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zoom RSS 最低価格の上昇でアルコール関連死亡が減少

<<   作成日時 : 2013/02/11 15:45   >>

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最低価格の上昇でアルコール関連死亡が減少
 カナダで発表された研究では、最低保証料金の導入とアルコール関連死亡の大幅低下が関連しているという。しかし、飲料業界からは批判が出ている。
 最小単価を導入するスコットランド政府の計画は、裁判所への訴えで保留になっている。
 研究によれば、10%のアルコール価格の上昇がアルコール関連死亡者数の32%低下につながったという。2002-2009年にブリティッシュコロンビア州でアルコールが政府所有の店舗でのみ販売されたときに、価格上昇によりアルコール乱用に起因する死亡が即時に大幅な減少となった。さらに法律が変更され民間の酒販店で販売許可がだされ、10%店舗が増加し、アルコール関連死亡が2%増加した。

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アルコール税と飲酒量
http://kurie.at.webry.info/200901/article_40.html
英国医師会がアルコール宣伝の禁止と増税を推奨/英国医療事情
http://kurie.at.webry.info/200909/article_12.html

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7 February 2013 Last updated at 00:52 GMT
Study claims minimum pricing cuts alcohol-related deaths

By Reevel Alderson
BBC Scotland's social affairs correspondent
http://www.bbc.co.uk/news/uk-scotland-21358995

画像Research published in Canada has linked the introduction of minimum pricing with a significant drop in alcohol-related deaths.

The findings, in the journal Addiction, were welcomed by health campaigners.

But they have been criticised as "misleading and inaccurate" by the drinks industry, which has questioned the statistical basis of the research.

The Scottish government's plans to introduce a minimum unit price are on hold pending a court challenge.

The researchers said a rise in alcohol prices of 10% had led to a 32% reduction in alcohol-related deaths.

The Canadian study was carried out between 2002 and 2009 in British Columbia, where alcohol could only be sold directly to the public in government-owned stores.

It suggests that, when drink prices rose, there were "immediate, substantial and significant reductions" in deaths wholly attributable to alcohol abuse.

The authors suggest increasing the price of cheaper drinks reduces the consumption of heavier drinkers who prefer them.

Dr Tim Stockwell, director of the University of Victoria's Centre for Addictions Research of British Columbia, said: "This study adds to the scientific evidence that, despite popular opinion to the contrary, even the heaviest drinkers reduce their consumption when minimum alcohol prices increase.

"It is hard otherwise to explain the significant changes in alcohol-related deaths observed in British Columbia."

During the period under study, the law changed in Canada, permitting private liquor stores to open.

A 10% growth in the number of such outlets was associated with an increase (2%) in all alcohol-related deaths.

This is the first study to highlight the effects on mortality of alcohol minimum pricing, although the Scottish government has used previous research from the University of Sheffield to claim consumption of alcohol would be reduced if prices rose.

'Saving lives'
It has been welcomed by health campaigners. Alcohol Focus Scotland (AFS) said it was further evidence that minimum pricing will be effective.

Dr Evelyn Gillan, chief executive, said: "This is important evidence which shows that minimum pricing is saving lives in Canada and will save lives in Scotland.

"Increasing the price of the cheapest alcohol through minimum pricing has the biggest effect on the heaviest drinkers who are most at risk of alcohol-related illness and death."

She criticised drinks organisations who have challenged the Scottish government's plans to introduce minimum pricing.

MSPs passed The Alcohol (Minimum Pricing) (Scotland) Act 2012 in May 2012, setting a 50p minimum unit price as part of an effort to tackle alcohol misuse.

However, the government has undertaken not to introduce the measures until after the conclusion of the challenge brought at the Court of Session in Edinburgh by the Scotch Whisky Association (SWA) and several European wine and spirits bodies.

They argue that it breaches EU trade rules.

A consultation in England and Wales for a 45p minimum unit price ended on 6 February and similar plans are being considered by the Northern Ireland government.

An SWA statement said the experience of Canada, where there is no minimum unit pricing, was different to that in Scotland.

It added: "The claims made by the Canadian researchers are not supported by official data from Statistics Canada which show alcohol-related deaths in British Colombia rising by 9% in the period, not falling as claimed.

"This compares with a drop in alcohol-related deaths in Scotland of 25% since a peak in 2003. This would suggest measures already in place in Scotland to tackle alcohol misuse are working."

The chief executive of the Wine and Spirits Association (WSA), Miles Beale, also attacked the research.

"There is not a simple link between alcohol price and harm," he said.

"Consumption is more likely to be related to cultural factors and that the increase in price does not impact on these significantly. The industry is committed to tackling problem drinking and its consequences, but minimum unit pricing will not do that."

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The Relationship between Minimum Alcohol Prices, Outlet Densities and Alcohol Attributable Deaths in British Columbia, 2002 to 2009

Jinhui Zhao1, Tim Stockwell1,2,*, Gina Martin1, Scott Macdonald1,3, Kate Vallance1, Andrew Treno4, William R. Ponicki4, Andrew Tu5,6, Jane Buxton5,6
DOI: 10.1111/add.12139

c 2013 The Authors, Addiction c 2013 Society for the Study of Addiction

This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/add.12139

Keywords:
Alcohol attributable mortality;minimum alcohol price;alcohol outlet density;cross section versus time series design;mixed model

Abstract
Aim
To investigate relationships between periodic increases in minimum alcohol prices, changing densities of liquor stores and alcohol attributable (AA) deaths in British Columbia, Canada.

Design
Cross section (16 geographic areas) versus time series (32 annual quarters) panel analyses were conducted with AA deaths as dependent and price, outlet densities and socio-demographic characteristics as independent variables.

Setting and participants
Populations of 16 Health Service Delivery Areas in British Columbia, Canada.

Measurements
Age-sex standardised rates of acute, chronic and wholly AA mortality; population densities of restaurants, bars, government and private liquor stores; minimum prices of alcohol in dollars per standard drink.

Findings
A 10% increase in average minimum price for all alcoholic beverages was associated with a 31.72% (95% CI: ±25.73%, P<0.05) reduction in wholly AA deaths. Significantly negative lagged associations were also detected up to 12 months after minimum price increases for wholly but not for acute or chronic AA deaths. Significant reductions in chronic and total AA deaths were detected between two and three years after minimum price increases. Significant but inconsistent lagged associations were detected for acute AA deaths. A 10% increase in private liquor stores was associated with a 2.45% (95% CI: ±2.39%, P<0.05), 2.36% (95% CI: ±1.57%, P<0.05), and 1.99% (94% CI: ±1.76%, P<0.05) increase in acute, chronic, and total AA mortality rates.

Conclusion
Increases in the minimum price of alcohol in British Columbia, Canada, between 2002 and 2009 were associated with immediate and delayed decreases in alcohol attributable mortality. By contrast, increases in the density of private liquor stores were associated with increases in alcohol attributable mortality.

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