Vested Interests in Addiction Research and PolicyAlcohol policies out of context: drinks industry supplanting government role in alcohol policies in sub-Saharan Africa
Vested Interests in Addiction Research and PolicyAlcohol policies out of context: drinks industry supplanting government role in alcohol policies in sub-Saharan Africa
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DOI：
10.1111/j.1360-0443.2009.02695.x
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发表时间：
2010-01-01
期刊：
影响因子：
6
通讯作者：
Endal, Dag
中科院分区：
文献类型：
--
作者：
Bakke, Oystein;Endal, Dag
在本文中，我们描述了由酒精生产商SABMiller和国际酒精政策中心（一个酒精行业资助的组织）赞助的酒精政策倡议的分析。在一些撒哈拉以南国家，这些机构促进了与政府的“伙伴关系”作用，以制定国家酒精政策。方法采用案例研究方法，对莱索托、马拉维、乌干达和博茨瓦纳的四份国家酒精政策文件草案进行了比较。结果比较表明，四份草案在措辞和结构上几乎相同，它们很可能出自同一来源。审查的过程和政策文件草案提供了对方法的见解，以及跨国饮料行业的战略和政治目标。这一举措反映了该行业对国家酒精政策的偏好。行业政策愿景忽视或选择性地选择由独立酒精研究人员开发的关于酒精预防的国际证据基础，忽视或最小化酒精问题的公共卫生方法。审查的政策仍然狭隘地侧重于酒精贸易的经济利益。就酒精问题（及其补救措施）而言，这些文件关注的是个人饮酒者，而忽略了有效的环境干预措施。拟议的政策以牺牲公众健康为代价，为行业利益服务，试图将“各级酒精饮料行业作为政策制定和实施过程中的关键伙伴积极参与”纳入其中。
BackgroundIn this paper, we describe an analysis of alcohol policy initiatives sponsored by alcohol producer SABMiller and the International Center on Alcohol Policies, an alcohol industry-funded organization. In a number of sub-Saharan countries these bodies have promoted a 'partnership' role with governments to design national alcohol policies.MethodologyA comparison was conducted of four draft National Alcohol Policy documents from Lesotho, Malawi, Uganda and Botswana using case study methods.FindingsThe comparison indicated that the four drafts are almost identical in wording and structure and that they are likely to originate from the same source.ConclusionsThe processes and the draft policy documents reviewed provide insights into the methods, as well as the strategic and political objectives of the multi-national drinks industry. This initiative reflects the industry's preferred version of a national alcohol policy. The industry policy vision ignores, or chooses selectively from, the international evidence base on alcohol prevention developed by independent alcohol researchers and disregards or minimizes a public health approach to alcohol problems. The policies reviewed maintain a narrow focus on the economic benefits from the trade in alcohol. In terms of alcohol problems (and their remediation) the documents focus upon individual drinkers, ignoring effective environmental interventions. The proposed policies serve the industry's interests at the expense of public health by attempting to enshrine 'active participation of all levels of the beverage alcohol industry as a key partner in the policy formulation and implementation process'.