Will minimum prices work to minimize harm?

The recent changes to pricing rules in alcohol-serving establishments across BC have been met by applause, discontentment, indifference — and confusion. In effect, two changes were announced: the fact that restaurants and bars can now have happy hour drink specials, allowing them to change the price of alcoholic drinks throughout the day, and the introduction of province-wide minimum drink prices, which apply at all times, not just during happy hour.

BC's new minimum prices for standard alcoholic drinks in booze-serving establishments.
BC’s new minimum prices for standard alcoholic drinks in booze-serving establishments.

Minimum unit pricing is not a new concept. All provinces, except Alberta and Quebec, have some type of minimum pricing policy. Even prior to these new changes, BC had minimum pricing policies in place in liquor stores, though prices were much lower than many other provinces. These new requirements will bring the rest of the province in line with municipalities such as Victoria, which have had minimum unit pricing policies and bylaws in bars and restaurants for quite some time to reduce violence and other late-night order problems.

While the new requirement to charge at least $3 per standard drink may cause prices to increase at some establishments, many British Columbians will likely not notice the implementation of the minimum unit pricing—and in some instances, happy-hour specials will make booze cheaper than it was before. I can’t remember a time when I paid less than $5 for a beer at an establishment; $3 sounds like a steal. But minimum pricing isn’t really about getting “a good deal;” this bold move by the BC government is a step towards reducing alcohol-related harms in our province.

Every year in BC, there are more than 80,000 alcohol-related crimes, 1,800 alcohol-related deaths, and 18,000 alcohol-related hospitalizations. While many of us enjoy alcohol without incident, these staggering numbers remind us of how many of our fellow British Columbians are negatively affected by alcohol use. The introduction of minimum prices could reduce these numbers.

There is strong evidence that minimum alcohol pricing avoids punishing the majority of responsible drinkers while having the greatest impact on the behaviour and health of those most at-risk. Using BC hospital data, a recent study published in the American Journal Public Health found that for every 10 percent increase in minimum prices there was an immediate 9 percent reduction in hospital admissions for injuries and poisonings ‒ and a similar reduction in serious illnesses caused by alcohol (such as liver cirrhosis and cancers) two to three years later. Similarly, we have found immediate and delayed effects from minimum price increases on alcohol-related deaths. Is $3 really such a steep cost for reducing harm?

The BC government has listened to the strong research evidence supporting minimum prices and has taken a step in the right direction by implementing these prices for bars, restaurants and other establishments that serve alcohol. It is refreshing to see decisions being made will protect British Columbians while also respecting that alcohol is an important part of our culture and economy. However, in order to fully realize the harm-reduction potential of minimum pricing policies and offset the potential impact of happy hours, government needs to follow through on updating and overhauling minimum pricing in liquor stores. According to our research, this will have a much larger impact on high-risk consumption and related harms.

Kara Thompson, CARBC

Author: Kara Thompson, Centre for Addictions Research of BC

**Please note that the material presented here does not necessarily imply endorsement or agreement by individuals at the Centre for Addictions Research of BC

Reducing harm? There’s an app for that.

Imagine you’re out enjoying a sunny patio at a pub with a few friends. You’re just about to finish your pint of beer and are really craving another one, but are trying to cut back on your drinking. You pull out your phone and open up an app that reminds you your goal for the week is to not have more than two standard drinks per day, and that pint you punched into the tracker was actually 1.7. You pause for a moment, then take a look at coping strategies you’ve tracked over the past few weeks to help deal with the desire to drink. One you’ve found particularly effective is treating yourself to a fancy booze-free cocktail while out with friends, so you order one of those instead of another beer.

Given our society’s increasing tech obsession, it’s no surprise that harm-reduction tools have made their way into the digital realm. Here are three helpful Canadian web- or app-based harm-reduction tools we’ve come across in our travels (or, in one case, created ourselves). Are there others you’d like to add? Share them with us!

saying whenSaying When: How to quit drinking or cut down: This app was designed by the Centre for Addiction and Mental Health. It’s the app I basically described above: it starts by asking you some questions about your drinking habits, the impacts of your drinking and goals you would like to set for yourself, then reminds you of Canada’s low-risk drinking guidelines. You can then track both your drinks and urges to drink, document effective coping strategies and access other information on tips for meeting your goals or accessing more help if you feel you need it. It actually reminds me of some popular fitness tracker apps that are available these days.

 

good to goGood to Go? This app was developed as part of our Drugs and Driving website, which is aimed at helping young people to make informed decisions about getting behind the wheel after using a substance. The app includes a brief quiz that asks you questions about things like your mood, what substances you’ve used and how long ago you used them and then lets you know if you are “good to go” or not. But it is really designed more as a fun educational resource with embedded videos and factual content than as a real-time screening tool. It builds awareness about how different substances and other factors can impair your driving in different ways.

 

game iqGam_iQ: This quiz website is one of BC Responsible Gaming‘s prevention efforts. Answer the questions to find out how much you know about gambling, how to gamble responsibly and the resources available if you are a problem gambler. It’s also aimed at younger folks and initially launched with a chance to win a post-secondary scholarship. While the prize has already been awarded, it’s a brief and interactive way to get people thinking about gambling responsibly. The website also contains lots of other online tools aimed at different age groups or demographics.

If you have found any other harm-reduction apps, websites or digital tools, we would love to hear about them!

amanda photo

Author: Amanda Farrell-Low, Research Assistant: Social Media, Centre for Addictions Research of BC

**Please note that the material presented here does not necessarily imply endorsement or agreement by individuals at the Centre for Addictions Research of BC