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Potential impact of minimum unit pricing for alcohol in Ireland: evidence from the National Alcohol Diary Survey
Cousins, Gráinne; Mongan, Deirdre; Barry, Joe; Smith, Bobby; Rackard, Marion; Long, Jean
<p>This is a pre-copyedited, author-produced version of an article accepted for publication in Alcohol and Alcoholism following peer review. The version of record, Alcohol and Alcoholism 2016;51(6): 734-740 is available online at: <a href="http://alcalc.oxfordjournals.org.proxy.library.rcsi.ie/content/51/6/734%20%20">http://alcalc.oxfordjournals.org.proxy.library.rcsi.ie/content/51/6/734 </a> and doi: <a href="https://dx.doi.org/10.1093/alcalc/agw051">10.1093/alcalc/agw051</a><em>T</em></p> <p><em><br /></em></p> <p id="x-x-x-x-x-p-1"><strong>Aim</strong> One of the main provisions of the Irish Public Health (Alcohol) Bill is the introduction of a minimum unit price (MUP) for alcohol in Ireland, set at €1.00/standard drink. We sought to identify who will be most affected by the introduction of a MUP, examining the relationship between harmful alcohol consumption, personal income, place of purchase and price paid for alcohol.</p> <p><strong>Method</strong>A nationally representative survey of 3187 respondents aged 18–75 years, completing a diary of their previous week's alcohol consumption. The primary outcome was purchasing alcohol at <€1.00/standard drink; secondary outcome was purchasing alcohol at <€1.00/standard drink off-sales. Primary exposures were harmful alcohol consumption (AUDIT-C > 5), low personal annual income (</p> <p id="x-x-x-x-x-p-3"><strong>Results</strong> One in seven respondents (14%) spent <€1.00/standard drink, with a median spend of 0.78/standard drink. High-risk drinkers (OR 1.56, 95% CI 1.09–2.23), men (OR 1.95, 95% CI 1.43–2.66), people on low income (OR 1.64, 95% CI 1.20–2.23) and those purchasing alcohol off-sales (OR 21.9, 95% CI 12.5–38.1) were most likely to report purchasing alcohol at <€1.00/standard drink. Forty-four per cent of alcohol consumed was purchased off-sales. Of those purchasing off-sales, 30% bought cheap alcohol. High-risk drinkers, men and those on low income were most likely to report paying < €1.00/standard drink off-sales.</p> <p id="x-x-x-x-x-p-4"><strong>Conclusion</strong> Heavy drinkers, men and those on low income seek out the cheapest alcohol. The introduction of a MUP in Ireland is likely to target those suffering the greatest harm, and reduce alcohol-attributable mortality in Ireland. Further prospective studies are needed to monitor consumption trends and associated harms following the introduction of minimum unit pricing of alcohol.</p>
Keyword(s): Alcohol Drinking/Economics; Alcohol Drinking/epidemiology; Minimum Unit Pricing for Alcohol; Pharmacy and Pharmaceutical Sciences
Publication Date:
2016
Type: Journal article
Peer-Reviewed: Yes
Institution: Royal College of Surgeons in Ireland
Citation(s): Cousins G, Mongan D, Barry J, Smith B, Rackard M, Long J. Potential impact of minimum unit pricing for alcohol in Ireland: evidence from the National Alcohol Diary Survey. Alcohol and Alcoholism. 2016;51(6): 734-740.
Publisher(s): Oxford Journals
File Format(s): application/pdf
Related Link(s): http://epubs.rcsi.ie/spharmart/31/
First Indexed: 2016-11-29 06:45:37 Last Updated: 2018-02-13 07:17:11