Adjusting for Unrecorded Consumption in Survey and per Capita Sales Data: Quantification of Impact on Gender- and Age-specific Alcohol-attributable Fractions for Oral and Pharyngeal Cancers in Great Britain

Meier, Petra; Meng, Yang; Holmes, John; Baumberg, Ben; Purshouse, Robin C.; Hill‐McManus, Daniel; Brennan, Alan

doi:10.1093/alcalc/agt001

Cited by 43 publications

(51 citation statements)

References 39 publications

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“…It is also important to note that policy makers will need to consider the total budget impact of any policy options in addition to the potential cost-effectiveness, an issue highlighted in several of the included studies (28, 33, 39). This may suggest that nurse-led SBI programs, which are likely to be less costly overall, may be more appealing option, although consideration must be given to the existing primary care systems in each country.…”

Section: Discussionmentioning

confidence: 99%

What are the Implications for Policy Makers? A Systematic Review of the Cost-Effectiveness of Screening and Brief Interventions for Alcohol Misuse in Primary Care

et al. 2014

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Introduction: The efficacy of screening and brief interventions (SBIs) for excessive alcohol use in primary care is well established; however, evidence on their cost-effectiveness is limited. A small number of previous reviews have concluded that SBI programs are likely to be cost-effective but these results are equivocal and important questions around the cost-effectiveness implications of key policy decisions such as staffing choices for delivery of SBIs and the intervention duration remain unanswered.Methods: Studies reporting both the costs and a measure of health outcomes of programs combining SBIs in primary care were identified by searching MEDLINE, EMBASE, Econlit, the Cochrane Library Database (including NHS EED), CINAHL, PsycINFO, Assia and the Social Science Citation Index, and Science Citation Index via Web of Knowledge. Included studies have been stratified both by delivery staff and intervention duration and assessed for quality using the Drummond checklist for economic evaluations.Results: The search yielded a total of 23 papers reporting the results of 22 distinct studies. There was significant heterogeneity in methods and outcome measures between studies; however, almost all studies reported SBI programs to be cost-effective. There was no clear evidence that either the duration of the intervention or the delivery staff used had a substantial impact on this result.Conclusion: This review provides strong evidence that SBI programs in primary care are a cost-effective option for tackling alcohol misuse.

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Section: Discussionmentioning

confidence: 99%

What are the Implications for Policy Makers? A Systematic Review of the Cost-Effectiveness of Screening and Brief Interventions for Alcohol Misuse in Primary Care

et al. 2014

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“…Similar differences between dietary surveys and sales data are also described for alcohol in the UK. 49 If the manufacturers' figures reflect actual consumption, our estimates may underestimate the effect on obesity. These differences also account for the discrepancy between our estimate of revenue and that of £1bn from the recent Sustain report, which was based on retail data.…”

Section: Strengths and Weaknesses Of Studymentioning

confidence: 97%

“…We derived overall drink consumption and consumption by thirds of equivalised (adjusted for household size and composition) income. We broke these estimates down by age (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49), and ≥50 years).…”

Section: Data-drink Consumptionmentioning

confidence: 99%

Overall and income specific effect on prevalence of overweight and obesity of 20% sugar sweetened drink tax in UK: econometric and comparative risk assessment modelling study

Briggs

Mytton

Kehlbacher

et al. 2013

BMJ

225

242

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Objective To model the overall and income specific effect of a 20% tax on sugar sweetened drinks on the prevalence of overweight and obesity in the UK.Design Econometric and comparative risk assessment modelling study. Setting United Kingdom.Population Adults aged 16 and over.Intervention A 20% tax on sugar sweetened drinks. Main outcome measuresThe primary outcomes were the overall and income specific changes in the number and percentage of overweight (body mass index ≥25) and obese (≥30) adults in the UK following the implementation of the tax. Secondary outcomes were the effect by age group (16-29, 30-49, and ≥50 years) and by UK constituent country. The revenue generated from the tax and the income specific changes in weekly expenditure on drinks were also estimated.

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“…The Offi ce for National Statistics and the Health and Social Care Information Centre report mean values for alcohol consumption, 13 and mean consumption values are used in the Sheffi eld Alcohol Policy Model. 14 We present consumption and derived data using mean, 95% confi dence intervals (CIs), median, interquartile range (IQR) and categorised data, as appropriate. Data were analysed using SPSS software version 20, with non-parametric tests of signifi cance including chi-squared, Spearman correlations and Mann-Whitney U tests.…”

Section: Data Analysis and Presentationmentioning

confidence: 99%

Impact of minimum price per unit of alcohol on patients with liver disease in the UK

et al. 2014

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The slow epidemic of liver disease in the UK over the past 30 years is a result of increased consumption of strong cheap alcohol. When we examined alcohol consumption in 404 subjects with a range of liver disease, we confi rmed that patients with alcohol-related cirrhosis drank huge amounts of cheap alcohol, with a mean weekly consumption of 146 units in men and 142 in women at a median price of 33p/unit compared with £1.10 for low-risk drinkers. For the patients in our study, the impact of a minimum unit price of 50p/unit on spending on alcohol would be 200 times higher for patients with liver disease who were drinking at harmful levels than for low-risk drinkers. As a health policy, a minimum unit price for alcohol is exquisitely targeted at the heaviest drinkers, for whom the impact of alcohol-related illness is most devastating.

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Adjusting for Unrecorded Consumption in Survey and per Capita Sales Data: Quantification of Impact on Gender- and Age-specific Alcohol-attributable Fractions for Oral and Pharyngeal Cancers in Great Britain

Cited by 43 publications

References 39 publications

What are the Implications for Policy Makers? A Systematic Review of the Cost-Effectiveness of Screening and Brief Interventions for Alcohol Misuse in Primary Care

What are the Implications for Policy Makers? A Systematic Review of the Cost-Effectiveness of Screening and Brief Interventions for Alcohol Misuse in Primary Care

Overall and income specific effect on prevalence of overweight and obesity of 20% sugar sweetened drink tax in UK: econometric and comparative risk assessment modelling study

Impact of minimum price per unit of alcohol on patients with liver disease in the UK

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