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Health Place. 2016 Sep;41:11-18. doi: 10.1016/j.healthplace.2016.06.007. Epub 2016 Jul 13.

Local policies to tackle a national problem: Comparative qualitative case studies of an English local authority alcohol availability intervention.

Author information

1
London School of Hygiene & Tropical Medicine, SPHR@L, 15-17 Tavistock Place, London WC1H 9SH, UK. Electronic address: matt.egan@lshtm.ac.uk.
2
University of Sheffield, School of Health and Related Research, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
3
University of Bristol, School of Social and Community Medicine, Canynge Hall, 39 Whatley Road, Bristol BS8 2PS, UK.
4
London School of Hygiene & Tropical Medicine, SPHR@L, 15-17 Tavistock Place, London WC1H 9SH, UK.
5
Lancaster University, Division of Health Research, Faculty of Health and Medicine, Lancaster LA1 4YW, UK.
6
University of Bristol, School of Social and Community Medicine, Oakfield House, Oakfield Grove, Clifton BS8 2BN, UK.

Abstract

Cumulative impact policies (CIPs) are widely used in UK local government to help regulate alcohol markets in localities characterised by high density of outlets and high rates of alcohol related harms. CIPs have been advocated as a means of protecting health by controlling or limiting alcohol availability. We use a comparative qualitative case study approach (n=5 English local government authorities, 48 participants) to assess how CIPs vary across different localities, what they are intended to achieve, and the implications for local-level alcohol availability. We found that the case study CIPs varied greatly in terms of aims, health focus and scale of implementation. However, they shared some common functions around influencing the types and managerial practices of alcohol outlets in specific neighbourhoods without reducing outlet density. The assumption that this will lead to alcohol harm-reduction needs to be quantitatively tested.

KEYWORDS:

Alcohol; Case study; Neighbourhood environment; Public health

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