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对风险的回应:公众对澳大利亚低风险饮酒指南的意见。

Responses to risk: public submissions on Australian alcohol guidelines for low-risk drinking.

机构信息

Centre for Alcohol Policy Research, Turning Point Alcohol & Drug Centre, Eastern Health, 54-62 Gertrude Street, Fitzroy, Vic. 3065, Australia.

出版信息

Drug Alcohol Rev. 2012 Mar;31(2):162-9. doi: 10.1111/j.1465-3362.2011.00413.x. Epub 2012 Jan 12.

Abstract

INTRODUCTION AND AIMS

In 2007 the National Health and Medical Research Council issued the draft of the revised Australian alcohol guidelines. The document presented guidelines explicitly in terms of risk. This paper seeks to explore the public response to this document by analysing the submissions received during the 60 day period for public feedback.

METHODS

One-hundred and three submissions were reviewed. Considerations of what interests were reflected in submissions and how interest groups responded to the framing of risk were examined.

RESULTS

Submissions were received from individuals and organisations. Analysis revealed a range of views and rhetoric. Temperance interests wanted the guidelines' thresholds to be lower; the industry critiqued the evidence base as flawed and also argued that the public was unlikely to listen to low-risk drinking messages; submissions from public health groups and government wanted a greater rationale for the guidelines and were also concerned with the dropping of a second differentiation of a higher-risk level; personal testimonies supported the risk assessments based on personal experiences; and those working in clinical service provision expressed concern about the reception of the guidelines among client groups.

DISCUSSION AND CONCLUSIONS

The diversity of views expressed seems to have had little effect in the revision of the guidelines. Disseminating the low-risk drinking guidelines message poses many challenges.

摘要

引言和目的

2007 年,澳大利亚国家卫生和医学研究委员会发布了修订版的澳大利亚酒精指南草案。该文件明确以风险为导向制定了指南。本文通过分析公众在 60 天的公众反馈期内提交的意见,旨在探讨公众对该文件的反应。

方法

共审查了 103 份意见书。考虑了意见书所反映的利益以及利益集团对风险框架的反应。

结果

意见书来自个人和组织。分析显示出各种观点和言论。戒酒团体希望降低指南的门槛;行业批评证据基础有缺陷,并认为公众不太可能接受低风险饮酒信息;公共卫生团体和政府的意见书希望有更多的理由来制定这些指南,并对放弃更高风险水平的第二个区分表示关注;个人证词支持基于个人经验的风险评估;在临床服务提供方面工作的人则对客户群体对这些指南的接受程度表示担忧。

讨论与结论

表达的各种观点似乎对指南的修订几乎没有影响。传播低风险饮酒指南信息面临诸多挑战。

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