Kuo Meichun, Heeb Jean-Luc, Gmel Gerhard, Rehm Jürgen
Addiction Research Institute, Zurich University, Switzerland.
Alcohol Clin Exp Res. 2003 Apr;27(4):720-5. doi: 10.1097/01.ALC.0000065064.61199.79.
On July 1st, 1999, the spirits market in Switzerland was reformed based on the World Trade Organization (WTO) agreement. The tax reform, in addition to increased competition, has resulted in a 30-50% decrease in price for foreign spirits (liquor). The purpose of the present study is to examine whether decreased prices due to the tax reform and the liberalized spirits market in Switzerland have had an effect on spirits consumption, and whether the effect differs by demographic and other correlates.
The present study uses data from a longitudinal study on changes in alcohol consumption in Switzerland's resident population. The baseline survey was conducted 3 months before the tax reform and the follow-up was conducted 28 months after the tax reform. A randomly selected sample of 4007 residents aged 15 years or older participated in the baseline survey and 73% in the follow-up survey. The data were obtained by computer-assisted telephone interview, including detailed questions on alcohol consumption, drinking habits, problem drinking, purchase of spirits and socio-demographic characteristics.
Consumption of spirits increased after the price of spirits decreased. The increase in spirits consumption was consistent across subgroups, with the exception of the group aged 60 or older. Moreover, the increase in spirits consumption persisted even after adjustment for significant correlates of spirits consumption. Apart from age, there was no evidence that the increase in spirits consumption differed between subgroups as defined by sex, region, working status, education, smoking, drinking frequency, or average number of drinks.
The findings demonstrate that younger people are more affected by price than older persons. This study demonstrated that price should be considered an effective policy to reduce alcohol misuse and alcohol-related problems, especially among the younger population.
1999年7月1日,瑞士的烈酒市场根据世界贸易组织(WTO)协议进行了改革。税收改革除了加剧竞争外,还导致外国烈酒(酒类)价格下降了30%至50%。本研究的目的是检验瑞士因税收改革和烈酒市场自由化导致的价格下降是否对烈酒消费产生了影响,以及这种影响在人口统计学和其他相关因素方面是否存在差异。
本研究使用了一项关于瑞士常住人口酒精消费变化的纵向研究数据。基线调查在税收改革前3个月进行,随访在税收改革后28个月进行。随机抽取的4007名15岁及以上居民参与了基线调查,73%的人参与了随访调查。数据通过计算机辅助电话访谈获得,包括关于酒精消费、饮酒习惯、问题饮酒、烈酒购买以及社会人口统计学特征的详细问题。
烈酒价格下降后,烈酒消费增加。除60岁及以上人群外,各亚组的烈酒消费均有增加。此外,即使在对烈酒消费的显著相关因素进行调整后,烈酒消费的增加仍然持续。除年龄外,没有证据表明按性别、地区、工作状态、教育程度、吸烟情况、饮酒频率或平均饮酒量定义的亚组之间,烈酒消费的增加存在差异。
研究结果表明,年轻人比老年人更容易受到价格影响。本研究表明,价格应被视为减少酒精滥用和与酒精相关问题的有效政策,尤其是在年轻人群体中。