Canadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada.
Institut national de santé publique du Québec, Québec, Canada.
J Stud Alcohol Drugs. 2020 Sep;81(5):631-640.
Alcohol minimum unit pricing is a strategy capable of reducing alcohol-related harm from cheap alcoholic beverages. We used the International Model of Alcohol Harms and Policies (InterMAHP), an open-access alcohol harms estimator and policy scenario modeler, to estimate the potential health benefits of introducing minimum unit pricing in Québec, Canada.
Aggregated mortality and hospitalization data were obtained from official administrative sources. Alcohol sales and pricing data were obtained from the partial government retail monopoly and Nielsen. Exposure data were from the Canadian Substance Use Exposure Database. Average price changes under two minimum-unit-pricing scenarios were estimated by applying a product-level pricing analysis. The online InterMAHP tool was used to automate the estimation of observed alcohol-attributable harm and what was projected in each policy scenario.
Alcohol was estimated to cause 2,850 deaths and 24,694 hospitalizations in Québec in 2014. Introducing minimum unit pricing of CAD$1.50 was estimated to reduce consumption by 4.4%, alcohol-attributable deaths by 5.9% (95% CI [0.2%, 11.7%]), and alcohol-attributable hospital stays by 8.4% (95% CI [3.2%, 13.7%]). Higher minimum unit pricing of CAD$1.75 was estimated to reduce alcohol-attributable deaths by 11.5% (95% CI [5.9%, 17.2%]) and alcohol-attributable hospital stays by 16.3% (95% CI [11.2%, 21.4%]).
The results of this policy modeling study suggest that the introduction of minimum unit pricing between CAD$1.50 and $1.75 would substantially reduce the alcohol-caused burden of disease in Québec. The quantification of alcohol-caused death and disability, and the changes in these measures under two scenarios, was significantly automated by the open-access resource, InterMAHP.
最低单位酒精定价是一种能够降低廉价酒精饮料所带来的与酒精相关伤害的策略。我们使用了国际酒精伤害与政策模型（InterMAHP），这是一个开放获取的酒精伤害评估和政策情景建模工具，来估计在加拿大魁北克省引入最低单位酒精定价的潜在健康益处。
汇总的死亡率和住院数据来自官方行政来源。酒精销售和定价数据来自部分政府零售垄断和尼尔森。暴露数据来自加拿大物质使用暴露数据库。通过应用产品级定价分析，估计了两种最低单位定价情景下的平均价格变化。使用在线 InterMAHP 工具自动估计每个政策情景中的观察到的酒精归因伤害和预测的伤害。
据估计，2014 年在魁北克省，酒精导致了 2850 人死亡和 24694 人住院。引入 1.50 加元的最低单位定价被估计将使消费减少 4.4%，酒精归因死亡减少 5.9%（95%CI[0.2%，11.7%]），酒精归因住院减少 8.4%（95%CI[3.2%，13.7%]）。更高的 1.75 加元的最低单位定价被估计将使酒精归因死亡减少 11.5%（95%CI[5.9%，17.2%]）和酒精归因住院减少 16.3%（95%CI[11.2%，21.4%]）。
这项政策建模研究的结果表明，在 1.50 至 1.75 加元之间引入最低单位定价将大大减少魁北克省的酒精引起的疾病负担。通过开放获取资源 InterMAHP，显著地实现了酒精引起的死亡和残疾的量化，以及在两种情景下这些措施的变化。
