Regulating Alcohol around the World Policy Cocktails Tiffany Bergin Regulating alcohol aRound the WoRld Solving Social Problems Series editor: Bonnie Berry, Director of the Social Problems Research Group, USA Solving Social Problems provides a forum for the description and measurement of social problems, with a keen focus on the concrete remedies proposed for their solution. the series takes an international perspective, exploring social problems in various parts of the world, with the central concern being always their possible remedy. as such, work is welcomed on subjects as diverse as environmental damage, terrorism, economic disparities and economic devastation, poverty, inequalities, domestic assaults and sexual abuse, health care, natural disasters, labour inequality, animal abuse, crime, and mental illness and its treatment. in addition to recommending solutions to social problems, the books in this series are theoretically sophisticated, exploring previous discussions of the issues in question, examining other attempts to resolve them, and adopting and discussing methodologies that are commonly used to measure social problems. Proposed solutions may be framed as changes in policy, practice, or more broadly, social change and social movement. Solutions may be reflective of ideology, but are always pragmatic and detailed, explaining the means by which the suggested solutions might be achieved. Also in the series the evidence enigma correctional Boot camps and other Failures in evidence-Based Policymaking Tiffany Bergin Street Practice changing the lens on Poverty and Public assistance Lori McNeil Prison Violence causes, consequences and Solutions Kristine Levan Borderline Slavery Mexico, united States, and the human trade Edited by Susan Tiano and Moira Murphy-Aguilar with Brianne Bigej Regulating alcohol around the World Policy cocktails tiFFany BeRgin Kent State University, USA © tiffany Bergin 2013 all rights reserved. no part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without the prior permission of the publisher. tiffany Bergin has asserted her right under the copyright, designs and Patents act, 1988, to be identified as the author of this work. Published by ashgate Publishing limited ashgate Publishing company Wey court east 110 cherry Street union Road Suite 3-1 Farnham Burlington, Vt 05401-3818 Surrey, gu9 7Pt uSa england www.ashgate.com British Library Cataloguing in Publication Data a catalogue record for this book is available from the British library The Library of Congress has cataloged the printed edition as follows: Bergin, tiffany. Regulating alcohol around the world : policy cocktails / by tiffany Bergin. pages cm. -- (Solving social problems) includes bibliographical references. iSBn 978-1-4094-4525-8 (hardback) -- iSBn 978-1-4094-4526-5 (ebook) -- iSBn 978-1- 4724-0262-2 (epub) 1. drinking of alcoholic beverages--government policy--history. 2. alcoholism--Social aspects. 3. controlled drinking. 4. temperance. i. title. hV5081.B47 2013 363.4'1--dc23 2013002710 iSBn 9781409445258 (hbk) iSBn 9781409445265 (ebk – PdF) iSBn 9781472402622 (ebk – ePuB) II Contents Acknowledgments vii 1 Introduction 1 2 Research into Alcohol’s Social Harms 13 3 Alcohol and Policymaking 27 4 History, Culture, Context, and Transformation 43 5 Key Lessons from Prohibition Policies: Beyond the 1920s 57 6 General Efforts to Reduce Alcohol’s Social Harms 71 7 Targeted Policies: Minimum Drinking Age Laws 85 8 Concluding Thoughts 103 Bibliography 111 Index 153 This book is dedicated to Tita Bautista and Kate Bergin Acknowledgments I am very grateful to Chris McConnell whose advice and assistance greatly improved this work. I am also thankful for the suggestions of Bonnie Berry, the editor of the Solving Social Problems book series, as well as Neil Jordan and Kayleigh Huelin at Ashgate. Some of the research contained in this book was completed while I was Sutasoma Trust Research Fellow at Lucy Cavendish College, University of Cambridge. I am very grateful to both the Trust and the College for their support. As always, I am thankful for the unwavering guidance and support of Pamela Huttenberg and Brent D. Bergin. Of course, as author, the contents of this book are my responsibility alone. This page has been left blank intentionally Chapter 1 Introduction In late April 2012, a commentator argued in The Malaysian Insider that “Alcohol consumption will not stop, and what policymakers must concentrate on is changing the environment so persons who consume alcohol do not drink excessively, and that they are protected from alcohol-related harm” (Rahman, 2012). Just over a week later, a Canadian newspaper article reported Quebec’s decision to join Ontario in imposing a blood-alcohol limit of zero for young drivers (Aylward, 2012). In the article, an activist said of the policy: “Places like Ontario have seen a significant drop in deaths and injuries right across the board, including young drivers. It’s working.” That same day, Brazil’s Senate approved legislation allowing alcohol to be sold in stadiums during the 2014 World Cup—even though alcohol sales at matches have been banned since 2003 (“Brazil Senate …”, 2012). The passage of the legislation was controversial, with one Brazilian senator declaring that even though he voted for the bill he felt “violence in stadiums has decreased a lot because of the ban against alcoholic beverages.” Six days later, a commentator in the British newspaper The Guardian questioned Scotland’s decision to impose a minimum unit price for alcoholic beverages, writing: “Will minimum pricing make us drink less? It is very unlikely that minimum pricing will affect David Cameron’s chaotic problem drinkers; some problems need deep solutions and some are not solvable at all” (Gold, 2012). Two days after that, Kenya’s Presidential Cabinet voted in favor of tougher penalties for driving under the influence of alcohol among other driving offenses, with the goal of reducing fatal traffic accidents in that country (Ohito, 2012). Less than a week later, an Australian politician stated that he and other members of a parliamentary committee had “received evidence that alcohol labels need to be introduced as part of a wider health promotion strategy and also evidence that alcohol labels don’t work,” prior to a series of governmental discussions on the issue (as quoted in “Alcohol warnings …”, 2012). These six examples—from six continents during a single four-week period— illustrate the centrality of alcohol-related policymaking in twenty-first century society. The harm reduction strategies, blood-alcohol limits for drivers, retail bans, minimum prices, tougher penalties, and warning labels for alcoholic beverages discussed in these examples are just six of the myriad kinds of alcohol policies that policymakers, practitioners, activists, commentators, and citizens around the world debate on a regular basis. These debates often revolve around questions of evidence and effectiveness, as the examples above illustrate. Which policies are most effective at reducing alcohol’s social harms? What evidence is there of
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