To investigate relationships between periodic increases in minimum alcohol prices, changing densities of liquor stores and alcohol-attributable (AA) deaths British Columbia, Canada.Cross-section (16 geographic areas) versus time-series (32 annual quarters) panel analyses were conducted with AA as dependent variables price, outlet socio-demographic characteristics independent variables.Populations 16 Health Service Delivery Areas Canada.Age-sex-standardized rates acute, chronic wholly...

We investigated whether periodic increases in minimum alcohol prices were associated with reduced alcohol-attributable hospital admissions British Columbia.The longitudinal panel study (2002-2009) incorporated prices, density of outlets, and age- gender-standardized rates acute, chronic, 100% admissions. applied mixed-method regression models to data from 89 geographic areas Columbia across 32 time periods, adjusting for spatial temporal autocorrelation, moving average effects, season, a...

There is limited evidence that alcohol warning labels (AWLs) affect population consumption. New evidence-informed AWLs were introduced in the sole government-run liquor store Whitehorse, Yukon, included a cancer (Ca), low-risk drinking guidelines (LRDGs) and standard drink (SD) messages. These temporarily replaced previous pregnancy labels. We test if intervention was associated with reduced consumption.An interrupted time series study designed to evaluate effects of on consumption for 28...

The 'standard drink' concept is widely used as a standardized measure of alcohol consumption. There no equivalent cannabis consumption, perhaps due to challenges such varied joint size, tetrahydrocannabinol content, and means delivery. This study introduces new quantity examines whether it predicts cannabis-related social problems with without controlling for frequency use. Cannabis-related problems, measured by the Alcohol, Smoking Substance Involvement Screening Test (ASSIST), were...

Abstract Courtesy stigma, also referred to as ‘stigma by association’, involves public disapproval evoked a consequence of associating with stigmatised individual or group. While small number sociological studies have shown how courtesy stigma limits the social support and opportunities available family members individuals, there is paucity research examining among large network people who provide health services groups. This article presents results from mixed methods study workplace...

ABSTRACT Aims To study relationships between rates of alcohol‐related deaths and (i) the density liquor outlets (ii) proportion stores owned privately in British Columbia (BC) during a period rapid increase private stores. Design Multi‐level regression analyses assessed relationship population mortality after adjusting for potential confounding. Setting The 89 local health areas BC, Canada across 6‐year from 2003 to 2008, longitudinal sample with n = 534. Measurements Population store...

There is a higher prevalence of alcohol use and severe dependence among homeless populations. The combination lack housing contributes to increased vulnerability the harms substance including stigma, injury, illness, death. Managed programs (MAPs) administer prescribed doses at regular intervals people with chronic homelessness. As pilot for larger national study MAPs, we conducted an in-depth evaluation one program in Ontario, Canada. In this paper, report on quality life outcomes...

Managed alcohol programs (MAPs) are a harm reduction strategy for people with severe dependence and unstable housing. MAPs provide controlled access to usually alongside accommodation, meals, other supports. Patterns of consumption related harms among MAP participants controls from homeless shelter in Thunder Bay, Ontario, were investigated 2013.Structured interviews conducted 18 20 control assessed as dependent most using non-beverage (NBA). Qualitative seven four staff concerning...

Abstract Introduction and Aims People with severe alcohol dependence unstable housing are vulnerable to multiple harms related drinking homelessness. Managed Alcohol Programs (MAP) aim reduce of use without expecting cessation use. There is promising evidence that MAPs acute social associated dependence. The this paper describe in Canada including key dimensions implementation issues. Design Methods Thirteen Canadian were identified through the Program Study. Nine informant interviews...

Knowledge that alcohol can cause cancer is low in Canada. Alcohol labels are one strategy for communicating alcohol-related harms, including cancer. Extending existing research observing an association between knowledge of the alcohol–cancer link and support policies, this study examined whether increases individual-level a carcinogen following labelling intervention associated with polices. Cancer warning were applied to containers at site, comparison site did not apply labels. Pre-post...

Objective: Although the World Health Organization (WHO) declared alcohol a Class 1 carcinogen 30 years ago, few governments have communicated this fact to public. We illustrate how industry groups seek keep their customers in dark about alcohol-related cancer risks. In Canada, federally funded scientific study examining introduction of warning labels on containers was shut down following interference. show that complaints had no legal merit. Of 47 WHO member countries with labels, only South...

Abstract Introduction and Aims Managed alcohol programs (MAP) are intended for people with severe alcohol‐related problems unstable housing. We investigated whether MAP participation was associated changes in drinking patterns related harms. Design Methods One hundred seventy‐five participants from five Canadian cities (Hamilton, Ottawa, Toronto, Thunder Bay Vancouver) 189 same‐city controls were assessed consumption, health, safety harm outcomes. Length of stay a as predictor patterns,...

Objective: This study tested the initial and continued effects of cancer warning labels on drinkers' recall knowledge that alcohol can cause cancer. Method: A quasi-experiment was conducted to examine changes in intervention versus comparison site for three outcomes: unprompted prompted warning, The applied containers its liquor store 1 month, two stores did not apply labels. In total, 2,049 unique cohort participants (1,056 male) were recruited at sites participate surveys 4 months before 2...

The twin problems of severe alcohol dependence and homelessness are associated with precarious living multiple acute, social chronic harms. While much attention has been focused on harm reduction services for illicit drug use, there less to this group. Managed programs (MAPs) interventions that aim reduce the harms poverty homelessness. MAPs typically provide accommodation, health supports alongside regularly administered sources beverage stabilize drinking patterns replace use non-beverage...

Giesbrecht, N., Wettlaufer, A., Simpson, S., April, Asbridge, M., Cukier, Mann, R., McAllister, J., Murie, Pauley, C., Plamondon, L., Stockwell, T., Thomas, G., Thompson, K., & Vallance, K. (2016). Strategies to reduce alcohol-related harms and costs in Canada: A comparison of provincial policies. The International Journal Of Alcohol And Drug Research, 5(2), 33-45. doi:http://dx.doi.org/10.7895/ijadr.v5i2.221Aims: To compare Canadian provinces across 10 research-based alcohol policy...

This study aimed to refine content and design of an enhanced alcohol label provide information that best supports informed drinking gauge consumer acceptability labels among a subset consumers.Five focus groups (n = 45) were conducted with stakeholders the general public (age 19+) across one jurisdiction in northern Canada. Interviews transcribed analyzed using NVivo software.The majority participants showed strong support for emphasis on consumers' right know about health risks related...

Despite the introduction of national drinking guidelines in Canada, there is limited public knowledge them and low understanding 'standard drinks (SDs)' which limits likelihood affecting behaviour. This study tests efficacy alcohol labels with SD information Canada's Low-Risk Drinking Guidelines (LRDGs) as compared to %ABV on consumers' ability estimate intake. It also examines label size format that best supports adults' make informed choices.This research consisted a between-groups...

Research shows that sexual minorities are at greater risk for illicit substance use and related harm than their heterosexual counterparts. This study examines a group of active drug users to assess whether identity predicts increased from ecstasy, ketamine, alcohol, marijuana, cocaine crack. Structured interviews were conducted with participants aged 15 years older in Vancouver Victoria, BC, Canada, during 2008–2012. Harm was measured the World Health Organization's AUDIT ASSIST tools....

Abstract Introduction and Aims Recall bias is a concern in self‐reported alcohol consumption, potentially accounting for varying risk estimates injury emergency department (ED) studies. The likelihood of reporting drinking the same 6‐h period each day week full preceding event analysed among injured ED patients. Design Methods Probability samples patients 18 years old older were interviewed two sites Vancouver one Victoria, BC (n = 1191). Generalized estimating equation modelling was used to...

Abstract Introduction and Aims We investigated coping strategies used by alcohol‐dependent unstably housed people when they could not afford alcohol, how managed alcohol program (MAP) participation influenced these. The aim of this study was to investigate potential negative unintended consequences being unaffordable. Design Methods A total 175 MAP residents in five Canadian cities 189 control participants from nearby shelters were interviewed about the frequency 10 unable alcohol. Length...

Media coverage of alcohol-related policy measures can influence public debate and is often more aligned with interests the alcohol industry than health. The purpose this study was to examine framing news warning label (AWL) initiatives that included a cancer message on containers in two different countries. Policy contexts perspectives were also evaluated.We identified systematically reviewed articles published between 2017-2019 covering an AWL academic Yukon, Canada, labeling provisions...

Objective: Evidence-informed alcohol warning labels (AWLs) are a promising, well-targeted strategy to increase consumer awareness of health risks. We assessed consumers' baseline knowledge alcohol-related cancer risk, standard drinks, and low-risk drinking guidelines as well levels support for AWLs. further associations with sociodemographic factors. Method: Forming part larger study testing new evidence-informed AWLs in northern Canadian territory compared neighboring territory, surveys...