everages as a cause <strong>of</strong> or contribut<strong>in</strong>g tothe achievement <strong>of</strong> personal, bus<strong>in</strong>ess, social,sport<strong>in</strong>g, sexual or other success’ (ABAC 2008,Clause C (i)).[85]The ABAC Scheme is funded and adm<strong>in</strong>isteredentirely by the alcohol <strong>in</strong>dustry. Commonwealthand state and territory governments are <strong>in</strong>volvedthrough one government representative on theABAC Management Committee.Despite the ABAC Scheme’s rules, whichdiscourage advertis<strong>in</strong>g that has ‘strong orevident appeal to children or adolescents’,research shows that a substantial amount <strong>of</strong>alcohol advertis<strong>in</strong>g is communicated to youngpeople. For example, several advertisements foralcoholic beverages screened on television <strong>in</strong>metropolitan Melbourne were found to be morelikely to reach 13- to 17-year-olds than adults(see Table 9).Table 9: Advertis<strong>in</strong>g on metro Melbournetelevision, year to March 2005said or shown. It is estimated that only 3% <strong>of</strong> thetotal adult population are aware <strong>of</strong> the exist<strong>in</strong>gABAC scheme and know what it relates to.[87]Among the 30% <strong>of</strong> people who reported be<strong>in</strong>gconcerned about any alcohol advertis<strong>in</strong>g,only 2% had made a formal compla<strong>in</strong>t. Some<strong>of</strong> the reasons why those who were concerneddid not make a compla<strong>in</strong>t <strong>in</strong>cluded the beliefthat it would not achieve anyth<strong>in</strong>g (30%), nothav<strong>in</strong>g time (25%) and not know<strong>in</strong>g who/how/where to compla<strong>in</strong> (15%). ABAC currently hasno powers to sanction advertisers who breachthe code rules; however, a Senate Committee<strong>in</strong>quiry currently under way is consider<strong>in</strong>gproposed federal legislation that would<strong>in</strong>troduce sanctions on advertisers who breachthe code, which would be determ<strong>in</strong>ed by an<strong>in</strong>dependent adjudicat<strong>in</strong>g panel.[88]In 2003, the M<strong>in</strong>isterial Council on Drug Strategyconsidered a report on the effectiveness <strong>of</strong>the ABAC Scheme that identified the follow<strong>in</strong>gissues <strong>of</strong> concern:ProductHe<strong>in</strong>ekenLagerCougarBourbonArchersSpriSchnappsBundabergRum Dry &Lime MixOrlandoJacobsCreekSparkl<strong>in</strong>gRoseTotalannualspendSource: K<strong>in</strong>g, Taylor and Carroll (2005)[86]Frequency<strong>of</strong> adsRelativeexposure(<strong>of</strong> 13–17-years-oldsVs 18–29-year-olds)$ 94,000 110 1.12$ 45,000 103 1.04$ 57,000 110 1.04$ 36,000 88 1.06$ 89,000 34 1.11As a self-regulatory scheme, ABAC’seffectiveness largely depends on the<strong>in</strong>dependence <strong>of</strong> its compla<strong>in</strong>ts body withthe powers to sanction.[43] Recent researchhas revealed that less than three <strong>in</strong> 10 (28%)people surveyed reported an awareness<strong>of</strong> restrictions or regulations cover<strong>in</strong>g theadvertis<strong>in</strong>g <strong>of</strong> alcohol, <strong>in</strong> terms <strong>of</strong> what can bennnnnThe current system does not address publichealth concerns about alcohol advertis<strong>in</strong>gand use. In particular, most compla<strong>in</strong>tsabout alcohol advertis<strong>in</strong>g are dealt withunder the general advertis<strong>in</strong>g compla<strong>in</strong>tsresolution system rather than the alcoholspecificsystem.The high dismissal rate for compla<strong>in</strong>ts aboutalcohol advertisements heard by the ASBdoes not engender community confidence<strong>in</strong> the compla<strong>in</strong>t system and maydiscourage people from mak<strong>in</strong>g compla<strong>in</strong>tsabout alcohol advertisements.The general public is largely unaware <strong>of</strong>the compla<strong>in</strong>t resolution system and, <strong>in</strong>particular, how to make compla<strong>in</strong>ts.The system lacks transparency. In particular,there is <strong>in</strong>sufficient report<strong>in</strong>g <strong>of</strong> theoutcomes <strong>of</strong> compla<strong>in</strong>ts.The current system does not apply to allforms <strong>of</strong> advertis<strong>in</strong>g; for example, packag<strong>in</strong>g,electronic advertis<strong>in</strong>g, sponsorships, po<strong>in</strong>t <strong>of</strong>sale advertis<strong>in</strong>g and promotions.34
nThe effectiveness <strong>of</strong> the current systemis compromised by the amount <strong>of</strong> timetaken to resolve compla<strong>in</strong>ts (MCDS 2003,unpublished).While some <strong>of</strong> these concerns have beenaddressed, pressure rema<strong>in</strong>s to move to a moretightly regulated advertis<strong>in</strong>g environment withstrict government controls. The WHO recentlyrecommended that governments be supported:nnnto effectively regulate the market<strong>in</strong>g <strong>of</strong>alcoholic beverages, <strong>in</strong>clud<strong>in</strong>g effectiveregulation or bann<strong>in</strong>g <strong>of</strong> advertis<strong>in</strong>g and <strong>of</strong>sponsorship <strong>of</strong> cultural and sports events,<strong>in</strong> particular those that have an impact onyounger peopleto designate statutory agencies to beresponsible for monitor<strong>in</strong>g and enforcement<strong>of</strong> market<strong>in</strong>g regulationsto work together to explore establish<strong>in</strong>g amechanism to regulate the market<strong>in</strong>g <strong>of</strong>alcoholic beverages, <strong>in</strong>clud<strong>in</strong>g effectiveregulation or bann<strong>in</strong>g <strong>of</strong> advertis<strong>in</strong>g andsponsorship, at the global level.One <strong>of</strong> the most formidable obstacles toeffective education and persuasion strategiesregard<strong>in</strong>g alcohol (which are discussed <strong>in</strong> thenext section below) is product advertis<strong>in</strong>g by thealcohol <strong>in</strong>dustry that <strong>in</strong>tentionally promotes prodr<strong>in</strong>k<strong>in</strong>gmessages to the general population,much <strong>of</strong> which also reaches young people. Inresponse, the governments <strong>of</strong> some countrieshave sponsored counter-advertis<strong>in</strong>g programs.[13] These might <strong>in</strong>clude public servicesannouncements, or warn<strong>in</strong>g messages with<strong>in</strong>actual product advertisements. However,studies suggest that counter-advertis<strong>in</strong>g usuallyhas only limited effectiveness, <strong>of</strong>ten becauseit is communicated at low frequencies and <strong>in</strong>poorer quality productions compared to alcoholbeverage advertis<strong>in</strong>g.[13] In contrast, counteradvertis<strong>in</strong>g <strong>in</strong> the tobacco field is <strong>of</strong> proveneffectiveness, primarily because <strong>in</strong> that contexthard-hitt<strong>in</strong>g messages were possible (essentiallythat the tobacco <strong>in</strong>dustry was not <strong>in</strong> bus<strong>in</strong>essfor the consumer’s good). Counter advertis<strong>in</strong>gmay be a more politically realistic option thanbann<strong>in</strong>g advertis<strong>in</strong>g altogether, and shouldbe strongly supported from a public healthperspective, but it is important that its messagenot be compromised. Although rare, there areexamples <strong>of</strong> well-planned and implementedcounter-advertis<strong>in</strong>g programs that have hadsome success, particularly <strong>in</strong> build<strong>in</strong>g support forpublic health-oriented alcohol controls,[13] andthere is very strong evidence from other publichealth areas such as tobacco about the value<strong>of</strong> such approaches.4.8 Education and persuasionInternational reviews <strong>of</strong> education andpersuasion strategies suggest that even withadequate resources, such approaches havelimited potential for success on their own.[13]Part <strong>of</strong> the reason for this is the counter effect<strong>of</strong> powerful forces that underp<strong>in</strong> unsafe andunhealthy dr<strong>in</strong>k<strong>in</strong>g cultures, such as the price,availability and promotion <strong>of</strong> alcohol products.Recent <strong>Australia</strong>n research for the development<strong>of</strong> a national alcohol social market<strong>in</strong>g <strong>in</strong>itiativereports that ‘the challenge for communicationis that <strong>in</strong>toxication is closely l<strong>in</strong>ked to alcoholper se. When we simply asked participantsabout their earliest memories <strong>in</strong> relation toalcohol there was an overwhelm<strong>in</strong>g tendencyto leap to their first drunk experience. Further,these experiences were recalled with a sense<strong>of</strong> pride and nostalgia, even though the stories<strong>in</strong>evitably <strong>in</strong>volved some embarrassment.’[89]A key element to the success <strong>of</strong> socialmarket<strong>in</strong>g <strong>in</strong> the public health area is effective<strong>in</strong>tegration with and re<strong>in</strong>forcement by othercomplementary strategies.[7] For <strong>in</strong>stance,the success <strong>of</strong> social market<strong>in</strong>g <strong>in</strong> promot<strong>in</strong>gquitt<strong>in</strong>g smok<strong>in</strong>g and road safety, <strong>in</strong>clud<strong>in</strong>ganti-dr<strong>in</strong>k-driv<strong>in</strong>g campaigns, is <strong>in</strong>dicative thateducation and persuasion strategies can beeffective when coupled with other measuressuch as support services, changes to theenvironment, regulation and enforcement.Throughout the world, alcohol education <strong>in</strong>schools is an enormously popular approach toaddress<strong>in</strong>g the issue <strong>of</strong> harmful consumption <strong>of</strong>alcohol among young people. The traditionalalcohol education programs that are based35