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The availability and sales of “zero-alcohol” products have soared in recent years. In Australia, these are products , designed to mimic the flavour, appearance and packaging of alcoholic drinks.

The market for is projected to continue growing at a faster rate than alcoholic beverages.

This boom has been driven by that mean non-alcoholic products taste similar to their alcoholic inspirations. There have also been towards being more mindful of the amount of alcohol consumed.

Zero-alcohol products do not cause the . But they are not without risk and as they seem. Our explains why.

A lack of regulation

A released earlier this year highlighted the limitations in evidence for the benefits of no- and low-alcohol beverages (which the WHO calls “NoLos”) and the overall lack of policy and regulation in the industry. The absence of oversight may mean potential harms associated with zero-alcohol products go unrecognised.

Although replacing alcohol drinks with zero-alcohol products might be used as part of an effort to on drinking, there is a to support this. And the approach may not be suitable for everyone.

A of ten studies found people with an alcohol use disorder (including addiction to alcohol, problematic or heavy drinking), experience increased cravings for alcohol when they consume zero-alcohol products. They also display physiological responses similar to those that occur when drinking alcohol such as increased heart rate and sweating.

It’s not just about the alcohol

The substitution of alcohol for zero-alcohol products does not address social, environmental and cultural factors. These often influence drinking behaviour. This is particularly relevant in Australia where drinking alcohol is .

For young people, zero-alcohol products for drinking and send a message underage drinking is acceptable. This sets up the potential for early alcohol initiation and risky drinking practices.

Zero-alcohol products are manufactured and packaged to look just like existing alcohol products. Many carry the same company branding as the alcoholic version, which blurs the lines between the two offerings.

‘Alibi marketing’

In Australia, zero-alcohol drinks are subject to food rather than liquor licensing legislation. This means there are less restrictions to where and how they are displayed and marketed.

Such products are found on supermarket shelves and in convenience stores and in a way that appears to promote the consumption of alcohol in risky and illegal situations, such as drinking before driving. This may lead to confusing messages that present drinking as harmless fun.

This is a form of “alibi marketing”. This form of marketing uses features synonymous with a brand – things like label colours, bottle shape or font design – while not advertising the product itself. The alcohol industry can use this strategy to extend the promotion of their brand to populations and places where alcohol advertising may be restricted. For instance, the reverse approach was recently used by a company to market an , highlighting the risk of this approach for minors.

This is amongst broader concerns this increases brand familiarity and awareness of alcohol products among those who are underage now but may drink in the future.

Studies have found exposure to marketing and advertising of zero-alcohol products results in of purchasing and consuming alcohol drinks. Further research is needed to understand potential harms exposure to and drinking zero-alcohol products may have on vulnerable populations. This includes those with a history of alcohol addiction and children.

4 tips to minimise risks now

There are some actions you can take and considerations to keep in mind when it comes to zero-alcohol drinks:

• be aware zero-alcohol products may act as a drinking trigger or cue for those with experience of alcohol addiction and for young people
• if you want to stop or cut back on drinking alcohol, don’t substitute products that mimic the taste or appearance of alcoholic drinks. Go for soft drinks, fruit juices or sparkling water
• report advertisements and marketing for zero-alcohol products that are inappropriate or could cause harm by lodging a
• join the community push for zero-alcohol products to be as alcoholic products.

Shalini Arunogiri works for Monash University and is a Board Director for FARE, the Foundation for Alcohol Research and Education. She is Clinical Director at Turning Point, Eastern Health, a national provider of addiction treatment. She is a recipient of funding from the NHMRC for research into substance use disorders, including alcohol use.

Anthony Hew is a PhD candidate at Monash University. His research looking into big data approaches to better understand mental health and substance use-related emergency presentations, including alcohol-related presentations. He receives funding from the NHMRC for this research in the form of a post-graduate scholarship.