Standard drink measures in Europe
WP5%20Background%20paper%20Standard%20drink%20measures%20HRB
WP5%20Background%20paper%20Standard%20drink%20measures%20HRB
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<strong>Standard</strong> <strong>dr<strong>in</strong>k</strong> <strong>measures</strong> <strong>in</strong><br />
<strong>Europe</strong><br />
Introduction<br />
A ‘standard <strong>dr<strong>in</strong>k</strong>’ (or ‘unit of alcohol’ <strong>in</strong> the UK) is a notional <strong>dr<strong>in</strong>k</strong> that conta<strong>in</strong>s a specified<br />
amount of pure alcohol (ethanol). It is usually expressed as a certa<strong>in</strong> measure of beer, w<strong>in</strong>e, or<br />
spirits. One standard <strong>dr<strong>in</strong>k</strong> always conta<strong>in</strong>s the same amount of alcohol regardless of the<br />
conta<strong>in</strong>er size or the type of alcoholic beverage, but does not necessarily correspond to the<br />
typical serv<strong>in</strong>g size <strong>in</strong> the country <strong>in</strong> which it is served. The concept of standard <strong>dr<strong>in</strong>k</strong> was<br />
<strong>in</strong>troduced as a means of provid<strong>in</strong>g <strong>in</strong>formation to <strong>dr<strong>in</strong>k</strong>ers to help them measure their own<br />
alcohol consumption and is often used <strong>in</strong> alcohol awareness or education campaigns as a way<br />
of communicat<strong>in</strong>g official guidel<strong>in</strong>es regard<strong>in</strong>g low-risk <strong>dr<strong>in</strong>k</strong><strong>in</strong>g. <strong>Standard</strong> <strong>dr<strong>in</strong>k</strong>s are also<br />
commonly used <strong>in</strong> <strong>dr<strong>in</strong>k</strong><strong>in</strong>g surveys for calculat<strong>in</strong>g respondents’ <strong>dr<strong>in</strong>k</strong><strong>in</strong>g levels and for<br />
describ<strong>in</strong>g their <strong>dr<strong>in</strong>k</strong><strong>in</strong>g patterns.<br />
The purpose of this review is to:<br />
• Compare <strong>in</strong>ternational def<strong>in</strong>itions of a standard <strong>dr<strong>in</strong>k</strong><br />
• Review the literature on consumers’ perceptions of standard <strong>dr<strong>in</strong>k</strong>s<br />
• Compare consumers’ actual <strong>dr<strong>in</strong>k</strong>s to standard <strong>dr<strong>in</strong>k</strong>s<br />
• Describe the use of standard <strong>dr<strong>in</strong>k</strong>s <strong>in</strong> surveys<br />
• Describe alcoholic beverage labell<strong>in</strong>g and <strong>dr<strong>in</strong>k</strong><strong>in</strong>g guidel<strong>in</strong>es<br />
Search strategy<br />
I used the guidance literature provided by the project co-ord<strong>in</strong>ator and did a general<br />
search on pub med us<strong>in</strong>g the term standard <strong>dr<strong>in</strong>k</strong> <strong>in</strong> title or abstract. I perused the 82 papers<br />
retrieved to identify literature pert<strong>in</strong>ent to the purpose stated above.<br />
International def<strong>in</strong>itions of a standard <strong>dr<strong>in</strong>k</strong><br />
Many <strong>Europe</strong>an countries have a national standard <strong>dr<strong>in</strong>k</strong>, with the UK be<strong>in</strong>g the only<br />
country that uses the term ‘unit’ to express their equivalent of a standard <strong>dr<strong>in</strong>k</strong>. As part of the<br />
Jo<strong>in</strong>t Action RARHA, the Istituto Superiore di Sanità <strong>in</strong> Italy undertook a survey <strong>in</strong> 2014 to<br />
ascerta<strong>in</strong> to determ<strong>in</strong>e the number of grams of alcohol <strong>in</strong> standard <strong>dr<strong>in</strong>k</strong>s across <strong>Europe</strong>. 29<br />
out of the 31 <strong>Europe</strong>an countries <strong>in</strong>vited to participate did so (Bulgaria and Slovakia did not<br />
take part). The results of the survey <strong>in</strong>dicated variation <strong>in</strong> the number of grams of alcohol <strong>in</strong> a<br />
standard <strong>dr<strong>in</strong>k</strong>s between countries (Table 1). The lowest number of grams of alcohol are <strong>in</strong> the<br />
8<br />
<strong>Standard</strong> <strong>dr<strong>in</strong>k</strong> <strong>measures</strong> <strong>in</strong> <strong>Europe</strong>