Brennan Alan, Angus Colin, Pryce Robert, Buykx Penny, Henney Madeleine, Gillespie Duncan, Holmes John, Meier Petra S
School of Health and Related Research, University of Sheffield, Sheffield, UK.
School of Humanities and Social Science, University of Newcastle, Callaghan, NSW, Australia.
Addiction. 2023 May;118(5):819-833. doi: 10.1111/add.16084. Epub 2022 Dec 21.
Evidence exists on the potential impact of national level minimum unit price (MUP) policies for alcohol. This study investigated the potential effectiveness of implementing MUP at regional and local levels compared with national implementation.
Evidence synthesis and computer modelling using the Sheffield Alcohol Policy Model (Local Authority version 4.0; SAPMLA).
Results are produced for 23 Upper Tier Local Authorities (UTLAs) in North West England, 12 UTLAs in North East England, 15 UTLAs in Yorkshire and Humber, the nine English Government Office regions and England as a whole.
Health Survey for England (HSE) data 2011-13 (n = 24 685).
Alcohol consumption, consumer spending, retailers' revenues, hospitalizations, National Health Service costs, crimes and alcohol-attributable deaths and health inequalities.
Implementing a local £0.50 MUP for alcohol in northern English regions is estimated to result in larger percentage reductions in harms than the national average. The reductions for England, North West, North East and Yorkshire and Humber regions, respectively, in annual alcohol-attributable deaths are 1024 (-10.4%), 205 (-11.4%), 121 (-17.4%) and 159 (-16.9%); for hospitalizations are 29 943 (-4.6%), 5956 (-5.5%), 3255 (-7.9%) and 4610 (-6.9%); and for crimes are 54 229 (-2.4%), 8528 (-2.5%), 4380 (-3.5%) and 8220 (-3.2%). Results vary among local authorities; for example, annual alcohol-attributable deaths estimated to change by between -8.0 and -24.8% throughout the 50 UTLAs examined.
A minimum unit price local policy for alcohol is likely to be more effective in those regions, such as the three northern regions of England, which have higher levels of alcohol consumption and higher rates of alcohol harm than for the national average. In such regions, the minimum unit price policy would achieve larger reductions in alcohol consumption, alcohol-attributable mortality, hospitalization rates, NHS costs, crime rates and health inequalities.
有证据表明国家层面的酒精最低单位价格（MUP）政策具有潜在影响。本研究调查了与国家实施相比，在地区和地方层面实施MUP的潜在效果。
使用谢菲尔德酒精政策模型（地方当局版本4.0；SAPMLA）进行证据综合和计算机建模。
给出了英格兰西北部23个高级地方当局（UTLA）、英格兰东北部12个UTLA、约克郡和亨伯地区15个UTLA、9个英国政府区域办公室以及整个英格兰的结果。
2011 - 2013年英格兰健康调查（HSE）数据（n = 24685）。
酒精消费、消费者支出、零售商收入、住院治疗、国民健康服务成本、犯罪以及酒精所致死亡和健康不平等。
估计在英格兰北部地区实施每单位酒精0.5英镑的地方MUP政策，造成的危害减少百分比将高于全国平均水平。英格兰、西北部、东北部以及约克郡和亨伯地区每年酒精所致死亡的减少量分别为1024例（-10.4%）、205例（-11.4%）、121例（-17.4%）和159例（-16.9%）；住院治疗减少量分别为29943例（-4.6%）、5956例（-5.5%）、3255例（-7.9%）和4610例（-6.9%）；犯罪减少量分别为54229例（-2.4%）、8528例（-2.5%）、4380例（-3.5%）和8220例（-3.2%）。各地方当局的结果有所不同；例如，在所调查的50个UTLA中，估计每年酒精所致死亡的变化幅度在-8.0%至-24.8%之间。
对于酒精的最低单位价格地方政策，在诸如英格兰北部三个地区等酒精消费水平较高且酒精危害发生率高于全国平均水平的地区可能会更有效。在这些地区，最低单位价格政策将在酒精消费、酒精所致死亡率、住院率、国民健康服务成本、犯罪率和健康不平等方面实现更大幅度的降低。
