Buykx Penny, Gilligan Conor, Ward Bernadette, Kippen Rebecca, Chapman Kathy
Monash University, School of Rural Health, Bendigo, Australia; University of Sheffield School of Health and Related Research, UK.
University of Newcastle, School of Medicine and Public Health, Newcastle, Australia.
Int J Drug Policy. 2015 Apr;26(4):371-9. doi: 10.1016/j.drugpo.2014.08.006. Epub 2014 Aug 21.
Several options are advocated by policy experts to mitigate alcohol-related harms, although the most effective strategies often have the least public support. While knowledge of tobacco-related health risks predicts support for relevant public health measures, it is not known whether knowledge of alcohol health risks is similarly associated with the acceptability of policies intended to reduce alcohol consumption and related harms. This study aims to gauge public support for a range of alcohol policies and to determine whether or not support is associated with knowledge of a long-term health risk of alcohol consumption, specifically cancer.
2482 adults in New South Wales (NSW), Australia, participated in an online survey. Logistic regression analysis was used to examine the association between demographic data, alcohol consumption, smoking status, knowledge of alcohol as a risk factor for cancer and support for alcohol-related policies.
Most participants were supportive of health warnings, restricting access to internet alcohol advertising to young people, and requiring information on national drinking guidelines on alcohol containers. Almost half of participants supported a ban on sport sponsorship, while less than 41% supported price increases, volumetric taxation, or reducing the number of retail outlets. Only 47% of participants identified drinking too much alcohol as a risk factor for cancer. Knowledge of alcohol as a risk factor for cancer was a significant predictor of support for all policies, while level of alcohol consumption had a significant inverse relationship with policy support.
The finding that support for alcohol management policies is associated with awareness that drinking too much alcohol may contribute to cancer could assist in the planning of future public health interventions. Improving awareness of the long term health risks of alcohol consumption may be one avenue to increasing public support for effective alcohol harm-reduction policies.
政策专家倡导了多种减轻与酒精相关危害的方法，尽管最有效的策略往往得到的公众支持最少。虽然对烟草相关健康风险的认知能预测对相关公共卫生措施的支持，但尚不清楚对酒精健康风险的认知是否同样与旨在减少酒精消费及相关危害的政策的可接受性相关。本研究旨在评估公众对一系列酒精政策的支持情况，并确定这种支持是否与对酒精消费长期健康风险（特别是癌症）的认知相关。
澳大利亚新南威尔士州的2482名成年人参与了一项在线调查。采用逻辑回归分析来检验人口统计学数据、酒精消费、吸烟状况、对酒精是癌症风险因素的认知与对酒精相关政策的支持之间的关联。
大多数参与者支持健康警示、限制年轻人访问网络酒精广告以及要求在酒精容器上标明国家饮酒指南信息。近一半的参与者支持禁止体育赛事赞助，而支持提高价格、实行容积税或减少零售店数量的参与者不到41%。只有47%的参与者认为饮酒过量是癌症的风险因素。对酒精是癌症风险因素的认知是对所有政策支持的显著预测因素，而酒精消费水平与政策支持呈显著负相关。
对酒精管理政策的支持与意识到饮酒过量可能导致癌症相关这一发现，有助于未来公共卫生干预措施的规划。提高对酒精消费长期健康风险的认知可能是增加公众对有效减少酒精危害政策支持的一条途径。
