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1 – 10 of over 11000Describes a study which aimed to identify factors most likely to lead tothe implementation of an alcohol policy by employers. The study alsoexamines the types of policy adopted…
Abstract
Describes a study which aimed to identify factors most likely to lead to the implementation of an alcohol policy by employers. The study also examines the types of policy adopted and assesses the process by which the policies were initiated and implemented. Concludes that previous studies have probably overestimated the prevalence of health‐oriented alcohol policies in England, but employers could be encouraged to introduce health goals into disciplinary policies.
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Devy L. Elling, Martina Wilson Martinez and Kristina Sundqvist
An alcohol prevention programme, consisting of the implementation of an organisational alcohol policy and skills development training for managers, was delivered in Swedish…
Abstract
Purpose
An alcohol prevention programme, consisting of the implementation of an organisational alcohol policy and skills development training for managers, was delivered in Swedish workplaces. Previous findings revealed challenges in policy implementation because of the lack of dissemination amongst managers. This study aims to describe perceived dissemination barriers of the organisational alcohol policy by managers.
Design/methodology/approach
A cross-sectional survey (n = 193 managers) was performed to identify common dissemination barriers in the workplace and complementary case illustrations derived from semi-structured interviews (n = 18 managers) were used to understand the dissemination barriers of the organisational alcohol policy. Frequency distributions were presented to describe common perceived barriers.
Findings
Sixty-five per cent of managers reported that their workplace had not changed their approach to addressing alcohol-related issues compared to their usual practice before programme delivery. Various organisational factors, such as deprioritisation of programme dissemination, lack of communication and inadequate strategies were some of the common barriers perceived by managers. Moreover, managers reported uncertainties regarding any changes concerning the workplace’s approach for addressing alcohol-related issues. Increased efforts in disseminating the organisational alcohol policy can reduce uncertainties among managers.
Practical implications
A thorough process evaluation to understand processes in programme delivery and implementation is necessary to ensure the uptake of the intervention.
Originality/value
This study highlighted the complexity of disseminating an alcohol policy in a dynamic setting, such as the workplace, and provided the importance of addressing organisational obstacles.
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Susanna Geidne, Mikael Quennerstedt and Charli Eriksson
Alcohol stands in an ambiguous relationship to sports, and there is a common belief that participation in sports prevents alcohol consumption. Although this is not always the…
Abstract
Purpose
Alcohol stands in an ambiguous relationship to sports, and there is a common belief that participation in sports prevents alcohol consumption. Although this is not always the case, sports clubs can be important settings for health promoting alcohol policy interventions .The purpose of this paper is to explore the process of implementing alcohol policies in eight football clubs in Sweden and, in particular, how the implementation process is conveyed in the clubs’ alcohol policy projects, the similarities and differences between this case study and Durlak and DuPre's implementation model and the recommendations for successful alcohol policy implementation in relation to the result.
Design/methodology/approach
In total, 15 semi‐structured interviews on the subject of sports’ club alcohol policies were conducted with project leaders and board members from eight sports clubs. The interviews were analysed using Durlak and DuPre's model of factors affecting implementation processes.
Findings
The results show that almost all the factors in Durlak and DuPre's model were comprehensively manifested in the football clubs’ alcohol policy projects, although with slightly different significance and emphases.
Practical implications
The results are discussed in relation to recommendations for successful alcohol policy implementation in sports clubs. Recommendations are presented in six areas: an explicit message; fit; internal policy dissemination; alcohol policy as a part of overall policy; support; and actors.
Originality/value
Many sports clubs do an excellent job of implementing alcohol policies successfully and it is imperative to incorporate their “good” practices into research and provide assistance to those whose policies and practice are less developed.
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Lolita Alfred, Mark Limmer and Susan Cartwright
Alcohol workplace policies (AWPs) can help organizations to manage and support employees with alcohol-related problems. Over the last two decades, there has been a slow but steady…
Abstract
Purpose
Alcohol workplace policies (AWPs) can help organizations to manage and support employees with alcohol-related problems. Over the last two decades, there has been a slow but steady rise of research on AWPs with some indication that these can contribute to reducing employee excessive consumption. However, there does not appear to be any empirical literature reviews to consolidate and evaluate what this body of evidence says regarding the impact of these policies. The following review seeks to address this gap.
Design/methodology/approach
Five electronic databases were searched for papers published between January 1996 and January 2020. To capture additional relevant papers (including those from non-peer reviewed sources), the search was extended to Google Scholar, professional and human resource management websites, trade publications and the website of one United Kingdom (UK)-based alcohol charity. Inclusion and exclusion criteria were used to systematically screen the paper titles, abstracts and full-text records. 14 papers were deemed eligible and therefore included in the integrative review. After extracting data, all 14 papers were appraised for quality and then analysed using the narrative synthesis guide by Popay et al. (2006).
Findings
Five themes were identified, namely, Associations between Policy and Consumption Levels/Patterns, Deterrence, Policy and Programme Type, Knowledge and Understanding and Enforcement and Discipline. These themes encapsulated what the included papers concluded about the impact and associated benefits or challenges of AWPs.
Research limitations/implications
This review identifies that despite the benefits of AWPs, up to 40% of workplaces do not have these policies in place. Future research needs to explicitly explore the reasons for this.
Practical implications
This review highlights that AWPs can benefit employees and workplaces. Therefore, organizations are encouraged to develop and implement AWPs to support health improvement and prevention of alcohol problems in the workplace.
Originality/value
This review provides a current synthesis of literature published over the last two decades regarding the impact of AWPs on employees and workplaces.
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Aleksandra Kaczmarek, Sandra Tricas-Sauras and Mariann Skar
The purpose of this paper is to present development in the alcohol policy area in Europe in the last 30 years.
Abstract
Purpose
The purpose of this paper is to present development in the alcohol policy area in Europe in the last 30 years.
Design/methodology/approach
Description of policy instruments and analysis of legal basis are used in this study.
Findings
Progress has been achieved in some areas; however, as complicated policy areas, it requires constant effort and engagement of all public health actors.
Research limitations/implications
Continuous advocacy effort leads to increased policy actions, interest and research in the area. Lack of policy instruments jeopardises the future of the field.
Practical implications
This study provides a brief overview of policy landscape and aims to spark readers interest in the alcohol policy.
Originality/value
This study provides an overview of a policy field, not only looking at the legal basis but also meshing with the experience of working in an alliance of civil society organisations.
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The purpose of this paper is to investigate to what degree scientific evidence supports contemporary paternalistic alcohol policy practices targeting fully competent adults.
Abstract
Purpose
The purpose of this paper is to investigate to what degree scientific evidence supports contemporary paternalistic alcohol policy practices targeting fully competent adults.
Design/methodology/approach
Paternalism may be acceptable if it is effective, fair and protects the safety of the citizen or a third party from the harms caused by the citizen’s autonomic actions. To be justifiable, paternalistic actions should bring about clearly more benefits than harms. Otherwise, autonomy should prevail. The evidence related to alcohol control policies is assessed against these principles.
Findings
In peaceful civilized societies, alcohol control policies (high prices, restrictions on supply and marketing) have no or only insignificant effectiveness. Some policies are unfair and may bring about more harms than benefits. There is strong evidence showing that brief interventions aiming to reduce alcohol intake are inefficient. Wide-scale screening for such interventions is likely to waste health service resources. There is sufficient evidence to refute the claim that the previously mentioned policies are effective measures to reduce alcohol-related harms. Heavy alcohol use during pregnancy and driving motor vehicles while intoxicated may bring about harm to others than the user. Behavioural interventions to reduce heavy use in pregnancy have been shown to be inefficient. Light alcohol use may have no harmful effect on the developing embryo, whereas heavy use is likely to cause harm. There is moderate evidence for enforcing legal blood alcohol concentration limits to reduce traffic accidents and fatalities.
Originality/value
This is the first review on the acceptability of paternalism in currently recommended alcohol policies. It shows that in only a few cases, paternalism is effective and compatible with freedom and fairness.
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Cecilia Stenling and Josef Fahlén
Purpose – The aim of the chapter is to understand why, in a country that has such strict government alcohol policies, sport is allowed – and allows itself – to be associated with…
Abstract
Purpose – The aim of the chapter is to understand why, in a country that has such strict government alcohol policies, sport is allowed – and allows itself – to be associated with, and source income from, alcohol consumption.
Design/methodology/approach – The analysis builds on previous research on the government–sport relationship in Sweden, and on documents produced by the government and sport.
Findings – The chapter shows how a close and long-standing relationship between the government and sport has created a ‘drinking problem’ for sport, and that this is nurtured by the government through its actions vis-à-vis sport in matters related to alcohol. These actions are at odds with the overall aim of Swedish alcohol policy, and distinctive from the government's actions vis-à-vis actors outside the realm of sport but aligned with government sport policy and the long-standing government–sport relationship. In that sense, the association between sport and alcohol has less to do with alcohol than with the mutual dependence between the government and sport, and with both parties' interest in maintaining common agreements and good faith. In addition to providing these tentative explanations, it is suggested that ‘the politics of forwarding’ is one of the systemic effects that follow from the particularities of the Swedish government-sport-alcohol nexus.
Research limitations/implications – Research from other contexts is needed as the chapter is only a first tentative step in uncovering the government's role in the sport–alcohol link in countries with sport systems that are characterized by a combination of extensive public support to sport and an autonomous member-based sport system.
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After a period of 20 years of successful growth in sales in the international wine business, the upcoming International Alcohol Policy is endangering the economic sustainability…
Abstract
Purpose
After a period of 20 years of successful growth in sales in the international wine business, the upcoming International Alcohol Policy is endangering the economic sustainability of the wine business. To reduce alcohol‐caused hazards and harm, the International Alcohol Policy favours taxes and minimum prices for all alcoholic beverages. This policy is based on a large number of empirical studies on the price elasticity of alcoholic beverages. The purpose of this paper is to ask whether higher taxes on alcoholic beverages can solve the problems caused by excessive alcohol consumption or whether they are largely ineffective while producing other sustained damage at the same time.
Design/methodology/approach
The paper evaluates the results of studies on the price elasticity of alcoholic beverages by using the available results of studies on consumer decision making, focusing in particular on the relevance of price elasticity in comparison to the relevance of individually available budgets and prefer ences. In that case the contrast between alcoholics (consumer segment causing alcoholism) and average consumers is analysed using knowledge of the great differences in preferences between consumer segments.
Findings
Wine is highly affected by this alcohol policy due to the expectation of a decrease in overall consumption and the very high costs of alcohol content‐related taxes paid by all wine consumers. The price elasticity of demand for wine is analysed to be much higher than for beer and wine consumers are far away from alcoholism.
Social implications
The big social problem of alcoholism has to be underlined here. This problem and its spread internationally demands an examination of the effectiveness of this alcohol policy on prices and the development of and checks on new instruments for the direct control of alcoholics.
Originality/value
The international alcohol policy is an important field which needs to be analysed scientifically in more depth and in the framework of sustainability, with a focus on harmonizing social, economic and environmental aims. The paper shows that the current instruments used internationally in the alcohol policy cause large economic problems for wine consumers, as well as for wine producers and merchants, without solving the social problems of alcohol‐related hazards and harm.
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The adverse effects of alcohol consumption are massive. Alcohol is deemed to be the major factor in four per cent of the global burden of disease mortality (World Health…
Abstract
The adverse effects of alcohol consumption are massive. Alcohol is deemed to be the major factor in four per cent of the global burden of disease mortality (World Health Organisation, 2004). It has been suggested that there are two quite separate approaches to alcohol control policies. These supposedly different approaches are called the ‘public health approach’ and ‘harm minimisation’ or ‘harm reduction’. In fact, while there has been a clear difference in emphasis between some expressions of these two approaches, so much of what their exponents advocate is the same that there would appear to be no merit in continuing to regard them as mutually exclusive or in conflict. The public health approach emphasises curbing the level of alcohol‐related problems by reducing the per capita alcohol consumption (eg. Bruun et al, 1975; Edwards et al, 1995; Babor et al, 2003). Harm minimisation or harm reduction is intended to reduce the level of alcohol's adverse effects without necessarily reducing per capita alcohol consumption (Plant et al, 1997).
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Ingeborg Rossow, Trygve Ugland and Bergljot Baklien
On-premise trading hours are generally decided at the local level. The purpose of this paper is to identify relevant advocacy coalitions and to assess to what extent and how these…
Abstract
Purpose
On-premise trading hours are generally decided at the local level. The purpose of this paper is to identify relevant advocacy coalitions and to assess to what extent and how these coalitions used research in the alcohol policy-making process concerning changes in on-premise trading hours in Norway.
Design/methodology/approach
Theory-driven content analyses were conducted, applying data from city council documents (24 Norwegian cities) and Norwegian newspaper articles and broadcast interviews (n=138) in 2011-2012.
Findings
Two advocacy coalitions with conflicting views and values were identified. Both coalitions used research quite extensively – in the public debate and in the formal decision-making process – but in different ways. The restrictive coalition, favouring restricted trading hours and emphasising public health/safety, included the police and temperance movements and embraced research demonstrating the beneficial health/safety effects of restricting trading hours. The liberal coalition of conservative politicians and hospitality industry emphasised individual freedom and industry interests and promoted research demonstrating negative effects on hospitality industry turnover. This coalition also actively discredited the research demonstrating the beneficial health/safety effects of restricting trading hours.
Originality/value
Little is known about how local alcohol policy-making processes are informed by research-based knowledge. This study is the first to analyse how advocacy coalitions use research to influence local alcohol policy-making.
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