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An empirical approach to selecting community-based alcohol interventions: combining research evidence, rural community views and professional opinion
Journal article   Open access   Peer reviewed

An empirical approach to selecting community-based alcohol interventions: combining research evidence, rural community views and professional opinion

Anthony Shakeshaft, Dennis Petrie, Christopher Doran, Courtney Breen and Robert Sanson-Fisher
BMC Public Health, Vol.12(1), pp.1-11
2012
PMID: 22233608
pdf
1471-2458-12-25285.59 kBDownloadView
Published Version Open Access CCBY_V2.0
url
https://doi.org/10.1186/1471-2458-12-25View
Published Version Open CCBY_V2.0

Abstract

Rural Community Tobit Regression Alcohol Harm Alcohol Taxation Tobit Regression Model
Background Given limited research evidence for community-based alcohol interventions, this study examines the intervention preferences of rural communities and alcohol professionals, and factors that influence their choices. Method Community preferences were identified by a survey of randomly selected individuals across 20 regional Australian communities. The preferences of alcohol professionals were identified by a survey of randomly selected members of the Australasian Professional Society on Alcohol and Other Drugs. To identify preferred interventions and the extent of support for them, a budget allocation exercise was embedded in both surveys, asking respondents to allocate a given budget to different interventions. Tobit regression models were estimated to identify the characteristics that explain differences in intervention preferences. Results Community respondents selected school programs most often (88.0%) and allocated it the largest proportion of funds, followed by promotion of safer drinking (71.3%), community programs (61.4%) and police enforcement of alcohol laws (60.4%). Professionals selected GP training most often (61.0%) and allocated it the largest proportion of funds, followed by school programs (36.6%), community programs (33.8%) and promotion of safer drinking (31.7%). Community views were susceptible to response bias. There were no significant predictors of professionals' preferences. Conclusions In the absence of sufficient research evidence for effective community-based alcohol interventions, rural communities and professionals both strongly support school programs, promotion of safer drinking and community programs. Rural communities also supported police enforcement of alcohol laws and professionals supported GP training. The impact of a combination of these strategies needs to be rigorously evaluated.

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