酒精最低单位价格对不同收入和社会经济群体的影响:一个建模研究
John Holmes1, Yang Meng1, Petra S Meier1
1School of Health and Related Research, University of Sheffield, Sheffield, UK.
Lancet (London, England)
|February 14, 2014
概括
在英格兰,酒精的最低单位价格显著降低了有害饮酒者,特别是低收入者之间的饮酒量. 这一政策带来了实质性的健康收益,最低的社会经济群体从减少与酒精有关的伤害中受益最多.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 一些国家正在考虑制定最低酒精价格政策.
- 人们担心最低价格对低收入饮酒者的影响.
- 这项研究评估了英格兰0.45英的最低单位价格的影响.
研究的目的:
- 评估英格兰酒精最低单位价格政策的影响.
- 分析不同收入和社会经济分布的政策影响.
- 评估酒精消费,支出和健康结果的变化.
主要方法:
- 使用了谢菲尔德酒精政策模型 (SAPM) v2.6,这是一个因果流行病学模型.
- 考虑到人口子组的酒精购买和消费偏好.
- 根据9年的调查数据估计了价格弹性,并进行了敏感性分析.
主要成果:
- 最低单位价0.45英导致酒精消费总体减少1.6%.
- 有害饮酒者,特别是收入最低的五分之一的人,在消费和支出方面表现出最大的减少.
- 估计的健康益处,包括早逝率的减少和质量调整后寿命年数的增加,不成比例地由最低的社会经济群体获得.
结论:
- 适度饮酒者受到最低单位价格政策的影响最小.
- 有害的饮酒者,特别是低收入者,由于更高的廉价酒精消费,受影响最大.
- 预计该政策将通过减少酒精消费,特别是在较低社会经济群体中,通过减少酒精消费,在发病率和死亡率方面取得实质性的健康收益.
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