Health Economics Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK.
Alcohol Alcohol. 2012 Nov-Dec;47(6):725-31. doi: 10.1093/alcalc/ags092. Epub 2012 Aug 13.
To examine the distribution of the costs of alcohol misuse across Scotland in 2009/2010, in relation to deprivation.
A cost of illness approach was used. Alcohol-related harmful effects were assessed for inclusion using a literature review. This was based upon the following categories: direct healthcare costs, intangible health costs, social care costs, crime costs and labour and productivity costs. An analysis of secondary data supplemented by a literature review was carried out to quantify each harmful effect, determine its value and provide an estimate of the distribution by deprivation. The deprivation distributions used were area measures (primarily the Scottish Index of Multiple Deprivation).
The overall cost was £7457 million. Two alcohol harmful effects were not included in the overall cost by deprivation due to a lack of data. These were 'children's social work and hearing system' and the criminal justice system costs from 'alcohol-specific offences'. The included alcohol harmful effects demonstrated that 40.41% of the total cost arose from the 20% most deprived areas. The intangible cost category was the largest category (78.65%).
The study found that the burden of alcohol harmful effects is greater in deprived groups and these burdens do not simply arise from deprived groups but are also experienced more by these groups. The study was limited by a lack of data availability in certain areas, leading to less-precise cost estimates.
研究 2009/2010 年苏格兰因酗酒造成的各种成本在各贫困地区的分布情况。
采用疾病成本法。通过文献回顾评估了与酗酒相关的有害影响是否应包含在内。这一方法基于以下几个方面：直接医疗成本、无形健康成本、社会护理成本、犯罪成本以及劳动力和生产力成本。利用二次数据分析并结合文献回顾来量化每种有害影响，确定其价值，并按贫困程度进行分布估计。所使用的贫困分布是区域指标（主要是苏格兰多重贫困指数）。
总成本为 7.457 亿英镑。由于缺乏数据，有两项酗酒有害影响在按贫困程度划分的总成本中未被包括在内。这两项是“儿童社会工作和听力系统”以及“酒精特定犯罪”的刑事司法系统成本。所包括的酗酒有害影响表明，总成本的 40.41%来自最贫困的 20%地区。无形成本类别是最大的类别（78.65%）。
研究发现，贫困群体承受着更大的酗酒有害影响负担，而这些负担不仅源于贫困群体，而且贫困群体的负担也更重。该研究受到某些领域数据缺乏的限制，导致成本估计不够精确。
