Public opinions on alcohol policy issues: a comparison of American and Canadian surveys

Aims. To study international and within country differences with regard to views by the general public on alcohol policy topics, describe associations with socio-demographic characteristics and drinking practices, and contras t opinions with variations in actual policies. Design, setting, subjects. L arge-scale cross-sectional household surveys were conducted in Canada (n = 11 550) and the United States (n = 4004) in 1989-90, involving representati ve samples of adults aged 18 and older. Measures. Eleven alcohol policy top ics were examined: alcohol taxes; hour of off-premise sale; legal drinking age; alcohol sales in corner stores; government advertising against alcohol ; warning labels on alcohol products; alcohol advertising on TV; industry s ponsorship of cultural or sports events; efforts to prevent service to drun ken customers; prevention and education; and treatment. Findings. Even afte r controlling for drinking levels and respondent characteristics, policy me asures that control physical or economic access to alcohol are not as stron gly supported as those that provide information or focus on the heavy drink er. There was greater polarization of opinion within both countries for pol icy items relating to promotion of alcohol or control of physical, demograp hic or economic access, and virtually no polarization with regard to items such as curtailing service to drunken customers or providing information or treatment. In the jurisdiction with less restrictive measures on a Particu lar policy, there seems to be greater public support for curtailing access to alcohol and, in some instances, more restrictive policies are associated with lower support for increasing restrictions. Conclusion. Public opinion data are an important resource in determining whether actual policies are compatible with the views of those affected by them. Disjunctions between r esearch on the most effective policy interventions and views by the public point to special agenda for information dissemination and prevention initia tives.