A national alcohol strategy for Chile: Rationale, development, content and status of implementation

  • Norman Giesbrecht Centre for Addiction and Mental Health; University of Toronto
  • Jaime C. Spagg Centre for Addiction and Mental Health; University of Toronto
  • Alfredo Pemjean Universidad Diego Portales; Department of Mental Health, Ministry of Health
  • Judith Marquez Centre for Addiction and Mental Health
  • Akwatu Khenti Centre for Addiction and Mental Health
  • Jürgen Rehm Centre for Addiction and Mental Health; University of Toronto; Technische Universitaet Dresden
  • Alberto Minoletti University of Chile
Keywords: alcohol policy, Chile, regulation, public health approach

Abstract

Giesbrecht, N., Sapag, J. C., Pemjean, A., Marquez, J., Khenti, A., Rehm, J., & Minoletti, A. (2013). A National Alcohol Strategy For Chile: Rationale, Development, Content and Status Of Implementation. International Journal of Alcohol and Drug Research, 2(2), 17-29. doi: 10.7895/ijadr.v2i2.128 (http://dx.doi.org/10.7895/ijadr.v2i2.128)

Aim: This paper describes the rationale for the Chilean strategy on alcohol, how it was developed, its key recommendations, which of its dimensions have been implemented, and remaining challenges.

Design: The paper is based on archival data, a literature review, and survey data from Chilean sources. It draws on presentations at two seminars in Santiago, and a background document commissioned by the Chilean Ministry of Health. Building on ongoing initiatives in Chile, it was informed by international research on the global and regional burden of disease from alcohol.

Setting and Context:In 2008 the Ministry of Health, Government of Chile, embarked on developing a national alcohol strategy. The strategy’s rationale was informed by the high rate of alcohol-related trauma, including drinking and driving; the high rate of liver cirrhosis mortality and morbidity; the high rate of heavy drinking, including among youth and young adults; and gender differences.

Measures: The main recommendations focused on several themes: pricing and taxation interventions, controlling physical availability, curtailing alcohol marketing, promoting server intervention, controlling drinking and driving, promoting community-based interventions, facilitating screening and brief interventions, and monitoring and tracking local and national developments on alcohol issues.

Findings & Conclusions: Since 2008, there has been progress in several areas, including a National Strategy for brief interventions in primary care; a new law on legal blood alcohol content; proposals to increase taxes on spirits, introduce warning labels on beverage containers, and limit promotion of alcoholic beverages; and the integration of alcohol-related goals within the National Health Strategy 2011–2020. Nevertheless, challenges remain: the broad acceptance of drinking, including high-risk drinking; the importance and influence of the alcohol industry; and the need for an evidence-based inter-sector response.

Author Biographies

Norman Giesbrecht, Centre for Addiction and Mental Health; University of Toronto

Senior Scientist Public Health and Regulatory Policy, Social, Prevention and Health Policy Research Department,
Centre for Addiction and Mental Health, Toronto, Ontario, Canada

Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

Jaime C. Spagg, Centre for Addiction and Mental Health; University of Toronto

Centre for Addiction and Mental Health

Department of Psychiatry, University of Toronto, Toronto, Canada

Alfredo Pemjean, Universidad Diego Portales; Department of Mental Health, Ministry of Health

Department of Psychiatry and Mental Health, Faculty of Medicine, Universidad Diego Portales, Chile

Department of Mental Health, Ministry of Health, Santiago, Chile

Jürgen Rehm, Centre for Addiction and Mental Health; University of Toronto; Technische Universitaet Dresden

Centre for Addiction and Mental Health

Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

Department of Psychiatry, University of Toronto, Toronto, Canada

Institute of Medical Science, University of Toronto, Toronto, Canada

Technische Universitaet Dresden, Dresden, Germany

Alberto Minoletti, University of Chile
School of Public Health, University of Chile, Santiago, Chile
Published
2013-09-25
How to Cite
Giesbrecht, N., Spagg, J. C., Pemjean, A., Marquez, J., Khenti, A., Rehm, J., & Minoletti, A. (2013). A national alcohol strategy for Chile: Rationale, development, content and status of implementation. International Journal of Alcohol and Drug Research, 2(2), 17-29. https://doi.org/10.7895/ijadr.v2i2.128
Section
Article