In light of the recent Scottish Government consultation into alcohol marketing, SPECTRUM Research Fellow, Dr Alice Tompson, explores the ways in which unhealthy commodity industries exploit the consultation process to influence policy that favours profits over public health. As the deadline for responding to the Scottish Government’s consultation on the advertising and promotion of alcohol nears, it’s a timely moment to reflect on how industry actors have responded to similar consultations in the past in an effort to influence public health policy. SPECTRUM researchers have investigated the tactics and arguments used across unhealthy commodity industries to influence public health policymaking in this way, providing evidence and insight into how the alcohol industry might respond to the current consultation. Why does it matter? Governments, parliamentary committees and international organisations - such as the World Health Organization (WHO) - use consultations to collate the views of the public, organisations and businesses on proposed policy changes. The current Scottish Government consultation asks a range of questions about different aspects of alcohol advertising and promotion and how they might be regulated in future, recognising that alcohol marketing is currently ingrained into our daily lives in multiple ways. The analyses of responses to the consultation will have important policy and public health implications for Scotland and further afield. The findings will provide a contemporary assessment of the evidence in favour and against introducing restrictions, which may be cited by those keen to replicate, or oppose, the same package of controls elsewhere. Why do industry actors respond? Industry players recognise that consultations offer an important avenue through which to influence policy as part of their corporate political activities1. Industry bodies, such as the Scottish Alcohol Industry Partnership, encourage responses arguing against tighter public health controls by providing templates and supporting documents2. Industry actors and organisations also issue statements and press releases, contributing to media coverage and publicising their concerns3, helping to further pro-industry messages, encourage more submissions and influence other’s responses. Selective use of evidence Research has revealed that unhealthy commodity industry responses draw on a limited and sometimes low-quality evidence base to back up their claims. For example, analysis of the factual claims made within submissions to WHO consultations by ultra-processed food organisations found that only about half were backed up by evidence and two-thirds of the cited pieces of evidence were industry-funded or linked4. Very few (5%) of claims drew on peer-reviewed, independent research but these claims failed to accurately represent the source. What arguments do they use? Analysis of industry responses to tobacco, alcohol and food consultations reveals the repetition of similar narratives. These include claims about the i) economic harms of strengthened public health controls5; ii) the cultural and/or social significance of their products in everyday life; iii) the importance of consumer choice6 and iv) positioning themselves as “responsible partners” in the policy making process7,8. For example, industry responses to the London Food Strategy consultation were found to underplay potential policy benefits through warning of negative economic consequences and undermining the evidence on which the proposals were based9. Instead, they argued for a partnership approach. Elsewhere, private sector replies to the WHO’s consultation on its global strategy to reduce harmful alcohol use were found to frame the problem as one of individual responsibility that requires targeted controls10, despite evidence for the effectiveness and cost-effectiveness of population-level measures in reducing alcohol related harms11. Effective evidence-based public health responses It’s vital that governments are aware of industry strategies to influence public health policy through the consultation process. Responses led by the public health community can help to address this by providing evidence-based counter arguments, as well as helping to offset the volume of industry-associated submissions. Public health responses can challenge commonly used industry framings by illustrating that they are not backed by evidence. This might be through highlighting the harmful externalities of industry activities omitted from narrowly focused or short-term economic arguments. Meanwhile, public health responses can draw on the growing evidence base to back-up their claims. Where there are gaps in evidence, this may be due to industry influence in controlling the funding of research, shaping how problems are perceived and which interventions are selected for evaluation (for example, the favouring of research into ‘responsible’ consumption over structural controls10). Drawing attention to this can help counter industry positions and support the development of policies to protect public health. Related links Scottish Government consultation on alcohol advertising and promotion View previous SPECTRUM consultation submissions related to unhealthy commodities, the commercial determinants of health and health inequalities. View SPECTRUM consultation responses. Acknowledgements The idea for this blog was developed with Dr Lauren Carters-White, who kindly commented on draft versions along with Professor Mark Petticrew. References Lauber K, Rippin H, Wickramasinghe K, Gilmore AB. Corporate political activity in the context of sugar-sweetened beverage tax policy in the WHO European Region. Eur J Public Health. 2022;32(5):786-793. doi:10.1093/eurpub/ckac117 Scottish Alcohol Industry Partnership. 2023. Respond to the consultation: closing date Thursday 9 March 2023. Available from: https://www.saip.org.uk/news/consultationmar23 [Accessed 8 March 2023] Scottish Alcohol Industry Partnership. 2022. SAIP statement in response to launch of Scottish Government’s Alcohol Marketing Consultation. Available from: https://www.saip.org.uk/news/statementnov22 [Accessed 8 March 2023] Lauber K, McGee D, Gilmore AB. Commercial use of evidence in public health policy: a critical assessment of food industry submissions to global-level consultations on non-communicable disease prevention. BMJ Glob Health. 2021;6(8):e006176. doi:10.1136/bmjgh-2021-006176 Lauber K, Rippin H, Wickramasinghe K, Gilmore AB. Corporate political activity in the context of sugar-sweetened beverage tax policy in the WHO European Region. Eur J Public Health. 2022;32(5):786-793. doi:10.1093/eurpub/ckac117 Williams S, Hill SE, Oyebode O. 'Choice should be made through… educated decisions not regressive dictates': discursive framings of a proposed 'sugar tax' in Bermuda: analysis of submissions to a government consultation. Global Health. 2022;18(1):89. Published 2022 Oct 21. doi:10.1186/s12992-022-00877-7 Ralston R, Hil SE, da Silva Gomes F, Collin J. Towards Preventing and Managing Conflict of Interest in Nutrition Policy? An Analysis of Submissions to a Consultation on a Draft WHO Tool. Int J Health Policy Manag. 2021;10(5):255-265. Published 2021 Mar 15. doi:10.34172/ijhpm.2020.52 Carters-White L, Chambers S, Skivington K, Hilton S. Whose rights deserve protection? Framing analysis of responses to the 2016 Committee of Advertising Practice consultation on the non-broadcast advertising of foods and soft drinks to children. Food Policy. 2021;104:102139. doi:10.1016/j.foodpol.2021.102139 Lauber K, Hunt D, Gilmore AB, Rutter H. Corporate political activity in the context of unhealthy food advertising restrictions across Transport for London: A qualitative case study. PLoS Med. 2021;18(9):e1003695. Published 2021 Sep 2. doi:10.1371/journal.pmed.1003695 Rinaldi C, van Schalkwyk MC, Egan M, Petticrew M. A Framing Analysis of Consultation Submissions on the WHO Global Strategy to Reduce the Harmful Use of Alcohol: Values and Interests. Int J Health Policy Manag. 2021 Jun 26;11(8):1550–61. doi: 10.34172/ijhpm.2021.68. Epub ahead of print. PMID: 34273930; PMCID: PMC9808336. Public Health England. 2016. The Public Health Burden of Alcohol and the Effectiveness and Cost-Effectiveness of Alcohol Control Policies: An evidence review. Available from: https://www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review [Accessed 8 March 2023] van Schalkwyk, M C I, Blythe, J, McKee, M, Petticrew, M. Gambling Act review BMJ 2022; 376 :o248 doi:10.1136/bmj.o248 This article was published on 2023-03-09