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BMC Public Health
Published in: BMC Public Health 1/2016

Open Access 01-12-2015 | Study protocol

New Zealand’s new alcohol laws: protocol for a mixed-methods evaluation

Authors: Brett Maclennan, Kypros Kypri, Jennie Connor, Tuari Potiki, Robin Room

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Alcohol consumption is a major cause of mortality and morbidity globally. In response to strong calls from the public for alcohol law reform, the New Zealand Government recently reduced the blood alcohol limit for driving and introduced the Sale and Supply of Alcohol Act which aim to (1) improve community input into local decision-making on alcohol; (2) reduce the availability of alcohol; and (3) reduce hazardous drinking and alcohol-related harm. In this project we seek to evaluate the new laws in terms of these objectives.

Design and methods

A policy evaluation framework is proposed to investigate the implementation and outcomes of the reforms. We will use quantitative and qualitative methods, employing a pre-post design. Participants include members of the public, local government staff, iwi (Māori tribal groups that function collectively to support their members) and community group representatives. Data will be collected via postal surveys, interviews and analysis of local government documents. Liquor licensing, police and hospital injury data will also be used. Community input into local government decision-making will be operationalised as: the number of objections per license application and the number of local governments adopting a local alcohol policy (LAP). Outcome measures will be the ‘restrictiveness’ of LAPs compared to previous policies, the number (per 1000 residents) and density (per square kilometre) of alcohol outlets throughout NZ, and the number of weekend late-night (i.e., post 10 pm) trading hours. For consumption and harm, outcomes will be the prevalence of hazardous drinking, harm from own and others’ drinking, community amenity effects, rates of assault, and rates of alcohol-involved traffic crashes. Multiple regression will be used to model how the outcomes vary by local government area from before to after the law changes take effect. These measures will be complemented by qualitative analysis of LAP development and public participation in local decision-making on alcohol.

Discussion

The project will evaluate how well the reforms meet their explicit public health objectives.
Literature
1.
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380:2224–60.PubMedPubMedCentralCrossRef
2.
Connor J, Kydd R, Shield K, Rehm J. Alcohol-attributable burden of disease and injury in New Zealand: 2004 and 2007. Health Promotion Agency: Wellington; 2013.
3.
Alcohol and Public Policy Group. Alcohol: No ordinary commodity – a summary of the second edition. Addiction. 2010;105:769–79.CrossRef
4.
Babor TF, Caetano R, Casswell S, Edwards G, Giesbrecht N, Graham K, et al. Alcohol: No ordinary commodity - research and public policy. 2nd ed. New York: Oxford University Press Inc.; 2010.CrossRef
5.
Casswell S, Maxwell A. What works to reduce alcohol-related harm and why aren’t the policies more popular? Soc Policy J N Z. 2005;25:118–41.
6.
Hill L. Planning for the sale of alcohol: a review of research and policy. Ministry of Health: Wellington; 2004.
7.
Law Commission. Alcohol in Our lives: an issues paper on the reform of New Zealand’s liquor laws. Law Commission: Wellington; 2009.
8.
Kypri K, Voas RB, Langley JD, Stephenson SC, Begg DJ, Tippetts AS, et al. Minimum purchasing age for alcohol and traffic crash injuries among 15- to 19-year-olds in New Zealand. Am J Public Health. 2006;96:126–31.PubMedPubMedCentralCrossRef
9.
Huckle T, Pledger M, Casswell S. Trends in alcohol-related harms and offences in a liberalized alcohol environment. Addiction. 2006;101:232–40.PubMedCrossRef
10.
Wagenaar AC, Langley JD. Alcohol licensing system changes and alcohol consumption: introduction of wine into New Zealand grocery stores. Addiction. 1995;90:773–83.PubMedCrossRef
11.
Law Commission. Alcohol in Our lives: curbing the harm. A report on the review of the regulatory framework for the sale and supply of liquor. Law Commission: Wellington; 2010.
12.
Kypri K, Maclennan B, Langley JD, Connor JL. The alcohol reform bill: more tinkering than reform in response to the New Zealand public’s demand for better liquor laws. Drug Alcohol Rev. 2011;30:428–33.PubMedCrossRef
13.
14.
Maclennan B, Kypri K, Langley J, Room R. Public opinion and local government alcohol policy: a study of seven New Zealand communities. Contemp Drug Probl. 2011;38:367–85.CrossRef
15.
Hill L. Planning for alcohol in the community. Alcohol Advisory Council of New Zealand: Wellington; 2005.
16.
Hill L. Liquor act threatened with fatal flaw. New Zealand Local Government. 1998;34:14–5. 17.
17.
Kypri K, Jones C, Mcelduff P, Barker D. Effects of restricting pub closing times on night-time assaults in an Australian city. Addiction. 2010;106:303–10.PubMedCrossRef
18.
Kypri K, Bell ML, Hay GC, Baxter J. Alcohol outlet density and university student drinking: a national study. Addiction. 2008;103:1131–8.PubMedCrossRef
19.
Connor JL, Kypri K, Bell ML, Cousins K. Alcohol outlet density, levels of drinking and alcohol-related harm in New Zealand: a national study. J Epidemiol Commun H. 2011;65:841–6.CrossRef
20.
21.
22.
Giesbrecht N, Bosma LM, Juras J, Quadri M. Implementing and sustaining effective alcohol-related policies at the local level: evidence, challenges, and next steps. World Med Health Policy. 2014;6:203–30.CrossRef
23.
Vedung E. Public policy and program evaluation. New Brunswick: Transaction Publishers; 1997.
24.
Maclennan B, Kypri K, Langley J, Room R. Public sentiment towards alcohol and local government alcohol policies in New Zealand. Int J Drug Policy. 2012;23:45–53.PubMedCrossRef
25.
Kypri K, Maclennan B. Public participation in local alcohol regulation: findings from a survey of New Zealand communities. Drug Alcohol Rev. 2014;33:59–63.PubMedCrossRef
26.
Ballara A. Iwi: the dynamics of Māori tribal organisation from c.1769 to c.1945. Wellington: Victoria University Press; 1998.
27.
28.
Maclennan B, Kypri K, Room R, Langley J. Local government alcohol policy development: case studies in three New Zealand communities. Addiction. 2013;108:885–95.PubMedPubMedCentralCrossRef
29.
Huckle T, Huakau J, Sweetsur P, Huisman O, Casswell S. Density of alcohol outlets and teenage drinking: living in an alcogenic environment is associated with higher consumption in a metropolitan setting. Addiction. 2008;103:1614–21.PubMedCrossRef
30.
Salmond C, Crampton P, Sutton F. NZDep91: A New Zealand index of deprivation. Aust NZ J Publ Heal. 1998;22:835–7.CrossRef
31.
Vittinghoff E, McCulloch CE. Relaxing the rule of ten events per variable in logistic and Cox regression. Am J Epidemiol. 2007;165:710–8.PubMedCrossRef
32.
Hay GC, Whigham PA, Kypri K, Langley JD. Neighbourhood deprivation and access to alcohol outlets: a national study. Health Place. 2009;15:1086–93.PubMedCrossRef
33.
34.
Maclennan BA. Local government alcohol policy: community sentiment and the policy development process. Doctor of philosophy thesis. Dunedin: University of Otago; 2010.
35.
Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT: the alcohol use disorders identification test - guidelines for use in primary care. Geneva: Department of Mental Health and Substance Dependence, World Health Organization; 2001.
36.
Ministry of Health. Alcohol use in New Zealand: analysis of the 2004 New Zealand health behaviours survey - alcohol Use. Wellington: Ministry of Health; 2007.
37.
Begg DJ, Gulliver P. A longitudinal examination of the relationship between adolescent problem behaviors and traffic crash involvement during young adulthood. Traffic Inj Prev. 2008;9:508–14.PubMedCrossRef
38.
Ministry of Health. Alcohol Use in New Zealand: Key results of the 2007/08 New Zealand alcohol and drug use survey. Wellington: Ministry of Health; 2009.
39.
Livingston M, Matthews S, Barratt M, Lloyd B, Room R. Diverging trends in alcohol consumption and alcohol-related harm in Victoria. Aust NZ J Publ Heal. 2010;34:368–73.CrossRef
40.
Langley J, Gulliver P, Cryer C, Kypri K, Civil I, Davie G. Use of alcohol intoxication codes for serious non-fatal hospitalised injury. Injury. 2013;44:1472–6.PubMedCrossRef
41.
Kypri K, Davie G, Mcelduff P, Connor J, Langley J. Effects of lowering the minimum alcohol purchasing Age on weekend assaults resulting in hospitalization in New Zealand. Am J Public Health. 2014;104:1396–401.PubMedCrossRef
42.
43.
44.
Bailey J. The Waikato hospital road accident survey, volume 2: analysis and interpretation. Department of Scientific and Industrial Research: Wellington; 1984.
45.
Edwards PJ, Roberts I, Clarke MJ, Diguiseppi C, Wentz R, Kwan I, et al. Methods to increase response to postal and electronic questionnaires. Cochrane Database Syst Rev. 2009;8(3):MR000008.
46.
Robson B. Mana whakamarama - equal explanatory power: Maori and non-Maori sample size in national health surveys. Wellington: Te Ropu Rangahau Hauora a Eru Pomare, Wellington School of Medicine and Health Sciences, University of Otago; 2002.
47.
48.
49.
Feunekes GIJ. van ’t veer P, van staveren WA, Kok FJ. Alcohol intake assessment: the sober facts. Am J Epidemiol. 1999;150:105–12.PubMedCrossRef
50.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef
51.
Kypri K, Davie G, Langley J, Voas R, Begg D. The utility of routinely collected data in evaluating important policy changes: the New Zealand alcohol purchasing Age limit example. Am J Public Health. 2009;99:1212–5.PubMedPubMedCentralCrossRef
52.
Chikritzhs TN, Dietze PM, Allsop SJ, Daube MM, Hall WD, Kypri K. The “alcopops” tax: heading in the right direction. Med J Aust. 2009;190:294–5.PubMed
53.
Maclennan B, Kypri K, Langley J, Room R. Non-response bias in a community survey of drinking, alcohol-related experiences and public opinion on alcohol policy. Drug Alcohol Depen. 2012;126:189–94.CrossRef
54.
Langley J, Kypri K, Cryer C, Davie G. Assessing the validity of potential alcohol-related non-fatal injury indicators. Addiction. 2008;103:397–404.PubMedCrossRef
55.
56.
Kypri K, Connor J, Maclennan B, Sellman D. What became of New Zealand’s golden opportunity for liquor law reform? Drug Alcohol Rev. 2013;32:557–60.PubMedCrossRef
57.
Nickerson RS. Confirmation bias: a ubiquitous phenomenon in many guises. Rev Gen Psychol. 1998;2:175–220.CrossRef
58.
59.
Sulkunen P. Commentary on Maclennan et al. (2013): Is local alcohol policy possible? Addiction. 2013;108:898–9.PubMedCrossRef
60.
Wolfson M. Commentary on Maclennan et al. (2013): Evolution of local alcohol policy research. What’s next? Addiction. 2013;108:896–7.PubMedCrossRef
Metadata
Title
New Zealand’s new alcohol laws: protocol for a mixed-methods evaluation
Authors
Brett Maclennan
Kypros Kypri
Jennie Connor
Tuari Potiki
Robin Room
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2638-9

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