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The Weakness of Stern Alcohol Control Policies
1Department of Public Health, University of Helsinki, Helsinki, Finland kari.poikolainen@bastu.net.
Alcohol and Alcoholism (Oxford, Oxfordshire)
|July 9, 2015
Summary
The total consumption model for reducing alcohol-related harm by restricting availability and increasing price was not supported. Alcohol ill health appears linked to alcohol dependence, not overall consumption levels.
Area of Science:
- Public Health
- Epidemiology
- Health Policy
Background:
- The total consumption model posits that reducing overall alcohol availability and increasing price minimizes alcohol-related harm.
- This model is a cornerstone of many public health policies aimed at mitigating the negative consequences of alcohol use.
Purpose of the Study:
- To evaluate the efficacy of the total consumption model in reducing alcohol-related ill health.
- To test whether severe alcohol policy restrictions and high prices correlate with decreased alcohol-related disease burden.
Main Methods:
- A cross-sectional analysis was conducted in 30 OECD countries in 2005.
- The study compared an index of alcohol policy severity, total alcohol consumption, and disability-adjusted life years (DALYs) lost due to alcohol.
Main Results:
- No significant correlation was found between the alcohol policy index, total alcohol consumption, and alcohol-related DALYs.
- Regression analyses indicated no relationship between alcohol policy severity, consumption levels, and alcohol-related DALYs.
- Excise tax rates did not show a significant association with alcohol-related DALYs in a subset of 25 countries.
Conclusions:
- The findings do not support the total consumption model's effectiveness in reducing alcohol-related ill health.
- Alcohol-related health issues may be more strongly associated with alcohol dependence (both clinical and subclinical) rather than moderate drinking patterns.
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