The impact of alcohol pricing policies on public health in Hong Kong, China: A modelling study.

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dc.citation.volume26
dc.contributor.authorNg CS
dc.contributor.authorAu M
dc.contributor.authorMa R
dc.contributor.authorLeung JYY
dc.contributor.authorQuan J
dc.coverage.spatialEngland
dc.date.accessioned2024-09-09T02:35:37Z
dc.date.available2024-09-09T02:35:37Z
dc.date.issued2022-06-24
dc.description.abstractBackground Contrary to most developed economies, Hong Kong has reduced and eliminated taxes on beer and wine over the last 15 years and observed increasing alcohol consumption. Methods We applied econometric epidemiological modelling to assess the impact of reverting ad valorem taxation to pre-2008 levels (20% on wine and 40% on beer) on consumption and health outcomes. We used 15 years of industry sales and pricing data (2004-2018) to derive 25 own-price and cross-price elasticity estimates. We applied risk functions from the World Health Organization 2018 Global Status Report to assess the impact on 25 alcohol-attributable conditions. Findings An estimated 616 deaths (91.3% in men) were attributable to alcohol in 2018. Raising taxes to pre-2008 levels is estimated to reduce consumption of pure alcohol consumption by 8.0%, 15.9%, and 31.1%; and reduce alcohol-attributable deaths by 11.6%, 21.8%, and 40.2% assuming 25%, 50% and 100% pass through rates of taxes to consumers. The largest projected decreases in alcohol-attributable mortality in absolute numbers are alcohol abuse, alcohol dependence, and alcoholic psychoses (wholly alcohol-attributable disorders). The largest absolute number of new alcohol-attributable cases in 2018 were hypertension, alcohol dependence and alcohol abuse; which are estimated to be reduced by 31.3%, 34.2%, and 34.3% respectively by raising taxes to pre-2008 levels. The alcohol-attributable health burden and absolute reductions in health harms are far greater in men. Interpretation Reversing the 2008 alcohol tax reductions is potentially effective in averting the alcohol-attributable health burden and thus mitigate against the avoidable harms of alcohol-related disease. Funding Health and Medical Research Fund, Food and Health Bureau of the Hong Kong SAR, China [03170067].
dc.description.confidentialfalse
dc.edition.editionSeptember 2022
dc.format.pagination100510-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/35789827
dc.identifier.citationNg CS, Au M, Ma R, Leung JYY, Quan J. (2022). The impact of alcohol pricing policies on public health in Hong Kong, China: A modelling study.. Lancet Reg Health West Pac. 26. (pp. 100510-).
dc.identifier.doi10.1016/j.lanwpc.2022.100510
dc.identifier.eissn2666-6065
dc.identifier.elements-typejournal-article
dc.identifier.issn2666-6065
dc.identifier.number100510
dc.identifier.piiS2666-6065(22)00125-0
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/71435
dc.languageeng
dc.publisherElsevier B.V.
dc.publisher.urihttps://www.sciencedirect.com/science/article/pii/S2666606522001250
dc.relation.isPartOfLancet Reg Health West Pac
dc.rights(c) 2022 The Author/s
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAlcohol
dc.subjectBurden of disease
dc.subjectHealth economics
dc.subjectHealth policy
dc.subjectPublic health
dc.subjectTax
dc.titleThe impact of alcohol pricing policies on public health in Hong Kong, China: A modelling study.
dc.typeJournal article
pubs.elements-id491232
pubs.organisational-groupCollege of Health
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