A historical overview of legislated alcohol policy in the Northern Territory of Australia: 1979–2021

Sarah Clifford, James A. Smith, Michael Livingston, Cassandra J. C. Wright, Kalinda E. Griffiths, Peter G. Miller

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The Northern Territory (NT) has the highest levels of alcohol consumption and harms in Australia. Since the creation of the NT Liquor Act 1978, which came into effect in 1979, numerous legislated alcohol policies have been introduced to attempt to address these harms. We present a narrative historical overview of alcohol policies implemented in the NT from 1979 to 2021. Methods: Using scoping review methodology, databases were searched from 1979 to 2021. Of 506 articles screened, 34 met inclusion criteria. Reference lists of all included articles were searched, resulting in the inclusion of another 41 articles and reports, totalling 75 final documents. Policies were organised using Babor and colleagues (2010) established framework: 1. pricing/ taxation; 2. regulating physical availability; 3. modifying drinking environments; 4. drink-driving countermeasures; 5. restrictions on marketing; 6. education/persuasion; 7. treatment/early intervention. Results: Two pricing/taxation policies have been implemented, Living With Alcohol (LWA) and Minimum Unit Price, both demonstrating evidence of positive effects on health and consumption outcomes. Eight policies approaches have focused on regulating physical availability, implemented at both individual and local area levels. Several of these policies have varied by location and been amended over time. There is some evidence demonstrating reduction in harms attributable to Liquor Supply Plans, localised restrictions, and General Restricted Areas, although these have been site specific. Of the three policies which targeted modifying the drinking environment; one was evaluated, finding a relocation of social harms, rather than a reduction. The literature outlines a range of controversies, particularly regarding policies in domain 2–3, including racial discrimination and a lack of policy stability. No policies relating to restricting marketing or education/persuasion programs were found. The only drink-driving legislated policy was considered to have contributed to the success of the LWA program. Three policies relating to treatment were described; two were not evaluated and evidence showed no ongoing benefits of Alcohol Mandatory Treatment. Discussion: The NT has implemented a large number of alcohol policies, several of which have evidence of positive effects. However, these policies have often existed in a context of clear politicisation of alcohol policy, frequently with an implicit focus on Aboriginal people’s consumption.

Original languageEnglish
Article number1921
Number of pages18
JournalBMC Public Health
Volume21
DOIs
Publication statusPublished - 2021
Externally publishedYes

Bibliographical note

Funding Information:
SC is supported by an Australian Government Research Training Program (RTP) Scholarship and a Menzies School of Health Research Top-Up Scholarship. ML is funded by an NHMRC Career Development Fellowship (GNT1123840). CW is supported by an NHMRC Early Career Fellowship. The LEarning from Alcohol Policy in the NT (LEARNT) study is funded by an ARC Linkage grant (LP180100701), the Foundation for Alcohol Research and Education, Central Australian Aboriginal Congress, Northern Territory Government, and the Northern Territory Primary Health Network.

Funding Information:
All authors have contributed to recent Northern Territory Government alcohol policy evaluation, research and/or commentary. In the interest of full disclosure, Peter Miller also wishes to note he receives funding from Australian Research Council and Australian National Health and Medical Research Council, grants from NSW Government, National Drug Law Enforcement Research Fund, Foundation for Alcohol Research and Education, WA Police, Cancer Council Victoria, Central Australian Aboriginal Congress, Northern Territory government, Australian Rechabites Foundation, Northern Territory Primary Health Network, Lives Lived Well, Queensland government and Australian Drug Foundation, travel and related costs from Queensland Police Service, Queensland Office of Liquor Gaming and Racing, ABC, and the Australasian Drug Strategy Conference. He has acted as a paid expert witness on behalf of a licensed venue and a security firm.

Publisher Copyright:
© 2021, The Author(s).

Keywords

  • Alcohol legislation
  • Alcohol policy
  • Evaluation
  • Northern Territory

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