ResultsReal on-trade (β=-0.661, p<0.01) and off-trade (β=-0.277, p<0.05) alcohol prices were negatively related with rates of violence-related ED attendance among the adult population of England and Wales, after accounting for the effects of regional poverty, income inequality, youth spending power and seasonal effects. It is estimated that over 6,000 fewer violence-related ED attendances per year in England and Wales would result from a 1% increase in both on-trade and off-trade alcohol prices above inflation. Of the variables studied, changes in regional poverty and income inequality had the greatest effect on violence-related ED attendances in England and Wales.
ConclusionSmall increases in the price of alcohol, above inflation, in both markets, would substantially reduce the number of patients attending EDs for treatment of violence-related injuries in England and Wales.Reforming the current alcohol taxation system may be more effective at reducing violence-related injury than minimum unit pricing.
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KEY MESSAGEWhat is already known on this subject? A causal link between alcohol and violence is often assumed but has proven difficult to establish. A link between the price of beer and risk of violence-related injury has been identified in England and Wales; lower beer prices were associated with higher rates of violence-related Emergency Department attendance.
What this study adds Risk of violence-related Emergency Department attendance in England and Wales is greater when on-trade and off-trade alcohol prices are lower. On-trade alcohol prices have a greater impact on violence than off-trade prices.