Acceptability of the WHO “Best Buys” for reducing harmful drinking and perceived consequences among Hong Kong adults: a population-based study
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AbstractBackground: To reduce the harmful effects of excessive alcohol use, the WHO recommended a set of “Best Buys” strategies, calling for alcohol taxation, availability restriction, and marketing regulation. Hong Kong has adopted few alcohol control policies despite its recently increasing drinking prevalence and alcohol-related problems. Since public perceptions toward policies are important in political decisionmaking, this study aims to examine public acceptability of the WHO “Best Buys” and perceived consequences of adopting these harms-reduction measures. Methods: An anonymous, cross-sectional telephone survey of Hong Kong Chinese residents aged 18-74 (n=3790) was conducted from January to April, 2018. Acceptability of strategies was described by the percentage of supportive respondents. Respondents were asked about perceived consequences on alcoholrelated harms, local economy and lifestyles of these various harms reduction strategies. Multivariable logistic regression was performed to identify factors associated with endorsement of strategies. Results: The most strongly supported interventions were ID checks for alcohol purchases (84.7%), introduction of moderate alcohol taxes (74.4%), and restriction on time of retail alcohol sales (56.5%). By contrast, sponsorship bans on high-publicity events such as concerts and sporting events (20.6%) and bans on public drinking events (such as Hong Kong Wine Festival) (20.8%) were the least popular. Non-drinkers (OR1.25-2.33), women (OR1.36-1.60), and older people (OR1.66-2.53) were significantly more supportive of most WHO “Best Buys” strategies (p<0.05). Strategies perceived to be effective in mitigating alcohol problems showed higher level of endorsement. Generally, older people (OR1.8-2.3) had more positive expectances of reducing social harms whereas the younger (OR1.25.1-43) were concerned more about economy freedom and lifestyle infringement (p<0.05). Conclusions: To improve public support and reduce barriers to implementation of various alcohol harms reduction strategies, it is necessary to strengthen the public’s belief on the effectiveness of strategies and minimize the perceived negative economic and lifestyle consequences, especially among the young generation.
All Author(s) ListIrene J.Z. Yu, Timothy Sumerlin, William B. Goggins, Roger Y. Chung, Jin-Ling Tang, Jean H. Kim
Name of ConferenceAsia-Pacific Academic Consortium of Public Health Conference 2018 (APACPH2018)
Start Date of Conference12/09/2018
End Date of Conference14/09/2018
Place of ConferenceKota Kinabalu
Country/Region of ConferenceMalaysia
Year2018
LanguagesEnglish-United Kingdom
KeywordsAlcohol, Policy, Attitudes, Public perceptions, Hong Kong

Last updated on 2018-26-10 at 17:42