• Skip to main content
  • Skip to primary sidebar

Alcohol Review

Alcohol understanding for all

  • Highlights
    • Messages
    • Newsletters
  • Events
    • AR2026
    • AR2025
    • Next year’s event
    • Earlier events
  • Register
  • About
    • Organisers
    • Contact
  • Log In

alcohol

Opinion: Alcohol-free beer hype is unhelpful

November 19, 2024

Heavy marketing has created a buzz around alcohol-free beer diverting vital public attention from surging rates of alcohol harm. The stakes are too high to let commercial hype eclipse evidence-based action.

Alcohol deaths were up 33% on pre-pandemic levels in 2022 in the UK, for example. This astonished a BBC Radio 4 news anchor in May, so it is fair to assume the general public is probably less aware still of this dire situation. The US post-pandemic alcohol death surge is similar, at 31%, yet media coverage is sparse and the political response faltering. The WHO warned in summer “there has been little or no progress” in reducing alcohol consumption and harms in Europe.

As the death toll mounts the public is reminded, almost daily, of the success of alcohol-free beer. An alcohol-free beer garden at Munich’s Oktoberfest, for example, gained worldwide coverage, as if it were a sign humanity was turning the page on alcohol. And everything from the Olympics to Formula 1 promotes alcohol brands in alcohol-free clothing.  The unspoken implication is that this is a sign of spontaneous progress.

The rise of alcohol free beer story satisfies our fascination for novelties and craving for miraculous solutions. What’s not to like about a story about, say, a tiny island of non-drinkers in a giant sea of drinking at a Munich beer festival. Is this not a sure sign a quiet moderation revolution is afoot? “The problem is taking care of itself,” we can be tempted to think, “One less thing to worry about.”

But, then again, this positive impression is highly questionable. There is also the very real possibility that the alcohol-free Oktoberfest beer garden is a gimmick to pre-empt criticism and generate positive coverage. In this, it was a triumph, regardless of its popularity. And, more broadly, there is no firm evidence that alcohol-free beer makes any meaningful difference to alcohol consumption or alcohol harm.  We can be thankful some research is due in the next six months or so to quantify the effect, if there is any.

Nevertheless the media’s tireless trumpeting of alcohol-free beer, often from alcohol industry organisations. It is now “common sense” for non-specialists to see alcohol free beer as part of the solution to alcohol harm. In many cases we are falling for Potemkin villages constructed to show the market has the alcohol problem in hand. This is artful public relations triumphing over rational scientific and journalistic enquiry.

Alcohol-free beer has grown to quench a sizable share of the collective thirst in Europe. In France, Germany and Hungary alcohol-free beer is about 8% of the volume of beer in general. This is clearly progress, right? Well, again, maybe, maybe not. We do not know if alcohol-free beer replaces regular beer or if it is in reality chipping into soft drink sales. We might reasonably ask ourselves if alcohol producers would spend vast sums that cannibalise the sales of their core product? 

On an individual level there are more questions. The taste, look and smell of alcohol free beer can prompt some people to crave an alcoholic drink. And alcohol-free beer ads expose audiences including children and people trying to avoid alcohol drinking triggers. Alcohol free spinoffs duck advertising rules which would prohibit advertising the main alcoholic brand. And the imagery of alcohol free beer drinking means sparkling stock photos of attractive people in alcohol drinking situations are still fine.

Alcohol free beer also keeps drinking at the centre of the story. But people who try to avoid alcohol often find alternative activities far easier than attending alcohol drinking occasions sober. Why do we not see more coverage of the benefits of activities which have nothing to do with imbibing liquids, alcoholic or otherwise?  

Meanwhile alcohol interests enter alcohol free spaces, like schools, with self-serving “education” initiatives. And when there is an initiative like Men’s Sheds, mostly for middle-aged and older men to do some DIY, alcohol interests rocks up with some “education”. Tragically it is exactly this demographic who die most often from alcohol related causes.

Alcohol free beer is not all bad, of course. A lot of people like the taste of alcohol-free beer and it is not loaded with calories. And it can help us feel at ease avoiding alcohol at alcohol-dominated social occasions. Holding something that looks like a beer can flag we are ready to be sociable and placebo effects can be helpful to us. And there are some dedicated alcohol-free-only brands that might reduce triggering.

There is nothing inherently wrong with a new category of non-alcoholic drinks. But no alcohol-free beverage is automatically a remedy for large scale alcohol health problems. Our working assumption should be that the effect is minimal until proven otherwise. And the focus of media and policymakers should be on policies which are known to work, like those on price, availability and marketing.

We might also usefully look at promoting activities which do not revolve around drinking liquids of any type, like making things in sheds, for example. We can usefully facilitate these activities and protect them from alcohol marketing. This involves finding new ways to fund alcohol free spaces beyond selling drinks. Alcohol free drinks bars have struggled to survive, but alcohol free spaces offering games and other activities appear to have done rather better.

Hoping alcohol-free beer is reducing alcohol problems without evidence risks costing more lives. The stakes are too high to let uncertainty delay the implementation of evidence-based action to reduce record levels of harm. ■

Would-be commissioner noncommittal on alcohol labelling

November 7, 2024

Also on Substack

Hungarian health Commissioner-designate Oliver Varhelyi faces further questions having last night offered MEPs no clear reassurance he would deliver long-overdue alcohol health labelling proposals.

“We have just introduced a couple of labelling conditions for wine: ingredients, alergen content, but also the energy content. Let’s see how they sink in on the use,” he said when Alessandra Moretti of Italy’s centre-left Democratic Party asked if he would commit to producing proposals on alcohol labelling.

“I believe that we need to reflect on how to change the narrative on risk factors, including alcohol, and the economic determinants of health. Social attitudes can be a key driver for change,” he earlier wrote in a written answer to the same question.

He will be asked another set of written questions by MEPs who were unhappy with his answers, including those on protecting abortion rights, lack of clear plan for health and ties to his country’s authoritarian leader Viktor Orban. He won applause for defending the effectiveness of vaccines.

The Commission was meant to produce a proposal on nutrition and ingredients labels by the end of 2022 and warning labels by the end of 2023, according to the Beating Cancer Plan. Delivering this plan is part of the mission set out by Commission President Ursula von der Leyen in September.

Varhelyi is the first of the proposed commissioners to face such a redo. He will have to deliver his written answers by Monday. ■

Guest post: Why Northern Territory alcohol reforms would be a disaster, according nine experts

October 18, 2024

by Cassandra Wright, Menzies School of Health Research; Beau Jayde Cubillo, Menzies School of Health Research; John Holmes, University of Sheffield; Mark Mayo, Menzies School of Health Research; Mark Robinson, The University of Queensland; Michael Livingston, Curtin University; Nicholas Taylor, Curtin University; Sarah Clifford, Menzies School of Health Research, and Tim Stockwell, University of Victoria*

The new Northern Territory government is planning a swathe of changes to alcohol policy.

If implemented, these changes fly in the face of what evidence shows works to reduce alcohol-related harms. Some are also out of step with the rest of Australia.

Among our concerns are plans that would lead to harmful alcohol products becoming cheaper, alcohol becoming more easily available, criminalising public drunkenness, and a particularly worrying type of mandatory alcohol treatment – all of which evidence suggests will cause more harms.

No one is downplaying the magnitude and complexities of alcohol-related issues in the NT. But we hope the territory government will pay more heed to the evidence and voices of those most impacted.

Alcohol-related harm in the NT is complex
Alcohol-related harms in the NT are significantly higher (for both Aboriginal and non-Aboriginal people) than elsewhere in Australia.

In the territory, these harms contribute to health and social outcomes costing at least A$1.4bn [US$1bn]  a year. Alcohol harms result in costs related to health care, deaths, crime, policing and child protection.

Aboriginal communities in the NT have for decades cried out for solutions and services that effectively respond to alcohol-related harm. Instead, they found their lives made part of a political football match on law and order. Policies have been reactive and mostly ineffective. They’ve been overturned at each election.

Now, the new NT government is discussing changes that promise to exacerbate the very issues it aims to address.

1. Cheap alcohol that contributes most harm would be on the market
The World Health Organisation recognises that raising the price of alcohol is one of the most effective ways for governments to reduce alcohol-related harm.

So some governments around the world, including in the NT, have set a price below which alcohol cannot be sold, known as the minimum or “floor price”. This targets cheap, high-strength alcohol associated with patterns of drinking that cause the most harm.

The new NT government plans to repeal this, despite evidence showing this works to reduce harms.

Since the NT alcohol floor price was set at A$1.30 per standard drink in 2018, there has been a:

  • 14% reduction in alcohol-related assaults in Darwin and Palmerston

  • 11% reduction in domestic and family violence assaults

  • 21% reduction in domestic and family violence assaults involving alcohol

  • 19% reduction in alcohol-related emergency department attendances.

Originally, experts recommended a A$1.50 floor price but this was reduced to A$1.30 after a backlash from alcohol industry lobbyists. Had the policy not been watered down, evidence suggests the impacts above would likely have been greater.

The floor price has likely also lost some of its initial impact as it has never been indexed for inflation.

The best available research shows the floor price has reduced alcohol-related harms with no evidence of unintended consequences or negative impacts on the alcohol industry, despite claims otherwise.

Researchers and experts from around the world have been writing to NT ministers urging them to reconsider repealing this effective policy.

This includes researchers from the United Kingdom and Canada, who have coauthored this article. In these countries, evidence on the effectiveness of minimum pricing has been used to increase the floor price by 30%, not abolish it.

2. Bottle shops could be open longer
There are also proposals to repeal current restrictions on bottle shop trading hours. Such restrictions are highly effective in reducing alcohol harms, including violence.

Our paper from earlier this year found that in the town of Tennant Creek, restrictions to reduce trading hours and introduce purchase limits at bottle shops resulted in a 92% reduction in alcohol-involved domestic and family violence assaults.

Preliminary analyses of the reduced trading hours introduced in Alice Springs following Prime Minister Anthony Albanese’s visit in early 2023 also suggest a clear reduction on violence rates.

Car approaching drive-through bottle shop
Bottle shops would be open for longer, making alcohol more easily available. AustralianCamera/Shutterstock

3. New public drunkenness offence
Ministers were also set to pass laws to create a new offence for “nuisance” public intoxication (also known as public drunkenness). This would allow police officers to arrest people and fine them up to A$925, in addition to current powers to seize and tip out alcohol from people drinking in prohibited areas.

This is at the time when nearly every other jurisdiction in Australia is in the process of decriminalising public drunkenness, making the NT out of step with the rest of the nation.

The NT’s proposed new laws on public drunkenness would criminalise more people who are already locked out from our society, placing them at risk of the negative, intergenerational and preventable impacts that often arise from contact with the justice system.

4. Mandatory rehab
Mandatory alcohol treatment was also an election commitment.

In its previous term of government, mandatory alcohol treatment was focused on people with a public intoxication offence rather than providing quality care to people with alcohol dependence in life-saving circumstances. If the same model is reintroduced, this is potentially harmful and at best ineffective.

In the NT, this model of mandatory alcohol treatment had no better outcomes than for those who may not have received any treatment at all. But it cost the taxpayer three times as much.

Where to from here?
Researchers, health professionals and partner organisations have urged the NT government to reconsider these decisions, as we have well-founded concerns these may worsen the very issues the government aims to address.

There’s no need to guess the outcomes of changing, repealing or introducing alcohol policies. We can draw on robust evidence, including extensive research from the NT, on what works in our communities.The Conversation

*This piece is republished from The Conversation under a Creative Commons license. Read the original piece. ■

[Read more…] about Guest post: Why Northern Territory alcohol reforms would be a disaster, according nine experts

Go figure: Alcohol jobs versus dependence

January 10, 2024

There are maybe 770,000 part-time and full-time jobs connected with alcohol business in the UK, according to an IAS estimate. And there are about 638.000 people who are alcohol dependent, meaning they experience side effects when not inebriated. ■

Guest post: Most US women don’t know alcohol’s health risks

January 10, 2024

Targeted marketing may play a role in increasing alcohol consumption among women.
Lisa Schaetzle/Moment via Getty Images

By Monica Swahn, Kennesaw State University and Ritu Aneja, University of Alabama at Birmingham

Did you know that casual drinks with friends or having a “wine mom” moment to unwind could actually be nudging up your risk for breast cancer? It sounds like a buzzkill. But it’s a truth that many might not know: Alcohol actually causes breast cancer.

The World Health Organization and the National Institute on Alcohol Abuse and Alcoholism lay it out pretty clearly: Compared to those who don’t drink, just one drink a day can bump up your breast cancer risk by 5% to 9%.

As alcohol and cancer researchers, we wanted to learn more about what women actually know about the connection between alcohol and breast cancer, especially since alcohol use has been increasing among women.

Explaining the knowledge gap
For our recently published research, we asked more than 5,000 women ages 18 and older across the US in 2021 about whether they were aware of the link between alcohol consumption and breast cancer. We also asked them about their drinking habits and other health and background factors.

We were surprised to find that only one in four of these women knew that alcohol is a risk factor for breast cancer. Even more concerning, 35% didn’t think there’s any link at all. Another 40% were sitting on the fence about it.

Closeup of person cupping glass of whisky in two hands
Fully understanding alcohol’s health risks can help people make more informed choices about how they consume it.
aire images/Moment via Getty Images

We also saw a knowledge gap based on age, education and race.

Younger, more educated women and those facing alcohol-related issues were more in the know about the link between alcohol and breast cancer risk than older, less educated women and those who have not drank in the past year. Black women were also less aware of the risk between alcohol and breast cancer compared to white women.

Drinking less lowers breast cancer risk
Despite the attempts of alcohol researchers, health officials and advocates to inform women about alcohol’s risks and its connection to breast cancer, our findings show that this message isn’t getting across to most people.

There are also pervasive myths about the benefits of alcohol use because some people don’t want to know that drinking can cause harm and don’t want to talk about it. As a result, many women simply don’t know or are uncertain of the health harms alcohol causes.

A comprehensive communication approach to increase awareness of alcohol’s harms and its link to cancer can help support and encourage women to make healthier choices regarding alcohol use.

Educational campaigns can help inform people from diverse backgrounds about alcohol and breast cancer risk.

Warning labels can help increase awareness of alcohol’s health risks.

Policy changes with respect to alcohol marketing, access and availability can also make a difference in people’s drinking patterns.

These policies may also address the “feminization” of alcohol marketing, which intentionally entices women to drink and purchase alcohol by normalizing or glamorizing heavy alcohol use and ignoring the health risks and harm caused. The World Health Organization recommends stricter rules on alcohol advertising and marketing along with higher taxes on alcohol to reduce alcohol-related harm.

Today’s culture may normalize dealing with life’s stresses by popping the cork.

But cutting down on alcohol is something that can make a difference in breast cancer risk. Stepping back and thinking about alcohol’s effects on your health can help you make informed choices about whether to drink or not.The Conversation ■

Monica Swahn, Dean of the Wellstar College of Health and Human Services, Kennesaw State University and Ritu Aneja, Professor of Clinical and Diagnostic Sciences, Associate Dean of Research and Innovation in the School of Health Professions, University of Alabama at Birmingham. This article is republished from The Conversation under a Creative Commons license. Read the original article.

Minimal drinking helps prepare for covid-19

January 10, 2024

Rejigging our alcohol consumption can help adapt to our current situation and prepare for the challenges ahead.

The easing of lockdowns is not the end or the beginning of the end. It is just, perhaps, the end of the beginning. 

The UK still faces the deepest depression for perhaps 300 years, according to the Bank of England.

The political futures currently proposed by the UK and elsewhere are far from certain to improve the outlook.

We can only respond to world events such as these as best we can, trying to minimise damage and hasten recovery.

We need to brace for lower income, unemployment, curtailed freedoms and thousands of premature deaths.

One way to be ready as we can be for hard times is to adopt healthy, cost-saving choices early, including low-risk drinking.

This simple suggestion is strongly advocated by the WHO, though precious few governments have given it airtime.

Alcohol use weakens our immune system and judgement, and our capacity to cope with emotional challenges.

We can use the tranquility many of us now have in abundance to do this. There may be other times for it, but not better ones.

We are now free of one enormous challenge faced by people trying to cut down drinking: social pressure.

The UK’s low-risk consistently drinking under 14 UK units (140ml) a week of alcohol is a reasonable target. 

Achieving this can help improve our better mental and physical health while slashing costs ahead of a downturn.

We can get help from our GP and from a wide range of organisations set up to support and assist.

Good news is set to be short supply. But, in its absence, we can at least celebrate and take the chance to act on good ideas. ■

  • Page 1
  • Page 2
  • Page 3
  • Interim pages omitted …
  • Page 21
  • Go to Next Page »

Primary Sidebar

  • Bluesky
  • Instagram
  • LinkedIn
  • Twitter
  • WhatsApp

Copyright © 2026 · Phil Cain Impressum

Manage Consent
To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behaviour or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Functional Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
  • Manage options
  • Manage services
  • Manage {vendor_count} vendors
  • Read more about these purposes
View preferences
  • {title}
  • {title}
  • {title}

Loading Comments...