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Changing Scotland's relationship with alcohol: a discussion paper on our strategic approach

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ANNEX D - ALCOHOL-RELATED INDICATORS

Below we set out a number of the key alcohol-related indicators which we believe will help us develop a robust monitoring framework. To be useful, an indicator should have the following characteristics:

  • it relates in a meaningful and valid way to one or more of the desired outcomes in the alcohol strategy;
  • the data upon which the measure is based are already being collected with acceptable levels of coverage ( e.g. across all NHS Boards), or can be collected in the future;
  • the data is of robust quality (in terms of accuracy; completeness; consistent; timely);
  • collation is cost effective; and
  • the indicator is responsive to change.

The indicators are set out under a number of broad categories - alcohol consumption, alcohol-related harm and awareness, attitudes to alcohol, and price. Given the disproportionate affect alcohol misuse has on the most deprived communities, a key measure of success will be addressing the inequality gap seen across a range of alcohol misuse indicators. Some may be achieved in the short-term; others by their very nature will take longer to attain. A monitoring and evaluation framework will be developed in the coming months.

Indicator

Measure

Source

Level of analysis

Frequency

Notes

Consumption

Adults

Proportion of adults exceeding daily and weekly recommended weekly limits, 'binge' drinking and self-reported drunkenness

Scottish Health Survey

Scotland, Health Boards ( HB), age, gender, SIMD

Annual (from 2009)

Health Board data available every 4 years. Gap between survey estimates and industry sales data.

Per capita alcohol consumption

Per capita alcohol consumption (aged 16 and over)

The Nielsen Company

Scotland

Six monthly

Per capita alcohol consumption (aged 16 and above). Data from industry sources

Children

Proportion of 13 and 15 year olds who drink alcohol, frequency of drinking and drunkenness, mean consumption levels, etc.

SALSUS

Scotland, HB, Local Authorities ( LA), ADAT, age, gender,

Biennial

Self-reported. Data available at LA, ADAT and HB level every 4 years

Alcohol-related harm

Alcohol-related general hospital discharges

Standardised rate of general hospital acute inpatient discharges with an alcohol-related diagnosis

ISD, SMR01

Scotland, HB, LA, age, gender, SIMD

Annual

National indicator. Alcohol misuse recorded as primary or secondary diagnoses

Alcohol-related harm (con't)

Alcohol-related psychiatric hospital discharges

Standardised rate of psychiatric hospital inpatient discharges with an alcohol-related diagnosis

ISD, SMR04

Scotland, HB, LA, age, gender, SIMD

Annual

Alcohol misuse is recorded as primary or secondary diagnoses

General hospital discharges for liver disease

Standardised rate of general hospital acute inpatient discharges with a diagnosis of alcoholic liver disease

ISD, SMR01

Scotland, HB, LA, age, gender, SIMD

Annual

Alcohol misuse is recorded as primary or secondary diagnoses

Alcohol-related deaths

Standardised alcohol-related death rate

GROS

Scotland, HB, LA, age, gender, SIMD

Annual

Alcohol misuse is recorded as the underlying or contributory cause of death

Alcohol-related homicides

Proportion of accused who were drunk or drunk and on drugs at the time of the offence

Scottish Government ( SG)

Scotland, Police Force area

Annual

Small number of cases allows limited demographic and geographic analysis

Alcohol-related violence

Presence of alcohol in violence reported by victims of assault

SG

Scotland; Police Force area, gender, age

Annual

Self-reported perception of status of accused in assault cases

Alcohol and Offenders

Proportion of prisoners drunk at the time of offences; proportion of prisoners with alcohol problems

Scottish Prisoner Survey

Scotland, gender, age

Annual

Self-reported

Drunk driving

Number of offences per 100,000 population, number of causalities, number of accidents

SG

Scotland, Police Force area, LA, gender, age

Annual

Numbers may be influenced by police enforcement and other external factors

Drunkenness

Offences of drunkenness per 10,000 population

SG

Scotland, Police Force area, LA, gender, age

Annual

Numbers may be influenced by police enforcement

Children - negative consequences

Proportion of 13 and 15 year olds who report negative effects (trying drugs, getting into trouble, etc) as a consequence of drinking alcohol

SALSUS

Scotland, HB, LA, ADATs, gender

Biennial

Self-reported. Data available at LA, HB, and ADAT level every 4 years.

Awareness, Attitudes, Price

Awareness and knowledge of units

Awareness of recommended daily limits, knowledge of unit content

Scottish Social Attitudes Survey

Scotland, age, gender, SIMD

2009 or 2010

Benchmark data available from 2007 survey module. Repeat module to be commissioned in 2009 or 2010.

Attitudes to alcohol

Range of measures of attitudes to drinking, drunkenness, perceptions of problems caused by alcohol, etc.

National surveys

Scotland, age, gender

Annual;

Benchmark data available from 2007 SSAS. Data available from Scottish Crime and Justice Survey.

Availability and Price

Various measures of the price, affordability and availability of alcohol

Various

Scotland / UK

Various

Measure of the price, affordability and availability of alcohol