Affiliation:
1. Department of Public Health University of Otago Wellington Wellington New Zealand
2. Department of Preventive and Social Medicine University of Otago Dunedin New Zealand
3. Independent Researcher Auckland New Zealand
4. Department of Population Health University of Otago Christchurch Christchurch New Zealand
Abstract
AbstractIntroductionWhile effective policies exist to reduce alcohol‐related harm, political will to enact them is low in many jurisdictions. We aimed to identify key barriers and strategies for strengthening political priority for alcohol policy reform.MethodsA framework synthesis was conducted, incorporating relevant theory, key informant interviews (n = 37) and a scoping review. Thematic analysis informed the development of a framework for understanding and influencing political priority for alcohol policy.ResultsTwelve barriers and 14 strategies were identified at multiple levels (global, national and local). Major barriers included neoliberal or free trade ideology, the globalised alcohol industry, limited advocate capacity and the normalisation of alcohol harms. Strategies fell into two categories: sector‐specific and system change initiatives. Sector‐specific strategies primarily focus on influencing policymakers and mobilising civil society. Examples include developing a clear, unified solution, coalition building and effective framing. System change initiatives target structural change to reduce the power imbalance between industry and civil society, such as restricting industry involvement in policymaking and securing sustainable funding for advocacy. A key example is establishing an international treaty, similar to the Framework Convention on Tobacco Control, to support domestic policymaking.Discussion and ConclusionsOur findings provide a framework for understanding and advancing political priority for alcohol policy. The framework highlights that progress can be achieved at various levels and through diverse groups of actors. The importance of upstream drivers of policymaking was a key finding, presenting challenges for time‐poor advocates, but offering potential facilitation through effective global leadership.
Funder
Cancer Society of New Zealand
Subject
Health (social science),Medicine (miscellaneous)
Reference86 articles.
1. Generation of political priority for global health initiatives: a framework and case study of maternal mortality
2. From Prohibition to Regulation: Lessons from Alcohol Policy for Drug Policy
3. A Review of Alcohol and Other Drug Control Policy Research
4. World Health Organization.Draft action plan (2022–2030) to effectively implement the global strategy to reduce the harmful use of alcohol as a public health priority.2022. Available from:https://www.who.int/teams/mental‐health‐and‐substance‐use/alcohol‐drugs‐and‐addictive‐behaviours/alcohol/our‐activities/towards‐and‐action‐plan‐on‐alcohol
5. Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献