The effects of alcohol container labels on consumption behaviour, knowledge, and support for labelling: a systematic review.

Autor:	Zuckermann AME; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, ON, Canada. Electronic address: alexandra.zuckermann@phac-aspc.gc.ca., Morissette K; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, ON, Canada., Boland L; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, ON, Canada., Garcia AJ; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, ON, Canada., Domingo FR; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, ON, Canada., Stockwell T; Canadian Institute for Substance Use Research, University of Victoria, Victoria, BC, Canada., Hobin E; Health Promotion, Chronic Disease, and Injury Prevention, Public Health Ontario, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Jazyk:	angličtina
Zdroj:	The Lancet. Public health [Lancet Public Health] 2024 Jul; Vol. 9 (7), pp. e481-e494.
DOI:	10.1016/S2468-2667(24)00097-5
Abstrakt:	Alcohol container labels might reduce population-level alcohol-related harms, but investigations of their effectiveness have varied in approach and quality. A systematic synthesis is needed to adjust for these differences and to yield evidence to inform policy. Our objectives were to establish the effects of alcohol container labels bearing one or more health warnings, standard drink information, or low-risk drinking guidance on alcohol consumption behaviour, knowledge of label message, and support for labels. We completed a systematic review according to Cochrane and synthesis without meta-analysis standards. We included all peer-reviewed studies and grey literature published from Jan 1, 1989, to March 6, 2024, in English, French, German, or Spanish that investigated the effects of alcohol container labels compared with no-label or existing label control groups in any population on alcohol consumption behaviour, knowledge of label message, or support for labels. Data were synthesised narratively as impact statements and assessed for risk of bias and certainty in the evidence. A protocol was preregistered (PROSPERO CRD42020168240). We identified 40 publications that studied 31 labels and generated 17 impact statements. 24 (60%) of 40 publications focused on consumption behaviour and we had low or very low certainty in 13 (59%) of 22 outcomes. Alcohol container labels bearing health warnings might slow the rate of alcohol consumption (low certainty), reduce alcoholic beverage selection (moderate certainty), reduce consumption during pregnancy (low certainty), and reduce consumption before driving (moderate certainty). Interventions with multiple types of rotating alcohol container labels likely substantially decrease alcohol use (moderate certainty) and reduce alcohol sales (high certainty). To the best of our knowledge, this is the first systematic review on multiple types of alcohol container labels assessing their effects for certainty in the evidence. Limitations included heterogeneity in label designs and outcome measurements. Alcohol container labels probably influence some alcohol consumption behaviour, with multiple rotating messages being particularly effective, although effects might vary depending on individual health literacy or drinking behaviour. Alcohol container labels might therefore be effective components of policies designed to address population-level alcohol-related harms. Competing Interests: Declaration of interests EH is a member of the WHO Technical Advisory Group: Alcohol Labels and received support to travel to a conference and two meetings, one meeting in Copenhagen, Denmark in December, 2022, and one in Barcelona, Spain in September, 2023; and served as a member of the scientific advisory committee responsible for Canada's 2023 Guidance on Alcohol and Health and received travel support to attend one related meeting in Ottawa, ON. TS received payment for a presentation to Alko, the Finnish Government alcohol retail monopoly (Finnish Ministry for Health and Social Affairs), for presenting a webinar on alcohol and public health; served as an expert witness for the Ontario Public Service Employees Union during a case regarding liquor licence applications by the business 7/11; served as an expert witness for Elkin Injury Law for a case involving compensation for injury caused by an intoxicated person; received support by the International Order of Grand Templars, National Temperance Organisation, Sweden for attendance at annual working group meetings to produce reports on topics concerning alcohol and health; and served as a member of the scientific advisory committee responsible for Canada's 2023 Guidance on Alcohol and Health. All other authors declare no competing interests. (Copyright © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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