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In this article, we critically reflect on the constitution of the UK's alcohol problem in the government's 'Safe, Social, Sensible' policy document, referring to findings from a 3-year ESRC funded study on young people, alcohol and identity. We suggest that discursive themes running throughout 'Safe, Sensible, Social' include 'shared responsibility' for implementing a 'cultural change', 'youth and binge drinking' and the need to promote 'sensible' levels of alcohol consumption to individual drinkers. We argue that, in constituting the problem around these themes, the policy document risks diluting responsibility and obscuring the role of government, media and alcohol manufacturers. In addition, the way young drinkers are constituted carries a risk of isolating this group as both cause and effect of the alcohol problem, placing an unrealistic burden of responsibility on local communities and agencies and exacerbating the gap between policy assumptions and the lived reality of young drinkers within their cultural context. We conclude that alcohol policy requires a more substantive, clearly specified and evidence-based approach which acknowledges the complexities of drinking contexts and drinker motivations in the allocation of responsibility and formulation of policy. In particular, policy needs to address the role of legislation and licensing laws, and the branding and marketing activities of the drinks industry in the structure of UK alcohol consumption. [ABSTRACT FROM AUTHOR]

Focuses on the prevention of cancer, cardiovascular disease, and diabetes. Incidence of the diseases in the U.S. and Great Britain; Report that the conditions have common risk factors, including smoking, obesity, and physical inactivity; Efforts of public health officials to encourage the prevention of disease through healthy lifestyle promotion; Impact of research on the potential for diseases prevention; Significance of obesity and physical inactivity on the risk for diseases; Critique of cancer-prevention research in the U.S. and Great Britain.

Background: There is international interest in risk-stratification of breast screening programmes to allow women at higher risk to benefit from more frequent screening and chemoprevention. Risk-stratification also identifies women at low-risk who could be screened less frequently, as the harms of breast screening may outweigh benefits for this group. The present research aimed to elicit the views of national healthcare policy decision-makers regarding implementation of less frequent screening intervals for women at low-risk.Methods: Seventeen professionals were purposively recruited to ensure relevant professional group representation directly or indirectly associated with the UK National Screening Committee and National Institute for Health and Care Excellence (NICE) clinical guidelines. Interviews were analysed using thematic analysis.Results: Three themes are reported: (1) producing the evidence defining low-risk, describing requirements preceding implementation; (2) the impact of risk stratification on women is complicated, focusing on gaining acceptability from women; and (3) practically implementing a low-risk pathway, where feasibility questions are highlighted.Conclusions: Overall, national healthcare policy decision-makers appear to believe that risk-stratified breast screening is acceptable, in principle. It will however be essential to address key obstacles prior to implementation in national programmes. [ABSTRACT FROM AUTHOR]