A paper published in the latest Alcohol and Alcoholism journal explores the implications of alcohol reduction policies within the broader context of substance misuse.
'Substitution and Complementarity in the Face of Alcohol-Specific Policy Interventions' has been written by Dr Simon Moore of the Violence and Society Research Group and is listed for debate.Abstract:
Aim: Policy responses to the growing burden of alcohol-related disease fail to consider the interrelated nature of substance misuse and the potential for complex interactions in response to alcohol-specific interventions. This paper considers possible aggregate level responses to the alcohol policy and whether alcohol policy can be expected to reduce overall harm.
Methods: A review and discussion of the relevant literature was conducted. Results: Evidence indicates that those at greatest risk consume stronger alcoholic beverages more frequently, that they are likely to complement their consumption with a range of intoxicants and that they are more likely to substitute alcohol with other substances.
Conclusions: Policies aimed at reducing alcohol consumption can be successful. However, evidence suggests a significant minority of consumers are likely to substitute or complement consumption with a range of intoxicants suggesting that policy is unlikely to reduce all-cause mortality and morbidity. Further research into the nature of substitution and complementarity is required.
The paper may be relevant given the current consultation on the new drugs strategy which recongises the need for joint approaches to alcohol and drug problems. This year the AERC Alcohol Academy also highlighted the need for responses that recognise the rise in combined alcohol and cocaine use.
Dr Simon Moore of the Violence and Society Research Group is contactable via email or on +44 (0)29 20744246 for more information or comments.
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