Symp 3 - Alcohol and the Nations Health

Question 1

ALCOHOL ATTRIBUTABLE MORTALITY THROUGH THE LIFE COURSE:

16-34 yrs - how does alcohol cause death in this age group and what percentage?

Answer 1

Accidents/ trauma

Self Harm and Suicide

Alcohol intoxication (poisoning)

7-10% female deaths in age group

15-20% male deaths

Overall mortality in young age group is low but alcohols contribution is high

Question 2

ALCOHOL ATTRIBUTABLE MORTALITY THROUGH THE LIFE COURSE:

34-64yrs - how does alcohol cause death in this age group and what percentage?

Answer 2

Alcohol related liver disease

6-12% female deaths

10-12% male deaths

Question 3

ALCOHOL ATTRIBUTABLE MORTALITY THROUGH THE LIFE COURSE:

64+ yrs - how does alcohol cause death in this age group and what percentage?

Answer 3

Alcohol related cancers

Breast (5-10% of breast cancer due to alcohol), oesophagus, colon, mouth and upper aerodigestive tract

2-3% of deaths

Question 4

Alcohol has a different impact with different ___ group

Answer 4

age

Question 5

how are the working years lost affected by alcohol related deaths?

Answer 5

• Alcohol-related deaths typically occur at younger ages than smoking-related deaths and deaths from all causes.
• More working years under 65 are lost to alcohol than the 10 most frequent cancer types combined.

Question 6

how has alcohol rleated liver disease changed in scotland?

Answer 6

• Alcohol related liver disease rates were increasing in Scotland
• Falling elsewhere in Europe
• Not historical or inevitable

Facing an upsurge of alcohol related liver disease which is opposite to Europe

Question 7

how has the price of alcohol changed?

Answer 7

only became a bit cheaper in pubs but has became a lot cheaper in shops

Question 8

does the amount of alcohol we drink change?

Answer 8

Large fall at the start of the 20th centaury

The amount we drink always changes

Question 9

What’s Been Changing About Scottish Drinking in regards to distribution of consumption?

Answer 9

Question 10

what is showm here?

Answer 10

Alcohol Price Trends in Scotland

Growing Price Gap Between Pub and Store Prices

Move towards heavy drinkers at home became more marked

Question 11

are younger or older people doing a lot of the drinking?

Answer 11

Drinking was becoming an older persons activity

Shift towards consumption in older people

Question 12

how has death rates changed in voer 45s?

Answer 12

Rise in death rate in over 45s in early 2000s

Question 13

the most worrying trends in harm were in what people?

Answer 13

Men

Older people

Home drinking

Long term health conditions

Question 14

what action/laws occured in scotland to help with the problem of alcohol?

Answer 14

Ones in red are most important

Problems with the ones in red are potentially all unpopular

Question 15

Alcohol Prevention, Harm and Inequalities - Scottish Mortality Trends:

Biggest change in the _______ age group

People with ______ income much harder hit with alcohol and more likely to die

Answer 15

poorest

lower

Question 16

what is a good way to influence the public about alcohol?

Answer 16

use health professions as they are listened to

Question 17

is there a minimum pricing of alcohol?

Answer 17

yes

Question 18

POST MIN UNIT PRICE DATA FROM SCOTLAND:

how has things changed?

Answer 18

Scottish consumption falling, notably in the off trade, and the long established Scotland / England & Wales gap is narrowing.

Consumer panel data shows that fall in alcohol purchase is almost exclusively in the 20% highest purchasing households, across all income groups

downward trend in Alcohol Related Liver Disease admissions, down 8% from 17-18

Downward ARLD admission trends are predominately in lower income groups. Liver admissions in lowest income decile are at lowest level since 2004

Alcohol mortality fell by 10% in 2019 but full effect is expected after 3 years

Industry Impact: Industry co-operation in evaluation has been limited, Benefit to smaller retailers, No evidence of substantial cross border sales, No evidence of move to other drugs, No evidence of home production

pretty muhc no effect on pub trade

Question 19

What’s the Impact of the Pandemic on Alcohol Consumption and Harm?

Answer 19

Accelerated long established trend to home drinking

Cemented key role of major supermarkets in alcohol retail

Tax returns up 4.5%

Wine +13%

Spirits + 10%

Beer - 9.7% (Beer (dominant drink in pubs) has took biggest hit)

Cider -11.3%

Fall in alcohol related trauma

Consumer surveys show a polarisation with light drinkers drinking less and heavy drinkers drinking more

Likely to lead to an increase in chronic health harm

Question 20

LEARNING OBJECTIVES

Consideration of the range and extent of alcohol related heath harm

Understanding the changing epidemiology of alcohol harm in Scotland

Understanding effective policy interventions to reduce alcohol harm.

Understanding the early outcomes of Minimum Unit Price for alcohol and other policy interventions.

Consideration of the possible impact of the COVID 19 pandemic on alcohol and health.