Alcohol and related harms

Preventing alcohol harm is an important step towards growing a healthy and equitable society in Aotearoa New Zealand. Alcohol is Aotearoa New Zealand's most widely used and harmful drug. Alcohol can impact people's live in many ways, causing both short and long-term harm.


Short-term and immediate impacts of alcohol

Short-term or immediate health impacts include:

  • accidents and injury
  • crime and violence
  • traffic crashes
  • suicide.

Short-term effects of drinking alcohol on your body [PDF, 64 KB]


Long-term impacts of alcohol

Long-term health impacts include:

  • addiction
  • mental health problems
  • cancer
  • stroke
  • liver problems
  • fetal alcohol spectrum disorder.

Long-term effects of drinking alcohol on your body [PDF, 64 KB]

Drinking alcohol during pregnancy and while breastfeeding can also cause lifelong complications for pēpi.

Smoking, alcohol, and drugs when you are pregnant (internal link)


What influences alcohol harm

The way in which alcohol is viewed, sold, supplied and marketed impacts how it is consumed.

Alcohol advertising normalises drinking and influences attitudes. Exposure to alcohol advertising:

  • causes craving and cues to drink through a conditioned response for those with alcohol-use disorder
  • increases the risk of rangatahi and tamariki drinking at an earlier age and drinking more
  • is more common in lower socio economic communities, especially shop-front marketing, due to the higher density of places you can buy alcohol in these areas — Māori and Pacific communities are over-represented in these areas.

Alcohol sponsorship of sports teams is widespread in Aotearoa New Zealand. This normalises alcohol, increasing the likelihood of tamariki and rangatahi taking up drinking.

Alcohol is available to buy most of the day. This makes it easy to get and increases the likelihood of alcohol related harm.

Alcohol is affordable, making it easy to buy in large volumes.

The number of places (density) you can buy alcohol in an area has a significant impact on the level of alcohol-related harm in that area. A higher density of alcohol stores, and how close you are to one, significantly increases the rate of:

  • binge drinking
  • assault
  • sexual assault
  • tobacco and liquor offences.

Getting help with alcohol abuse

Alcohol and other drug abuse is really common. If you are concerned about your own or someone else’s alcohol or drug use and you want to do something about it, there are various support and treatment options available.

Alcohol and drugs (internal link)


The role of public health

Public health has a legal (statutory) role in making sure alcohol-related impacts and harms are minimised across the motu. This is an important step towards growing a healthy and equitable society in Aotearoa.

  • The Sale and Supply of Alcohol Act 2012 requires the Medical Officer of Health (public health), Council and New Zealand Police to report on all alcohol licence applications.
  • Public health collects data on alcohol availability and promotion to understand how alcohol is impacting our communities and how we can reduce alcohol-related harm.
  • Public health informs and engages decision makers to make sure policy and legislation reflects current evidence on alcohol and alcohol-related harm.
  • Public health raises awareness of the impact that alcohol has on all sectors and across communities.
    Find out more about Health New Zealand's work to achieve Pae Ora (health futures) through alcohol harm prevention.

Amohia Te Wairoa — Health New Zealand (external link)

Alcohol — Health New Zealand (external link)

One for One resources

One for One resources have been created to support local Hawke's Bay Event Managers to deliver on their host responsibility by promoting 1 glass of water for 1 alcoholic drink.

A range of free resources and equipment are for hire including:

  • tear drop flags
  • canvas banners
  • posters
  • large screen visuals.

One for One resources order form


Licensed premise complaints

Contact your local council or public health team to make a complaint about a licensed premises.

Councils in Aotearoa — Local Government New Zealand (external link)

Public health contacts — Health New Zealand (external link)