Ineffective, meaningless, inequitable: analysis of complaints to a voluntary alcohol advertising code

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     Ineffective, meaningless,
       inequitable: analysis of
     complaints to a voluntary
      alcohol advertising code
                  Nicki Jackson, Nathan Cowie, Amy Robinson

A
       otearoa New Zealand has a vision of      mendations and strong public support for
       being the best place in the world for    increasing restrictions.8 The main mech-
       children and young people: a place       anism is a voluntary code of practice, known
where children live in healthy, sustainable     as the Advertising Standards Authority
environments.1 Compromising this vision is      (ASA) Code for Advertising and Promotion of
the harmful ubiquity of alcohol advertising     Alcohol (the ‘Code’). The ASA is a self-regu-
across children’s everyday settings.            latory body comprising advertisers, agencies
   Exposure to alcohol advertising is shown     and the media.9 Advertising complaints are
to increase the likelihood of children and      received from the public and determined to
young people initiating drinking earlier and    be ‘settled’ if the advertiser does not contest
consuming larger amounts of alcohol.2–4 A       the complaint and voluntarily removes
recent analysis suggests this relationship is   the advertisement without proceeding to
causal.4 Exposure is also highly inequitable,   a Complaints Board meeting, or ‘upheld’
with tamariki Māori being five times, and       or ‘not upheld’ against the relevant Code
Pacific children three times, more likely       principle and/or guideline following an
to be exposed than other New Zealand            ASA Complaints Board meeting (comprising
children.5 One key source of this exposure      four industry and five public members). A
is alcohol sports sponsorship.5 Protection      user-pays Liquor Advertising and Promotion
from harm during the adolescent period is       Pre-vetting System (LAPPS) is available to
of critical importance, given the heightened    advertisers to check compliance with the
vulnerability of adolescents to the devel-      Code, but approval is only a prerequisite for
opment of alcohol use disorders (AUD),          broadcasting televised alcohol commercials
which has been demonstrated in one New          as part of the Commercial Approvals Bureau
Zealand population-based study showing          process.
that almost 50% of cases of AUD had                The Code centres on advertising content
developed by the age of 20 years.6              and does little to limit the amount of
  Others particularly vulnerable to the         marketing that New Zealanders are exposed
effects of marketing include individuals with   to. It does not attempt to address the ineq-
AUD. Alcohol advertisements, especially the     uities in exposure to advertising or harms
portrayal of drinking, may induce physio-       from alcohol. At the time of writing, controls
logical cue reactivity, increasing cravings     on exposure include a television watershed
and motivation to drink among alcohol-de-       and a limit on the number of alcohol adver-
pendent persons.7 Advertising therefore         tisements per commercial break. Also,
hinders the social permission of many New       broadcasters are to avoid the impression
Zealanders to successfully cut down their       that alcohol advertisements are dominating
drinking or remain sober.                       the viewing or listening period. There are
                                                limited controls on placement; advertising
  Although tobacco advertising and spon-
                                                must be directed at adults, not minors.
sorship has been prohibited in New Zealand
                                                However, the Code permits exposing minors
for decades, alcohol advertising controls
                                                to alcohol marketing where minors make up
remain weak despite a series of recom-

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                                                                            NZMJ 19 February 2021, Vol 134 No 1530
                                                                            ISSN 1175-8716           © NZMA
                                                                            www.nzma.org.nz/journal
letter

less than 25% of the audience. An updated          Other sponsorship-related complaints
Alcohol Advertising and Promotion Code             during this period did not get recorded
will come into effect from 1 April 2021.           against this principle, as the Code requires
The following analysis highlights results          that advertisements found to breach Guide-
published in a larger report.10                    lines 4(a) to 4(e) of Principle 4 are then
                                                   assessed by the Complaints Board under
              Methods                              Principles 1 to 3, and not Principle 4.
  ASA complaints were obtained from the              A range of issues were described in the
ASA’s public facing website (https://www.asa.      complaints, including the promotion of
co.nz/decisions/search-browse-decisions/).         health and lifestyle benefits of alcohol,
All complaints made to the ASA in relation         promoting alcohol as a coping mech-
to the Code from 1 January 2017 through 30         anism, sexualisation of women, location
June 2020 (42 months) were identified and          on billboards very close to school grounds,
assessed. Complaints determined as having          promotion of drinking games and use of
‘no grounds to proceed’ and ‘no jurisdiction’      persons or groups that have strong appeal
were excluded from analysis, as were               to minors (known as ‘heroes of the young’ in
appeals to complaints.                             the Code).
  Data from each complaint were extracted            In total, 196 assessments were made
on alcoholic beverage type, advertising            against the Code’s principles and guide-
medium, Code principle(s) and complaint            lines, of which 40% of assessments were
outcome. Where possible, the duration              settled, 36% were not upheld and 24%
from complaint submission to issue of the          were upheld. The duration of time from
decision was calculated.                           complaint submission to decision was
                                                   known for 40% of complaints—these were
                Results                            complaints submitted by the authors or by
                                                   community members and organisations
  In total, 73 complaints were identified, of      known to the authors. Among these, the
which the ASA deemed 17 had no grounds to          mean duration was 39 days (SD 18). Settled
proceed and one had no jurisdiction. There         complaints had a shorter average duration
were two appeals to complaint decisions.           (M=29 days; SD 16) than complaints that
  The remaining 55 complaints represented          proceeded to the Complaints Board (M=47
more than 60 individual advertisements,            days; SD 15).
as some complaints featured multiple
advertisements. One in eight advertise-
ments featured across more than one
                                                              Discussion
                                                      Firstly, the relatively low number of
media channel. More than one-half (58%)
                                                   complaints must be viewed with extreme
of complaints related to social and digital/
                                                   caution. The ASA runs a complaints-
electronic media and 30% related to tradi-
                                                   based process that relies on the public’s
tional media (eg, TV, radio, print, billboards).
                                                   knowledge of the Code as well as their
Around one-third (38%) of complaints
                                                   time to submit a complaint. There remains
related to beer, 27% to spirits, 13% to
                                                   no active or systematic monitoring of
pre-mixed spirits and 11% to wine.
                                                   alcohol advertisements by the ASA or any
  More than one-half (56%) of complaints           other agency, even for advertisers who
were assessed against more than one prin-          frequently breach the Code. Secondly,
ciple of the Code. Principle 1 (high standard      personalised and uniquely targeted adver-
of social responsibility) comprised more           tising now dominates the digital world of
than one-half (60%) of assessments, followed       alcohol marketing,11 making it impossible
by Principle 3 (appeal to minors, 22% of           for harm reduction agencies to systemat-
complaint assessments) and Principle 2             ically identify and track advertisements
(consistency with moderation in drinking,          and monitor compliance with the Code.
15% of complaint assessments). Although            This leaves the onus on vulnerable persons
a number of complaints were made                   uniquely targeted by digital marketing to
against Principle 4 (sponsorship), only one        make a complaint, which risks widening
complaint was assessed under this principle,       the inequities in harm.
and this complaint was deemed settled.

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                                                                              NZMJ 19 February 2021, Vol 134 No 1530
                                                                              ISSN 1175-8716           © NZMA
                                                                              www.nzma.org.nz/journal
letter

  It is unsurprising that digital marketing     on social media advertising found a large
was the dominant media form in                  number of Facebook and Instagram alcohol
complaints against alcohol advertisements,      advertisements were not equipped with
given their proliferation on digital media      age limit restrictions.15 In relation to print
in recent times. Digital advertising gives      advertising, an ASA decision considered
marketers a low-cost and far-reaching           that newspapers were a restricted medium
means of targeting unique audiences and         (for adults) and so permitted the use of,
engaging them through to the point of           or reference to, identifiable heroes of the
sale. Studies show an association between       young in alcohol advertisements.
engagement with digital alcohol marketing          It was deeply concerning that some
and increased alcohol consumption and           advertisements promoted alcohol as a
hazardous drinking behaviour, particu-          coping mechanism, using words such as
larly in young people.12 It is suggested that   “therapy,” “feeling bit under the weather”
responses to this threat to children’s well-    and “Need a pick-me-up?” Alcohol is
being is lagging far behind, with voluntary     well-known as a maladaptive coping mech-
codes being inflexible in response to           anism, as it increases the risk of problem
the fast-changing nature of digital             drinking and places at risk both dependent
marketing.11,13 Efforts are needed that focus   drinkers and those that are in emotionally
on regulating the online environment at the     vulnerable situations, due to their
platform level through a coordinated global     heightened susceptibility to alcohol adver-
response.                                       tising.16 Of concern was the weak sanction
  Although the majority (64%) of complaint      for one wine company, which was found to
assessments resulted in the advertisement       have displayed a non-compliant label but
being removed or amended, the length            was able to sell their remaining stock as
of time to decision often meant that the        long as they did not actively promote the
standard advertising cycle had finished. As     product.
an example, the Complaints Board took six         One alcohol producer had five complaints
weeks to reach a decision on a complaint        over the time period examined. In response
against an advertisement that featured a        to the complaints, the producer stated
sportsperson who had strong appeal to           that they “would strongly encourage” the
minors, and other decisions took over 60        complainant “to click ‘UNLIKE’ and stop
days. This represents a substantial length of   viewing the page” (ASA 20/056). In response
time that vulnerable groups are exposed to      to media attention on another complaint,
marketing violations.                           a spirits producer told the media that “any
   Non-compliant advertisements can also        publicity is good publicity.”17 There are no
remain permanently in the digital media         incentives for advertisers to voluntarily
space. One non-compliant beer adver-            comply with the Code, as the ASA is unable
tisement video (a global beer brand’s           to apply sanctions or penalties to advertisers
Facebook page featuring user-generated          who are found to breach the Code, even if
content of a local secondary school student     they are repeat offenders.
in uniform) continues to be accessible in         The use of pre-vetting by advertisers
the social media accounts of private indi-      was rarely noted in ASA decisions, likely
viduals. The complaint (ASA 19/461) notes       reflecting the confidential nature of the
that the advertisement had been viewed          pre-vetting process. In Australia, signa-
over 110,000 times before the complaint was     tories to the self-regulatory alcohol
submitted.                                      advertising code are required to pre-vet
  Among advertisers responding to               all television, radio, cinema and outdoor
complaints, there was a heavy reliance on       advertising.18 Mandatory pre-vetting is
using age-verification/age-gating mech-         recommended given the potential to reduce
anisms on websites and social media to          non-compliance19 (as found following the
effectively restrict their advertising to       introduction of mandatory pre-vetting
adult audiences. Website age-verification       for prescription drug advertising in New
processes used by alcohol companies are         Zealand)20, but it could never be a solution
deemed ineffective because they are easily      to reducing harm in the presence of a weak,
circumvented.14 One study of age-limits         voluntary advertising code.

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                                                                            NZMJ 19 February 2021, Vol 134 No 1530
                                                                            ISSN 1175-8716           © NZMA
                                                                            www.nzma.org.nz/journal
letter

   Evidence shows self-regulatory                      advertising and sponsorship as one of the
approaches are ineffective at addressing               most cost-effective measures to reduce
the harmful content of, and widespread                 alcohol harm.25
exposure to, alcohol advertisements.21                   Reducing the inequities in exposure to
Protecting communities from the adver-                 alcohol advertising can only be achieved
tising and promotion of alcohol should                 via equity-promoting marketing restrictions
never be left to an ineffective voluntary              that protect our most vulnerable. Priority
code of compliance. Nor should the onus                should be given to funding the replacement
be on the public to submit complaints to a             of alcohol sports sponsorship, restricting
process with ineffective sanctions. Stricter           alcohol marketing on social/digital media
controls on alcohol advertising have been              platforms and developing an independent
recommended by the Law Commission in                   statutory system of alcohol marketing
2010,22 the Ministerial Forum on Alcohol               surveillance and regulation. Leaving the
Advertising and Sponsorship in 201423 and              fox to guard the henhouse is ineffective and
the Government Inquiry into Mental Health              only serves to maintain long-standing ineq-
and Addiction in 2018.24 The World Health              uities in harm.
Organization considers restricting alcohol

                                        Competing interests:
                                                   Nil.
                                         Author information:
                               Nicki Jackson: Executive Director,
                          Alcohol Healthwatch, Auckland, New Zealand.
                            Nathan Cowie: Health Promotion Advisor,
                          Alcohol Healthwatch, Auckland, New Zealand.
                        Amy Robinson: Contract Health Promotion Advisor,
                          Alcohol Healthwatch, Auckland, New Zealand.
                                        Corresponding author:
                  Dr Nicki Jackson, Executive Director, Alcohol Healthwatch,
               PO Box 99407, Newmarket, Auckland, New Zealand, +64 9 520 7035
                                      nicki@ahw.org.nz
                                                  URL:
     www.nzma.org.nz/journal-articles/ineffective-meaningless-inequitable-analysis-of-com-
                       plaints-to-a-voluntary-alcohol-advertising-code

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                                                                                     ISSN 1175-8716           © NZMA
                                                                                     www.nzma.org.nz/journal
letter

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                                                                                  ISSN 1175-8716           © NZMA
                                                                                  www.nzma.org.nz/journal
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