Responsible beverage service : Effects of a community action project
Author: Wallin, Eva
Date: 2004-02-06
Location: Samuelssonsalen, Tomtebodagatan 6, Karolinska Institutet, Stockholm
Time: 9.00
Department: Institutionen för folkhälsovetenskap / Department of Public Health Sciences
View/ Open:
thesis.pdf (512.7Kb)
Abstract
Alcohol consumption at licensed premises is associated with various
problems, such as violence. In 1996, a community action program was
initiated in Stockholm targeting licensed premises. An action group
consisting of representatives of authorities and the hospitality industry
developed training in responsible beverage service (RBS) for restaurant
owners, servers, and doormen. Authorities also developed new routines for
monitoring of alcohol service.
The objective of this thesis was to study the effects of the community
action program on problems related to alcohol consumption at licensed
premises.
The thesis is based on five papers. The first two papers study the
refusal rate of alcohol service to intoxicated and underage patrons at
licensed premises. Actors portraying intoxicated persons and adolescents
visited licensed premises, ordering beer. A pre- and posttest design was
used in both studies, with the northern part of central Stockholm as
project area, and the southern part of central Stockholm as control area.
Paper three is a study of public support for strategies to reduce
intoxication and violence at licensed premises. A random sample of 1000
inhabitants (1865 years) from Stockholm County was selected for the
questionnaire study. The fourth paper analyzes policereported violent
crimes for the time period January 1994 to September 2000. A times-series
quasiexperimental design was used, with the same study areas as in the
first two papers. In the last paper, the level of institutionalization of
the community action program is analyzed. An institutionalization scale
was developed based on five key factors: adoption, sustainability, key
leader support, structural changes, and compliance.
The results from the first two papers show a statistically significant
increase in the refusal rate of alcohol service over time. At baseline in
1996, 5% refused alcohol service to intoxicated patrons, compared with
47% at follow-up in 1999. The refusal rate for alcohol service to
underage patrons was 55% at baseline in 1996, 59% in 1998 (follow-up I),
and 68% in 2001 (follow-up 11). There were no statistically significant
differences between the project and control area.
Public opinion in Stockholm is supportive of strategies focusing on the
responsibility of the licensed premises to prevent intoxication and
violence. 86% supported the notion that licensed premises should lose
their license if they serve intoxicated or underage patrons. 60%
supported RBS training of servers. Public opinion did not support
strategies to reduce number of licensed premises, reduce opening hours,
or increase the price of alcoholic beverages. Men, young people (<30
years), and frequent visitors to licensed premises were less supportive
of the strategies.
Time-series analyses (ARIMA modeling) of monthly changes in
police-reported violence showed a reduction of 29% in the project area
during the project period, when controlled for the development in the
control area.
The analyses of the key factors in the last paper indicate a high degree
of institutionalization (score 13 on a scale 5-15). Key leaders,
authorities and organizations accept and sustain the activities. All
members of the action group have signed a written agreement ensuring a
permanent organization for RBS within Stockholm.
A combination of activities (community mobilization, RBS-training, policy
initiatives, and efficient monitoring) has probably contributed to the
decrease in alcohol-related problems at licensed premises in Stockholm. A
high level of institutionalization of the program increases the
likelihood of long-term effects on problem levels.
List of papers:
I. Wallin E, Gripenberg J, Andreasson S (1970). "Too drunk for a beer? A study of overserving in Stockholm. " Addiction 97(7): 901-7
Pubmed
II. Wallin E, Andréasson S (2004). "Can I have a beer, please? A study of alcohol service to young adults on licensed premises in Stockholm." Prevention Science (Accepted)
View record in Web of Science®
III. Wallin E, Andréasson S (2004). "Public opinion on alcohol service at licensed premises: a population survey in Stockholm, Sweden 1999-2000." (Submitted)
View record in Web of Science®
IV. Wallin E, Norstrom T, Andreasson S (2003). "Alcohol prevention targeting licensed premises: a study of effects on violence. " J Stud Alcohol 64(2): 270-7
Pubmed
V. Wallin E, Andréasson S (2004). "Institutionalization of a community action program targeting licensed premesis." (Submitted)
View record in Web of Science®
I. Wallin E, Gripenberg J, Andreasson S (1970). "Too drunk for a beer? A study of overserving in Stockholm. " Addiction 97(7): 901-7
Pubmed
II. Wallin E, Andréasson S (2004). "Can I have a beer, please? A study of alcohol service to young adults on licensed premises in Stockholm." Prevention Science (Accepted)
View record in Web of Science®
III. Wallin E, Andréasson S (2004). "Public opinion on alcohol service at licensed premises: a population survey in Stockholm, Sweden 1999-2000." (Submitted)
View record in Web of Science®
IV. Wallin E, Norstrom T, Andreasson S (2003). "Alcohol prevention targeting licensed premises: a study of effects on violence. " J Stud Alcohol 64(2): 270-7
Pubmed
V. Wallin E, Andréasson S (2004). "Institutionalization of a community action program targeting licensed premesis." (Submitted)
View record in Web of Science®
Issue date: 2004-01-16
Rights:
Publication year: 2004
ISBN: 91-7349-763-0
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