Casswell S, Stewart L, Duignan P
Alcohol & Public Health Research Unit, University of Auckland, New Zealand.
Addiction. 1993 Jan;88 Suppl:9S-17S. doi: 10.1111/j.1360-0443.1993.tb02157.x.
Significant changes in the key alcohol policy areas of availability, advertising and taxation have taken place in New Zealand from 1985 to 1991. These changes are described in the context of the social climate which was one of extreme fiscal crisis and an unprecedented swing to the right. The very limited role played by public health research in the process of policy development is viewed in part as a consequence of this social climate. The political changes affected the strength and extent of the public health voices in the debate and the reception they received. In each of the policy areas in which change occurred, the policy-keeper was other than a public health agency and the utilization of research by public health advocates was, therefore, in response to already articulated positions. The dissemination of research relied too heavily on lengthy written submissions, and too little on media advocacy and interpersonal contact. There was also a lack of directly relevant local research to inform the policy debate. The case study illustrates the constraints on researchers' in the policy development process, but suggests that such involvement is important for the public's health.
1985年至1991年间,新西兰在酒精政策的关键领域,即供应、广告和税收方面发生了重大变化。这些变化是在社会环境背景下描述的,当时处于极端财政危机和前所未有的右派转向时期。公共卫生研究在政策制定过程中发挥的作用非常有限,部分原因被认为是这种社会环境所致。政治变革影响了公共卫生声音在辩论中的力度和范围以及它们所获得的反响。在发生变革的每个政策领域,政策制定者都不是公共卫生机构,因此,公共卫生倡导者对研究的利用是为了回应已经阐明的立场。研究的传播过于依赖冗长的书面意见书,而对媒体宣传和人际接触的依赖过少。此外,缺乏直接相关的本地研究来为政策辩论提供信息。该案例研究说明了政策制定过程中对研究人员的限制,但表明这种参与对公众健康很重要。