MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Sheffield Alcohol Research Group, School of Health and Related Research (ScHARR), University of Sheffield, UK.
Addiction. 2021 Sep;116(9):2372-2384. doi: 10.1111/add.15464. Epub 2021 Mar 9.
To describe gender differences in alcohol consumption, purchasing preferences and alcohol-attributable harm. To model the effects of alcohol pricing policies on male and female consumption and hospitalizations.
Epidemiological simulation using the Sheffield Alcohol Policy Model version 4.
Adults aged 18+ years, England.
Three alcohol pricing policies: 10% duty increase and minimum unit prices (MUP) of £0.50 and £0.70 per UK unit.
Gender-specific baseline and key outcomes data: annual beverage-specific units of alcohol consumed and beverage-specific alcohol expenditure (household surveys). Alcohol-attributable hospital admissions (administrative data). Key model parameters: literature-based own- and cross-price elasticities for 10 beverage-by-location categories (e.g. off-trade beer). Sensitivity analysis with new gender-specific elasticities. Literature-based risk functions linking consumption and harm, gender-disaggregated where evidence was available. Population subgroups: 120 subgroups defined by gender (primary focus), age, deprivation quintile and baseline weekly consumption.
Women consumed 59.7% of their alcohol as off-trade wine while men consumed 49.7% as beer. Women drinkers consumed fewer units annually than men (494 versus 895) and a smaller proportion of women were high-risk drinkers (4.8 versus 7.2%). Moderate drinking women had lower hospital admission rates than men (44 versus 547 per 100 000), but rates were similar for high-risk drinking women and men (14 294 versus 13 167 per 100 000). All three policies led to larger estimated reductions in consumption and admission rates among men than women. For example, a £0.50 MUP led to a 5.3% reduction in consumption and a 4.1% reduction in admissions for men but a 0.7% reduction in consumption and a 1.6% reduction in hospitalizations for women.
Alcohol consumption, purchasing preferences and harm show strong gender patterns among adult drinkers in England. Alcohol pricing policies are estimated to be more effective at reducing consumption and harm for men than women.
描述饮酒、购买偏好和与酒精相关的危害方面的性别差异。构建酒精定价政策对男性和女性饮酒量和住院人数影响的模型。
使用谢菲尔德酒精政策模型第 4 版进行流行病学模拟。
年龄在 18 岁及以上的英格兰成年人。
三种酒精定价政策：提高 10%的关税和每英国单位 0.50 英镑和 0.70 英镑的最低单位价格（MUP）。
按性别划分的基线和关键结果数据：每年饮用的特定饮料的酒精单位数和特定饮料的酒精支出（家庭调查）。与酒精相关的住院人数（行政数据）。关键模型参数：10 种饮料-地点类别（例如，场外啤酒）的基于文献的自有价格和交叉价格弹性。使用新的按性别划分的弹性进行敏感性分析。根据可用证据将与消费和危害相关的风险函数进行性别细分。人口亚组：按性别（主要重点）、年龄、贫困五分位数和基线每周消费划分的 120 个亚组。
女性消费的酒精中有 59.7%来自场外葡萄酒，而男性消费的酒精中有 49.7%来自啤酒。女性饮酒者每年的饮酒量少于男性（494 比 895），而且女性中高风险饮酒者的比例较小（4.8 比 7.2%）。中度饮酒的女性的住院率低于男性（每 10 万人中有 44 比 547 人），但高风险饮酒的女性和男性的住院率相似（每 10 万人中有 14294 比 13167 人）。所有三种政策都导致男性的饮酒量和入院率的估计降幅大于女性。例如，MUP 提高 0.50 英镑导致男性的饮酒量减少 5.3%，入院人数减少 4.1%，而女性的饮酒量减少 0.7%，住院人数减少 1.6%。
在英格兰的成年饮酒者中，饮酒、购买偏好和危害表现出强烈的性别模式。酒精定价政策对男性的饮酒量和危害的影响估计比对女性更有效。
