Policy Innovation Research Unit, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, LondonWC1H 9SH, UK.
J Public Health (Oxf). 2018 Mar 1;40(1):16-31. doi: 10.1093/pubmed/fdw139.
Local initiatives to reduce alcohol harms are common. One UK approach, Community Alcohol Partnerships (CAPs), involves partnerships between the alcohol industry and local government, focussing on alcohol misuse and anti-social behaviour (ASB) among young people. This study aimed to assess the evidence of effectiveness of CAPs.
We searched CAP websites and documents, and databases, and contacted CAPs to identify evaluations and summarize their findings. We appraised these against four methodological criteria: (i) reporting of pre-post data; (ii) use of comparison area(s); (iii) length of follow-up; and (iv) baseline comparability of comparison and intervention areas.
Out of 88 CAPs, we found three CAP evaluations which used controlled designs or comparison areas, and further data on 10 other CAPs. The most robust evaluations found little change in ASB, though few data were presented. While CAPs appear to affect public perceptions of ASB, this is not a measure of the effectiveness of CAPs.
Despite industry claims, the few existing evaluations do not provide convincing evidence that CAPs are effective in reducing alcohol harms or ASB. Their main role may be as an alcohol industry corporate social responsibility measure which is intended to limit the reputational damage associated with alcohol-related ASB.
减少酒精危害的地方举措很常见。英国的一种方法是社区酒精伙伴关系 (CAP)，它涉及酒精行业与地方政府之间的合作，重点关注年轻人中的酒精滥用和反社会行为 (ASB)。本研究旨在评估 CAP 的有效性证据。
我们搜索了 CAP 网站和文件以及数据库，并联系了 CAP 以确定评估并总结其发现。我们根据四项方法学标准对这些评估进行了评估：(i) 报告前后数据；(ii) 使用比较区域；(iii) 随访时间；和 (iv) 比较和干预区域的基线可比性。
在 88 个 CAP 中，我们发现了三个使用对照设计或比较区域的 CAP 评估，以及其他 10 个 CAP 的进一步数据。最可靠的评估发现 ASB 几乎没有变化，尽管很少有数据呈现。虽然 CAP 似乎影响了公众对 ASB 的看法，但这并不是 CAP 有效性的衡量标准。
尽管行业声称，但现有的少数评估并没有提供令人信服的证据表明 CAP 能够有效减少酒精危害或 ASB。它们的主要作用可能是作为酒精行业的企业社会责任措施，旨在限制与酒精相关的 ASB 相关的声誉损害。
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