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Lancet. 2017 Apr 15;389(10078):1558-1580. doi: 10.1016/S0140-6736(16)32420-5. Epub 2016 Dec 2.

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

Author information

1
Public Health England, London, UK; Addictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
2
Public Health England, London, UK. Electronic address: clive.henn@phe.gov.uk.
3
Public Health England, London, UK.
4
Public Health England, London, UK; Department of Primary Care and Public Health, Imperial College London, London, UK.
5
Public Health England, London, UK; Department of Health Sciences, University of York, York, UK.
6
Public Health England, London, UK; Faculty of Medicine, University of Southampton, Southampton, UK.

Abstract

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.

PMID:
27919442
DOI:
10.1016/S0140-6736(16)32420-5
[Indexed for MEDLINE]
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