Effects of Alcohol Tax Increases on Alcohol-Related Disease Mortality in Alaska

Time-Series Analyses From 1976 to 2004

Datos Bibliográficos

ID11025781
AutoresAlexander C Wagenaar (0000-0003-1674-6774, At the time of the study, Alexander C. Wagenaar, Mildred M. Maldonado-Molina, and Bradley H. Wagenaar were with the Department of Epidemiology and Health Policy Research, College of Medicine, University of Florida, Gainesville.), Mildred M Maldonado-Molina (0000-0003-1097-4338, At the time of the study, Alexander C. Wagenaar, Mildred M. Maldonado-Molina, and Bradley H. Wagenaar were with the Department of Epidemiology and Health Policy Research, College of Medicine, University of Florida, Gainesville.), Bradley H Wagenaar (0000-0002-3351-7175, At the time of the study, Alexander C. Wagenaar, Mildred M. Maldonado-Molina, and Bradley H. Wagenaar were with the Department of Epidemiology and Health Policy Research, College of Medicine, University of Florida, Gainesville.)
Año2009
Volumen99
Número8
Páginas1464-1470
Fecha de publicación2009-08-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2007.131326
PMID19008507
PMCIDPMC2707462
OpenAlexW2043494351
IdiomaEN
Citas recibidas21
Referencias citadas41

Objective. We evaluated the effects of tax increases on alcoholic beverages in 1983 and 2002 on alcohol-related disease mortality in Alaska. Methods. We used a quasi-experimental design with quarterly measures of mortality from 1976 though 2004, and we included other states for comparison. Our statistical approach combined an autoregressive integrated moving average model with structural parameters in interrupted time-series models. Results. We observed statistically significant reductions in the numbers and rates of deaths caused by alcohol-related disease beginning immediately after the 1983 and 2002 alcohol tax increases in Alaska. In terms of effect size, the reductions were –29% (Cohen's d = –0.57) and –11% (Cohen's d = –0.52) for the 2 tax increases. Statistical tests of temporary-effect models versus long-term-effect models showed little dissipation of the effect over time. Conclusions. Increases in alcohol excise tax rates were associated with immediate and sustained reductions in alcohol-related disease mortality in Alaska. Reductions in mortality occurred after 2 tax increases almost 20 years apart. Taxing alcoholic beverages is an effective public health strategy for reducing the burden of alcohol-related disease

Alcohol · Environmental health · Mortality rate · Alcohol Consumption and Health Effects · Chemistry · Demography · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes · Surgery