Suchergebnisse

A review essay on a book edited by David Millwood, The International Response to Conflict and Genocide: Lessons from the Rwanda Experience (Steering Committee of the Joint Evaluation of Emergency Assistance to Rwanda, 1996). Focus is on the background of the 1994 Rwandan crisis, the negative role of key international players in the time preceding it, & the efforts of organizations involved in humanitarian assistance & postwar reconstruction. The international community, primarily the UN, is criticized for failing to practice coherent policies for stability before the Rwandan war broke out. The UN General Secretariat, Security Council, nongovernmental aid agencies, & the world media are accused of responding to the situation only after the genocide & human devastation made headlines. It is argued that preventive & stabilizing policies should be the emphasis of the UN & aid agencies, leaving humanitarian efforts in a secondary, readiness position. The steering committee is currently developing professional standards for volunteer agencies, eg, the Red Cross, the Oxford Committee for Famine Relief, the World Council of Churches, & others. 1 Reference. D. Bajo

ABSTRACT

Aims
To examine the impact of non-dependent parental drinking on UK children aged 10–17.


Methods
Cross-sectional survey of UK parents and their children in 2017 (administered to one parent in a household, then their child, totaling 997 adults and 997 children), providing linked data on parental drinking from parent and child perspectives. The survey included measures of parents' alcohol consumption and drinking motivations (both reported by parents) and children's exposure to their parent's drinking patterns and children's experiences of negative outcomes following their parent's drinking (both reported by children), plus sociodemographic measures.


Results
Logistic regression analysis indicates a significant positive association between parental consumption level and children reporting experiencing negative outcomes. Witnessing a parent tipsy or drunk and having a parent who reported predominantly negative drinking motives were also associated with increased likelihood of children reporting experiencing negative outcomes. Age was also associated, with older children less likely to report experiencing negative outcomes following their parent's drinking.


Conclusions
Findings suggest levels of and motivations for parental drinking, as well as exposure to a parent tipsy or drunk, all influence children's likelihood of experiencing negative outcomes.

Objectives:To explore perceptions of superslims packaging, including compact 'lipstick' packs, in line with 3 potential impacts identified within the impact assessment of the European Union (EU) Tobacco Products Directive: appeal, harm perceptions and the seriousness of warning of health risks. Design:Qualitative focus group study. SettingInformal community venues in Scotland, UK. Participants:75 female non-smokers and occasional smokers (age range 12–24). Results:Compact 'lipstick'-type superslims packs were perceived most positively and rated as most appealing. They were also viewed as less harmful than more standard sized cigarette packs because of their smaller size and likeness to cosmetics. Additionally, 'lipstick' packs were rated as less serious in terms of warning about the health risks associated with smoking, either because the small font size of the warnings was difficult to read or because the small pack size prevented the text on the warnings from being displayed properly. Bright pack colours and floral designs were also thought to detract from the health warning. Conclusions:As superslims packs were found to increase appeal, mislead with respect to level of harm, and undermine the on-pack health warnings, this provides support for the decision to ban 'lipstick'-style cigarette packs in the EU and has implications for policy elsewhere.

Smoking levels have not declined among those living in disadvantaged communities in the UK, presenting a major public health concern. Drawing on qualitative and quantitative data, this article suggests that core concepts of social marketing provide a meaningful framework for identifying appropriate smoking cessation interventions and policy responses. Understanding the consumer reveals that tobacco meets many needs in the struggle to cope with limited income intensified by poorly resourced local infrastructure and limited opportunities. An almost overwhelming range of threats to cessation includes the impact of disadvantage, strong prosmoking norms and environments, and, unsurprisingly, the tobacco industry's reinforcement of continued smoking. Important opportunities include smokers' underlying wish to be nonsmokers, positive responses to new approaches, and gradual amelioration of problems for which smoking provides a coping mechanism. Finally, what is the meaningful exchange that can be offered to smokers in the challenging quitting process? Better health or more money alone are unlikely to be accepted as realistic benefits. Instead, integrated long-term support is required, reflecting the long-term reinforcement strategies of the tobacco industry. At a macro level, policies address hardship. At a community level, increased resources and training give workers tangible products and greater confidence. At a micro level, smokers need tailored "packages" of support, addressing personal barriers to success.

Social marketers are concerned both with the use of marketing to improve health, and in critically scrutinizing the impact of commercial marketing practices on health. This latter area is relatively underdeveloped. It requires the development of relevant and robust research tools. This article is concerned with developing an observation measure designed to explore the industry's response to tobacco marketing regulation in retail outlets. Given the restrictions on both direct and indirect forms of tobacco marketing in the UK, there has been scope for the tobacco industry to focus their marketing efforts in other areas, such as point of sale. A protocol has been developed to enable observation of any changes in the marketing tactics employed by the UK tobacco industry at the retailer level. This article describes the observation proforma designed to gauge activity, and provides guidance for administering such a measure on a longitudinal basis. The measure was generally reliable, and suggests that tobacco marketing at point of sale might be targeted towards lower socioeconomic status areas.

The harmful effects of heavy drinking on health have been widely reported, yet public opinion on governmental responsibility for alcohol control remains divided. This study examines UK public attitudes towards alcohol policies, identifies underlying dimensions that inform these, and relationships with perceived effectiveness. A cross-sectional mixed methods study involving a telephone survey of 3477 adult drinkers aged 16–65 and sixteen focus groups with 89 adult drinkers in Scotland and England was conducted between September 2012 and February 2013. Principal components analysis (PCA) was used to reduce twelve policy statements into underlying dimensions. These dimensions were used in linear regression models examining alcohol policy support by demographics, drinking behaviour and perceptions of UK drinking and government responsibility. Findings were supplemented with a thematic analysis of focus group transcripts. A majority of survey respondents supported all alcohol policies, although the level of support varied by type of policy. Greater enforcement of laws on under-age sales and more police patrolling the streets were strongly supported while support for pricing policies and restricting access to alcohol was more divided. PCA identified four main dimensions underlying support on policies: alcohol availability, provision of health information and treatment services, alcohol pricing, and greater law enforcement. Being female, older, a moderate drinker, and holding a belief that government should do more to reduce alcohol harms were associated with higher support on all policy dimensions. Focus group data revealed findings from the survey may have presented an overly positive level of support on all policies due to differences in perceived policy effectiveness. Perceived effectiveness can help inform underlying patterns of policy support and should be considered in conjunction with standard measures of support in future research on alcohol control policies.

The harmful effects of heavy drinking on health have been widely reported, yet public opinion on governmental responsibility for alcohol control remains divided. This study examines UK public attitudes towards alcohol policies, identifies underlying dimensions that inform these, and relationships with perceived effectiveness. A cross-sectional mixed methods study involving a telephone survey of 3477 adult drinkers aged 16–65 and sixteen focus groups with 89 adult drinkers in Scotland and England was conducted between September 2012 and February 2013. Principal components analysis (PCA) was used to reduce twelve policy statements into underlying dimensions. These dimensions were used in linear regression models examining alcohol policy support by demographics, drinking behaviour and perceptions of UK drinking and government responsibility. Findings were supplemented with a thematic analysis of focus group transcripts. A majority of survey respondents supported all alcohol policies, although the level of support varied by type of policy. Greater enforcement of laws on under-age sales and more police patrolling the streets were strongly supported while support for pricing policies and restricting access to alcohol was more divided. PCA identified four main dimensions underlying support on policies: alcohol availability, provision of health information and treatment services, alcohol pricing, and greater law enforcement. Being female, older, a moderate drinker, and holding a belief that government should do more to reduce alcohol harms were associated with higher support on all policy dimensions. Focus group data revealed findings from the survey may have presented an overly positive level of support on all policies due to differences in perceived policy effectiveness. Perceived effectiveness can help inform underlying patterns of policy support and should be considered in conjunction with standard measures of support in future research on alcohol control policies.

The harmful effects of heavy drinking on health have been widely reported, yet public opinion on governmental responsibility for alcohol control remains divided. This study examines UK public attitudes towards alcohol policies, identifies underlying dimensions that inform these, and relationships with perceived effectiveness. A cross-sectional mixed methods study involving a telephone survey of 3477 adult drinkers aged 16–65 and sixteen focus groups with 89 adult drinkers in Scotland and England was conducted between September 2012 and February 2013. Principal components analysis (PCA) was used to reduce twelve policy statements into underlying dimensions. These dimensions were used in linear regression models examining alcohol policy support by demographics, drinking behaviour and perceptions of UK drinking and government responsibility. Findings were supplemented with a thematic analysis of focus group transcripts. A majority of survey respondents supported all alcohol policies, although the level of support varied by type of policy. Greater enforcement of laws on under-age sales and more police patrolling the streets were strongly supported while support for pricing policies and restricting access to alcohol was more divided. PCA identified four main dimensions underlying support on policies: alcohol availability, provision of health information and treatment services, alcohol pricing, and greater law enforcement. Being female, older, a moderate drinker, and holding a belief that government should do more to reduce alcohol harms were associated with higher support on all policy dimensions. Focus group data revealed findings from the survey may have presented an overly positive level of support on all policies due to differences in perceived policy effectiveness. Perceived effectiveness can help inform underlying patterns of policy support and should be considered in conjunction with standard measures of support in future research on alcohol control policies.