Menzies School of Health Research, Charles Darwin University, Darwin, Australia.
National Drug Research Institute, Melbourne, Australia.
Drug Alcohol Rev. 2023 Sep;42(6):1312-1321. doi: 10.1111/dar.13682. Epub 2023 May 21.
Alcohol is a leading cause of morbidity and mortality globally. One significant barrier to the implementation of evidence-based alcohol policy is alcohol industry opposition. Making submissions to national policy processes is one way in which the industry exert influence. The aim of this study was to analyse alcohol industry submissions into Australia's National Alcohol Strategy to determine key assertions made by the alcohol industry and the ways in which they use evidence and refute the effectiveness of public health policies to make their claims.
Submissions made by alcohol industry actors (n = 12) were analysed using content analysis to determine key industry assertions. A pre-existing framework on alcohol industry use of evidence was then applied to analyse the evidentiary practices used to make these assertions.
Five common industry assertions were identified: 'Drinking alcohol in moderation has health benefits'; 'Alcohol isn't the cause of violence'; 'Targeted initiatives, not population level alcohol policies, are needed'; 'Strong alcohol advertising regulations are not necessary'; and 'Minimum unit price and pricing and taxation policies more broadly are not needed'. The industry systematically manipulated, misused and ignored evidence throughout their submissions.
The alcohol industry is misusing evidence in their submissions to government consultations to make their assertions about alcohol policy. It is therefore essential that industry submissions are scrutinised and not accepted on face value. Additionally, it is suggested that the alcohol industry requires a distinct model of governance similarly to that which regulates the tobacco industry to prevent their attempts to undermine evidence-based public health policy.
酒精是全球发病率和死亡率的主要原因之一。实施基于证据的酒精政策的一个主要障碍是酒精行业的反对。向国家政策制定过程提出意见是该行业施加影响的一种方式。本研究的目的是分析酒精行业对澳大利亚国家酒精战略的意见提交,以确定酒精行业提出的主要主张,以及他们如何使用证据并反驳公共卫生政策的有效性,以提出自己的主张。
使用内容分析分析酒精行业行为者(n=12)提交的意见,以确定主要的行业主张。然后,应用一个预先存在的关于酒精行业使用证据的框架来分析用于提出这些主张的证据实践。
确定了五个常见的行业主张:“适量饮酒有益健康”;“酒精不是暴力的原因”;“需要有针对性的举措,而不是针对整个人群的酒精政策”;“不需要强有力的酒精广告法规”;以及“不需要最低单位价格和更广泛的定价和税收政策”。整个提交过程中,该行业系统地操纵、滥用和忽略了证据。
酒精行业在向政府咨询意见中错误地使用证据来支持其关于酒精政策的主张。因此,必须仔细审查行业提交的意见,而不能仅从表面上接受。此外,建议对酒精行业实施一种独特的治理模式,类似于监管烟草行业的模式,以防止他们试图破坏基于证据的公共卫生政策。