Public Health Issue
Alcohol misuse is a growing public health issue in many parts of the world, including the Isle of Wight. This essay explores the size and nature of the public health need for alcohol abuse among adults of working age in the Isle of Wight and the assets and resources available to support this population. The SMART objectives for this essay are to identify the extent of alcohol abuse among people aged 18 to 45 years, illustrating it with various quantitative and qualitative data gathered from credible sources.
Another objective is to outline the reasons behind the high rates of alcohol misuse within this population in the Isle of Wight. Moreover, it identifies the particular health requirements for this population group and the assets available in the region to be utilized to curb them. The final objective is to pinpoint ways to meet health concerns using available assets within the shortest time possible. By looking at the available evidence and considering public health policies, strategies, and the local context, this essay will provide a comprehensive overview of the seriousness of alcohol abuse among the adults of the Isle of Wight.
Population Health Needs
The target population for this public health issue is adults of working age (ages 18-45) living in the Isle of Wight. This population has been identified as being at risk of alcohol misuse, which can have a variety of adverse health and social consequences. Alcohol misuse is defined as consuming alcoholic beverages in a manner that is harmful to the individual or those around them. This can include excessive drinking, binge drinking, and misuse of alcohol with other drugs. The Isle of Wight is an island off the south coast of about 140,000 people. It is a relatively remote region with a wide range of social, economic, and health disparities compared to other areas of the country.
The risk of excessive alcohol use among adults of working age is heightened by the presence of several local pubs and clubs and increased access to alcohol through local supermarkets and off-licenses. This public health issue is of particular concern because of the potential for alcohol misuse to lead to a wide range of physical, mental health, and social problems, such as increased crime and domestic violence. The short- and long-term consequences of alcohol misuse can have a devastating impact on individuals and families, as well as on the local community as a whole.
The Rapid Health Needs Assessment (RHNA) report aims to identify the health needs of adults of working age in the Isle of Wight, focusing on alcohol misuse. These objectives will include reducing the incidence of alcohol-related harm in the local area, increasing the awareness of abnormal alcohol use among adults of working age, and promoting the availability of appropriate support and treatment services for those at risk. The report will also identify gaps in the current services and recommend how these can be filled.
The population of the Isle of Wight is mainly rural and comprises a mix of older and younger adults. The median age on the island is 49, and the Isle of Wight has a slightly higher percentage of working-age adults than the rest of England. The Office of National Statistics reported that in 2018, 28% of adults in the Isle of Wight had exceeded the Chief Medical Officer’s guidelines on low-risk drinking in the past year, compared to the England average of 22%. The Isle of Wight also has a higher than average proportion of adults who are classed as high-risk drinkers, with 8% of adults drinking at least twice the recommended amount, compared to the England average of 5%. Alcohol misuse is associated with various health problems, including liver disease, cardiovascular disease, depression, anxiety, and alcohol dependence.
The public health need in the Isle of Wight regarding alcohol misuse among adults of working age is considerable. According to data from the Health and Well-being Board for the Isle of Wight, alcohol misuse is the leading cause of premature mortality in the Isle of Wight, accounting for more than a quarter of all deaths in people aged between 25 and 74. Furthermore, alcohol-related hospital admissions in the Isle of Wight are significantly higher than the national average, with alcohol-related hospital admissions per 100,000 population being over 50% higher than the national average. This points to a large proportion of the adult population in the Isle of Wight having problems with alcohol and needing support and interventions to help them reduce their alcohol consumption.
Publicly available qualitative data can help to offer a more comprehensive insight into the scale and characteristics of the requirement. A survey was administered in 2018 by the NHS on the Isle of Wight regarding lifestyle and attitudes toward alcohol use. It discovered that 60% of the respondents had consumed more than the recommended weekly limit of alcohol in the past year. On the other hand, those aged 18-24 were more likely to have exceeded the limit than those aged over 55. People know the potential risks of drinking alcohol, but many choose to ignore them due to the enjoyment they receive from it.
The adverse physical and mental health effects associated with alcohol consumption can include fatigue, headaches, liver damage, increased risk of certain cancers, and an increased risk of developing mental health issues such as depression and anxiety. These affect people differently and are also predetermined by biological and genetic factors. Additionally, drinking alcohol can increase stress levels, worsening existing mental health issues or leading to new ones. Therefore, people need to be mindful of their drinking habits and ensure they consume alcohol in moderation.
Stakeholder perceptions can also be used to gain insight into the size and nature of the need. A survey conducted by the Isle of Wight Council in 2017 found that most respondents felt that there was a need for more alcohol-related support services on the island and a need to raise awareness of alcohol misuse risks. To triangulate these sources of information, it is crucial to consider the limitations of the data. The data provides an understanding of the scope of the need but does not provide information about the causes of the problem or how the need is distributed across the population. Additionally, some of the data is dated and may not reflect the current situation. Furthermore, the qualitative data is based on surveys and is therefore subjective.
Resources and Assets
The assets currently available in the Isle of Wight to address alcohol misuse among working-age adults include support programs, awareness movements, and legislative efforts. Support services in the Isle of Wight include alcohol rehabilitation, counseling, support groups, and residential treatment programs. The National Health Service (NHS) and various voluntary organizations provide these services. The Isle of Wight Council has also conducted several awareness campaigns to educate on the risks of alcohol misuse. The campaigns have used various media platforms, including television, radio, and social media, and have focused on targeting specific groups, such as young people and parents.
Legislative measures have also been implemented to limit access to alcohol, such as the introduction of minimum unit pricing and restrictions on the sale of alcohol. The Isle of Wight has taken a proactive approach to reducing alcohol consumption. In 2018, they introduced minimum unit pricing, setting a minimum price for all alcoholic drinks, which was higher than the previous average. This was an effective way of preventing people from purchasing cheap, strong alcohol that could lead to health issues and alcohol-related harm.
The Isle of Wight has also implemented a ban on selling alcohol after 11 pm and introduced a ‘Challenge 25’ policy, meaning that anyone under 25 must prove their age before buying alcohol. These measures are designed to prevent the sale of alcohol to young people and discourage people from drinking excessively. The island has also launched several awareness campaigns to educate people about the risks of alcohol and to encourage responsible drinking.
In conclusion, the data suggest a necessity of combating alcohol misuse among working-age adults in the Isle of Wight. The prevalence of alcohol misuse on the island is higher than the England average. It is associated with a range of physical and mental health problems and social harms. The Isle of Wight currently offers support services, awareness campaigns, and legislative measures to tackle alcohol misuse among working-age adults.
However, there is limited evidence of the impact of these assets, and there are gaps in the provision of services, awareness, and legislation. It is advised that more be done to address alcohol abuse among working-age adults in the Isle of Wight in light of the available data. This should include increasing access to support services, raising awareness of the risks associated with alcohol misuse, and implementing legislation to limit access to alcohol.
Recommendations
A range of publicly available quantitative and qualitative data was used to identify the evidence for this public health issue. This included data from the Office of National Statistics (ONS) and surveys conducted by the Isle of Wight Council and the NHS. The evidence was critically appraised using health improvement theory, which suggests that interventions should be based on evidence, targeted at those most in need, and be tailored to the local context.
The Isle of Wight’s working-age population has a higher-than-average rate of alcohol abuse, according to quantitative data from the ONS. They highlighted potential inequalities in the majority of alcohol misuse. The qualitative data from the surveys provided more detailed information about the size and nature of the need and stakeholders’ perceptions of the available assets. This data was used to triangulate the sources of information and identify gaps in providing services, awareness, and legislation.
Developing strategies to reduce the availability and accessibility of alcohol, such as increasing the legal drinking age and increasing taxes on alcohol, can help to reduce the amount of alcohol consumed and the potential for misuse. Raising the drinking age can help reduce underage drinking and make it more difficult for young people to access alcohol. Increasing taxes on alcoholic beverages can also make them more expensive, meaning people may be less likely to purchase alcohol or consume it in large quantities.
Another appropriate strategy is relapse prevention, which is aimed at helping individuals recognize potential triggers and develop coping strategies to prevent relapse. It entails identifying the triggers likely to lead to alcohol use, such as stress, boredom, or negative feelings, and developing new coping strategies to address them. This may include physical exercise, relaxation techniques, mindfulness, or positive self-talk.
Furthermore, Cognitive Behavioral Therapy (CBT) helps individuals identify and challenge the thinking patterns and thought processes that contribute to their alcohol use. It can be utilized to assist individuals in recognizing how their thoughts influence their behaviors and provide them with the tools to modify their thinking. CBT focuses on teaching individuals to identify and replace negative thought patterns with positive ones and learning and practicing new skills to help them manage their alcohol use. It also encourages individuals to evaluate their progress and identify strategies for maintaining sobriety.
Ensuring those at risk of developing an alcohol-related disorder have access to mental health services involves expanding access to counseling and therapy for those struggling with alcohol misuse. It also requires providing information and assistance to families and communities to understand better and assist those affected. Employers should also be encouraged to create policies that promote a safe and healthy workplace, which should include measures to reduce stress, provide guidance on alcohol misuse, and support for those affected. The community should be engaged to raise awareness of alcohol risks, reduce stigma, and create supportive environments. This can be done through educational initiatives, public events, and providing resources for those affected by alcohol misuse.
Moreover, motivational interviewing is another technique to help individuals identify and address underlying motivations for unhealthy behaviors, such as alcohol abuse. Motivational interviewing helps individuals recognize the consequences of their behavior, consider the potential benefits of making positive changes, and develop the confidence and commitment to take action. During a typical session, the therapist will ask open-ended questions to encourage the individual to explore their thoughts and feelings about the behavior. The therapist will then create a supportive environment where the individual can feel safe to discuss the pros and cons of their behavior openly. This can help individuals identify and make changes to improve their health and well-being.
The Health Improvement Theory is a necessary framework to consider when addressing any health issue, as it provides a comprehensive approach to promoting health, preventing disease, and reducing health inequalities. The theory is based on four core principles: equity, choice, effectiveness, and efficiency. These directions can guide the development and implementation of interventions to reduce alcohol misuse in working-age people in the Isle of Wight. Equity is one of the essential tenets of the Health Improvement Theory, as it strives to guarantee that all members of society are treated fairly and equitably.
The proposed interventions can help promote equity by targeting those most at risk of alcohol misuse, such as those in lower socio-economic groups and those suffering from mental health issues. For example, improving access to mental health services can help to reduce the risk of alcohol misuse among vulnerable individuals. Additionally, raising taxes on alcoholic beverages can contribute to decreasing the affordability of alcohol and, therefore, lower the risk of abuse amongst those with lower incomes.
The choice is another core principle of the Health Improvement Theory, as it seeks to ensure that individuals can make informed choices about their health. The interventions proposed in this case can help to promote choice by providing individuals with access to information and support that allows them to make informed decisions about their alcohol consumption (2, 23). For example, public health campaigns can help inform about the risks of alcohol misuse and provide individuals with the knowledge they need to make informed decisions. Additionally, providing accessible, safe, and efficacious treatment can help to ensure that those affected by alcohol misuse have the opportunity to make informed decisions about their health.
Another essential element of the Health Improvement Theory is the principle of effectiveness, which aims to guarantee that interventions are created using evidence-based practices that reduce the risk of alcohol abuse. For example, increasing taxes on alcoholic beverages is successful in reducing the affordability of alcohol, which can, in turn, reduce the risk of misuse. Similarly, providing access to safe and effective treatment services effectively reduces the risk of alcohol misuse among those affected by the disorder.
The health improvement interventions proposed in this case are designed to lower the likelihood of alcohol misuse in working-age residents of the Isle of Wight. These interventions aim to address the needs of the target population by providing access to information and support services, boosting taxes on alcoholic beverages, and providing safe and effective treatment services. The proposed interventions are effective and cost-efficient, as they do not require significant financial investments and can be implemented with minimal disruption to existing services.
Additionally, the interventions are based upon evidence of effectiveness, as they reduce the risk of alcohol misuse. Furthermore, the interventions are designed to promote equity and choice. They focus on those most vulnerable to alcohol misuse and equip them with the essential knowledge and resources they need to make informed health decisions.
However, it is essential to note that the proposed interventions may not meet the needs of all target population members. For example, those in lower socio-economic groups may not benefit from increased taxes on alcoholic beverages, as they may be unable to afford the additional costs. Additionally, those suffering from mental health issues may not benefit from public health campaigns, as they may be unable to access the necessary resources. Therefore, it is essential to consider how these interventions can be tailored to meet the specific needs of the target population.
Several health improvement interventions should be prioritized for the target population. Firstly, augmenting taxes on alcoholic drinks should be prioritized, as this is effective in reducing the affordability of alcohol and, therefore, reducing the risk of misuse amongst those with lower incomes. Additionally, strengthening public health campaigns should be prioritized, as this can help increase awareness of the dangers of alcohol misuse and equip individuals with the necessary knowledge to make informed choices. Furthermore, through motivational interviewing, underlying issues that contribute to alcohol use can be targeted and addressed.
Furthermore, through CBT, individuals can learn to recognize when they are engaging in faulty thinking and replace it with more realistic and positive thought patterns. CBT effectively reduces cravings, increases abstinence, and prevents relapse. Finally, research has shown that individuals who receive relapse prevention intervention are more likely to maintain their sobriety and reduce their risk of relapse. Therefore, combining these techniques can significantly lower the rates of alcohol misuse in this population.
Conclusion
The danger of alcohol misuse among adults of working age on the Isle of Wight is magnified by the abundance of pubs and clubs and easy access to alcohol through supermarkets and off-licenses. Taking decisive action is necessary to reduce this risk, and the Health Improvement Theory can be utilized as a comprehensive guide for developing and executing interventions. These measures should be based on equity, choice, effectiveness, and efficiency principles. They include raising taxes on alcoholic beverages, intensifying public health campaigns, enhancing access to mental health services, and motivating employers to adopt policies that promote a safe and healthy work environment.
References
Ayares G, Idalsoaga F, Arnold J, Fuentes-López E, Arab JP, Díaz LA. Public health measures and prevention of alcohol-associated liver disease. Journal of Clinical and Experimental Hepatology. 2022;12(6):1480–91.
Bevilacqua R, Strano S, Di Rosa M, Giammarchi C, Cerna KK, Mueller C, et al. EHealth literacy: From theory to clinical application for digital health improvement. results from the access training experience. International Journal of Environmental Research and Public Health. 2021;18(22):11800.
Chakravorty S, Morales KH, Arnedt JT, Perlis ML, Oslin DW, Findley JC, et al. Cognitive behavioral therapy for insomnia in alcohol‐dependent veterans: A randomized, controlled pilot study. Alcoholism: Clinical and Experimental Research. 2019;
Charles NE, Strong SJ, Burns LC, Bullerjahn MR, Serafine KM. Increased mood disorder symptoms, perceived stress, and alcohol use among college students during the COVID-19 pandemic. Psychiatry Research. 2021;296:113706.
Chevance A, Gourion D, Hoertel N, Llorca P-M, Thomas P, Bocher R, et al. Ensuring mental health care during the SARS-COV-2 epidemic in France: A narrative review. L’Encéphale. 2020;46(3):193–201.
Clay JM, Parker MO. Alcohol use and misuse during the COVID-19 pandemic: A potential public health crisis? The Lancet Public Health. 2020;5(5).
Feldstein Ewing S, Bryan AD, Dash GF, Lovejoy TI, Borsari B, Schmiege SJ. Randomized controlled trial of motivational interviewing for alcohol and cannabis use within a predominantly Hispanic adolescent sample. Experimental and Clinical Psychopharmacology. 2022;30(3):287–99.
Herlitz L, MacIntyre H, Osborn T, Bonell C. The sustainability of public health interventions in schools: A systematic review. Implementation Science. 2020;15(1).
Hill L. Almost 1,500 islanders dependent on alcohol [Internet]. Isle of Wight County Press. Isle of Wight County Press; 2019. Web.
Hill L. Drug abuse on the Isle of Wight a ‘growing threat’ [Internet]. Isle of Wight Radio. Isle of Wight Radio; 2020. Web.
Isle of Wight Council [Internet]. Council Services. 2020. Web.
Isle of Wight Rehabs: Alcohol & Drug Rehab Clinics in isle of wight [Internet]. UK Addiction Treatment Centres. 2023. Web.
Jacob L, Haro JM, Koyanagi A. Physical multimorbidity and subjective cognitive complaints among adults in the United Kingdom: A cross-sectional community-based study. Scientific Reports. 2019;9(1).
Kopasker D, Whybrow S, McKenzie L, McNamee P, Ludbrook A. The effects of minimum unit pricing for alcohol on food purchases: Evaluation of a natural experiment. SSM – Population Health. 2022;19:101174.
Lechner WV, Laurene KR, Patel S, Anderson M, Grega C, Kenne DR. Changes in alcohol use as a function of psychological distress and social support following COVID-19 related university closings. Addictive Behaviors. 2020;110:106527.
Leightley D, Williamson C, Simms MA, Fear NT, Goodwin L, Murphy D. Associations between post-traumatic stress disorder, quality of life and alcohol misuse among UK veterans. Military Behavioral Health. 2022;10(4):444–50.
Linden‐Carmichael AN, Allen HK, Lanza ST. The socio‐environmental context of Simultaneous Alcohol and marijuana use among young adults: Examining Day‐Level Associations. Drug and Alcohol Review. 2020;40(4):647–57.
Local Authority Health Profile 2019 [Internet]. E06000046. 2022. Web.
Neufeld M, Bobrova A, Davletov K, Štelemėkas M, Stoppel R, Ferreira‐Borges C, et al. Alcohol control policies in former Soviet Union countries: A narrative review of three decades of policy changes and their apparent effects. Drug and Alcohol Review. 2020;40(3):350–67.
Ojha M, Petra M, Burek M, Mahapatra N. Accessing behavioral health services and the Justice-involved: The significance of ecological considerations. Journal of Forensic Social Work. 2023;7(1):44–61.
Reynolds J, Wilkinson C. Accessibility of ‘essential’ alcohol in the time of covid ‐19: Casting light on the blind spots of licensing? Drug and Alcohol Review. 2020;39(4):305–8.
Sargent JD, Babor TF. The relationship between exposure to alcohol marketing and underage drinking is causal. Journal of Studies on Alcohol and Drugs, Supplement. 2020;(s19):113–24.
The Isle of Wight [Internet]. Isle of Wight Natural History and Archaeological Society. 2023. Web.
Zgierska AE, Burzinski CA, Mundt MP, McClintock AS, Cox J, Coe CL, et al. Mindfulness-based relapse prevention for alcohol dependence: Findings from a randomized controlled trial. Journal of Substance Abuse Treatment. 2019;100:8–17.
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