A rapid evidence review of the effectiveness and cost-effectiveness of alcohol control policies: an English perspective

Summary This paper reviews the evidence for the effectiveness and cost-effectiveness of policies to reduce alcohol-related harm. Policies focus on price, marketing, availability, information and education, the drinking environment, drink-driving, and brief interventions and treatment. Although there...

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Bibliographic Details
Published in:The Lancet (British edition) 2017-04, Vol.389 (10078), p.1558-1580
Main Authors: Burton, Robyn, PhD, Henn, Clive, Mr, Lavoie, Don, MA, O'Connor, Rosanna, BA, Perkins, Clare, MSc, Sweeney, Kate, BSc, Greaves, Felix, PhD, Ferguson, Brian, Prof, Beynon, Caryl, PhD, Belloni, Annalisa, MSc, Musto, Virginia, MSc, Marsden, John, Prof, Sheron, Nick, Prof
Format: Article
Language:English
Subjects:
Acute intoxication
Addictions
Adolescents
Advertising
Age
Alcohol use
Alcoholic beverages
Alcoholism
Alcoholism - therapy
Alcohols
Cancer
Cirrhosis
Clinical trials
Clusters
Communities
Compounding
Consumers
Consumption
Cost analysis
Cost engineering
Cost-Benefit Analysis
Costs
Death
Diagnosis
Disorders
Drinking
Drinking behavior
Driving ability
Drug dependence
Education
Emergencies
England
Gender
Health promotion
Humans
Internal Medicine
Intervention
Intoxication
Lists
Literature reviews
Liver diseases
Marketing
Mental disorders
Mortality
Norms
Policies
Psychiatry
Public health
Research design
Resilience
Risk factors
Socioeconomic factors
Suicide
Treatment Outcome
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Summary:Summary This paper reviews the evidence for the effectiveness and cost-effectiveness of policies to reduce alcohol-related harm. Policies focus on price, marketing, availability, information and education, the drinking environment, drink-driving, and brief interventions and treatment. Although there is variability in research design and measured outcomes, evidence supports the effectiveness and cost-effectiveness of policies that address affordability and marketing. An adequate reduction in temporal availability, particularly late night on-sale availability, is effective and cost-effective. Individually-directed interventions delivered to at-risk drinkers and enforced legislative measures are also effective. Providing information and education increases awareness, but is not sufficient to produce long-lasting changes in behaviour. At best, interventions enacted in and around the drinking environment lead to small reductions in acute alcohol-related harm. Overall, there is a rich evidence base to support the decisions of policy makers in implementing the most effective and cost-effective policies to reduce alcohol-related harm.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(16)32420-5