Alcohol Policy Interventions in Scotland and England: APISE

Lead Research Organisation: University of Stirling
Department Name: Management, Work and Organisation

Abstract

Given growing concerns about alcohol misuse and its harms, new interventions to control alcohol use are being considered in both Scotland and England. The SNP Government in Scotland, plan to introduce a Minimum Pricing Bill while, in England, a new Alcohol Strategy is underway.

Some evidence exists about the effectiveness of specific alcohol policy interventions but there are many shortcomings in what is known about how effective these interventions are. In particular, it is not clear whether policies work differently with different groups in the population (eg. Men v women). Ideally a long-term study is required with strong baseline data collected in the first year against which data from many subsequent years can be compared and analysed relative to policy changes in Scotland and England. Given that differences exist between Scotland and England in terms of alcohol policy and that the SNP Government in Scotland are planning to implement minimum unit pricing, a natural experiment opportunity exists to compare the drinking behaviours of adult drinkers in Scotland and England before and after policy implementation.

This proposed research will conduct the first two years of such a study, and, subject to availability of future funding, will have the potential for longer term monitoring. This would enable a system to be set in place whereby future policies could be evaluated as and when they occur.

The aim of this study is to establish whether and how a range of alcohol policy interventions impact on alcohol use. The first survey will be conducted in 2012 and a follow-up survey, with the same people, will take place one year later in 2013.

Telephone interviews will be conducted with 2000 adult drinkers (aged 16-65) in Scotland and 2000 in England at the beginning of the study. These same people will be interviewed again 12 months later to examine whether and how their knowledge, attitudes and behaviour about drinking change. By comparing a country which does introduce a new policy with another, where policies remain unchanged, we can begin to assess the changes which may result from policy changes. Importantly we will look, not only at drinking behaviour, but also at how adult drinkers respond to different policy interventions by examining measures which are most strongly related to the policy. For example, if a minimum unit pricing policy was introduced we would ask people about the affordability of alcohol, if the policy was concerned with unit labelling on drinks we would ask about noticing and paying attention to the labels. In this way we can gain a better understanding of whether and how individual policies are working and how for example perceptions of affordability of alcohol change after a policy is implemented. Furthermore, how, if at all, these link with changes in drinking behaviour. Having two countries with different alcohol policies and the likelihood of one country introducing alcohol policy between the first and second surveys improves our opportunities for establishing whether and how alcohol policies work. The study will provide valuable information on the way that adult drinkers respond to alcohol policy interventions and will contribute to the debate and consultation processes around future reviews of national alcohol strategies in the UK.

Furthermore, we are collaborating with colleagues in New Zealand, Australia, the USA, Thailand and South Korea who are planning to conduct similar studies in their countries. This would provide further opportunities for identifying changes, given the broader range of countries involved and increased opportunities for differences in policy implementation. The findings from this study will provide data to help inform the development of international guidelines on alcohol policy in the future and contribute to national and international efforts to reduce alcohol related harm.

Technical Summary

Heightened awareness of the extent and range of the global burden of disease from alcohol has led to new commitment, at national and international levels, to make policy change. While a body of research evidence exists on the effectiveness of specific alcohol policy interventions there are very significant shortcomings in the evidence base. There is a need for a long term-monitoring study, with a strong baseline data collection, which can then regularly monitor responses to policy changes as they occur.

This proposal is for the first two waves of such a study: Alcohol Policy Interventions in Scotland and England (APISE). New alcohol policy interventions are actively being considered in both Scotland and England, providing an opportunity for a natural experiment to evaluate the impact of the different policies which are likely to be put in place in each country. The study also has an international component with parallel studies being conducted in a number of other countries.

The study aims to yield robust evidence on the effectiveness and mechanisms of macro-level alcohol policy interventions. Three linked stages of research include an audit of alcohol control strategies in each country, exploratory research with adult drinkers and a longitudinal survey. The baseline survey, planned for 2012, will recruit a cohort of 2000 adult drinkers in England and 2000 in Scotland. The cohort follow-up survey will take place 12 months later. The survey will be conducted by telephone and collect data on a range of policy related variables (proximal variables), moderating and mediating variables as well as behavioural outcomes. By including proximal variables, for each policy, there is potential to trace the effects of each policy, over time, to their ultimate effects on behaviour through different mediational routes and thus strengthen the ability to attribute impact to specific policies.

Planned Impact

Alcohol policies are governmental interventions that aim to minimise the health and social harms that arise from the use of alcohol. Our previous work estimated annual health and social service costs of £3.1b and an annual loss of 183,000 quality-adjusted life years. The total financial burden in England is estimated at between £17.7bn and £25.1bn. With such large implications, policymakers need to know whether policies they put in place have the desired effects in reducing consumption and harm and improving public health. This study will help uncover what works, how it does so and what the public thinks and feels about this. In this way it will enable more informed alcohol policy interventions to be developed to reduce the harms from alcohol. Organisations, such as government departments and non-governmental organisations, will be better equipped to identify effective and ineffective alcohol policy interventions and will gain a better understanding of how the adult drinking population respond to alcohol policy interventions. Results from the study will therefore contribute to the debate and consultation processes around future reviews of alcohol strategy in the UK.

The international collaboration in the study will further strengthen the findings and relevance of these internationally. The WHO is highly interested in the study and has sent representatives to attend early meetings with the collaborators.

Secondary questions this study will address are the time to effect, whether effects are seen equally in all groups of the population and the pathways by which policies affect consumption and harm (e.g. via changes in attitudes or purchasing behaviour). Our study will allow us to play a meaningful role in providing this information, by providing the capacity to evaluate any macro-level policy interventions that are put in place in England or Scotland. Results will also inform the design of new policies by providing information on advantageous external conditions for policies, likely effects of policy combinations, and on groups who are and who are not responding to certain policy measures. Whilst focused on alcohol policy, the work programme will lead to insights that are of relevance to the wider public policy field.

The study will also benefit other academic researchers by building an evidence base on effectiveness of alcohol policy interventions, generating new research ideas and developing appropriate methods and measures for evaluating impact of alcohol policies.

The public will benefit from better informed alcohol policy interventions which have a greater likelihood of desired response from adult drinkers.

Publications

10 25 50
publication icon
Casswell S (2018) International Alcohol Control Study: Analyses from the first wave. in Drug and alcohol review

publication icon
Casswell S (2018) The Alcohol Environment Protocol: A new tool for alcohol policy. in Drug and alcohol review

publication icon
Casswell S (2012) The International Alcohol Control (IAC) study-evaluating the impact of alcohol policies. in Alcoholism, clinical and experimental research

 
Description Alcohol Action Ireland and Eurocare Policy Seminar, Brussels, 7 Jun 18
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact The advocacy strategy to encourage the European Commission to produce a new European Alcohol Strategy was progressed
 
Description Alcohol Focus Scotland Board Member, Meeting on 9 March 2016
Geographic Reach National 
Policy Influence Type Participation in a guidance/advisory committee
Impact Guiding Scottish Government alcohol policy
 
Description Alcohol Focus Scotland Seminar. Co-organiser & presenter with David Jernigan. Alcohol Marketing & Scotland's Young People. Edinburgh, 15 July 16
Geographic Reach National 
Policy Influence Type Participation in a guidance/advisory committee
Impact Guiding Scottish Government alcohol policy
 
Description BMA Board of Science
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
Impact Membership of the BMA board of science, the group that leads BMA thinking on key health and public health issues.
 
Description BMA Board of Science - member. Meeting 26 May 16
Geographic Reach National 
Policy Influence Type Participation in a guidance/advisory committee
Impact Exploring novel approaches to public health
 
Description British Medical Association Board of Science (quarterly meetings)
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Tobacco and alcohol
 
Description CMOs Review of Alcohol Guidelines: Behavioural Expert Group - Sept 15
Geographic Reach National 
Policy Influence Type Implementation circular/rapid advice/letter to e.g. Ministry of Health
Impact New guidelines on alcohol consumption issued by the CMOs.
 
Description Chairing MSP sponsored meeting in the Scottish Parliament on behalf of AFS to discuss industry influence on alcohol policy
Geographic Reach National 
Policy Influence Type Contribution to a national consultation/review
Impact This formal meeting in the Scottish Parliament discuss the implications of the Cambridge et al's exposé on alcohol industry policy influence with senior parliamentarians.
 
Description Chairing Symposium on the Relationship between Public Health and Big Business
Geographic Reach National 
Policy Influence Type Citation in other policy documents
Impact Establishment of working group to look at how public health and big business should, and should not, interact.
 
Description Challenges for evidence in law and public health workshop, Uni og Cambridge. Invited expert, debate participant. Cambridge, 9 Feb 16
Geographic Reach National 
Policy Influence Type Participation in a guidance/advisory committee
Impact Exploring novel approaches to public health regulation
 
Description Charing FORETE research funding committee. Invited Chair, Stockholm, 16 Oct 16
Geographic Reach Multiple continents/international 
Policy Influence Type Membership of a guideline committee
Impact Guiding Swedish public health research
 
Description Conference call with DG CNECT of the European Commission to discuss research study on alcohol advertising - 22 October 2013
Geographic Reach Europe 
Policy Influence Type Contribution to a national consultation/review
Impact The EC has rethought it's methods for assessing the impact of marketing on young people in a way which fits better with the evidence base. A research call on these lines will emerge in 2014.
 
Description External peer review for the Cochrane Collaboration: Impact of exposure to alcohol marketing & subsequent drinking patterns among youth and young adults
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact The evidence base has been strengthened and extended
 
Description Health Promotion England review of alcohol policy. Invited expert - participation in meetings & reviewing of conclusions, 2015/2016
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
Impact Summarised and accredited the evidence base
 
Description International Seminar Models to Regulate Alcohol Marketing in Belgium. Invited Expert for presentation and advice. Brussels, 6 December 2016
Geographic Reach Europe 
Policy Influence Type Membership of a guideline committee
Impact Launched a long term policy investigation
 
Description July 22 meeting of the Advisory Board for the evaluation of the UK Responsibility Deals, LSHTM
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
 
Description Launch of the Independent Alcohol Strategy
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
 
Description Member of the Alcohol Focus Scotland Alcohol Marketing Expert Network
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Alcohol
 
Description Member of the Conseil Scientifique, Santé Publique France
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Tobacco and alcohol
 
Description Member of the Institute of Alcohol Studies Expert Advisory Panel
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Alcohol
 
Description Participant in Public Health England E-Delphi consensus study
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Tobacco and alcohol
 
Description Policy Makers Breakfast meeting, Auckland NZ
Geographic Reach Australia 
Policy Influence Type Influenced training of practitioners or researchers
Impact Senior NZ politicians agreed to enhance public health provision
 
Description Preparation of a commissioned working paper - Measuring Alcohol Marketing Harm
Geographic Reach Europe 
Policy Influence Type Contribution to a national consultation/review
 
Description Presentation to the Alcohol Focus Scotland Board on Corporate Power
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Citation in other policy documents
Impact Establishment of working group to look at how public health and big business should, and should not, interact.
 
Description Révision des repères de consommation d'alcool français. Invited expert - advice to French government. Paris, 9 December 2016
Geographic Reach National 
Policy Influence Type Contribution to a national consultation/review
Impact Guiding French Government alcohol policy
 
Description Scottish Government International Expert Panel on Alcohol Policy
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Membership of a guideline committee
Impact Help establish international advisory group on alcohol policy. Scottish Government Ministers.
 
Description Symposium on Tobacco, Alcohol & the SDGs: Challenges for global health governance. Invited rappourteur, Edinburgh, 29 June 2016
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
Impact Exploring novel approaches to public health
 
Description Temporary Adviser with WHO/WPRO Training for Leadership and Advocacy Teams to Reduce Alcohol Harm in Young People in Selected Countries in the Western Pacific Region September 2018
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact -
 
Description Temporary Adviser with WHO/WPRO: Review of the Lao People's Democratic Republic Subnational Decree on the Ban on All Forms of Alcohol Marketing September 2018
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact -
 
Description WHO policy and training meeting, Laos
Geographic Reach Asia 
Policy Influence Type Contribution to a national consultation/review
Impact Trained key personnel in Laos, Mongolia and Vietnam and met with senior members of Laotian government to strengthen alcohol marketing regulation
 
Description APISE Diary Extension
Amount £42,000 (GBP)
Organisation University of Sheffield 
Sector Academic/University
Country United Kingdom
Start 02/2013 
End 08/2015
 
Description Brand Level Regulation in the UK Alcohol Market: A Pilot Study
Amount £12,000 (GBP)
Funding ID 22764 
Organisation Cancer Research UK 
Sector Charity/Non Profit
Country United Kingdom
Start 12/2015 
End 03/2016
 
Description UK Centre for Tobacco and Alcohol Studies (UKCTAS)
Amount £285,390 (GBP)
Funding ID MR/K023195/1 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 08/2013 
End 08/2018
 
Description STAP 
Organisation STAP (Dutch Institute for Alcohol Policy)
Country Netherlands 
Sector Charity/Non Profit 
PI Contribution Advice and consultancy on MAMPA
Collaborator Contribution Fieldwork in sub-Saharan Africa
Impact Reports and journal articles in production
Start Year 2012
 
Description World Health Organization 
Organisation World Health Organization (WHO)
Country Global 
Sector Public 
PI Contribution Advice and consultancy on project MAMPA
Collaborator Contribution Facilitation of meetings and research (MAMPA)
Impact Reports and journal articles in production. Seminar in Congo
Start Year 2012
 
Description "Alcohol Drugs and Media Scene" Nordic Academic Network Conference, Helsinki 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote address
Year(s) Of Engagement Activity 2015
 
Description Alcohol Concern Wales 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Alcohol Concern Wales Annual Conference, 6 September 2012, Cardiff.

Supporting Alcohol Concern Wales in their work.
Year(s) Of Engagement Activity 2012
 
Description Alcohol Focus Scotland AGM 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact AFS has been extremely succesful in influencing Scottish Government policy on alcohol - most especially on minimum unit pricing.

The Scottish Government's decision to pursue minimum unit pricing.
Year(s) Of Engagement Activity 2006
URL http://www.alcohol-focus-scotland.org.uk/
 
Description Alcohol Focus Scotland Meeting - May and September 2014 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Participants in your research and patient groups
Results and Impact Attended board meeting

To take things forward
Year(s) Of Engagement Activity 2014
 
Description Alcohol Marketing and Young People. Plenary. IOGT & WHO Workshop, Bratislava, Slovakia, 2 Sept 2016 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Alcohol public health policy
Year(s) Of Engagement Activity 2016
 
Description Alcohol NGO pre-meeting on alcohol advertising, Brussels 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? Yes
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Successful meeting with the European Commission which will in turn lead to a research tender in 2014

In 2014 the EC DG SANCO and CNECT will launch a tender for pan-European study on alcohol advertising and young people following the route agreed at the NGO meeting
Year(s) Of Engagement Activity 2013
 
Description BMA Board of Science - 22 Sept 14 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Meeting to discuss strategies

Discussion and meeting
Year(s) Of Engagement Activity 2014
 
Description Blue Cross Norway 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Presentation to NGO's involved in alcohol abuse prevention.
Presentation to school children.
Meetings with NGOs.
Invited by the Head of the International Department for the Blue Cross NGO, Norway.
22-24 October 2012, Oslo and Trondheim, Norway.

Raising profile of alcohol marketing as a problem.
Year(s) Of Engagement Activity 2012
 
Description Challenging the Structures. Plenary. The National Alcohol Conference, Copenhagen, Denmark, 20 Jan 2016 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Alcohol public health policy
Year(s) Of Engagement Activity 2016
 
Description Change Conference, Brisbane, Australia, 25-26 October 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Presentation showing key behaviour change challenges and solutions
Year(s) Of Engagement Activity 2018
URL https://www.griffith.edu.au/griffith-business-school/social-marketing-griffith/change2018
 
Description Conference on Digital Alcohol Marketing - EHESP, Rennes - 6 June 14 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Participants in your research and patient groups
Results and Impact Co-organised conference

Gathered together people to discuss the topic
Year(s) Of Engagement Activity 2014
 
Description Digital Alcohol Marketing session at UICC in Melbourne - Dec 14 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Invited to organise and chair special session at UICC conference, this has yet to take place.

Doesn't take place until December 14
Year(s) Of Engagement Activity 2014
 
Description EU Alcohol Policy Network Symposium - Oct 15 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote address
Year(s) Of Engagement Activity 2015
 
Description EU Deep Seas / Far Seas Workshop Series on Alcohol Policy. Keynote 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Alcohol control
Year(s) Of Engagement Activity 2020
 
Description Evidence to the House of Lords enquiry into the EU alcohol strategy - Oct 14 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Gave evidence

Contribute to enquiry
Year(s) Of Engagement Activity 2014
 
Description GAP C (Global Alcohol Policy Conference) - Oct 15 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote address
Year(s) Of Engagement Activity 2015
 
Description IAS conference on Alcohol Marketing London October 2019 'Marketing: Lessons for Alcohol from Tobacco Control' 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Tobacco and alcohol control
Year(s) Of Engagement Activity 2019
 
Description IASO 'Obesity and Non-Communicable Disease: Challenges and Solutions' conference in New York, presentation on learning about corporate power from alcohol, tobacco and food industries 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact A stengthened debate on a need to regulate corporate players in public health.

Changes in policy in developing countries - most notably the tax on sugar drinks in Mexico.
Year(s) Of Engagement Activity 2013
URL http://www.iaso.org/
 
Description Interview for BBC Inside Health - Broadcast Aug 14 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Gave interview for BBC Inside Health on Radio 4, recorded in June and broadcast in August - to share information.

Unknown
Year(s) Of Engagement Activity 2014
 
Description Invited keynote North West Alcohol Conference, Liverpool, Nov 17 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Critical marketing
Year(s) Of Engagement Activity 2017
 
Description Key note address to NIHR School for Public Health Research (SPHR) Annual Scientific Meeting on corporate power 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact There is increasing concern in the public health community about the influence of the private sector on policy and practice. This presentation focused these concerns and enabled fruitful discussion.

Contribution to a crucial public health debate.
Year(s) Of Engagement Activity 2013
 
Description Keynote 'Cochrane Lecture' 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Participants in your research and patient groups
Results and Impact Lecture at Social Medicine Conference, Oxford - September 2010

Question and Answers after talk
Year(s) Of Engagement Activity 2010
 
Description Keynote address Drinkwise NW Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Successful presenation given

Local authorities became more highly engaged
Year(s) Of Engagement Activity 2013
 
Description Keynote address as Balance NE Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Successful presentation given

Greater enagement of local authorities in alcohol issues
Year(s) Of Engagement Activity 2013
 
Description Keynote address at Royal College of Physicans (London) Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact Successful presentation given

Significant interest stimulated amongst medical professionals in alcohol issues
Year(s) Of Engagement Activity 2013
 
Description Meeting with Professor Doug Sellman from New Zealand to discuss future alcohol strategy 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Leading experts on alcohol public health in Scotland were able to explore future directions.

Alcohol policy advances particularly in Scotland.
Year(s) Of Engagement Activity 2010
URL http://www.alcohol-focus-scotland.org.uk/
 
Description North West Alcohol Conference Liverpool 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Keynote address
Year(s) Of Engagement Activity 2015
 
Description Rebels With a Cause: A Critical Perspective on Social Marketing. Invited keynote, Danish National Alcohol Conference, 31 Jan 18 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Critical marketing
Year(s) Of Engagement Activity 2018
 
Description Reducing Alcohol Marking Exposure to Young People workshop Auckland 2018; keynote: The Pied Piper of Heineken 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Alcohol marketing
Year(s) Of Engagement Activity 2018
 
Description Reducing the Exposure of Alcohol Marking to Young People Workshop, Auckland NZ, 31 October 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Presentation on the health gains possible with fully-fledged controls on alcohol marketing
Year(s) Of Engagement Activity 2018
 
Description Singapore Health Board 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact Invited to conduct teaching, workshops and talks on public health and social marketing to the Singapore Health Board, Singapore, 25-29 March 2012.

Formal link up with Singapore Health Promotion Board.
Year(s) Of Engagement Activity 2012
 
Description Stop Cancer Before It Starts: Saving lives with effective tobacco, alcohol and obesity policies Symposium, Auckland NZ, 29 October 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Presentation on the health gains possible with fully-fledged controls on tobacco, alcohol and food marketing
Year(s) Of Engagement Activity 2018
URL https://www.nzcphm.org.nz/news-events/events/2018-10-29-stop-cancer-before-it-starts
 
Description WHO Inter-country workshop on alcohol and food marketing, Porto 26-29 October 14 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Participants in your research and patient groups
Results and Impact Special advisor to WHO at inter-country workshop on alcohol and food marketing, Porto

Discussion
Year(s) Of Engagement Activity 2014
 
Description World Marketing Summit 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact World Marketing Summit, 1-3 March 2012, Dhaka, Bangladesh. Personally invited speaker for the inaugural meeting.

Raise the profile of problematic marketing.
Year(s) Of Engagement Activity 2012