Harmful Use of Alcohol: A Shadow over Sub-Saharan Africa in Need of Workable Solutions
Harmful Use of Alcohol: A Shadow over Sub-Saharan Africa in Need of Workable Solutions
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DOI：
10.3390/ijerph14040346
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发表时间：
2017-04-01
影响因子：
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通讯作者：
Babor, Thomas F.
中科院分区：
文献类型：
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作者：
Ferreira-Borges, Carina;Parry, Charles D. H.;Babor, Thomas F.
然而，预计在不久的将来，非洲的酒精消费和酒精引起的疾病负担将增加。决策者和一般民众很少注意与酒精有关的危害日益增加的问题。即使提出了新的立法，也很少颁布成为法律。在许多国家，酒精是社会和文化活动的中心，酒精在社会中的负面作用和对国家疾病负担的贡献很少受到质疑。在2010年通过《世卫组织全球战略》和《世卫组织区域战略》所创造的势头之后，2013年《减少有害使用酒精（非洲）行动计划》和《世卫组织预防和控制非传染性疾病全球行动计划》，在解决日益增多的酒精使用方面似乎没有做什么，这一问题涉及与此相关的负担以及酒精工业在非洲影响力日益扩大所带来的新挑战。在这次审查中，我们认为，要对非洲人口的健康产生积极影响，就需要采取行动，解决非洲大陆酒精政策的具体特点，即重点关注与酒精供应有关的特殊性，如未记录和非法生产、经销许可证、正规生产的扩大、营销举措和税收政策。
Alcohol consumption and alcohol-attributable burden of disease in Africa are expected to rise in the near future, yet. increasing alcohol-related harm receives little attention from policymakers and from the population in general. Even where new legislation is proposed it is rarely enacted into law. Being at the center of social and cultural activities in many countries, alcohol's negative role in society and contribution to countries' burden of disease are rarely questioned. After the momentum created by the adoption in 2010 of the WHO Global Strategy and the WHO Regional Strategy (for Africa) to Reduce the Harmful Use of Alcohol, and the WHO Global Action Plan for the Prevention and Control of Non-Communicable Diseases, in 2013, little seems to have been done to address the increasing use of alcohol, its associated burden and the new challenges that derive from the growing influence of the alcohol industry in Africa. In this review, we argue that to have a positive impact on the health of African populations, action addressing specific features of alcohol policy in the continent is needed, namely focusing on particularities linked to alcohol availability, like unrecorded and illicit production, outlet licensing, the expansion of formal production, marketing initiatives and taxation policies.