Science and alcohol policy: a case study of the EU Strategy on Alcohol
Article first published online: 16 FEB 2011
© 2011 The Authors, Addiction © 2011 Society for the Study of Addiction
Special Issue: Introducing the AMPHORA Project: Joining Forces to Support Alcohol Policy
Volume 106, Issue Supplement s1, pages 55–66, March 2011
How to Cite
Gordon, R. and Anderson, P. (2011), Science and alcohol policy: a case study of the EU Strategy on Alcohol. Addiction, 106: 55–66. doi: 10.1111/j.1360-0443.2010.03324.x
- Issue published online: 16 FEB 2011
- Article first published online: 16 FEB 2011
- Submitted 17 September 2010; final version accepted 28 September 2010
- Alcohol policy;
- European Commission;
Aims To describe the extent to which the content of the European Commission's Communication on alcohol reflects public health-based scientific evidence.
Design Document retrieval and content analysis.
Setting European Union.
Participants Background documents leading up to the European Commission's Communication on alcohol, the Communication itself and implementation actions following the Communication.
Measurements Documents were read and analyzed for evidence-based alcohol policy content.
Findings Although the Communication acknowledges and supports existing interventions which have high evidence for effectiveness, such as enforcing blood alcohol concentration (BAC) limits for drivers, it extensively promotes other interventions which have been shown to be ineffective; for example, recommending education and persuasion strategies as a measure across all its five priority areas. Measures to influence price are mentioned only once in relation to sales in drinking venues limiting two-for-one drinks offers. Measures to control physical availability are mentioned infrequently.
Conclusions The Communication reflects the science, in that it acknowledges the significance of alcohol as a social and health determinant in Europe. However, it places more emphasis on policy actions with less evidence for effectiveness than on those with strong evidence. It also focuses its efforts more on mapping member state actions and coordinating knowledge exchange than on providing concrete recommendations for action or developing Europe-wide policy measures. This may be a compromise between the rights of Member States to develop national policy and legislation and the obligation of the European Union as a collaborative body to protect health. Furthermore, it has been suggested that the European Union's roots as a trading block emphasizes collaboration with industry stakeholders and this influences the ability to prioritize health over trade considerations.