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Alcohol

Policymakers & government officials

Reducing alcohol-related harm through stronger prevention policy

Alcohol is a major risk factor for cancer and other non-communicable diseases. It also contributes to injuries, violence, mental health harms, family harm and pressure on health and social services.

Alcohol harm is not only about individual behaviour. It is shaped by price, availability, marketing, social norms, commercial interests and the environments where people live, work and spend time.

For policymakers, alcohol prevention is a major opportunity to save lives, reduce inequalities, protect children and young people, and support healthier communities.

2.6 million

deaths caused by alcohol

worldwide in 2019

1.6 million

deaths from NCDs

linked to alcohol in 2019

7

types of cancer linked to alcohol

including breast and colorectal cancer

No safe level

for cancer risk

less alcohol means lower risk

Alcohol Not An Ordinary Commodity
public health

Alcohol is not an ordinary commodity

Alcohol has serious harmful effects on public health, including cancer, cardiovascular disease, liver disease, injuries, violence, mental health harms and social inequalities.

Most alcohol-related harm comes from heavy episodic or heavy continuous drinking, but health risks can also occur at lower levels of consumption.

Prevention works best when policy addresses the conditions that shape alcohol use: affordability, availability, marketing, information, support services and industry influence.

PREVENTION CHALLENGES

What makes prevention harder?

Alcohol harm is shaped by more than personal choices. The wider environment can make alcohol more available, more visible, more affordable and more socially normal.

Sabs Alpha 04

Prevention becomes harder when:

  • Alcohol is cheap and easily available
  • Alcohol is widely marketed and promoted
  • Children and young people are exposed to alcohol advertising
  • Digital promotion and sponsorship make alcohol more visible
  • Health risks, including cancer risk, are not clearly communicated
  • Support services are difficult to access
  • Alcohol harm is framed only as an individual responsibility
  • Policymaking is exposed to commercial influence

Effective alcohol prevention requires action on the environments that shape drinking, exposure and harm.

POLICY LEVERS

What policy can do

Policy can reduce alcohol-related harm by changing the conditions that shape consumption, exposure and risk.

Important policy levers include:

Tag

Taxation and pricing policies

Clock 3

Limits on alcohol availability

Megaphone

Marketing and sponsorship restrictions

Monitor Smartphone

Digital advertising regulation

Badge Alert

Clear health warning labels

Car Front

Drink-driving prevention and enforcement

Stethoscope

Brief advice and treatment services

Baby

Protection of children and young people

Shield

Safeguards against industry influence

What works

Effective actions to reduce alcohol-related harm

Evidence-based alcohol policy can reduce cancer, other NCDs, injuries and wider social harms. Population-level measures are among the most effective and cost-effective prevention tools.

Increase alcohol taxes

Higher alcohol taxes can reduce affordability, especially for cheap, high-strength products, and help reduce alcohol-related harm across the population.

Limit availability

Licensing, outlet density, opening hours and sales rules can reduce harmful consumption and help create safer communities.

Restrict marketing and sponsorship

Strong restrictions can reduce exposure to alcohol promotion, especially among children and young people.

Regulate digital promotion

Online and social media marketing can make alcohol highly visible and targeted. Policy should address digital promotion and new forms of advertising.

Introduce clear health warnings

Labels can help communicate health risks, including cancer risk, and support more informed choices.

Strengthen support services

Brief advice, treatment and community support can help people reduce harm and access help when alcohol becomes difficult to control.

Protecting Youth
YOUTH PROTECTION

Protecting children and young people from alcohol harm

Children and young people should be protected from alcohol marketing, sponsorship and digital promotion.

Alcohol advertising can shape attitudes, expectations and social norms before young people are legally able to drink. Attractive branding, sports sponsorship, social media content and influencer-style promotion can all make alcohol seem more normal and appealing.

Strong policy can reduce exposure and help create environments where children and young people are better protected from alcohol-related harm.

Drink
COMMERCIAL DETERMINANTS OF HEALTH

Alcohol harm is shaped by commercial environments

Alcohol consumption is influenced by commercial factors such as pricing, product design, marketing, sponsorship, retail availability, lobbying and public narratives about alcohol.

Commercial interests can also affect policy debates, for example by shifting attention toward individual responsibility and away from population-level prevention measures.

A strong prevention approach should protect policymaking from conflicts of interest and ensure that public health goals guide alcohol policy.

Sab Together
Equity

Alcohol-related harm is not distributed equally

Alcohol harm can affect families, workplaces and communities, but the burden is not shared equally. People facing social or economic disadvantage may experience greater harm and have less access to support.

Prevention policies should reduce harm without blaming or stigmatising individuals. A fair approach combines population-wide measures with accessible support for people and communities most affected.

Equity-focused alcohol policy can help protect children, families and communities while reducing avoidable health and social inequalities.

EQUITY CHECK

Questions for policymakers

An equity-focused approach looks at who is most exposed, who is most affected, and who may need additional support to benefit from alcohol prevention.

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A strong prevention approach asks:

  • Who is most exposed to alcohol marketing and sponsorship?
  • Are children and young people being protected from alcohol promotion?
  • Are cheap, high-strength products driving harm in some communities?
  • Who has access to brief advice, treatment and support?
  • Are policies reducing harm without increasing stigma?
  • Are local services able to support families and communities affected by alcohol harm?
  • Is policymaking protected from commercial influence?

Prevention should reduce harm, protect health and make healthier environments easier, fairer and more realistic.

WHERE TO START

Practical starting points for policymakers

Public institutions and decision-makers can begin by reviewing how alcohol is priced, promoted, sold, regulated and addressed in health and community services.

Point To Policymakers

Examples include:

  • Increase alcohol taxes and reduce affordability
  • Restrict alcohol marketing, sponsorship and digital promotion
  • Limit alcohol availability through licensing, outlet density, opening hours and sales rules
  • Introduce clear health warning labels, including cancer risk information
  • Strengthen drink-driving prevention and enforcement
  • Ensure access to brief advice, treatment and support
  • Protect children and young people from alcohol promotion
  • Address alcohol harm in workplaces, families and communities
  • Communicate clearly that less alcohol means lower risk
  • Protect policymaking from alcohol industry influence

Strong alcohol policy saves lives. Effective prevention can reduce cancer and other NCDs, lower pressure on health and social services, protect children and families, and support healthier communities.