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Reducing alcohol harms whilst minimising impact on hospitality businesses: ‘Sweetspot’ policy options

Fitzgerald, N, O'Donnell, R, Uny, I, Martin, JG, Cook, M, Graham, K, Stockwell, T, Hughes, K, Wilkinson, C, McGill, E, Miller, PG, Reynolds, J, Quigg, Z and Angus, C (2024) Reducing alcohol harms whilst minimising impact on hospitality businesses: ‘Sweetspot’ policy options. International Journal of Drug Policy, 129. ISSN 0955-3959

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Background: During COVID-19, hospitality businesses (e.g. bars, restaurants) were closed/restricted whilst off-sales of alcohol increased, with health consequences. Post-covid, governments face lobbying to support such businesses, but many health services remain under pressure. We appraised ‘sweetspot’ policy options: those with potential to benefit public services and health, whilst avoiding or minimising negative impact on the hospitality sector. Methods: We conducted rapid non-systematic evidence reviews using index papers, citation searches and team knowledge to summarise the literature relating to four possible ‘sweetspot’ policy areas: pricing interventions (9 systematic reviews (SR); 14 papers/reports); regulation of online sales (1 SR; 1 paper); place-shaping (2 SRs; 18 papers/reports); and violence reduction initiatives (9 SRs; 24 papers/reports); and led two expert workshops (n = 11). Results: Interventions that raise the price of cheaper shop-bought alcohol appear promising as ‘sweetspot’ policies; any impact on hospitality is likely small and potentially positive. Restrictions on online sales such as speed or timing of delivery may reduce harm and diversion of consumption from on-trade to home settings. Place-shaping is not well-supported by evidence and experts were sceptical. Reduced late-night trading hours likely reduce violence; evidence of impact on hospitality is scant. Other violence reduction initiatives may modestly reduce harms whilst supporting hospitality, but require resources to deliver multiple measures simultaneously in partnership. Conclusions: Available evidence and expert views point to regulation of pricing and online sales as having greatest potential as ‘sweetspot’ alcohol policies, reducing alcohol harm whilst minimising negative impact on hospitality businesses.

Item Type: Article
Uncontrolled Keywords: Alcohol; Alcohol policy; Hospitality; Opening hours; Pricing; Public health; 11 Medical and Health Sciences; 16 Studies in Human Society; 17 Psychology and Cognitive Sciences; Substance Abuse
Subjects: H Social Sciences > HF Commerce > HF5001 Business
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: Elsevier
SWORD Depositor: A Symplectic
Date Deposited: 20 Jun 2024 15:05
Last Modified: 20 Jun 2024 15:15
DOI or ID number: 10.1016/j.drugpo.2024.104465
URI: https://researchonline.ljmu.ac.uk/id/eprint/23617
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