Identifying the Facilitators of Iran's Alcoholic Beverage Black Market and Presenting Solutions for Harm Reduction: a Qualitative Document Analysis

Overview

Journal Harm Reduct J

Publisher Biomed Central

Specialties Pharmacology
Psychiatry

Date 2024 Dec 28

PMID 39732692

Authors

Fawzieh Ghammari

Rahim Khodayari-Zarnaq

Affiliations

Soon will be listed here.

Abstract

Background: Despite Iran's prohibition politics regarding alcoholic beverages consumption, marketing, and trading, there is a flourishing black market. Often, alcohol producers on this black market do not adhere alcohol production standards, resulting in a lot of deaths and significant consequences each year. Accordingly, this study was carried out to identify facilitators for the growth of the black market for alcoholic beverages in Iran and provide solutions for harm reduction.

Methods: This study was a qualitative document publicly available analysis, in which online newspapers and Persian news websites about alcoholic beverages black market in Iran were reviewed. Documents were analyzed using thematic analysis.

Results: After the completion of the analysis, 21 final codes, seven subthemes, and four themes were developed. Four themes are (1) political factors, including governance, regulatory rules and regulations, and awareness sub-themes (2) sociocultural factors, including culture change sub-theme (3) economic factors, including attractive market sub-theme, and (4) business factors, including manufacturing and marketing sub-themes.

Conclusions: As a result of alcohol prohibition politics in Iran and a socioeconomically supportive environment, black market has developed. Several policies can be implemented to reduce alcohol black market harm. It is possible to reduce the demand for homemade alcohol by educating the public about its risks. The government should enforce stricter policies on trading and advertising alcohol to reduce the availability of homemade alcohol and shrink alcohol black market. To implement these solutions, clerics should be convinced that the alcohol black market poses a serious public health threat.

References

Chegeni M, Kamel Khodabandeh A, Karamouzian M, Shokoohi M, Abedi L, Khalili M . Alcohol consumption in Iran: A systematic review and meta-analysis of the literature. Drug Alcohol Rev. 2020; 39(5):525-538. DOI: 10.1111/dar.13093. View

Ghammari F, Jalilian H . Circumventing Iran's prohibition of alcoholic beverages through black markets: a deadly issue that needs to change policies. J Public Health Policy. 2024; 45(2):393-395. DOI: 10.1057/s41271-024-00476-3. View

Rezaei N, Ahmadi N, Shams Beyranvand M, Hasan M, Gohari K, Yoosefi M . Alcohol consumption and related disorders in Iran: Results from the National Surveillance of Non-Communicable Diseases' Survey (STEPs) 2016. PLOS Glob Public Health. 2023; 2(11):e0000107. PMC: 10021244. DOI: 10.1371/journal.pgph.0000107. View

Mirzaei S, Yazdi-Feyzabadi V, Mehrolhassani M, Nakhaee N, Oroomiei N . Setting the policy agenda for the treatment of substance use disorders in Iran. Harm Reduct J. 2022; 19(1):27. PMC: 8922872. DOI: 10.1186/s12954-022-00612-w. View

Manthey J, Hassan S, Carr S, Kilian C, Kuitunen-Paul S, Rehm J . What are the Economic Costs to Society Attributable to Alcohol Use? A Systematic Review and Modelling Study. Pharmacoeconomics. 2021; 39(7):809-822. PMC: 8200347. DOI: 10.1007/s40273-021-01031-8. View

. Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2018; 392(10152):1015-1035. PMC: 6148333. DOI: 10.1016/S0140-6736(18)31310-2. View

Fattah A, Khalvati M, Abounoori M, Molavi N, Azartash F, Babakhanian M . Motivations for alcohol consumption during the COVID-19 pandemic in Islamic Republic of Iran. East Mediterr Health J. 2022; 28(2):108-113. DOI: 10.26719/emhj.22.024. View

Al-Ansari B, Thow A, Mirzaie M, Day C, Conigrave K . Alcohol policy in Iran: Policy content analysis. Int J Drug Policy. 2019; 73:185-198. DOI: 10.1016/j.drugpo.2019.07.032. View

Alhaidan T, Alzahrani A, Alamri A, Katpa A, Halabi A, Felemban A . Reported Cases of Alcohol Consumption and Poisoning for the Years 2015 to 2022 in Hail, Saudi Arabia. Int J Environ Res Public Health. 2022; 19(22). PMC: 9691105. DOI: 10.3390/ijerph192215291. View

10.

Kiger M, Varpio L . Thematic analysis of qualitative data: AMEE Guide No. 131. Med Teach. 2020; 42(8):846-854. DOI: 10.1080/0142159X.2020.1755030. View

11.

. Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020; 396(10258):1223-1249. PMC: 7566194. DOI: 10.1016/S0140-6736(20)30752-2. View

12.

Barnett E, Casper M . A definition of "social environment". Am J Public Health. 2001; 91(3):465. PMC: 1446600. DOI: 10.2105/ajph.91.3.465a. View

13.

LaBrie J, Atkins D, Neighbors C, Mirza T, Larimer M . Ethnicity specific norms and alcohol consumption among Hispanic/Latino/a and Caucasian students. Addict Behav. 2012; 37(4):573-6. PMC: 3391163. DOI: 10.1016/j.addbeh.2012.01.007. View

14.

Mirzaei S, Mehrolhassani M, Yazdi-Feyzabadi V, Jahanara A, Haghdoost A, Oroomiei N . Identifying the challenges of policy content related to high-risk sexual behaviors, stimulant drugs, and alcohol consumption in adolescents. BMC Health Serv Res. 2024; 24(1):788. PMC: 11234520. DOI: 10.1186/s12913-024-11256-w. View

15.

Marciano A, Ramello G . COVID 19: how coercive were the coercive measures taken to fight the pandemic. Eur J Law Econ. 2022; 54(1):1-4. PMC: 9277976. DOI: 10.1007/s10657-022-09746-5. View

16.

Brooks-Russell A, Simons-Morton B, Haynie D, Farhat T, Wang J . Longitudinal relationship between drinking with peers, descriptive norms, and adolescent alcohol use. Prev Sci. 2013; 15(4):497-505. PMC: 4160800. DOI: 10.1007/s11121-013-0391-9. View