Influencing and implementing mandatory alcohol pregnancy warning labels in Australia and New Zealand

Author:

Heenan Maddie123ORCID,Shanthosh Janani123,Cullerton Katherine24ORCID,Jan Stephen12

Affiliation:

1. The George Institute for Global Health, University of New South Wales, Level 5/1 King Street, Newtown, NSW 2042, Australia

2. The Australian Prevention Partnership Centre, Level 3, 30C Wentworth Street, Glebe, NSW 2037, Australia

3. Australian Human Rights Institute, The Law Building, University of New South Wales, Sydney, NSW 2052, Australia

4. School of Public Health, University of Queensland, 266 Herston Road, Herston, QLD 4006, Australia

Abstract

Summary Alcohol labelling laws and policy are contentious and highly politicized. Very few countries have been able to implement health warnings on alcohol labels due to complex legal and governance systems and coordinated industry lobbying. In 2020, Australia and New Zealand implemented a mandatory and evidence-based legal standard for pregnancy warning labels on alcohol products. This article discusses some of the challenges faced in achieving policy change and how these barriers were overcome by public health advocacy groups to build the evidence, counter industry conflicts of interest, consumer test health messages, mobilize community support and gather political support. Reflecting on the decades of ineffective regulation and politicization of this health issue, lessons for other countries include the importance of creating and maintaining relationships with decision makers and regularly updating them with evidence and recommendations, highlighting industry failures and tactics, building broad-based coalitions and sharing lived-experiences.

Funder

The Australian Prevention Partnership Centre

NHMRC

Australian Government Department of Health

ACT Health, Cancer Council Australia

NSW Ministry of Health

Tasmanian Department of Health and VicHealth

Australian Government Research Training Program Scholarship

NHMRC Principal Research

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health (social science)

Reference54 articles.

1. Mechanisms of influence: alcohol industry submissions to the inquiry into fetal alcohol spectrum disorders;Avery;Drug and Alcohol Review,2016

2. Prenatal alcohol exposure and miscarriage, stillbirth, preterm delivery, and sudden infant death syndrome;Bailey;Alcohol Research & Health,2011

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