships with the alcohol industry, limiting political contributions and enhancing transparency. Data collection can be improved by measuring these government safeguards in future studies.</description><identifier>ISSN: 2059-7908</identifier><identifier>EISSN: 2059-7908</identifier><identifier>DOI: 10.1136/bmjgh-2024-016093</identifier><identifier>PMID: 39581634</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Alcohol ; Alcohol Drinking - legislation & jurisprudence ; Alcohol use ; Alcoholic Beverages - legislation & jurisprudence ; Alcohols ; Control strategies ; Cross-Sectional Studies ; Data collection ; Food Industry - legislation & jurisprudence ; Government ; Health Policy ; Humans ; Jurisdiction ; Liquor industry ; Original Research ; Pandemics ; Policy Making ; Political parties ; Politicians ; Public health ; Public relations ; Social responsibility ; Tobacco industry ; Transnationalism</subject><ispartof>BMJ global health, 2024-11, Vol.9 (11), p.e016093</ispartof><rights>Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2024 Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b414t-602f0b0f18f253e09024ec120b3552f0891c2784672f74b7cac55c70b821ef7c3</cites><orcidid>0000-0003-4146-1244 ; 0009-0005-3218-4822 ; 0009-0000-9988-0287 ; 0000-0001-5863-9382 ; 0000-0003-2084-8001 ; 0000-0001-6706-5683 ; 0000-0002-2040-6900 ; 0000-0003-2094-1804 ; 0000-0003-1762-7021 ; 0000-0001-5752-2297 ; 0000-0003-0974-2695 ; 0000-0002-0066-8583 ; 0000-0002-9231-1249 ; 0000-0002-2942-0880 ; 0000-0002-2009-6842 ; 0000-0002-2211-7096 ; 0009-0006-2927-076X ; 0000-0001-8448-9584 ; 0000-0002-6138-7646 ; 0000-0001-8652-9367 ; 0000-0002-3563-1617</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://gh.bmj.com/content/9/11/e016093.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://gh.bmj.com/content/9/11/e016093.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793,55350,77660,77686</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39581634$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leung, June Yue Yan</creatorcontrib><creatorcontrib>Casswell, Sally</creatorcontrib><creatorcontrib>Randerson, Steve</creatorcontrib><creatorcontrib>Athauda, Lathika</creatorcontrib><creatorcontrib>Banavaram, Arvind</creatorcontrib><creatorcontrib>Callinan, Sarah</creatorcontrib><creatorcontrib>Campbell, Orfhlaith</creatorcontrib><creatorcontrib>Chaiyasong, Surasak</creatorcontrib><creatorcontrib>Dearak, Song</creatorcontrib><creatorcontrib>Dumbili, Emeka W</creatorcontrib><creatorcontrib>Romero-García, Laura</creatorcontrib><creatorcontrib>Gururaj, Gopalkrishna</creatorcontrib><creatorcontrib>Kalapat, Romtawan</creatorcontrib><creatorcontrib>Karki, Khem</creatorcontrib><creatorcontrib>Karlsson, Thomas</creatorcontrib><creatorcontrib>Kong, Mom</creatorcontrib><creatorcontrib>Liu, Shiwei</creatorcontrib><creatorcontrib>Maldonado Vargas, Norman Danilo</creatorcontrib><creatorcontrib>Gonzalez-Mejía, Juan Felipe</creatorcontrib><creatorcontrib>Naimi, Timothy</creatorcontrib><creatorcontrib>Nthomang, Keitseope</creatorcontrib><creatorcontrib>Oladunni, Opeyemi</creatorcontrib><creatorcontrib>Owino, Kwame</creatorcontrib><creatorcontrib>Herrera Palacio, Juan Camilo</creatorcontrib><creatorcontrib>Phatchana, Phasith</creatorcontrib><creatorcontrib>Pradhan, Pranil Man Singh</creatorcontrib><creatorcontrib>Rossow, Ingeborg</creatorcontrib><creatorcontrib>Shorter, Gillian</creatorcontrib><creatorcontrib>Sibounheuang, Vanlounny</creatorcontrib><creatorcontrib>Štelemėkas, Mindaugas</creatorcontrib><creatorcontrib>Son, Dao The</creatorcontrib><creatorcontrib>Vallance, Kate</creatorcontrib><creatorcontrib>van Dalen, Wim</creatorcontrib><creatorcontrib>Wettlaufer, Ashley</creatorcontrib><creatorcontrib>Zamora, Arianne</creatorcontrib><creatorcontrib>Jankhotkaew, Jintana</creatorcontrib><title>Assessing alcohol industry penetration and government safeguards: the International Alcohol Control Study</title><title>BMJ global health</title><addtitle>BMJ Glob Health</addtitle><addtitle>BMJ Glob Health</addtitle><description>BackgroundThe alcohol industry uses many of the tobacco industry’s strategies to influence policy-making, yet unlike the Framework Convention on Tobacco Control, there is no intergovernmental guidance on protecting policies from alcohol industry influence. Systematic assessment of alcohol industry penetration and government safeguards is also lacking. Here, we aimed to identify the nature and extent of industry penetration in a cross-section of jurisdictions. Using these data, we suggested ways to protect alcohol policies and policy-makers from undue industry influence.MethodsAs part of the International Alcohol Control Study, researchers from 24 jurisdictions documented whether 22 indicators of alcohol industry penetration and government safeguards were present or absent in their location. Several sources of publicly available information were used, such as government or alcohol industry reports, websites, media releases, news articles and research articles. We summarised the responses quantitatively by indicator and jurisdiction. We also extracted examples provided of industry penetration and government safeguards.ResultsThere were high levels of alcohol industry penetration overall. Notably, all jurisdictions reported the presence of transnational alcohol corporations, and most (63%) reported government officials or politicians having held industry roles. There were multiple examples of government partnerships or agreements with the alcohol industry as corporate social responsibility activities, and government incentives for the industry in the early COVID-19 pandemic. In contrast, government safeguards against alcohol industry influence were limited, with only the Philippines reporting a policy to restrict government interactions with the alcohol industry. It was challenging to obtain publicly available information on multiple indicators of alcohol industry penetration.ConclusionGovernments need to put in place stronger measures to protect policies from alcohol industry influence, including restricting interactions and partnerships with the alcohol industry, limiting political contributions and enhancing transparency. Data collection can be improved by measuring these government safeguards in future studies.</description><subject>Alcohol</subject><subject>Alcohol Drinking - legislation & jurisprudence</subject><subject>Alcohol use</subject><subject>Alcoholic Beverages - legislation & jurisprudence</subject><subject>Alcohols</subject><subject>Control strategies</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Food Industry - legislation & jurisprudence</subject><subject>Government</subject><subject>Health Policy</subject><subject>Humans</subject><subject>Jurisdiction</subject><subject>Liquor industry</subject><subject>Original Research</subject><subject>Pandemics</subject><subject>Policy Making</subject><subject>Political parties</subject><subject>Politicians</subject><subject>Public health</subject><subject>Public relations</subject><subject>Social responsibility</subject><subject>Tobacco 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alcohol industry penetration and government safeguards: the International Alcohol Control Study</title><author>Leung, June Yue Yan ; Casswell, Sally ; Randerson, Steve ; Athauda, Lathika ; Banavaram, Arvind ; Callinan, Sarah ; Campbell, Orfhlaith ; Chaiyasong, Surasak ; Dearak, Song ; Dumbili, Emeka W ; Romero-García, Laura ; Gururaj, Gopalkrishna ; Kalapat, Romtawan ; Karki, Khem ; Karlsson, Thomas ; Kong, Mom ; Liu, Shiwei ; Maldonado Vargas, Norman Danilo ; Gonzalez-Mejía, Juan Felipe ; Naimi, Timothy ; Nthomang, Keitseope ; Oladunni, Opeyemi ; Owino, Kwame ; Herrera Palacio, Juan Camilo ; Phatchana, Phasith ; Pradhan, Pranil Man Singh ; Rossow, Ingeborg ; Shorter, Gillian ; Sibounheuang, Vanlounny ; Štelemėkas, Mindaugas ; Son, Dao The ; Vallance, Kate ; van Dalen, Wim ; Wettlaufer, Ashley ; Zamora, Arianne ; Jankhotkaew, 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responsibility</topic><topic>Tobacco industry</topic><topic>Transnationalism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leung, June Yue Yan</creatorcontrib><creatorcontrib>Casswell, Sally</creatorcontrib><creatorcontrib>Randerson, Steve</creatorcontrib><creatorcontrib>Athauda, Lathika</creatorcontrib><creatorcontrib>Banavaram, Arvind</creatorcontrib><creatorcontrib>Callinan, Sarah</creatorcontrib><creatorcontrib>Campbell, Orfhlaith</creatorcontrib><creatorcontrib>Chaiyasong, Surasak</creatorcontrib><creatorcontrib>Dearak, Song</creatorcontrib><creatorcontrib>Dumbili, Emeka W</creatorcontrib><creatorcontrib>Romero-García, Laura</creatorcontrib><creatorcontrib>Gururaj, Gopalkrishna</creatorcontrib><creatorcontrib>Kalapat, Romtawan</creatorcontrib><creatorcontrib>Karki, Khem</creatorcontrib><creatorcontrib>Karlsson, Thomas</creatorcontrib><creatorcontrib>Kong, Mom</creatorcontrib><creatorcontrib>Liu, Shiwei</creatorcontrib><creatorcontrib>Maldonado Vargas, Norman Danilo</creatorcontrib><creatorcontrib>Gonzalez-Mejía, Juan Felipe</creatorcontrib><creatorcontrib>Naimi, Timothy</creatorcontrib><creatorcontrib>Nthomang, Keitseope</creatorcontrib><creatorcontrib>Oladunni, Opeyemi</creatorcontrib><creatorcontrib>Owino, Kwame</creatorcontrib><creatorcontrib>Herrera Palacio, Juan Camilo</creatorcontrib><creatorcontrib>Phatchana, Phasith</creatorcontrib><creatorcontrib>Pradhan, Pranil Man Singh</creatorcontrib><creatorcontrib>Rossow, Ingeborg</creatorcontrib><creatorcontrib>Shorter, Gillian</creatorcontrib><creatorcontrib>Sibounheuang, Vanlounny</creatorcontrib><creatorcontrib>Štelemėkas, Mindaugas</creatorcontrib><creatorcontrib>Son, Dao The</creatorcontrib><creatorcontrib>Vallance, Kate</creatorcontrib><creatorcontrib>van Dalen, Wim</creatorcontrib><creatorcontrib>Wettlaufer, Ashley</creatorcontrib><creatorcontrib>Zamora, Arianne</creatorcontrib><creatorcontrib>Jankhotkaew, Jintana</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>BMJ global health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leung, June Yue Yan</au><au>Casswell, Sally</au><au>Randerson, Steve</au><au>Athauda, Lathika</au><au>Banavaram, Arvind</au><au>Callinan, Sarah</au><au>Campbell, Orfhlaith</au><au>Chaiyasong, Surasak</au><au>Dearak, Song</au><au>Dumbili, Emeka W</au><au>Romero-García, Laura</au><au>Gururaj, Gopalkrishna</au><au>Kalapat, Romtawan</au><au>Karki, Khem</au><au>Karlsson, Thomas</au><au>Kong, Mom</au><au>Liu, Shiwei</au><au>Maldonado Vargas, Norman Danilo</au><au>Gonzalez-Mejía, Juan Felipe</au><au>Naimi, Timothy</au><au>Nthomang, Keitseope</au><au>Oladunni, Opeyemi</au><au>Owino, Kwame</au><au>Herrera Palacio, Juan Camilo</au><au>Phatchana, Phasith</au><au>Pradhan, Pranil Man Singh</au><au>Rossow, Ingeborg</au><au>Shorter, Gillian</au><au>Sibounheuang, Vanlounny</au><au>Štelemėkas, Mindaugas</au><au>Son, Dao The</au><au>Vallance, Kate</au><au>van Dalen, Wim</au><au>Wettlaufer, Ashley</au><au>Zamora, Arianne</au><au>Jankhotkaew, Jintana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing alcohol industry penetration and government safeguards: the International Alcohol Control Study</atitle><jtitle>BMJ global health</jtitle><stitle>BMJ Glob Health</stitle><addtitle>BMJ Glob Health</addtitle><date>2024-11-24</date><risdate>2024</risdate><volume>9</volume><issue>11</issue><spage>e016093</spage><pages>e016093-</pages><issn>2059-7908</issn><eissn>2059-7908</eissn><abstract>BackgroundThe alcohol industry uses many of the tobacco industry’s strategies to influence policy-making, yet unlike the Framework Convention on Tobacco Control, there is no intergovernmental guidance on protecting policies from alcohol industry influence. Systematic assessment of alcohol industry penetration and government safeguards is also lacking. Here, we aimed to identify the nature and extent of industry penetration in a cross-section of jurisdictions. Using these data, we suggested ways to protect alcohol policies and policy-makers from undue industry influence.MethodsAs part of the International Alcohol Control Study, researchers from 24 jurisdictions documented whether 22 indicators of alcohol industry penetration and government safeguards were present or absent in their location. Several sources of publicly available information were used, such as government or alcohol industry reports, websites, media releases, news articles and research articles. We summarised the responses quantitatively by indicator and jurisdiction. We also extracted examples provided of industry penetration and government safeguards.ResultsThere were high levels of alcohol industry penetration overall. Notably, all jurisdictions reported the presence of transnational alcohol corporations, and most (63%) reported government officials or politicians having held industry roles. There were multiple examples of government partnerships or agreements with the alcohol industry as corporate social responsibility activities, and government incentives for the industry in the early COVID-19 pandemic. In contrast, government safeguards against alcohol industry influence were limited, with only the Philippines reporting a policy to restrict government interactions with the alcohol industry. It was challenging to obtain publicly available information on multiple indicators of alcohol industry penetration.ConclusionGovernments need to put in place stronger measures to protect policies from alcohol industry influence, including restricting interactions and partnerships with the alcohol industry, limiting political contributions and enhancing transparency. Data collection can be improved by measuring these government safeguards in future studies.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>39581634</pmid><doi>10.1136/bmjgh-2024-016093</doi><orcidid>https://orcid.org/0000-0003-4146-1244</orcidid><orcidid>https://orcid.org/0009-0005-3218-4822</orcidid><orcidid>https://orcid.org/0009-0000-9988-0287</orcidid><orcidid>https://orcid.org/0000-0001-5863-9382</orcidid><orcidid>https://orcid.org/0000-0003-2084-8001</orcidid><orcidid>https://orcid.org/0000-0001-6706-5683</orcidid><orcidid>https://orcid.org/0000-0002-2040-6900</orcidid><orcidid>https://orcid.org/0000-0003-2094-1804</orcidid><orcidid>https://orcid.org/0000-0003-1762-7021</orcidid><orcidid>https://orcid.org/0000-0001-5752-2297</orcidid><orcidid>https://orcid.org/0000-0003-0974-2695</orcidid><orcidid>https://orcid.org/0000-0002-0066-8583</orcidid><orcidid>https://orcid.org/0000-0002-9231-1249</orcidid><orcidid>https://orcid.org/0000-0002-2942-0880</orcidid><orcidid>https://orcid.org/0000-0002-2009-6842</orcidid><orcidid>https://orcid.org/0000-0002-2211-7096</orcidid><orcidid>https://orcid.org/0009-0006-2927-076X</orcidid><orcidid>https://orcid.org/0000-0001-8448-9584</orcidid><orcidid>https://orcid.org/0000-0002-6138-7646</orcidid><orcidid>https://orcid.org/0000-0001-8652-9367</orcidid><orcidid>https://orcid.org/0000-0002-3563-1617</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2059-7908 |
ispartof | BMJ global health, 2024-11, Vol.9 (11), p.e016093 |
issn | 2059-7908 2059-7908 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_74c1cd63dea943348d5667046f6b68c4 |
source | BMJ Open Access Journals; PubMed Central (Open Access) |
subjects | Alcohol Alcohol Drinking - legislation & jurisprudence Alcohol use Alcoholic Beverages - legislation & jurisprudence Alcohols Control strategies Cross-Sectional Studies Data collection Food Industry - legislation & jurisprudence Government Health Policy Humans Jurisdiction Liquor industry Original Research Pandemics Policy Making Political parties Politicians Public health Public relations Social responsibility Tobacco industry Transnationalism |
title | Assessing alcohol industry penetration and government safeguards: the International Alcohol Control Study |
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