Of course, it becomes a very difficult matter to overcome sparse levels of availability when they are encountered (e.g. In the more remote regions of Western Australia).
Taken together, the issues suggest that the impact of availability policy on the use of alcohol may be as heterogeneous as patterns of availability themselves. The reduction of one outlet in an urban area has significantly different meaning and implications than the reduction of one outlet in a rural outpost. Similarly, the reduction of one outlet on one side of town has different meaning and implications than the reduction of one outlet on another. In this regard, Heather and Stockwell emphasize that, "The outlet in the rural outpost may be the only one for 300 miles. The bar closed at the end of the street may be frequented by most of the neighbourhood, the bar across town rarely used" (218).
For these reasons, although the formulation of economic policies (e.g. beverage taxes, mark-ups, etc.) tend to take place on a more global level (at the levels of states and nations), the formulation of policies to influence physical availability of alcohol can and often does occur at all levels of governance. Thus, it is rarely the case that the price of alcoholic drinks may be influenced at the local level (in Australia this does occasionally occur, often through informal agreements). On the other hand, outlet licensing laws and regulations typically allow input from local communities who wish to restrict the hours and days of sale of alcohol. In the United States, planning and zoning regulations may be used to restrict the distribution of alcohol outlets in community areas and, at the urban level, are the primary determinants of local distributions of availability. At the other extreme, international agreements may restrict labelling and taxation of alcoholic products or ban sales of alcohol altogether. For all these reasons, it is important to be clear about the geographic parameters of a particular alcohol control measure (Heather & Stockwell).
Opponents of more restrictive regulation concerning the availability of alcohol are quick to point out that the pattern of deregulation established in the latter half of the twentieth century has, at least in some instances, been accompanied by declining levels of per capita consumption in some developed countries. For example, Heather and Stock (2004) note that the substantial relaxation of Scotland's liquor licensing laws in 1976 were not associated with increased alcohol consumption in comparison with neighbouring England (these laws permitted trading on Sundays and later trading hours during the week). Deregulation of liquor licensing in Victoria, Australia, in the late 1980s resulted in a dramatic increase in the number of liquor licenses issued but was associated with a decline in overall alcohol consumption (Heather & Stockwell 2004). These issues raise the question as to whether more restrictive liquor licensing regulations reduce alcohol-related problems in different countries.
In some cases, although the answer to the foregoing question is generally "yes" it is also sometimes "no" in other cases depending on the local context (Heather & Stockwell 2004). In this regard, Sheridan (2003) emphasizes that alcohol use is a fundamental part of the culture of many countries and nowhere is this more evident than in Ireland. In this regard, Sheridan advises, "The Irish are more associated with alcohol than most other nations and their fondness for drink is the butt of countless jokes. Tourist advertisements encouraging visitors to Ireland almost always figure a pint or two as part of the campaign. A country with such a reputation, one might expect, would have the most liberal of laws for the consumption of alcohol" (28). Despite this popular perception, though, Ireland has plans to implement more rigid liquor licensing regimens that will help control the public consumption of alcohol in an attempt to reduce the incidence of related automobile accidents and violence. For instance, Sheridan notes that, "Ireland has a love-hate relationship with alcohol. The Irish enjoy a reputation for cordiality: pub culture is the centre of social life and, according to some reports, per capita alcohol consumption is one of the highest in Europe. On the other hand, up to 25 per cent of cases in accident and emergency units in Irish hospitals are alcohol-related, and assaults related to drinking have increased dramatically in recent years" (28).
In response to these disturbing trends, the president of Ireland, Mary McAleese, recently described the Irish attitude to drink as "unhealthy" and "sinister." In 2000 there were almost 15,000 reported cases of public intoxication...
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