"I Wouldn't Be Friends with Someone If They Were Liking Too Much Rubbish": A Qualitative Study of Alcohol Brands, Youth Identity and Social Media

The consumption of alcohol by young people remains a major public health concern at both the national and international level. Levels of drinking among 15‐year olds in the United Kingdom (UK) remain significantly higher than the European average. This study explored how alcohol brands are used by young people to develop their desired identities and how these acts of consumption extend to young people's profiles on social media. It also deepens understanding of how alcohol brands are connected to young peoples' concerns about image and peer group dynamics. This involved qualitative focus groups with young people aged 14-7 in Central Scotland. Certain alcohol brands were approved and viewed as socially acceptable by young people, while others were rejected. Children as young as 14 were selecting products to portray a drinking identity that was appropriately aligned to their gender and sexuality. Participants displayed a desire to associate themselves with the mature drinking culture personified by some brands, whilst simultaneously distancing themselves from immature drinking practices associated with others. Publicly associating with alcohol brands on social media carried with it potential risks to peer group acceptance. Understanding how young people perceive alcohol brands, the importance of social media in communicating that identity to their peers and the role that alcohol brands play in adolescent identity formation is an important first step to reforming alcohol marketing regulations

"What are you meant to do when you see it everywhere?": Young people, alcohol packaging and digital media

The consumption of alcohol plays an important part in the way in which people create identities and live their social lives. Alcohol brands become embedded in everyday life through marketing practices, and this is amplified by an increase in new technologies that facilitate the transference of marketing messages. This research explores how alcohol brands use social networking sites (SNS) and packaging as part of their repertoire of marketing activities, and how users respond to these activities

The Response of Retailers in Scotland to the Standardised Packaging of Tobacco Products Regulations and Tobacco Products Directive

Introduction With most marketing channels prohibited, the retail environment has assumed greater importance for tobacco companies, even in markets with a ban on the open display of tobacco products. Research has yet to qualitatively explore how retailers respond to standardized packaging in a country where this has been introduced. Methods As part of the DISPLAY study, face-to-face interviews were conducted with 24 small retailers in Scotland between May 23 and June 26, 2017; the interviews were conducted after The Standardised Packaging of Tobacco Products Regulations and the Tobacco Products Directive were fully implemented. Results We found high retailer compliance with the legislation. With price-marked packs and packs containing less than 20 cigarettes and 30 g of rolling tobacco banned, retailers stated that this helped simplify ordering and stock management. The removal of price-marked packs also allowed them some flexibility to set their own prices, but many chose to stick closely to recommended retail price in order to remain competitive and avoid complaints from customers. In contrast to one of the tobacco industry’s arguments against standardized packaging, most retailers suggested that transaction times had not increased, even though the changes had only recently come into force. Conclusions This study challenges some of the arguments used against standardized packaging and provides an insight into the storage and pricing strategies adopted by retailers following the removal of price-marked packs. Implications This study explores the response of the retailers to the introduction of standardized tobacco packaging and provides an insight into the storage and pricing strategies adopted by retailers following the removal of price-marked packs. It explores the importance of the retailer in tobacco companies’ desire to maintain tobacco sales and challenges some of the arguments used against standardized packaging, such as an increase in transaction times. Countries seeking to introduce standardized packaging should monitor the experiences of retailers, preferably from preimplementation through to post implementation, to help understand how retailers respond to this policy and to inform compliance

Impact of Broadband Seismology on the Understanding of Strong Motions

Most analyses of strong motion attenuation assume simple whole-space type geometrical spreading, namely (1/R) or its modified form e^(−kR/R). However, broadband data presently becoming available suggests a more complex behavior with substantial crustal effects. Events such as the Sierra Madre event, M = 5.8, triggered the strong motion channels at all of the TERRAscope stations allowing for 0.01-sec sampling of the wavefield. We find that most of the well-defined crustal bodywave arrivals defined and modeled in the 1 to 0.1-hz bandpass also contain high-frequency energy. By comparing the triggered channels with the continuous channels we see that several of the more distant stations triggered on the depth phase sP_(m)P. These phases as well as the depth phase sS_(m)S are obvious in velocity and quite apparent in accelerations. Our best models for Southern California contain a relatively thick low-velocity layer at the surface, roughly 5 km thick with shear velocities below 3 km/sec. This layer or zone, because it appears to vary considerably, controls the wavefield at nearly all frequencies out to about 60 km and yields attenuation decay faster than (1/R). At large ranges the lower crustal triplications dominate and the attenuation curve flattens. Adding random scatters to these layered models adds additional complexity but does not alter the basic flat-layer predictions

Tobacco companies' use of retailer incentives after a ban on point-of-sale tobacco displays in Scotland

Introduction  Incentives have been used by tobacco companies for many years to encourage retailers to sell and promote their products. However, few studies have examined the use of retailer incentives in countries with a ban on the open display of tobacco products in stores. Methods  As part of the DISPLAY(Determining the Impact of Smoking Point of Sale Legislation Among Youth) study, annual qualitative interviews were conducted with 24 small retailers in four Scottish communities. This article focuses on data collected in June to July 2015 and June to July 2016 after a ban on the open display of tobacco was fully implemented in Scotland. Results  Retailers described being offered and benefiting from a range of financial and other incentives, typically offered via tobacco company representatives ('reps'). Most of the retailers received tobacco manufacturer support for converting their storage unit to be compliant with the new regulations, and several participated in manufacturer 'loyalty' or 'reward' schemes. Incentives were additionally offered for maintaining stock levels and availability, positioning brands in specified spaces in the public-facing storage units (even though products were covered up), increasing sales, trialling new products and participating in specific promotions, such as verbally recommending specific brands to customers. Conclusions  Even in a market where the open display of tobacco is prohibited, tobacco companies continue to incentivise retailers to sell and promote their brands and have developed new promotional strategies. For countries that have implemented tobacco display bans, or are considering doing so, one option to combat these practices would be to ban promotional communications between manufacturers and retailers

Foul play? Alcohol marketing during UEFA EURO 2016

BACKGROUND: International football tournaments provide a high-profile platform for alcohol marketing. UEFA EURO 2016, however, was held in France where the national law governing alcohol advertising and sports sponsorship (the ‘Loi Évin’) was the most restrictive to apply in the tournament’s history. This study examined alcohol marketing references in the UEFA EURO 2016 football tournament through broadcasts in the UK, France, and Republic of Ireland. METHODS: Eighteen matches were selected, representing each of the tournament stages. All of these were recorded as broadcast in the UK. Ten of the 18 matches were recorded as broadcast in Ireland and eight were recorded as broadcast in France. A customised tool was used to identify and categorise all alcohol marketing references (e.g. location, duration, brand featured, and number of identical references). A reference was defined as any reference to an alcohol brand, lasting one second or more and included electronic and static pitch-side advertising, branded merchandise, television advertisements, sponsor lead-ins and branded packaging. RESULTS: On average, there were more than 100 alcohol marketing references per broadcast in each country. The average number of alcohol marketing references per minute was 0.69 in French broadcasts, 0.65 in the UK broadcasts, and 0.59 in Irish broadcasts. Most references appeared during the match, where the footage was the same in all three countries. The most popular location and format was electronic pitch-side advertising. Almost all the marketing references were indirect (i.e. the brand was only identifiable from signifiers such as phrases from the brand slogan). There were limited differences between the three countries. CONCLUSIONS: The frequency of references to alcohol marketing was high. Although the overall proportion of direct brand references was low, the high proportion of indirect references demonstrates that alcohol producers were able to circumvent the Loi Évin using ‘alibi marketing’. The limited differences between the three countries highlight the importance of a host nation’s regulations for international tournaments. Regulations to limit alcohol advertising need to be rigorously enforced and monitored, with clear lines of accountability explicitly outlined in law

Implementing emergency department-based HIV testing in a low-resource setting: The value of a structured feasibility assessment tool

Introduction: HIV is a worldwide health problem with continuing high rates of new infections in many parts of the world. This lack of progress in decreasing overall incidence rates has sparked innovative HIV testing strategies, including expansion of testing into the emergency department (ED) setting. Emergency departments have been shown to be high-yield testing venues in the United States and other developed world settings. The feasibility of expanding public health HIV services in the ED in limited-resource countries is unclear.Methods: We performed a cross-sectional feasibility assessment of a convenience sample of four hospitals in the Eastern Cape, South Africa. We administered three adapted interview tools from a previously field-tested survey instrument at each facility (total of 10 interviews) to gather an overview of the health facility, their HIV counselling and testing services, and their laboratory services.Results: All of the health facilities had access to basic commodities such as water and electricity. Many had severe human resource limitations and provided care to wide population catchment areas. In addition, there was little integration of HIV testing into current daily ED operations. Hospital staff identified numerous barriers to future ED testing efforts.Conclusions: Although control of the HIV epidemic requires innovative testing strategies and treatment, specific assessments are warranted on how to incorporate routine HIV testing into an acute care facility like the ED, which typically has many competing priorities. The use of a prospective structured tool incorporating both barriers and benefits can provide valuable field-tested guidance for increased programme planning for HIV testing

Prevalence and socio-demographic correlates of cooking skills in UK adults: cross-sectional analysis of data from the UK National Diet and Nutrition Survey

Background Poor cooking skills may be a barrier to healthy eating and a contributor to overweight and obesity. Little population-representative data on adult cooking skills has been published. We explored prevalence and socio-demographic correlates of cooking skills among adult respondents to wave 1 of the UK National Diet and Nutrition Survey (2008–9).  Methods Socio-demographic variables of interest were sex, age group, occupational socio-economic group and whether or not respondents had the main responsibility for food in their households. Cooking skills were assessed as self-reported confidence in using eight cooking techniques, confidence in cooking ten foods, and ability to prepare four types of dish (convenience foods, a complete meal from ready-made ingredients, a main meal from basic ingredients, and cake or biscuits from basic ingredients). Frequency of preparation of main meals was also reported.  Results Of 509 respondents, almost two-thirds reported cooking a main meal at least five times per week. Around 90% reported being able to cook convenience foods, a complete meal from ready-made ingredient, and a main dish from basic ingredients without help. Socio-demographic differences in all markers of cooking skills were scattered and inconsistent. Where these were found, women and main food providers were most likely to report confidence with foods, techniques or dishes, and respondents in the youngest age (19–34 years) and lowest socio-economic group least likely.  Conclusions This is the only exploration of the prevalence and socio-demographic correlates of adult cooking skills using recent and population-representative UK data and adds to the international literature on cooking skills in developed countries. Reported confidence with using most cooking techniques and preparing most foods was high. There were few socio-demographic differences in reported cooking skills. Adult cooking skills interventions are unlikely to have a large population impact, but may have important individual effects if clearly targeted at: men, younger adults, and those in the least affluent social groups

Patient and provider attitudes to emergency department-based HIV counselling and testing in South Africa

Background: The national South African HIV Counselling and Testing (HCT) guidelines mandate that voluntary counselling and testing (VCT) should be offered in all healthcare facilities. Emergency departments (EDs) are at the forefront of many healthcare facilities, yet VCT is not routinely implemented in this setting.Methods: We conducted a cross-sectional study that surveyed patients and healthcare providers at a tertiary care ED in the spring and summer of 2016 to ascertain their attitudes to VCT in the ED. We also used two previously validated survey instruments to gather data on patients’ HIV knowledge and providers’ stigma against patients living with HIV, as we anticipated that these may have an impact on providers’ and patients’ attitudes to the provision of HIV testing within the ED, and may offer insights for future intervention development.Results: A total of 104 patients and 26 providers were enrolled in the study. Overall, patients responded more favourably to ED-based HIV testing (92.3%) compared to providers (only 40% responded favourably). When asked about potential barriers to receiving or providing HIV testing, 16.4% of patients and 24% of providers felt that the subject of HIV was too sensitive and 58.7% of patients and 80% of providers indicated that privacy and confidentiality issues would pose major barriers to implementing ED-based HIV testing.Conclusion: This study shows that while ED-based HIV testing is overall highly acceptable to patients, providers seem less willing to provide this service. The survey data also suggest that future development of ED-based testing strategies should take into consideration privacy and confidentiality concerns that may arise within a busy emergency care setting. Furthermore, every effort should be made to tackle HIV stigma among providers to improve overall attitudes towards HIV-positive individuals that present for care in the ED