Historique
Article de Périodique
Health impacts of increasing alcohol prices in the European Union: A dynamic projection (2012)
Auteur(s) :
LHACHIMI, S. K. ;
COLE, K. J. ;
NUSSELDER, W. J. ;
SMIT, H. A. ;
BAILI, P. ;
BENNETT, K. ;
POMERLEAU, J. ;
McKEE, M. ;
CHARLESWORTH, K. ;
KULIK, M. C. ;
MACKENBACH, J. P. ;
BOSHUIZEN, H.
Année
2012
Page(s) :
237-243
Langue(s) :
Anglais
Domaine :
Alcool / Alcohol
Discipline :
SAN (Santé publique / Public health)
Thésaurus géographique
UNION EUROPEENNE
;
EUROPE
Thésaurus mots-clés
ALCOOL
;
PRIX
;
TAXE
;
SANTE PUBLIQUE
;
MODELE
;
CONSOMMATION
;
MORTALITE
;
MORBIDITE
Résumé :
Objective: Western Europe has high levels of alcohol consumption, with corresponding adverse health effects. Currently, a major revision of the EU excise tax regime is under discussion. We quantify the health impact of alcohol price increases across the EU.
Data and method: We use alcohol consumption data for 11 member states, covering 80% of the EU-27 population, and corresponding country-specific disease data (incidence, prevalence, and case-fatality rate of alcohol related diseases) taken from the 2010 published Dynamic Modelling for Health Impact Assessment (DYNAMO-HIA) database to dynamically project the changes in population health that might arise from changes in alcohol price.
Results: Increasing alcohol prices towards those of Finland (the highest in the EU) would postpone approximately 54,000 male and approximately 26,100 female deaths over 10 years. Moreover, the prevalence of a number of chronic diseases would be reduced: in men by approximately 97,800 individuals with diabetes, 65,800 with stroke and 62,200 with selected cancers, and in women by about 19,100, 23,500, and 27,100, respectively.
Conclusion: Curbing excessive drinking throughout the EU completely would lead to substantial gains in population health. Harmonisation of prices to the Finnish level would, for selected diseases, achieve more than 40% of those gains.
HIGHLIGHTS:
• Currently, an increase of the EU-wide minimum tax on alcohol is under debate.
• No EU-wide scientific study of the resulting population health effects exists.
• Using novel data and a dynamic projection tool we quantify potential health gains.
• The health gains when harmonising prices to the Finnish level are substantial.
Data and method: We use alcohol consumption data for 11 member states, covering 80% of the EU-27 population, and corresponding country-specific disease data (incidence, prevalence, and case-fatality rate of alcohol related diseases) taken from the 2010 published Dynamic Modelling for Health Impact Assessment (DYNAMO-HIA) database to dynamically project the changes in population health that might arise from changes in alcohol price.
Results: Increasing alcohol prices towards those of Finland (the highest in the EU) would postpone approximately 54,000 male and approximately 26,100 female deaths over 10 years. Moreover, the prevalence of a number of chronic diseases would be reduced: in men by approximately 97,800 individuals with diabetes, 65,800 with stroke and 62,200 with selected cancers, and in women by about 19,100, 23,500, and 27,100, respectively.
Conclusion: Curbing excessive drinking throughout the EU completely would lead to substantial gains in population health. Harmonisation of prices to the Finnish level would, for selected diseases, achieve more than 40% of those gains.
HIGHLIGHTS:
• Currently, an increase of the EU-wide minimum tax on alcohol is under debate.
• No EU-wide scientific study of the resulting population health effects exists.
• Using novel data and a dynamic projection tool we quantify potential health gains.
• The health gains when harmonising prices to the Finnish level are substantial.
Affiliation :
Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, The Netherlands