The relationship between minimum alcohol prices, outlet densities and alcohol‐attributable deaths in<scp>B</scp>ritish<scp>C</scp>olumbia, 2002–09

Zhao, Jinhui; Stockwell, Tim; Martin, Gina; Macdonald, Scott; Vallance, Kate; Treno, Andrew J.; Ponicki, William R.; Tu, Albert; Buxton, Jane A.

doi:10.1111/add.12139

Cited by 139 publications

(110 citation statements)

References 35 publications

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“…26 Further evidence for the effectiveness of an MUP comes from long-running natural experiments in Canada, where signifi cant reductions in alcohol consumption followed increases in minimum prices in government liquor stores, despite these outlets representing only a minority of the retail market, 27,28 with a 10% increase in minimum price resulting in a 32% fall in deaths directly attributable to alcohol. 29 as a result, they purchase the cheapest alcohol it is possible to buy, paying less than one-third of the price paid by low-risk drinkers. Even wealthy patients with alcoholic cirrhosis buy the cheapest booze available.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…In British Columbia, Canada, where alcohol minimum pricing (not minimum unit price) has been introduced, significant health benefits have been observed, including a 32% reduction in wholly alcohol attributable deaths following a 10% increase in average minimum price for all alcoholic drinks (Zhao et al, 2013). An important assertion is that, despite popular opinion, even the heaviest drinkers reduced their consumption when minimum alcohol prices increased (Zhao et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…An important assertion is that, despite popular opinion, even the heaviest drinkers reduced their consumption when minimum alcohol prices increased (Zhao et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Heavy Drinkers’ Perspectives on Minimum Unit Pricing for Alcohol in Scotland

et al. 2016

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The irrefutable consequence of Scottish excessive alcohol consumption has prompted implementation and proposal of alcohol policy measures. The purpose of this study is to explore with heavy drinkers their awareness of and identify potential implications of policy introducing alcohol minimum unit pricing (MUP). Face-to-face semi-structured interviews were conducted with drinkers with alcohol-related harm ( n = 20; 15 males, five females; aged 34 to 67 years old) in Scotland’s two largest cities (drinkers were participants within a larger quantitative study, through attendance for treatment for alcohol-related harms at National Health Service [NHS] centers). Median weekly consumption among participants was 130.7 units (range: 28-256.3 U.K. units). Views regarding the impact of increased alcohol prices, through MUP, were mixed. While some drinkers indicated potential reduction in intake, thus possibly reducing alcohol harms in the long term, the expected, or even desired, from a public health perspective, effects on consumption and associated harms might not be fully realized in this group. To mitigate possible unintended short-term detrimental effects of MUP on the most vulnerable, careful planning and appropriate resourcing may be required prior to implementation.

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“…It is predicted that a 50p MUP would save 3,400 lives per year and reduce hospital admissions by 100,000, 38 supported by real world data from Canada. 39 The exciting news is that this occurred within 12-24 months. 39 Finally, an approximation of the Pareto principle or 80:20 rule can be applied to alcohol; one-quarter of the UK population are hazardous and harmful drinkers, but they account for threequarters of alcohol sales.…”

Section: Minimum Unit Pricingmentioning

confidence: 99%

“…39 The exciting news is that this occurred within 12-24 months. 39 Finally, an approximation of the Pareto principle or 80:20 rule can be applied to alcohol; one-quarter of the UK population are hazardous and harmful drinkers, but they account for threequarters of alcohol sales. [40][41][42][43] This may go some way to explain opposition from the drinks industry to evidence-based alcohol policy.…”

Section: Minimum Unit Pricingmentioning

confidence: 99%

Alcoholic liver disease – the extent of the problem and what you can do about it

2015

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Alcoholic liver disease -the extent of the problem and what you can do about itIt takes upwards of ten years for alcohol-related liver disease to progress from fatty liver through fi brosis to cirrhosis to acute on chronic liver failure. This process is silent and symptom free and can easily be missed in primary care, usually presenting with advanced cirrhosis. At this late stage, management consists of expert supportive care, with prompt identifi cation and treatment of bleeding, sepsis and renal problems, as well as support to change behaviour and stop harmful alcohol consumption. There are opportunities to improve care by bringing liver care everywhere up to the standards of the best liver units, as detailed in the Lancet Commission report. We also need a fundamental rethink of the technologies and approaches used in primary care to detect and intervene in liver disease at a much earlier stage. However, the most effective and cost-effective measure would be a proper evidence-based alcohol strategy. Background -the scale of the issue in the UKThis review was drafted alongside the Lancet Commission: Addressing the crisis of liver disease in the UK; evidence-based recommendations of an expert panel aimed at tackling rising numbers of premature deaths due to liver injury.

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The relationship between minimum alcohol prices, outlet densities and alcohol‐attributable deaths inBritishColumbia, 2002–09

Cited by 139 publications

References 35 publications

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

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

Heavy Drinkers’ Perspectives on Minimum Unit Pricing for Alcohol in Scotland

Alcoholic liver disease – the extent of the problem and what you can do about it

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