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Journal ArticleDOI

Public support for alcohol policies associated with knowledge of cancer risk

TL;DR: The finding that support for alcohol management policies is associated with awareness that drinking too much alcohol may contribute to cancer could assist in the planning of future public health interventions.
About: This article is published in International Journal of Drug Policy.The article was published on 2015-04-01. It has received 69 citations till now. The article focuses on the topics: Alcohol advertising & Public health.
Citations
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Journal ArticleDOI
TL;DR: There is a rich evidence base to support the decisions of policy makers in implementing the most effective and cost-effective policies to reduce alcohol-related harm.

229 citations

Journal ArticleDOI
08 Jun 2016-PLOS ONE
TL;DR: Levels of acceptability for four of the five nudge interventions to reduce consumption of sugar-sweetened beverages seem similarly acceptable in the UK and USA, being more acceptable than taxation, but less acceptable than education.
Abstract: The study was funded by the UK Department of Health Policy Research Programme (Policy Research Unit in Behaviour and Health) (Grant ID: PRUN-0409-10109)

137 citations


Cites background from "Public support for alcohol policies..."

  • ...Dichotomising outcome variables is not uncommon practice in studies of public attitudes towards government interventions to improve population health in relation to obesity [22, 23], tobacco smoking [24] and alcohol consumption [25]....

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01 Jan 2016

98 citations


Cites background from "Public support for alcohol policies..."

  • ...Surveys show that people who are aware that alcohol is a risk factor for cancer are more likely to support a range of alcohol control policies including increases in alcohol tax and strict marketing regulations (290)....

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Journal ArticleDOI
TL;DR: Insights from lay epidemiology into how drinkers regulate and monitor their drinking should be used in the construction of drinking guidelines to enhance their credibility and efficacy, as well as addressing many of the above problems.
Abstract: Aims To explore how the concept of lay epidemiology can enhance understandings of how drinkers make sense of current UK drinking guidelines. Methods Qualitative study using 12 focus groups in four sites in northern England and four sites in central Scotland. Participants were 66 male and female drinkers, aged between 19 and 65 years, of different socio-economic backgrounds. Data were analysed thematically using a conceptual framework of lay epidemiology. Results Current drinking guidelines were perceived as having little relevance to participants' drinking behaviours and were generally disregarded. Daily guidelines were seen as irrelevant by drinkers whose drinking patterns comprised heavy weekend drinking. The amounts given in the guidelines were seen as unrealistic for those motivated to drink for intoxication, and participants measured alcohol intake in numbers of drinks or containers rather than units. Participants reported moderating their drinking, but this was out of a desire to fulfil work and family responsibilities, rather than concerns for their own health. The current Australian and Canadian guidelines were preferred to UK guidelines, as they were seen to address many of the above problems. Conclusions Drinking guidelines derived from, and framed within, solely epidemiological paradigms lack relevance for adult drinkers who monitor and moderate their alcohol intake according to their own knowledge and risk perceptions derived primarily from experience. Insights from lay epidemiology into how drinkers regulate and monitor their drinking should be used in the construction of drinking guidelines to enhance their credibility and efficacy.

83 citations


Cites background from "Public support for alcohol policies..."

  • ...For example, communicating the long-term risks of drinking rather than just guideline thresholds [35], and using narrative-based Lay epidemiology and the interpretation of low-risk drinking guidelines 1917...

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Journal ArticleDOI
TL;DR: Assessment of lay awareness of alcohol as a risk factor for cancer in 16 countries shows that awareness appears to be low and varies internationally; it is relatively higher in the United Kingdom, Morocco, and Australia.
Abstract: Since 1988, the International Agency for Research on Cancer has classified alcohol as a Group 1 carcinogen, the highest level of risk. Growing evidence suggests that alcohol increases the risk of several types of cancer including breast, bowel, prostate, and liver, and accounts for a significant proportion of preventable cancers. Despite ample evidence of this relationship, public awareness is less clear. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we reviewed 32 studies examining lay awareness of alcohol as a risk factor for cancer in 16 countries. Our results show that awareness appears to be low and varies internationally; it is relatively higher in the United Kingdom, Morocco, and Australia. Methodologic differences in assessment obfuscate cross-country and cross-sample comparisons. In general, people are more likely to endorse alcohol as a risk factor when presented with a list of possible risk factors than when asked to list risk factors in an open-ended format. Attempts to increase awareness have been limited and constitute a significant public health need. We provide potential strategies to increase awareness, such as alcohol bottle labeling and fostering patient/physician discussions regarding the link. Cancer Epidemiol Biomarkers Prev; 27(4); 429-37. ©2018 AACR.

59 citations


Cites background from "Public support for alcohol policies..."

  • ...Respondents under the age of 30 are more likely to identify alcohol as a cancer risk factor (37) and knowledge that alcohol causes cancer has been shown tobehigher in people below the age of 45, specifically between the ages of 20 and 29 in Australia (43, 40) and the United States (47)....

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  • ...Awareness appeared to be highest in the United Kingdom, Morocco, and Australia, although awareness in these countries is still modest from a public health standpoint....

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  • ...Regionally, of these cases, the alcoholattributed incidence rates for cancer vary, with the Western Pacific region (e.g., Australia; Japan) having the highest rate of incidence (7.1%), followed by the European (e.g., Belgium; United Kingdom; 5.4%), South-East Asian (e.g., Indonesia; 5.2%), African (e.g., Kenya; 4.8%), the Americas (e.g., North and South America; 4.2%), and Eastern Mediterranean (e.g., Morocco; 0.8...

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  • ...Our results show that awareness appears to be low and varies internationally; it is relatively higher in the United Kingdom, Morocco, and Australia....

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  • ...Women more frequently report healthy behaviors (e.g., alcohol reduction) as a cancer prevention mechanism in Spain (29), and rate alcohol as an important risk factor for cancer in Australia (42)....

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References
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Journal ArticleDOI
TL;DR: In choosing and displaying news, editors, newsroom staff, and broadcasters play an important part in shaping political reality as mentioned in this paper, and readers learn not only about a given issue, but also how much importance to attach to that issue from the amount of information in a news story and its position.
Abstract: In choosing and displaying news, editors, newsroom staff, and broadcasters play an important part in shaping political reality. Readers learn not only about a given issue, but also how much importance to attach to that issue from the amount of information in a news story and its position. In reflecting what candidates are saying during a campaign, the mass media may well determine the important issues—that is, the media may jet the "agenda" of the campaign. The authors are associate professors of journalism at the University of North Carolina, Chapel Hill.

6,724 citations

Journal ArticleDOI
TL;DR: Despite uncertainties about mortality and burden of disease estimates, the findings suggest that substantial gains in health have been achieved in most populations, countered by the HIV/AIDS epidemic in Sub-Saharan Africa and setbacks in adult mortality in countries of the former Soviet Union.

5,168 citations

Journal ArticleDOI
TL;DR: Three questions about alcohol consumption (AUDIT-C) appear to be a practical, valid primary care screening test for heavy drinking and/or active alcohol abuse or dependence.
Abstract: cording to the Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition, criteria; and (3) either. Results: Of 393 eligible patients, 243 (62%) completed AUDIT-C and interviews. For detecting heavy drinking, AUDIT-C had a higher AUROC than the full AUDIT (0.891 vs 0.881; P = .03). Although the full AUDIT performed better than AUDIT-C for detecting active alcohol abuse or dependence (0.811 vs 0.786; P<.001), the 2 questionnaires performed similarly for detecting heavy drinking and/or active abuse or dependence (0.880 vs 0.881).

4,467 citations

Journal ArticleDOI
TL;DR: The burden of mortality and disease attributable to alcohol, both globally and for ten large countries, is quantified and concludes that alcohol consumption is one of the major avoidable risk factors, and actions to reduce burden and costs associated with alcohol should be urgently increased.

3,123 citations

Journal ArticleDOI
TL;DR: It is concluded that mass media campaigns can produce positive changes or prevent negative changes in health-related behaviours across large populations.

1,870 citations