title: Local policies to tackle a national problem: Comparative qualitative case studies of an English local authority alcohol availability intervention.
abstract: Cumulative impact policies (CIPs) are widely used in UK local government to help regulate alcohol markets in localities characterised by high density of outlets and high rates of alcohol related harms. CIPs have been advocated as a means of protecting health by controlling or limiting alcohol availability. We use a comparative qualitative case study approach (n=5 English local government authorities, 48 participants) to assess how CIPs vary across different localities, what they are intended to achieve, and the implications for local-level alcohol availability. We found that the case study CIPs varied greatly in terms of aims, health focus and scale of implementation. However, they shared some common functions around influencing the types and managerial practices of alcohol outlets in specific neighbourhoods without reducing outlet density. The assumption that this will lead to alcohol harm-reduction needs to be quantitatively tested.
authors.affiliation: London School of Hygiene & Tropical Medicine, SPHR@L, 15-17 Tavistock Place, London WC1H 9SH, UK. Electronic address: matt.egan@lshtm.ac.uk.
authors.forename: Matt
authors.initials: M
authors.lastname: Egan
authors.affiliation: University of Sheffield, School of Health and Related Research, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
authors.forename: Alan
authors.initials: A
authors.lastname: Brennan
authors.affiliation: University of Sheffield, School of Health and Related Research, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
authors.forename: Penny
authors.initials: P
authors.lastname: Buykx
authors.affiliation: University of Bristol, School of Social and Community Medicine, Canynge Hall, 39 Whatley Road, Bristol BS8 2PS, UK.
authors.forename: Frank
authors.initials: F
authors.lastname: De Vocht
authors.affiliation: University of Sheffield, School of Health and Related Research, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
authors.forename: Lucy
authors.initials: L
authors.lastname: Gavens
authors.affiliation: London School of Hygiene & Tropical Medicine, SPHR@L, 15-17 Tavistock Place, London WC1H 9SH, UK.
authors.forename: Daniel
authors.initials: D
authors.lastname: Grace
authors.affiliation: Lancaster University, Division of Health Research, Faculty of Health and Medicine, Lancaster LA1 4YW, UK.
authors.forename: Emma
authors.initials: E
authors.lastname: Halliday
authors.affiliation: University of Bristol, School of Social and Community Medicine, Oakfield House, Oakfield Grove, Clifton BS8 2BN, UK.
authors.forename: Matthew
authors.initials: M
authors.lastname: Hickman
authors.affiliation: Lancaster University, Division of Health Research, Faculty of Health and Medicine, Lancaster LA1 4YW, UK.
authors.forename: Vivien
authors.initials: V
authors.lastname: Holt
authors.affiliation: University of Sheffield, School of Health and Related Research, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
authors.forename: John D
authors.initials: JD
authors.lastname: Mooney
authors.affiliation: London School of Hygiene & Tropical Medicine, SPHR@L, 15-17 Tavistock Place, London WC1H 9SH, UK.
authors.forename: Karen
authors.initials: K
authors.lastname: Lock
mesh_terms: D000428:Alcohol Drinking / Q000331:legislation & jurisprudence*; D000434:Alcoholic Beverages; D003132:Commerce / Q000331:legislation & jurisprudence; D004739:England; D040261:Harm Reduction; D006291:Health Policy; D006801:Humans; D007407:Interviews as Topic; D008004:Licensure; D009111:Local Government; D019982:Organizational Case Studies; D009937:Organizational Objectives; D011050:Policy Making; D011049:Social Control Policies
keywords: Alcohol; Case study; Neighbourhood environment; Public health