OBJECTIVE Although alcohol consumption is considered a major modifiable risk factor for chronic disease, policies to reduce alcohol-related harm remain low on the Canadian policy agenda. The objective of this study was to understand support for population-level healthy public policies to reduce alcohol-related harm by assessing the attitudes of policy influencers and the public in two Canadian provinces, and by sociodemographic characteristics. METHOD A stratified sample of the general public (n = 2,400) and a census sample of policy influencers (n = 302) in Alberta and Quebec participated in the 2016 Chronic Disease Prevention Survey, which included questions to assess support for alcohol-specific policies. Differences in levels of support were determined by calculating differences in the proportion of support for alcohol control policies, comparing groups by regional and sociodemographic characteristics. The modified Nuffield Council on Bioethics Intervention Ladder was used to assess support according to the level of individual intrusiveness. RESULTS We found that policy influencers and general public respondents were supportive of both information-based policies, with the exception of warning labels, and more restrictive policies targeting youth (e.g., enforcement). Both groups were less favorable to alcohol-specific policies that guided choice through disincentives (e.g., taxation). There were more differences in policy support by sociodemographic characteristics among the public. CONCLUSIONS For health advocates to advance policies to reduce alcohol-related harms at the population level, they will need to mobilize additional support for more intrusive, yet more effective, policy interventions. Advocacy efforts should focus on communicating the effectiveness and positive outcomes of these interventions to help garner support.

中文翻译：

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加拿大艾伯塔省和魁北克的拟议酒类健康公共政策选择的政策影响者和一般公共支持

目标尽管饮酒被认为是慢性病的主要可改变危险因素，但减少饮酒相关危害的政策在加拿大的政策议程中仍然处于低位。这项研究的目的是通过评估加拿大两个省的政策影响者和公众的态度以及社会人口统计学特征，来了解对减少酒精相关危害的人群水平健康公共政策的支持。方法在2016年慢性病预防调查中，阿尔伯塔省和魁北克的普通大众分层样本（n = 2,400）和政策影响者普查样本（n = 302）参加了2016年慢性病预防调查，其中包括评估对酒精专项政策的支持的问题。通过计算酒精控制政策的支持比例差异来确定支持水平的差异，按地区和社会人口特征比较群体。修改后的纳菲尔德生物伦理学干预阶梯委员会用于根据个人介入程度评估支持。结果我们发现政策影响者和一般公众受访者都支持基于信息的政策（警告标签除外）和针对年轻人的限制性更强的政策（例如执法）。两组都不太喜欢通过抑制措施（例如税收）指导选择的针对酒精的特定政策。公众在社会人口学特征方面的政策支持差异更大。结论对于健康倡导者来说，要推进政策以减少在人群层面上与酒精有关的危害，他们将需要动员更多的支持，以使侵入性更有效，政策干预。宣传工作应着重于交流这些干预措施的有效性和积极成果，以帮助获得支持。