38 Contemp. Drug Probs. 599 (2011)
A Bottle of Beer, a Glass of wine, or a Shot of Whiskey - Can the Rate of Alcohol-Induced Harm be Affected by Altering the Population's Beverage Choices

handle is hein.journals/condp38 and id is 607 raw text is: Contemporary Drug Problems 38/Winter 2011

A bottle of beer, a glass of
wine, or a shot of whiskey?
Can the rate of alcohol-induced
harm be affected by altering the
population's beverage choices?
BY PIA MAKELA, MATILDA HELLMAN, WILLIAM C. KERR,
AND ROBIN ROOM
This article sununarizes and puts into context the findings from the
five articles contained in this thematic issue. The question of
interest has been the connection between different beverage types
and alcohol-induced harm. The key question is whether policy
makers can affect rates of harm by affecting beverage choice. In the
discussion. four diferent potential pathways for such an effect are
differentiated. The first is the direct effect of the beverage over and
above the effect of the ethanol it contains. The review of results
suggests that the size of this effect mayN be modest, and it is clearly
overmatched by cultural factors relating to who chooses to drink
which beverage and how However even more relevant than the
direct effect may be the other three mechanisms, which potentially
ajfect the amounts of alcohol drunk or allow the influencing of
drinker groups of interest.
KiY WORDS: Beverage choice, alcohol-induced harm, policy.
AUTHORS' NOTE: For additional information about this article contact: Pia
Milkeld. National Institute for Health and Welfare, Department of Alcohol,
Drugs and Addiction. PO. Box 30, FI-00271, Helsinki, Finland. E-mail:
pia.makela@thl.fi.
O 201I by Federal Legal Publications. Inc.

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