Binge Drinking Research
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30 Years of Responsibility the Portman Group
30 YEARS OF RESPONSIBILITY THE PORTMAN GROUP 30 Years of Responsibility | The Portman Group 1 Portman Group member companies ©The Portman Group Every effort has been made to trace and contact copyright holders of text and images. If notified, the Portman Group will be pleased to rectify any omissions at the earliest opportunity. 30 Years of Responsibility | The Portman Group 2 Contents Foreword 4 Member view 5 Executive summary 6 Alcohol in Britain in 1989 9 Enter the Portman Group 10 Timeline 11 UK alcohol trends - 30 years on 12 Part 1 An effective regulator - The history of the Code 14 The Code of Practice on Naming, Packaging and Promotion of Alcoholic Drinks 17 Impact on the market 18 By the numbers - complaints and advice 21 Part 2 A leader in best practice 24 Educational campaigns 25 The establishment of the Drinkaware Trust 31 Research and thought leadership 32 Policy leadership - Commitments to Action 33 Policy leadership - The Public Health Responsibility Deal 35 Local Alcohol Partnerships 37 Afterword 39 30 Years of Responsibility | The Portman Group 3 Foreword Marking the Portman Group’s 30th can be made more effective. Products anniversary this year, we can look remain on the market which are back with pride on some of our potentially harmful, particularly to the achievements, not least in removing young and those who are struggling from the market some irresponsible to use alcohol responsibly. There and harmful products and preventing is more to do to address and help the marketing of many others. We have prevent the harm which alcohol can worked together with our member cause to a minority of individuals and companies to act as a leader in best families. -
Alcohol Marketing
Alcohol is one of the most significant ‘fast moving consumer goods’ (FMCGs) marketed today. It is estimated that each year more than £800 million is spent on advertising alcoholic beverages in the UK, with the global estimate approximating $1 trillion. Marketing can include advertising in traditional media outlets such as print, television and radio, promotional activities in online and social media, and sponsorship of sporting and music events. Alcohol marketing utilises the “four Ps”: the product itself including taste and packaging; price promotions as a means to drive sales; applying tactics at the place of sale, for example attractive supermarket promotions and sophisticated promotion tactics across new media and through sponsorship of sporting and cultural events. Tactics under each of these “four Ps” have been found to increase consumption.1, 2, 3, 4 The alcohol and advertising industries argue that as alcohol is a legal product it should be legally possible for it to be advertised, while many argue that as well as promoting brands, advertising is also concerned with recruiting new drinkers and increasing sales among existing, and especially heavy consumers. Many see parallels between alcohol advertising and promotion and past tobacco advertising and promotion practices.5 Research shows that exposure of children and young people to alcohol marketing materials leads them to drink at an earlier age and to drink more than they otherwise would.6 Movies, television, sponsorship of sporting and music events, online video, social networking sites, magazine advertisements, music, video games, alcohol-branded merchandise, free samples, and price offers have all been found to affect young people’s alcohol use.7, 8, 9, 10, 11, 12 The World Health Organisation states: “the extent and breadth of commercial communications on alcohol and their impact, particularly on young people’s drinking, should not be underestimated”.13 Alcohol advertising in the UK is already subject to controls that seek to prevent advertisers targeting and appealing to young people. -
Binge Drinking and the Risk of Liver Events: a Population-Based Cohort Study
Received: 10 January 2017 | Accepted: 26 February 2017 DOI: 10.1111/liv.13408 GENETIC AND METABOLIC LIVER DISEASE Binge drinking and the risk of liver events: A population- based cohort study Fredrik Åberg1 | Jaana Helenius-Hietala2 | Pauli Puukka3 | Antti Jula3 1Transplantation and Liver Surgery Clinic, Helsinki University Hospital, Helsinki Abstract University, Helsinki, Finland Background & Aims: Binge drinking or heavy episodic drinking is increasingly preva- 2 Department of Oral and Maxillofacial lent, but the health effects are incompletely understood. We investigated whether Diseases, Helsinki University Hospital, Helsinki University, Helsinki, Finland binge drinking increases the risk for liver disease above and beyond the risk due to 3Department of Health, National Institute for average alcohol consumption. Health and Welfare, Turku, Finland Methods: 6366 subjects without baseline liver disease who participated in the Finnish Correspondence population- based Health 2000 Study (2000- 2001), a nationally representative cohort. Fredrik Åberg, MD, PhD, Transplantation Follow- up data from national registers until 2013 were analysed for liver- related ad- and Liver Surgery Clinic, Helsinki University Hospital, Helsinki University, Helsinki, Finland. missions, mortality and liver cancer. Binge drinking (≥5 drinks per occasion, standard Email: [email protected] drink 12 g ethanol) was categorised as weekly, monthly, or as less often or none. Funding information Multiple confounders were considered. FÅ received research grants from Wilhelm and Else Stockmanns Foundation, Liv och Hälsa, Results: Eighty- four subjects developed decompensated liver disease. Binge drinking and Finska Läkaresällskapet. frequency showed a direct association with liver- disease risk after adjustment for aver- Handling Editor: Helena Cortez-Pinto age daily alcohol intake and age. -
Alcohol Charter
Alcohol Charter Drugs, Alcohol & Justice Cross-Party Parliamentary Group and All-Party Parliamentary Group on Alcohol Harm October 2018 A new national Alcohol Strategy must lead the way internationally in reducing the damage to society caused by alcohol misuse. The strategy must: • Be based on the evidence of what works to reduce alcohol harm as outlined in the PHE alcohol evidence review • Tackle the increased availability of excessively cheap alcohol • Empower the general public to make fully informed decisions about their drinking • Provide adequate support for both dependent and non-dependent drinkers • Set out the Government’s intention to reduce harmful drinking, tackle health inequalities, improve family and community resilience and ensure the UK has a healthier, better informed relationship with alcohol. It will do this through evidence-based policy and targeted investment. ALCOHOL HARM – THE CASE FOR GOVERNMENT ACTION Alcohol harms our health, our communities, and our economy Alcohol is harming the country’s health. Every year, there are more than a million alcohol-related hospital admissions in England. Here, if you are aged 15 to 49, there is no greater risk factor to you for premature death, illness and disability than alcohol.1 In the UK, alcohol is linked to 12,800 cancer cases every year,2 and unless trends change, is expected to lead to 1.2 million cancer hospital admissions and 135,000 cancer deaths in the next 20 years.3 Indeed, in England there are now more years of working life lost to alcohol than to the 10 most common cancers combined,4 while liver disease deaths have increased by 400% since 19705 – now the only major cause of death in the UK which is rising.6 It is not only our health, but our communities that suffer the effects of alcohol harm. -
Fit for Purpose? an Analysis of the Role of the Portman Group in Alcohol Industry Self-Regulation
Fit for purpose? An analysis of the role of the Portman Group in alcohol industry self-regulation July 2018 Hybu iechyd; gwella bywydau 2 Fit for purpose? An analysis of the role of the Portman Group in alcohol industry self-regulation Contents 3 Executive summary 4 Introduction 4 Background 5 The Portman Group as a regulator 7 Reviewing the Independent Complaint Panel’s decisions 2006 to 2017 8 What criteria have the Panel used and how have they interpreted them? 12 How consistently have the Code criteria been applied? 17 What types of evidence has the Panel used in its decision-making? 20 Statistical analysis of complaints to the Portman Group 23 What sanctions can the Portman Group apply for with breaches of the Code? 24 To whom is the Portman Group accountable in its regulatory role? 25 Conclusion 26 Making the system work for producers and consumers 26 Is alcohol industry self-regulation in the UK effective, adequate and appropriate? 28 Should UK alcohol industry regulation be brought together under a single regulator? 30 Are the current Codes fit for purpose? 33 References 3 Fit for purpose? An analysis of the role of the Portman Group in alcohol industry self-regulation Executive summary The Portman Group was established in It would also need the scope to consider 1989 and has been a key regulator of the promotion of individual products in alcohol marketing since 1996. The group the context of the wider marketing mix. hosts an Independent Complaints Panel Currently, this responsibility is divided which adjudicates on complaints against the between the Advertising Standards naming, packaging and promotion of alcoholic Authority and the Portman Group. -
Matured to Be Enjoyed Responsibly
FIFTH EDITION | 2020 Matured to be Enjoyed Responsibly Promoting Responsible Attitudes to Alcohol Consumption Contents Foreword............................................................... 3 Introduction .......................................................... 4 Consumer Information and Education ............... 7 Responsible Marketing ...................................... 18 Partnership Working ......................................... 22 Tackling Harmful Consumption ........................ 32 Underage drinking........................................ 32 Drink driving ................................................. 38 Foetal alcohol syndrome .............................. 39 COVID-19 Industry’s response ..................... 41 Promoting Responsible Attitudes to Alcohol Consumption 3 Foreword “Scotch Whisky is carefully crafted over many years, and enjoyed responsibly by millions of people around the world. However, we know that all alcoholic drinks, including Scotch, can be abused and As an industry, we that excessive consumption causes harm to individuals and those are determined close to them and to communities and society. The Scotch Whisky industry is, therefore, committed to playing its part in promoting to play our part in responsible consumption and in acting to support those who drink ensuring that Scotch too much. Whisky and alcohol This fifth report gives a snapshot of the activities undertaken by more broadly plays both the Scotch Whisky Association and our member companies. a positive role in Our industry provides -
Alcohol Withdrawal
Alcohol withdrawal TERMINOLOGY CLINICAL CLARIFICATION • Alcohol withdrawal may occur after cessation or reduction of heavy and prolonged alcohol use; manifestations are characterized by autonomic hyperactivity and central nervous system excitation 1, 2 • Severe symptom manifestations (eg, seizures, delirium tremens) may develop in up to 5% of patients 3 CLASSIFICATION • Based on severity ○ Minor alcohol withdrawal syndrome 4, 5 – Manifestations occur early, within the first 48 hours after last drink or decrease in consumption 6 □ Manifestations develop about 6 hours after last drink or decrease in consumption and usually peak about 24 to 36 hours; resolution occurs in 2 to 7 days 7 if withdrawal does not progress to major alcohol withdrawal syndrome 4 – Characterized by mild autonomic hyperactivity (eg, tachycardia, hypertension, diaphoresis, hyperreflexia), mild tremor, anxiety, irritability, sleep disturbances (eg, insomnia, vivid dreams), gastrointestinal symptoms (eg, anorexia, nausea, vomiting), headache, and craving alcohol 4 ○ Major alcohol withdrawal syndrome 5, 4 – Progression and worsening of withdrawal manifestations, usually after about 24 hours from the onset of initial manifestations 4 □ Manifestations often peak around 50 hours before gradual resolution or may continue to progress to severe (complicated) withdrawal, particularly without treatment 4 – Characterized by moderate to severe autonomic hyperactivity (eg, tachycardia, hypertension, diaphoresis, hyperreflexia, fever); marked tremor; pronounced anxiety, insomnia, -
The Facts About Binge Drinking•
The facts about binge drinking• Alcohol is the most common type of drug use in Australia. Alcohol is so widely used that many people don’t think of it as a drug and may not realise that it can be harmful. As a result, they may drink too heavily at times. The term ‘binge drinking’ generally refers to drinking • Alcohol can also continue to affect you the following day. heavily over a short period of time with the intention Hangovers can significantly increase lapses in attention of getting drunk, resulting in immediate and and can impair your ability to work or drive. severe intoxication. • Long-term harms, including becoming dependent on Binge drinking can be harmful in several ways: alcohol, and developing liver cancer or brain damage. • Short-term harms, including hangovers, headaches, • Binge drinking may result in blackouts, where a person nausea, shakiness and possibly vomiting and memory may say or do things after heavy drinking and not loss. There is also the risk of alcohol poisoning which can remember these events1. cause death. A common misconception is that a marker on a • Behaviour-based risks, including falls, assaults, car accidents, shame and embarrassment, loss of valuable glass of wine indicates one standard drink, but this items, and financial losses through reckless spending is not necessarily the case as glass sizes and the while intoxicated, or loss of income through time off work. concentration of alcohol in different wines can vary. What is a standard drink? A standard drink contains 10 grams of pure alcohol. Alcoholic drinks often contain more than one standard drink, e.g. -
12 Health Risks of Chronic Heavy Drinking Health Risks of Alcohol: 12 Health Problems Associated with Chronic Heavy Drinking by David Freeman
12 Health Risks of Chronic Heavy Drinking Health Risks of Alcohol: 12 Health Problems Associated with Chronic Heavy Drinking By David Freeman Reviewed by Marina Katz, MD It's no secret that alcohol consumption can cause major health problems, including cirrhosis of the liver and injuries sustained in automobile accidents. But if you think liver disease and car crashes are the only health risks posed by drinking, think again: Researchers have linked alcohol consumption to more than 60 diseases. "Alcohol does all kinds of things in the body, and we're not fully aware of all its effects," says James C. Garbutt. MD, professor of psychiatry at the University of North Carolina at Chapel Hill School of Medicine and a researcher at the university's Bowles Center for Alcohol Studies. "It's a pretty complicated little molecule." Here are 12 conditions linked to chronic heavy drinking. Anemia Heavy drinking can cause the number of oxygen-carrying red blood cells to be abnormally low. This condition, known as anemia, can trigger a host of symptoms, including fatigue, shortness of breath, and lightheadedness. Cancer "Habitual drinking increases the risk of cancer," says Jurgen Rehm, PhD, chairman of the University of Toronto's department of addiction policy and a senior scientist at the Centre for Addiction and Mental Health, also in Toronto. Scientists believe the increased risk comes when the body converts alcohol into acetaldehyde, a potent carcinogen. Cancer sites linked to alcohol use include the mouth, pharynx (throat). larynx (voice box), esophagus, liver, breast, and colorectal region. Cancer risk rises even higher in heavy drinkers who also use tobacco. -
Yougov / Portman Group Survey on Low Alcohol Alternatives 2020
YouGov / Portman Group survey on Low Alcohol Alternatives 2020 Overview • In its second annual survey of low alcohol products, the Portman Group commissioned YouGov to conduct an online survey of public attitudes to low alcohol alternatives (products with an ABV of above 0.05% and up to 1.2%). • The 2019 survey included 2,008 adults across Britain between 18-19 November 2019. The figures have been weighted and are representative of all GB adults (aged 18+). All figures, unless otherwise stated, are from YouGov PLC. The 2019 survey results show: • Over three quarters (76%) of those surveyed said they either did not drink or drank within the UK Chief Medical Officer’s lower-risk guidelines of 14 units in an average week. • Over half (59%) of British adults who drink alcohol in an average week have at least tried a lower alcohol alternative product. However, 30% of those who drink alcohol in an average week say they have yet to try a low alcohol product and, concerningly, 13% of all adults do not recall seeing a low alcohol option available for sale anywhere. • Almost a quarter (23%) of those who drink alcohol said that they had either already switched the majority of their drinking to lower alcoholic options or were likely to consider switching any of their drinking to low alcohol alternatives in the next six months. This is similar to our previous survey in 2018, showing that public interest in low alcoholic options has not waned. • Once again the intention to switch is being led by younger drinkers, with almost one in ten (9%) 18-24 year olds saying that they had already switched the majority of their drinking to lower alcohol options, whilst a quarter (25%) of 25-34 year olds said they would consider switching any alcoholic beverages they would usually drink to low alcohol alternatives in the next six months. -
Binge Drinking Trends Among Young Adults in 10 Indiana Counties
Center for Community Health Engagement and Equity Research Binge Drinking Trends Among Young Adults in 10 Indiana Counties Introduction According to the Centers for Disease Control and Prevention was an increase in the percentage of individuals who reported (CDC), “Binge drinking is the most common, costly, and binge drinking in every age group (SAMHDA, 1996-2006). deadly pattern of excessive alcohol use in the United States” However, less aging out was seen when comparing data from (CDC, 2018). Indeed, binge drinking in young adulthood has this time period: a 20% versus 14% decline in binge drinking been demonstrated to lead to such issues as alterations to among emerging adults (SAMHDA, 1996-2006). This trend in the developing brain structure, illicit drug and tobacco use, absence of aging out was seen again in 2016. This time, the alcoholism, liver damage, alcohol poisoning, and accidental percentage of extended adolescents who reported binge injury or death (HHS, 2007). Both national and local data drinking had dropped signicantly, but with a steeper jump to show a shift in binge drinking accompanied by changing age 21, and no aging out among emerging adults (SAMHDA, 2016). experiences in young adulthood. Whereas past data indicate Figure 1: Prevalence of Binge Drinking by Age for the Years 1996, 2006, a trend of decreased binge drinking after age 21, researchers and 2016: Substance Abuse & Mental Health Data Archive (SAMHDA) now observe an increase in binge drinking that extends (1996-2016) beyond the peak often associated with the legal drinking age. This issue brief provides background information on binge 50 drinking among young adults and highlights results from the Indiana Partnerships for Success (PFS) Young Adult Survey, kers which was administered to over 1,100 young adults ages 18 40 rin to 25 in 10 Indiana counties (Cass, Clark, Floyd, Knox, Lake, Madison, Marion, Porter, Scott, and Vanderburgh) between ge D November and December of 2016. -
Alcohol Consumption and Pancreatitis Mortality
vv Clinical Group Annals of Pancreatic Disorders and Treatment DOI CC By YE Razvodovsky* Research Article Grodno State Medical University, 80 Gorky Street, Grodno 230009, Belarus Alcohol Consumption and Pancreatitis Dates: Received: 11 March, 2017; Accepted: 06 June, 2017; Published: 09 June, 2017 Mortality *Corresponding author: YE Razvodovsky, Grodno State Medical University, 80 Gorky Street, Grodno 230009, Belarus, Tel: + 375 0152 70 18 84; Fax: +375 0152 43 53 41; E-mail: Abstract https://www.peertechz.com Background: Pancreatitis is a major public health problem with high associated economic costs. Accumulated research and empirical evidence suggests that excessive alcohol consumption is a major risk factor for both acute and chronic pancreatitis. In line with this evidence we assume that devastating combination of higher level of alcohol consumption per capita and drinking of vodka results in a close association between binge drinking and pancreatitis mortality at the aggregate level in Russia. This paper was design to estimate the aggregate level effect of binge drinking on pancreatitis mortality rate in Russian. Method: Trends in age-adjusted, sex-specifi c pancreatitis mortality and fatal alcohol poisoning rate (as a proxy for binge drinking) from 1956 to 2015 were analyzed employing a distributed lags analysis in order to ass’s bivariate relationship between the two time series. Results: The results of the time series analysis indicates the presence of a statistically signifi cant association between the two time series at zero lag for male (r = 0.72; S.E. = 0.13), and for female (r = 0.36; S.E. = 0.13). Conclusion: The results of present study support the hypothesis that alcohol played a crucial role in pancreatitis mortality fl uctuation in Russia over the past decades.