4.4 Review

Online alcohol sales and home delivery: An international policy review and systematic literature review

Journal

HEALTH POLICY
Volume 125, Issue 9, Pages 1222-1237

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.healthpol.2021.07.005

Keywords

Alcohol drinking; Alcoholic beverages; Internet; Government regulation; Public policy; Policy

Funding

  1. Australian Rechabite Foundation Research Project Funding Grant
  2. Australian Government Research Training Program Scholarship
  3. National Health and Medical Research Council Early Career Fellowship [1140292]
  4. National Health and Medical Research Council Career Development Fellowship [1148792]
  5. National Health and Medical Research Council of Australia [1140292] Funding Source: NHMRC

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Online alcohol sales are growing rapidly worldwide, especially during the COVID-19 pandemic. However, regulations vary widely among jurisdictions and may not be sufficient to prevent youth access to alcohol.
Background: Online alcohol sales are experiencing rapid growth in many places, accelerated by the COVID-19 pandemic, prompting new laws and regulations. There are no comprehensive and systematic analyses of the laws or their effectiveness. Objective: To summarise international policies governing online alcohol sale and delivery, including changes occurring with COVID-19, and examine available evidence of retailer compliance with such poli-cies. Method: A policy review of 77 jurisdictions in six English-speaking OECD countries: United States, Canada, United Kingdom, Ireland, Australia and New Zealand. We synthesised policies according to ten elements identified as potentially relevant for public health regulation. A systematic literature review of compliance evaluations in Medline, Medline Epub, EMBASE, CINAHL, Web of Science and Google Scholar. Results: 72 of 77 jurisdictions permitted online alcohol sales and home delivery. Few jurisdictions re-quire age verification at the time of purchase ( n = 7), but most require it at delivery ( n = 71). Since the COVID-19 pandemic began, most jurisdictions (69%) have either temporarily or permanently relaxed liquor regulations for alcohol home delivery. Three articles examined retailer compliance with age restric-tions and found relatively low compliance (0%-46%). Conclusion: Many jurisdictions permit the online sale and delivery of alcohol, but regulation of these sales varies widely. In most, regulations do not meet the same standard as bricks-and-mortar establishments and may be insufficient to prevent youth access. (c) 2021 Elsevier B.V. All rights reserved.

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