d'Abbs P, Togni S
Menzies School of Health Research, Casuarina, NT.
Aust N Z J Public Health. 2000 Feb;24(1):45-53. doi: 10.1111/j.1467-842x.2000.tb00722.x.
To review the effectiveness of community-based initiatives involving restrictions on alcohol availability in remote and regional locations in Australia, and to assess their implications for other communities or towns contemplating similar measures.
Findings from evaluations of community initiatives in Tennant Creek (NT), Derby (WA), Halls Creek (WA), Elliott (NT) and Curtin Springs (NT) are compared with respect to impact on alcohol consumption, and on indicators of alcohol-related harm relating to public order, health and well-being, and economic activities. The extent of community support for these initiatives is also examined.
Restrictions were found to have a modest but real impact on alcohol consumption, and a significant impact on indicators of alcohol-related harm, especially violence. Restrictions were also found to have widespread community support, often qualified by a belief that other measures were also required.
Restrictions on availability are an effective means of reducing alcohol-related harm at a local level and, depending upon the processes involved in their introduction, are likely to have strong community support, provided that other measures are also pursued.
Five issues are identified that are likely to arise in other settings where restrictions are contemplated. These are: the issue of representativeness ('who speaks for the community?'); selection of particular kinds of restrictions on availability; selection of most appropriate additional measures; universal vs. selective restrictions; and the role of liquor licensing authorities in imposing or facilitating restrictions.
回顾澳大利亚偏远及地区实施的限制酒精供应的社区倡议的有效性,并评估其对其他考虑采取类似措施的社区或城镇的影响。
比较了在滕南特克里克(北领地)、德比(西澳大利亚州)、哈尔斯克里克(西澳大利亚州)、埃利奥特(北领地)和柯廷斯普林斯(北领地)开展的社区倡议评估结果,内容涉及对酒精消费的影响,以及与公共秩序、健康和福祉及经济活动相关的酒精危害指标。还考察了社区对这些倡议的支持程度。
发现限制措施对酒精消费有适度但切实的影响,对与酒精相关的危害指标,尤其是暴力行为,有显著影响。还发现限制措施得到了广泛的社区支持,但人们通常认为还需要其他措施。
限制酒精供应是在地方层面减少与酒精相关危害的有效手段,并且根据实施过程的不同,只要同时采取其他措施,很可能会得到社区的大力支持。
确定了在考虑实施限制措施的其他环境中可能出现的五个问题。这些问题是:代表性问题(“谁代表社区发声?”);选择特定类型的供应限制;选择最合适的额外措施;普遍限制与选择性限制;以及酒类许可当局在实施或促进限制措施方面的作用。