Alcohol purchasing by ill heavy drinkers; cheap alcohol is no single commodity
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Gill, J., Chick, J., Black, H., Rees, C., O'May, F., Rush, R. & McPake, B. (2015) Alcohol purchasing by ill heavy drinkers; cheap alcohol is no single commodity. Public Health, 129 (12), pp. 1571-1578.
Objectives: Potential strategies to address alcohol misuse remain contentious. We aim to characterise the drink purchases of one population group: heavy drinkers in contact with Scottish health services. We contrast our findings with national sales data and explore the impact of socio-economic status on purchasing behaviour. Study design: Cross-sectional study comparing alcohol purchasing and consumption by heavy drinkers in Edinburgh and Glasgow during 2012. Methods: 639 patients with serious health problems linked to alcohol (recruited within NHS hospital clinics (in- and out-patient settings) 345 in Glasgow, 294 in Edinburgh) responded to a questionnaire documenting demographic data and last week's or a 'typical' weekly consumption (type, brand, volume, price, place of purchase). Scottish Index of Multiple Deprivation quintile was derived as proxy of sociodemographic status. Results: Median consumption was 184.8 (IQR = 162.2) UK units/week paying a mean of 39.7 pence per alcohol unit (0.397). Off-sales accounted for 95% of purchases with 85% of those <50 pence (0.5 UK) per alcohol unit. Corresponding figures for the Scottish population are 69% and 60%. The most popular low-priced drinks were white cider, beer and vodka with the most common off-sales outlet being the corner shop, despite supermarkets offering cheaper options. Consumption levels of the cheapest drink (white cider) were similar across all quintiles apart from the least deprived. Conclusions: Heavy drinkers from all quintiles purchase the majority of their drinks from off-sale settings seeking the cheapest drinks, often favouring local suppliers. While beer was popular, recent legislation impacting on the sale of multibuys may prevent the heaviest drinkers benefiting from the lower beer prices available in supermarkets. Non-etheless, drinkers were able to offset higher unit prices with cheaper drink types and maintain high levels of consumption. Whilst price is key, heavy drinkers are influenced by other factors and adapt their purchasing as necessary. 2015 The Authors.Imagine: There's a boy called Billie who really wants to be a girl. But he's not allowed to show it. And there's a god called Jehovah who's got a wardrobe full of frocks. A closet he's afraid to show anyone. A closet he's locked and thrown away the key. Additional Information: It's begun to strike me, reading the book of GENESIS, that God's hiding something. He's not being straight with us. He's got something hidden in his closet, and tonight we're going to find out what it is... We'll find out through an experiment. An experiment with form. Traditional ideas of what manhood means are bringing war to every continent and endangering all of our lives. It's urgent that we explore different understandings of what it means to be a man; and to do so we need to explore different forms. So myself, the director Lorenzo Mele and the composer Robert Burlin, decided to collaborate to see how far we could get making words work with music, and music work with words. I t's an experiment in another sense too. I've written about 60 plays and seen them through into production. But I've never performed in one of my own. I'm curious to see what happens when I try