Addressing the harmful use of alcohol - WHO Western Pacific Region
Addressing the harmful use of alcohol - WHO Western Pacific Region
Addressing the harmful use of alcohol - WHO Western Pacific Region
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<strong>Addressing</strong> <strong>the</strong> <strong>harmful</strong> <strong>use</strong> <strong>of</strong> <strong>alcohol</strong> : A guide to developing effective <strong>alcohol</strong> legislation<br />
There is currently a debate in <strong>the</strong> developed <strong>alcohol</strong> markets <strong>of</strong> New Zealand, Scotland and<br />
Ireland about whe<strong>the</strong>r 18 years is high enough, given evidence <strong>of</strong> increased drinking and<br />
disproportionate harm among older teenagers and young adults. When New Zealand reduced<br />
<strong>the</strong> minimum age from 20 years to 18 years in 1999 <strong>the</strong>re was a marked increase in <strong>the</strong><br />
proportion <strong>of</strong> 18 to 19 year olds involved in traffic crashes and requiring emergency room<br />
treatment. There was also a spill-over effect: an increased proportion <strong>of</strong> younger teenagers<br />
drinking larger quantities (Huckle et al. 2005). When American states put <strong>the</strong>ir minimum age<br />
back up to 21 in <strong>the</strong> early 1980s, similar harm statistics improved (Wagenaar and Toomey<br />
2002).<br />
From 2008 Viet Nam prohibited <strong>the</strong> sale <strong>of</strong> <strong>alcohol</strong> to all children and juveniles under <strong>the</strong> age <strong>of</strong><br />
18 years. Previously, juveniles between 16 years and 18 years <strong>of</strong> age could be sold <strong>alcohol</strong>ic<br />
beverages that were less than 14% ABV.<br />
A young minimum purchase age can increase supply to under-age teenagers, as friends or<br />
siblings just old enough to purchase <strong>alcohol</strong> may underestimate risks and be more willing<br />
to supply than older adults. The evidence from <strong>the</strong> United States <strong>of</strong> America and elsewhere<br />
shows that countries wishing to reduce <strong>alcohol</strong>-related harm among <strong>the</strong>ir young people should<br />
set a high minimum age for <strong>the</strong> sale and purchase <strong>of</strong> <strong>alcohol</strong>.<br />
Secondary supply to a minor<br />
Legislation makes it an <strong>of</strong>fence for adults to supply <strong>alcohol</strong> to a minor. Exceptions to this<br />
principle make enforcement <strong>of</strong> <strong>the</strong> minimum age complex, and may send a mixed message<br />
to young people.<br />
Some legislation in Australia and New Zealand makes an exception to allow a parent or<br />
guardian to give <strong>alcohol</strong> to <strong>the</strong>ir own child or take <strong>the</strong>m into age-restricted premises. A few<br />
Acts also exempt purchase for a minor by a spo<strong>use</strong> aged over 18 years or a responsible adult<br />
but recently enacted legislation does not. A few laws allow supply to a minor by any adult if<br />
it occurs in a private social setting. For example, New Zealand police find <strong>the</strong>mselves unable<br />
to prosecute adults for irresponsible supply <strong>of</strong> large quantities <strong>of</strong> <strong>alcohol</strong> to out-<strong>of</strong>-control<br />
teenage parties if <strong>the</strong>y are on private property.<br />
Tasmania, New South Wales and Queensland recently prohibited <strong>the</strong> supply <strong>of</strong> <strong>alcohol</strong> to an<br />
underage person on private premises without <strong>the</strong> direct approval <strong>of</strong> <strong>the</strong> parent or guardian. In<br />
New Zealand, <strong>the</strong> debate is underway as to whe<strong>the</strong>r to require parental permission, or parental<br />
supervision <strong>of</strong> any drinking, or to fully remove <strong>the</strong>se exemptions from prosecution for <strong>the</strong><br />
<strong>of</strong>fence <strong>of</strong> supplying <strong>alcohol</strong> to a minor.<br />
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