The Effectiveness of Tax Policy Interventions for Reducing Excessive Alcohol Consumption and Related Harms

Randy W. Elder, Briana Lawrence, Aneeqah Ferguson, Timothy S. Naimi, Robert D. Brewer, Sajal K. Chattopadhyay, Traci L. Toomey, Jonathan E. Fielding

Research output: Contribution to journalReview articlepeer-review

331 Scopus citations

Abstract

A systematic review of the literature to assess the effectiveness of alcohol tax policy interventions for reducing excessive alcohol consumption and related harms was conducted for the Guide to Community Preventive Services (Community Guide). Seventy-two papers or technical reports, which were published prior to July 2005, met specified quality criteria, and included evaluation outcomes relevant to public health (e.g., binge drinking, alcohol-related crash fatalities), were included in the final review. Nearly all studies, including those with different study designs, found that there was an inverse relationship between the tax or price of alcohol and indices of excessive drinking or alcohol-related health outcomes. Among studies restricted to underage populations, most found that increased taxes were also significantly associated with reduced consumption and alcohol-related harms. According to Community Guide rules of evidence, these results constitute strong evidence that raising alcohol excise taxes is an effective strategy for reducing excessive alcohol consumption and related harms. The impact of a potential tax increase is expected to be proportional to its magnitude and to be modified by such factors as disposable income and the demand elasticity for alcohol among various population groups.

Original languageEnglish (US)
Pages (from-to)217-229
Number of pages13
JournalAmerican journal of preventive medicine
Volume38
Issue number2
DOIs
StatePublished - Feb 2010

Bibliographical note

Funding Information:
The work of Briana Lawrence and Aneeqah Ferguson was supported with funds from the Oak Ridge Institute for Scientific Education (ORISE).

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