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Alcohol minimum unit pricing and people experiencing homelessness: A qualitative study of stakeholders' perspectives and experiences.
Dimova, Elena D; Strachan, Heather; Johnsen, Sarah; Emslie, Carol; Whiteford, Martin; Rush, Robert; Smith, Iain; Stockwell, Tim; Whittaker, Anne; Elliott, Lawrie.
Afiliación
  • Dimova ED; Glasgow Caledonian University, Scotland, UK.
  • Strachan H; Glasgow Caledonian University, Scotland, UK.
  • Johnsen S; Heriot-Watt University, Scotland, UK.
  • Emslie C; Glasgow Caledonian University, Scotland, UK.
  • Whiteford M; Glasgow Caledonian University, Scotland, UK.
  • Rush R; Independent Consultant, Edinburgh, UK.
  • Smith I; NHS Forth Valley, Scotland, UK.
  • Stockwell T; Canadian Institute for Substance Use Research, University of Victoria, Victoria, Canada.
  • Whittaker A; Nursing, Midwifery and Allied Health Professions Research Unit, Faculty of Health Sciences and Sport, University of Stirling, Scotland, UK.
  • Elliott L; Glasgow Caledonian University, Scotland, UK.
Drug Alcohol Rev ; 42(1): 81-93, 2023 01.
Article en En | MEDLINE | ID: mdl-36169446
INTRODUCTION: Minimum unit pricing (MUP) may reduce harmful drinking in the general population, but there is little evidence regarding its impact on marginalised groups. Our study is the first to explore the perceptions of MUP among stakeholders working with people experiencing homelessness following its introduction in Scotland in May 2018. METHODS: Qualitative semi-structured interviews were conducted with 41 professional stakeholders from statutory and third sector organisations across Scotland. We explored their views on MUP and its impact on people experiencing homelessness, service provision and implications for policy. Data were analysed using thematic analysis. RESULTS: Participants suggested that the introduction of MUP in Scotland had negligible if any discernible impact on people experiencing homelessness and services that support them. Most service providers felt insufficiently informed about MUP prior to its implementation. Participants reported that where consequences for these populations were evident, they were primarily anticipated although some groups were negatively affected. People experiencing homelessness have complex needs in addition to alcohol addiction, and changes in the way services work need to be considered in future MUP-related discussions. DISCUSSION AND CONCLUSIONS: This study suggests that despite initial concerns about potential unintended consequences of MUP, many of these did not materialise to the levels anticipated. As a population-level health policy, MUP is likely to have little beneficial impact on people experiencing homelessness without the provision of support to address their alcohol use and complex needs. The additional needs of certain groups (e.g., people with no recourse to public funds) need to be considered.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Mala Vivienda / Alcoholismo Tipo de estudio: Health_economic_evaluation / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Drug Alcohol Rev Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2023 Tipo del documento: Article Pais de publicación: Australia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Mala Vivienda / Alcoholismo Tipo de estudio: Health_economic_evaluation / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Drug Alcohol Rev Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2023 Tipo del documento: Article Pais de publicación: Australia