The impact of alcohol minimum unit pricing on people with experience of homelessness: Qualitative study
| dc.contributor.author | Emslie, Carol | |
| dc.contributor.author | Dimova, Elena | |
| dc.contributor.author | O'Brien, Rosaleen | |
| dc.contributor.author | Whiteford, Martin | |
| dc.contributor.author | Johnsen, Sarah | |
| dc.contributor.author | Rush, Robert | |
| dc.contributor.author | Smith, Iain D. | |
| dc.contributor.author | Stockwell, Tim | |
| dc.contributor.author | Whittaker, Anne | |
| dc.contributor.author | Elliott, Lawrie | |
| dc.date.accessioned | 2023-11-23T23:57:44Z | |
| dc.date.available | 2023-11-23T23:57:44Z | |
| dc.date.copyright | 2023 | en_US |
| dc.date.issued | 2023 | |
| dc.description | We would like to acknowledge the important contribution of our partners Homeless Network Scotland, particularly Peter Anderson, as well as Heather Strachan, Rowena Smith, our steering and stakeholder groups, partner organizations who assisted with recruitment and, most of all, the participants. Thank you also to two anonymous reviewers for their constructive comments on the paper. | en_US |
| dc.description.abstract | Background: Alcohol Minimum Unit Pricing (MUP) was introduced in Scotland in May 2018. Existing evidence suggests MUP can reduce alcohol consumption in the general population, but there is little research about its impact on vulnerable groups. This qualitative study explored experiences of MUP among people with experience of homelessness. Methods: We conducted qualitative semi-structured interviews with a purposive sample of 46 people with current or recent experience of homelessness who were current drinkers when MUP was introduced. Participants (30 men and 16 women) were aged 21 to 73 years. Interviews focused on views and experiences of MUP. Data were analysed using thematic analysis. Results: People with experience of homelessness were aware of MUP but it was accorded low priority in their hierarchy of concerns. Reported impacts varied. Some participants reduced their drinking, or moved away from drinking strong white cider, in line with policy intentions. Others were unaffected because the cost of their preferred drink (usually wine, vodka or beer) did not change substantially. A minority reported increased involvement in begging. Wider personal, relational and social factors also played an important role in responses to MUP. Conclusion: This is the first qualitative study to provide a detailed exploration of the impact of MUP among people with experience of homelessness. Our findings suggest that MUP worked as intended for some people with experience of homelessness, while a minority reported negative consequences. Our findings are of international significance to policymakers, emphasising the need to consider the impact of population level health policies on marginalised groups and the wider contextual factors that affect responses to policies within these groups. It is important to invest further in secure housing and appropriate support services and to implement and evaluate harm reduction initiatives such as managed alcohol programmes. | en_US |
| dc.description.reviewstatus | Reviewed | en_US |
| dc.description.scholarlevel | Faculty | en_US |
| dc.description.sponsorship | This study was funded by the Scottish Government Chief Scientist Office. Project code: HIPS/18/43. | en_US |
| dc.identifier.citation | Emslie, C., Dimova, E., O'Brien, R., Whiteford, M., Johnsen, S., Rush, R., ... Elliott, L. (2023). The impact of alcohol minimum unit pricing on people with experience of homelessness: Qualitative study. International Journal of Drug Policy, 118, 104095. https://doi.org/10.1016/j.drugpo.2023.104095 | en_US |
| dc.identifier.uri | https://doi.org/10.1016/j.drugpo.2023.104095 | |
| dc.identifier.uri | http://hdl.handle.net/1828/15645 | |
| dc.language.iso | en | en_US |
| dc.publisher | International Journal of Drug Policy | en_US |
| dc.subject | Canadian Institute for Substance Use Research (CISUR) | |
| dc.subject | Minimum unit pricing (MUP) | |
| dc.subject | Homelessness | |
| dc.subject | Alcohol | |
| dc.subject | Public health | |
| dc.subject.department | Department of Psychology | |
| dc.title | The impact of alcohol minimum unit pricing on people with experience of homelessness: Qualitative study | en_US |
| dc.type | Article | en_US |