Minimum Alcohol Prices and Outlet Densities in British Columbia, Canada: Estimated Impacts on Alcohol-Attributable Hospital Admissions
- 1 November 2013
- journal article
- research article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 103 (11), 2014-2020
- https://doi.org/10.2105/ajph.2013.301289
Abstract
Objectives. We investigated whether periodic increases in minimum alcohol prices were associated with reduced alcohol-attributable hospital admissions in British Columbia. Methods. The longitudinal panel study (2002–2009) incorporated minimum alcohol prices, density of alcohol outlets, and age- and gender-standardized rates of acute, chronic, and 100% alcohol-attributable admissions. We applied mixed-method regression models to data from 89 geographic areas of British Columbia across 32 time periods, adjusting for spatial and temporal autocorrelation, moving average effects, season, and a range of economic and social variables. Results. A 10% increase in the average minimum price of all alcoholic beverages was associated with an 8.95% decrease in acute alcohol-attributable admissions and a 9.22% reduction in chronic alcohol-attributable admissions 2 years later. A Can$ 0.10 increase in average minimum price would prevent 166 acute admissions in the 1st year and 275 chronic admissions 2 years later. We also estimated significant, though smaller, adverse impacts of increased private liquor store density on hospital admission rates for all types of alcohol-attributable admissions. Conclusions. Significant health benefits were observed when minimum alcohol prices in British Columbia were increased. By contrast, adverse health outcomes were associated with an expansion of private liquor stores.Keywords
This publication has 28 references indexed in Scilit:
- Working and waiting: Homeless drinkers responses to less affordable alcoholDrug and Alcohol Review, 2012
- Does minimum pricing reduce alcohol consumption? The experience of a Canadian provinceAddiction, 2011
- Impact on alcohol‐related mortality of a rapid rise in the density of private liquor outlets in British Columbia: a local area multi‐level analysisAddiction, 2011
- Effects of Alcohol Tax and Price Policies on Morbidity and Mortality: A Systematic ReviewAmerican Journal of Public Health, 2010
- Estimated effect of alcohol pricing policies on health and health economic outcomes in England: an epidemiological modelThe Lancet, 2010
- Policy options for alcohol price regulation: the importance of modelling population heterogeneityAddiction, 2010
- What did you drink yesterday? Public health relevance of a recent recall method used in the 2004 Australian National Drug Strategy Household SurveyAddiction, 2008
- Alcohol Prices, Beverage Quality, and the Demand for Alcohol: Quality Substitutions and Price ElasticitiesAlcohol: Clinical and Experimental Research, 2006
- The impact of the Northern Territory's Living With Alcohol program, 1992–2002: revisiting the evaluationAddiction, 2005