For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
40
views
16
references
 Top references
cited by
15
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      6
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Public acceptability of population-level interventions to reduce alcohol consumption: A discrete choice experiment

      brief-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Public acceptability influences policy action, but the most acceptable policies are not always the most effective. This discrete choice experiment provides a novel investigation of the acceptability of different interventions to reduce alcohol consumption and the effect of information on expected effectiveness, using a UK general population sample of 1202 adults. Policy options included high, medium and low intensity versions of: Minimum Unit Pricing (MUP) for alcohol; reducing numbers of alcohol retail outlets; and regulating alcohol advertising. Outcomes of interventions were predicted for: alcohol-related crimes; alcohol-related hospital admissions; and heavy drinkers. First, the models obtained were used to predict preferences if expected outcomes of interventions were not taken into account. In such models around half of participants or more were predicted to prefer the status quo over implementing outlet reductions or higher intensity MUP. Second, preferences were predicted when information on expected outcomes was considered, with most participants now choosing any given intervention over the status quo. Acceptability of MUP interventions increased by the greatest extent: from 43% to 63% preferring MUP of £1 to the status quo. Respondents' own drinking behaviour also influenced preferences, with around 90% of non-drinkers being predicted to choose all interventions over the status quo, and with more moderate than heavy drinkers favouring a given policy over the status quo. Importantly, the study findings suggest public acceptability of alcohol interventions is dependent on both the nature of the policy and its expected effectiveness. Policy-makers struggling to mobilise support for hitherto unpopular but promising policies should consider giving greater prominence to their expected outcomes.

          Highlights

          • •

            Novel UK-representative study predicting the acceptability of alcohol interventions.

          • •

            Acceptability varied by policy: regulating advertising was the most popular option.

          • •

            Acceptability increased for all policies with information on expected effectiveness.

          • •

            Information on expected effectiveness changed the order of preference for policies.

          Related collections

          Most cited references16

          • Record: found
          • Abstract: not found
          • Article: not found

          Discrete choice experiments in health care.

          Mandy Ryan (2004)
          Article 0 comments Cited 142 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Public acceptability of government intervention to change health-related behaviours: a systematic review and narrative synthesis

            Stephanie Diepeveen, Tom Ling, Marc Suhrcke … (2013)
            Background Governments can intervene to change health-related behaviours using various measures but are sensitive to public attitudes towards such interventions. This review describes public attitudes towards a range of policy interventions aimed at changing tobacco and alcohol use, diet, and physical activity, and the extent to which these attitudes vary with characteristics of (a) the targeted behaviour (b) the intervention and (c) the respondents. Methods We searched electronic databases and conducted a narrative synthesis of empirical studies that reported public attitudes in Europe, North America, Australia and New Zealand towards interventions relating to tobacco, alcohol, diet and physical activity. Two hundred studies met the inclusion criteria. Results Over half the studies (105/200, 53%) were conducted in North America, with the most common interventions relating to tobacco control (110/200, 55%), followed by alcohol (42/200, 21%), diet-related interventions (18/200, 9%), interventions targeting both diet and physical activity (18/200, 9%), and physical activity alone (3/200, 2%). Most studies used survey-based methods (160/200, 80%), and only ten used experimental designs. Acceptability varied as a function of: (a) the targeted behaviour, with more support observed for smoking-related interventions; (b) the type of intervention, with less intrusive interventions, those already implemented, and those targeting children and young people attracting most support; and (c) the characteristics of respondents, with support being highest in those not engaging in the targeted behaviour, and with women and older respondents being more likely to endorse more restrictive measures. Conclusions Public acceptability of government interventions to change behaviour is greatest for the least intrusive interventions, which are often the least effective, and for interventions targeting the behaviour of others, rather than the respondent him or herself. Experimental studies are needed to assess how the presentation of the problem and the benefits of intervention might increase acceptability for those interventions which are more effective but currently less acceptable.
            Article 0 comments Cited 118 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Estimated effect of alcohol pricing policies on health and health economic outcomes in England: an epidemiological model.

              Robin Purshouse, Petra Meier, Alan Brennan … (2010)
              Although pricing policies for alcohol are known to be effective, little is known about how specific interventions affect health-care costs and health-related quality-of-life outcomes for different types of drinkers. We assessed effects of alcohol pricing and promotion policy options in various population subgroups. We built an epidemiological mathematical model to appraise 18 pricing policies, with English data from the Expenditure and Food Survey and the General Household Survey for average and peak alcohol consumption. We used results from econometric analyses (256 own-price and cross-price elasticity estimates) to estimate effects of policies on alcohol consumption. We applied risk functions from systemic reviews and meta-analyses, or derived from attributable fractions, to model the effect of consumption changes on mortality and disease prevalence for 47 illnesses. General price increases were effective for reduction of consumption, health-care costs, and health-related quality of life losses in all population subgroups. Minimum pricing policies can maintain this level of effectiveness for harmful drinkers while reducing effects on consumer spending for moderate drinkers. Total bans of supermarket and off-license discounting are effective but banning only large discounts has little effect. Young adult drinkers aged 18-24 years are especially affected by policies that raise prices in pubs and bars. Minimum pricing policies and discounting restrictions might warrant further consideration because both strategies are estimated to reduce alcohol consumption, and related health harms and costs, with drinker spending increases targeting those who incur most harm. Policy Research Programme, UK Department of Health. Copyright 2010 Elsevier Ltd. All rights reserved.
              Article 0 comments Cited 91 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Theresa M. Marteau
                Journal
                Journal ID (nlm-ta): Soc Sci Med
                Journal ID (iso-abbrev): Soc Sci Med
                Title: Social Science & Medicine (1982)
                Publisher: Pergamon
                ISSN (Print): 0277-9536
                ISSN (Electronic): 1873-5347
                Publication date PMC-release: 1 July 2014
                Publication date (Print): July 2014
                Volume: 113
                Issue: 100
                Pages: 104-109
                Affiliations
                [a ]Behaviour and Health Research Unit, Institute of Public Health, University of Cambridge, UK
                [b ]RAND Europe, Cambridge, UK
                [c ]Economics Department, School of Social Sciences, University of Southampton, Southampton, UK
                [d ]Health Economics Group, Norwich Medical School, University of East Anglia, Norwich, UK
                Author notes
                [∗ ]Corresponding author. tm388@ 123456cam.ac.uk
                Article
                Publisher ID: S0277-9536(14)00304-9
                DOI: 10.1016/j.socscimed.2014.05.010
                PMC ID: 4065329
                PubMed ID: 24858928
                SO-VID: eb17d439-c899-4b69-a196-54176260c84a
                Copyright © © 2014 The Authors
                License:

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/).

                History
                Date received : 23 July 2013
                Date revision received : 7 November 2013
                Date accepted : 9 May 2014
                Categories
                Subject: Short Report

                ScienceOpen disciplines: Health & Social care
                Keywords: uk,public acceptability,alcohol,health policy
                Data availability:
                ScienceOpen disciplines: Health & Social care
                Keywords: uk, public acceptability, alcohol, health policy

                Comments

                Comment on this article

                scite_

                Similar content6

                See all similar

                Cited by35

                See all cited by

                Most referenced authors247

                See all reference authors