The Effectiveness of Tax Policy Interventions for Reducing Excessive Alcohol Consumption and Related Harms

Overview

Journal Am J Prev Med

Specialty Public Health

Date 2010 Feb 2

PMID 20117579

Citations 159

Authors

Randy W Elder

Briana Lawrence

Aneeqah Ferguson

Timothy S Naimi

Robert D Brewer

Sajal K Chattopadhyay

Traci L Toomey

Jonathan E Fielding

Affiliations

Soon will be listed here.

Abstract

A systematic review of the literature to assess the effectiveness of alcohol tax policy interventions for reducing excessive alcohol consumption and related harms was conducted for the Guide to Community Preventive Services (Community Guide). Seventy-two papers or technical reports, which were published prior to July 2005, met specified quality criteria, and included evaluation outcomes relevant to public health (e.g., binge drinking, alcohol-related crash fatalities), were included in the final review. Nearly all studies, including those with different study designs, found that there was an inverse relationship between the tax or price of alcohol and indices of excessive drinking or alcohol-related health outcomes. Among studies restricted to underage populations, most found that increased taxes were also significantly associated with reduced consumption and alcohol-related harms. According to Community Guide rules of evidence, these results constitute strong evidence that raising alcohol excise taxes is an effective strategy for reducing excessive alcohol consumption and related harms. The impact of a potential tax increase is expected to be proportional to its magnitude and to be modified by such factors as disposable income and the demand elasticity for alcohol among various population groups.

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References

Sloan F, Stout E, Liang L . Civil liability, criminal law, and other policies and alcohol-related motor vehicle fatalities in the United States: 1984-1995. Accid Anal Prev. 2000; 32(6):723-33. DOI: 10.1016/s0001-4575(99)00122-0. View

Kendell R, de Roumanie M, Ritson E . Effect of economic changes on Scottish drinking habits 1978-82. Br J Addict. 1983; 78(4):365-79. DOI: 10.1111/j.1360-0443.1983.tb02525.x. View

Wagenaar A, Maldonado-Molina M, Wagenaar B . Effects of alcohol tax increases on alcohol-related disease mortality in Alaska: time-series analyses from 1976 to 2004. Am J Public Health. 2008; 99(8):1464-70. PMC: 2707462. DOI: 10.2105/AJPH.2007.131326. View

Evans W, Neville D, Graham J . General deterrence of drunk driving: evaluation of recent American policies. Risk Anal. 1991; 11(2):279-89. DOI: 10.1111/j.1539-6924.1991.tb00604.x. View

Heeb J, Gmel G, Zurbrugg C, Kuo M, Rehm J . Changes in alcohol consumption following a reduction in the price of spirits: a natural experiment in Switzerland. Addiction. 2003; 98(10):1433-46. DOI: 10.1046/j.1360-0443.2003.00461.x. View

Levy D, Sheflin N . New evidence on controlling alcohol use through price. J Stud Alcohol. 1983; 44(6):929-37. DOI: 10.15288/jsa.1983.44.929. View

Richardson J, Crowley S . Optimum alcohol taxation: balancing consumption and external costs. Health Econ. 1994; 3(2):73-87. DOI: 10.1002/hec.4730030204. View

Babor T, Caetano R . Evidence-based alcohol policy in the Americas: strengths, weaknesses, and future challenges. Rev Panam Salud Publica. 2005; 18(4-5):327-37. DOI: 10.1590/s1020-49892005000900013. View

. Increasing alcoholic beverage taxes is recommended to reduce excessive alcohol consumption and related harms. Am J Prev Med. 2010; 38(2):230-2. DOI: 10.1016/j.amepre.2009.11.002. View

10.

Chesson H, Harrison P, Kassler W . Sex under the influence: the effect of alcohol policy on sexually transmitted disease rates in the United States. J Law Econ. 2009; 43(1):215-38. DOI: 10.1086/467453. View

11.

Rush B, Steinberg M, BROOK R . The relationships among alcohol availability, alcohol consumption and alcohol-related damage in the Province of Ontario and the State of Michigan 1955-1982. Adv Alcohol Subst Abuse. 1986; 5(4):33-45. DOI: 10.1300/J251v05n04_03. View

12.

Naimi T, Brewer R, Miller J, Okoro C, Mehrotra C . What do binge drinkers drink? Implications for alcohol control policy. Am J Prev Med. 2007; 33(3):188-93. DOI: 10.1016/j.amepre.2007.04.026. View

13.

Heien D, Pompelli G . Stress, ethnic and distribution factors in a dichotomous response model of alcohol abuse. J Stud Alcohol. 1987; 48(5):450-5. DOI: 10.15288/jsa.1987.48.450. View

14.

Ruhm C . Economic conditions and alcohol problems. J Health Econ. 1995; 14(5):583-603. DOI: 10.1016/0167-6296(95)00024-0. View

15.

Treno A, Parker R, Holder H . Understanding U.S. alcohol consumption with social and economic factors: a multivariate time series analysis, 1950-1986. J Stud Alcohol. 1993; 54(2):146-56. DOI: 10.15288/jsa.1993.54.146. View

16.

Ballesteros M, Webb K, McClure R . A review of CDC's Web-based Injury Statistics Query and Reporting System (WISQARS™): Planning for the future of injury surveillance. J Safety Res. 2017; 61:211-215. PMC: 5605760. DOI: 10.1016/j.jsr.2017.01.001. View

17.

Brinkley G . The causal relationship between socioeconomic factors and alcohol consumption: a Granger-causality time series analysis, 1950-1993. J Stud Alcohol. 1999; 60(6):759-68. DOI: 10.15288/jsa.1999.60.759. View

18.

Markowitz S, Grossman M . The effects of beer taxes on physical child abuse. J Health Econ. 2000; 19(2):271-82. DOI: 10.1016/s0167-6296(99)00025-9. View

19.

Cook P, Moore M . The economics of alcohol abuse and alcohol-control policies. Health Aff (Millwood). 2002; 21(2):120-33. DOI: 10.1377/hlthaff.21.2.120. View

20.

Skog O . The collectivity of drinking cultures: a theory of the distribution of alcohol consumption. Br J Addict. 1985; 80(1):83-99. DOI: 10.1111/j.1360-0443.1985.tb05294.x. View