Reducing Alcohol-related Harm In Rural Communities
Funder
National Health and Medical Research Council
Funding Amount
$265,000.00
Summary
In 1992 in Australia, there were an estimated 3,660 alcohol-related deaths and 71,593 alcohol-related hospital episodes, resulting in a total economic cost of $4,031.9 million, 84% of which was avoidable. In 1998, about half of all males and a third of all females drank at least once a month at levels that placed them at risk of harm. In NSW, alcohol was estimated as being a causal factor in about one-quarter of all road traffic deaths in 1995 and was associated with a 58% increase in hospital u ....In 1992 in Australia, there were an estimated 3,660 alcohol-related deaths and 71,593 alcohol-related hospital episodes, resulting in a total economic cost of $4,031.9 million, 84% of which was avoidable. In 1998, about half of all males and a third of all females drank at least once a month at levels that placed them at risk of harm. In NSW, alcohol was estimated as being a causal factor in about one-quarter of all road traffic deaths in 1995 and was associated with a 58% increase in hospital utilistion rates between 1988-89 and 1990-91. The burden of suffering appears disproportionately higher in rural areas of NSW: per capita rate of convictions associated with a prescribed alcohol concentration in rural towns was approximately double that in metropolitan areas in 2000. The rate of attendances at hospital accident and emergency departments was also higher in rural areas. These data suggest a need for additional effort to reduce alcohol-related harm in rural, relative to metropolitan, areas. In Australia, there have been no well-controlled, community-based, attempts to reduce alcohol-related harm by simultaneously implementing a range of interventions. The conduct of a large-scale randomised controlled trial (RCT) to investigate the effectiveness of this approach is difficult to justify, due to the substantial costs associated with such a rigorous design. However, a less rigorus, though equally valid, design, such as a stepped wedged approach, would likely provide good evidence to justify the subsequent conduct of an RCT. If the expected outcomes are not achieved, the conduct of an RCT can be postponed until reasonable preliminary evidence regarding the types of community-based interventions most likely to be effective is obtained. In either case, this study will provide valuable information as to which community-based interventions, and in what combination, are most likely to reduce the occurrence of alcohol-related harm in rural communities in Australia.Read moreRead less
The Effectiveness Of A Responsible Hospitality Audit And Feedback Intervention To Reduce Alcohol Related Harm
Funder
National Health and Medical Research Council
Funding Amount
$466,875.00
Summary
Alcohol is a major cause of death, injury and illness in Australia accounting for over 3,000 deaths and over 72,000 hospital admissions each year. Excessive drinking is estimated to cost the Australian community $7,560 million each year, representing 22% of all drug-related harm. Alcohol is a significant contributor to the occurrence of violence and crime. It is estimated that up to 70% of incidents attended by the police, and 77% of street offences such as assaults and malicious damage to prope ....Alcohol is a major cause of death, injury and illness in Australia accounting for over 3,000 deaths and over 72,000 hospital admissions each year. Excessive drinking is estimated to cost the Australian community $7,560 million each year, representing 22% of all drug-related harm. Alcohol is a significant contributor to the occurrence of violence and crime. It is estimated that up to 70% of incidents attended by the police, and 77% of street offences such as assaults and malicious damage to property, are alcohol-related. It is also estimated that 70% to 80% of night-time single-vehicle accidents are alcohol-related. A large proportion of assaults, offensive behaviour, malicious damage to property and drink driving occur following excessive drinking at licensed premises such as hotels and registered clubs. The risk of harm arising from the consumption of alcohol on licensed premises can be reduced by modifying such factors as service of alcohol to intoxicated patrons, service-supply of alcohol to underage patrons, management practices (eg. late closing) and environmental factors (eg. poor lighting). Auditing of licensed premises is an approach currently used by authorities to ensure compliance with licensing requirements. However, such audits do not focus on harm reduction and do not incorporate best practice audit and behaviour change features. No controlled studies have reported the effectiveness of such an audit approach in reducing the risk of violence and crime emanating from hotels and registered clubs. The proposed study aims to assess the effectiveness of a Responsible Hospitality Audit and feedback intervention in reducing service to intoxicated and underage patrons, and in reducing assaults-malicious damage to property following alcohol consumption on licensed premises. The outcomes of this study will be improved responsible service of alcohol actions and reduced alcohol-related crime associated with premises.Read moreRead less
Promoting Responsible Drinking Practices To Drinkers To Reduce The Risk Of Alcohol-related Harm
Funder
National Health and Medical Research Council
Funding Amount
$271,476.00
Summary
Australians are heavy drinkers by world standards, which places them at risk of a wide range of alcohol-related harms. Broad-based interventions are needed to address a heavy drinking culture that involves regular engagement in heavy episodic drinking. This study will use a multi-method approach to develop and test messages that can be used to encourage enactment of responsible drinking practices that can reduce total alcohol intake and discourage binge drinking consumption patterns.
Public Health Policies And Interventions To Reduce Tobacco-related Harms Among Socially Disadvantaged Populations And ‘low Probability Quitters’
Funder
National Health and Medical Research Council
Funding Amount
$421,747.00
Summary
Tobacco continues to be a leading cause of preventable death and disease in Australia. Those who are socially disadvantaged are at higher risk of smoking, which contributes to the health gap between the rich and poor. This research will provide evidence for policy makers on interventions which could reduce smoking among the most disadvantaged in society. It will also examine whether less harmful nicotine products could a reduce health risks in smokers who find quitting difficult.
Understanding The Impacts Of Vaporised Nicotine Products On Smoking In Australia
Funder
National Health and Medical Research Council
Funding Amount
$1,603,159.00
Summary
Vaporised nicotine products (e.g., e-cigarettes) are widely used in Australia, even though possession of the nicotine fluid without a permit is an offence. They are primarily used by smokers as a means of quitting. However, there is concern about their potential attractiveness and uptake by non-smokers. The aim is to identify how these products might be used to both maximise smoking cessation and minimise nicotine use, especially smoking uptake by non-smokers.
ISNAP (interactive Smoking, Nutrition, Alcohol And Physical Activity) Program For Youth
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
Tobacco addiction usually begins during adolescence and is often accompanied by broader lifestyle issues being alcohol use, poor nutrition and poor physical activity. Young people today are highly engaged with technology, especially social media. Therefore, innovative technology (eg websites, smartphone apps, holographs and augmented reality) have big potential to lower the appeal and occurrence of risk behaviours. This study aims to design and evaluate an e-health lifestyle program for youth.
Television Advertising To Promote NHMRC Guidelines For Low Risk Alcohol Consumption: Experimental Study
Funder
National Health and Medical Research Council
Funding Amount
$670,013.00
Summary
This project aims to experimentally assess the impact of television advertising that promotes the 2009 NHMRC Guidelines on alcohol consumption, on adults' (aged 18-64) estimates of drinking levels that incur an increased risk of short and long term harm. The Guidelines advise that adults should limit consumption to 2 standard drinks/day to reduce the risk of lifetime harm, and to 4 standard drinks on any single drinking occasion to reduce the risk of short-term harm from that occasion.
Can Systematically Developed Alcohol Health Warnings Reduce Drinking Intentions And Behaviours?
Funder
National Health and Medical Research Council
Funding Amount
$782,617.00
Summary
This research will develop differently worded and formatted warnings about a wide range of harms of alcohol and assess adult drinkers’ responses to them, compared to current messages on alcohol containers. The study will use population surveys, discussion groups, message ratings and an experimental study with follow-up to determine the content and format of warnings with the greatest potential to encourage drinkers to reduce their alcohol-related risk.