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The effects of alcohol tax policies on alcohol consumption and alcohol use disorders in Mainland of China: an interrupted time series analysis from 1961-2019
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). La Trobe University, Australia.ORCID iD: 0000-0002-5618-385x
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Number of Authors: 62023 (English)In: American journal of drug and alcohol abuse, ISSN 0095-2990, E-ISSN 1097-9891, Vol. 49, no 6, p. 746-755Article in journal (Refereed) Published
Abstract [en]

Background: Overwhelming evidence suggests that increasing alcohol taxes is an effective strategy for curbing alcohol consumption. However, research on the effects of such strategies in low- and middle-income nations is limited.Objective: The aim is to explore the temporal effect of alcohol tax policy in China.Methods: We employ interrupted time series analysis to investigate the temporal effects of tax policy changes on alcohol consumption and related consequences in Mainland China from 1961 to 2019. The study population, the total population of mainland region of China, aged more than 15 years.Results: The results show that the volume tax policy, which was announced in 2000 and implemented in 2001, led to an immediate reduction in the alcohol consumption (coefficient = -0.429, p < .001). Following the implementation of higher alcohol taxes in 1998 and 2001, the prevalence of alcohol use disorders (AUDs) and related years lived with disability (YLDs) gradually decreased. The relaxation of tax policy in 2006 led to a significant increase in alcohol consumption, both immediately (coefficient = 0.406, p < .001) and in the middle term (coefficient = 0.495, p < .001), as well as contribute to an immediate or medium term significant increase in the prevalence of AUDs (coefficient = 0.038, p = .010; coefficient = 0.032, p < .001) and YLDs (coefficient = 4.363, p = .001; coefficient = 4.226, p < .001).Conclusion: This study demonstrates that changes in alcohol consumption and related consequences (increase or decrease) have followed corresponding changes in alcohol tax policies (easing or tightening), indicating that increasing alcohol taxes can be an effective strategy in China for controlling alcohol consumption and related harms.

Place, publisher, year, edition, pages
2023. Vol. 49, no 6, p. 746-755
Keywords [en]
Alcohol tax policy, interrupted time series analysis, policy analysis, alcohol consumption and alcohol use disorders
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:su:diva-225815DOI: 10.1080/00952990.2023.2280948ISI: 001118971900001PubMedID: 38059570Scopus ID: 2-s2.0-85179961884OAI: oai:DiVA.org:su-225815DiVA, id: diva2:1830548
Available from: 2024-01-23 Created: 2024-01-23 Last updated: 2024-01-23Bibliographically approved

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