|Titre :||Fewer cancer cases in 4 countries of the WHO European Region in 2018 through increased alcohol excise taxation: A modelling study (2021)|
|Auteurs :||P. ROVIRA ; C. KILIAN ; M. NEUFELD ; H. RUMGAY ; I. SOERJOMATARAM ; C. FERREIRA-BORGES ; K. D. SHIELD ; B. SORNPAISARN ; J. REHM|
|Type de document :||Article : Périodique|
|Dans :||European Addiction Research (Vol.27, n°3, May 2021)|
|Article en page(s) :||189-197|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEALCOOL ; CANCER ; TAXE ; INCIDENCE ; CONSOMMATION ; COMPARAISON ; PRIX ; BOISSON ALCOOLISEE ; MODELE STATISTIQUE
Thésaurus GéographiqueEUROPE ; ALLEMAGNE ; ITALIE ; SUEDE ; KAZAKHSTAN
INTRODUCTION: Prevention of cancer has been identified as a major public health priority for Europe, and alcohol is a leading risk factor for various types of cancer. This contribution estimates the number of cancer cases that could have potentially been averted in 2018 in 4 European countries if an increase in alcohol excise taxation had been applied.
METHODS: Current country and beverage-specific excise taxation of 4 member states of the WHO European Region (Germany, Italy, Kazakhstan, and Sweden) was used as a baseline, and the potential impacts of increases of 20, 50, and 100% to current excise duties were modelled. A sensitivity analysis was performed, replacing the current tax rates in the 4 countries by those levied in Finland. The resulting increase in tax was assumed to be fully incorporated into the consumer price, and beverage-specific price elasticities of demand were obtained from meta-analyses, assuming less elasticity for heavy drinkers. Model estimates were applied to cancer incidence rates for the year 2018.
RESULTS: In the 4 countries, >35,000 cancer cases in 2018 were caused by alcohol consumption, with the highest rate of alcohol-attributable cancers recorded in Germany and the lowest in Sweden. An increase in excise duties on alcohol would have significantly reduced these numbers, with between 3 and 7% of all alcohol-attributable cancer cases being averted if taxation had been increased by 100%. If the 4 countries were to adopt an excise taxation level equivalent to the one currently imposed in Finland, an even higher proportion of alcohol-attributable cancers could be avoided, with Germany alone experiencing 1,600 fewer cancer cases in 1 year.
DISCUSSION/CONCLUSION: Increasing excise duties can markedly reduce cancer incidence in European countries.
|Domaine :||Alcool / Alcohol|
|Refs biblio. :||55|
|Affiliation :||Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada|