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限制酒精获取与公共卫生:来自巴西选举禁酒法的证据

Restricting access to alcohol and public health: Evidence from electoral dry laws in Brazil.

作者信息

Nakaguma Marcos Y, Restrepo Brandon J

机构信息

Department of Economics, University of São Paulo, São Paulo, Brazil.

Economic Research Service, Washington, DC, USA.

出版信息

Health Econ. 2018 Jan;27(1):141-156. doi: 10.1002/hec.3519. Epub 2017 Jun 9.

Abstract

We analyze the impact of short-term alcohol bans on road traffic accidents, traffic injuries, and hospital admissions. We focus on the 2012 Municipal Elections in Brazil, during which 11 out of 27 states imposed on its 2,733 municipalities the decision to adopt alcohol bans. Using day-level data on municipalities, we find that alcohol bans caused substantial reductions in road crashes (19%), traffic injuries (43%), and traffic-related hospitalizations (17%). An analysis of traffic-related hospitalization costs allows us to estimate the lower bound of the negative externality associated with excessive alcohol consumption in this context, which reveals that electoral dry laws saved Brazil's public healthcare system $100,000 per day.

摘要

我们分析了短期禁酒令对道路交通事故、交通伤害及医院收治情况的影响。我们重点关注了2012年巴西市政选举期间的情况,在此期间,27个州中有11个州要求其下辖的2733个市实施禁酒令。利用市级每日数据,我们发现禁酒令使道路撞车事故大幅减少(19%)、交通伤害减少(43%)以及与交通相关的住院治疗减少(17%)。对与交通相关的住院治疗费用进行分析后,我们得以估算出在此背景下与过度饮酒相关的负外部性的下限,结果显示选举期间的禁酒法每天为巴西公共医疗系统节省了10万美元。

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