Thomas F Babor, Katherine Robaina (E-mail:;, Katherine Brown, Jonathan Noel, Mariana Cremonte, Daniela Pantani, Raquel I Peltzer, Ilana Pinsky


Babor TF, Robaina K, Brown K, et al Is the alcohol industry doing well by ‘doing good’? Findings from a content analysis of the alcohol industry’s actions to reduce harmful drinking BMJ Open 2018;8:e024325. doi: 10.1136/bmjopen-2018-024325

BMJ Open
Release date

Is the alcohol industry doing well by ‘doing good’? Findings from a content analysis of the alcohol industry’s actions to reduce harmful drinking



The aims of this study are to:

  1. Describe alcohol industry corporate social responsibility (CSR) actions conducted across six global geographic regions;
  2. Identify the benefits accruing to the industry (‘doing well’); and
  3. Estimate the public health impact of the actions (‘doing good’).


Actions from six global geographic regions.


A web-based compendium of 3551 industry actions, representing the efforts of the alcohol industry to reduce harmful alcohol use, was issued in 2012. The compendium consisted of short descriptions of each action, plus other information about the sponsorship, content and evaluation of the activities.

Public health professionals rated a sample of the actions using a reliable content rating procedure.

Outcome measures

WHO Global strategy target area, estimated population reach, risk of harm, advertising potential, policy impact potential and other aspects of the activity.


The industry actions were conducted disproportionately in regions with high-income countries (Europe and North America), with lower proportions in Latin America, Africa and Asia.

Only 27% conformed to recommended WHO target areas for global action to reduce the harmful use of alcohol. The overwhelming majority (96.8%) of industry actions lacked scientific support and 11.0% had the potential for doing harm.

The benefits accruing to the industry (‘doing well’) included brand marketing and the use of CSR to manage risk and achieve strategic goals.


Alcohol industry CSR activities are unlikely to reduce harmful alcohol use but they do provide commercial strategic advantage while at the same time appearing to have a public health purpose.

Strengths and limitations of this study

  • Use of a global database of industry activities that is likely to be comprehensive and representative of the alcohol industry’s corporate social responsibility activities.
  • A 30% sample was selected from the International Alliance for Responsible Drinking database. Different conclusions may have resulted with a larger sample.
  • Unable to determine whether the industry actions represented significant charitable contributions or were merely activities that in some cases would have been conducted anyway (e.g., those required by law).
  • Although all raters were initially trained to an acceptable level of reliability, the researchers cannot rule out differential bias in the raters recruited from different regions.

Source Website: BMJ Open