Associations between alcohol taxes and varied health outcomes among women of reproductive age and infants.
Alcohol Alcohol
; 59(3)2024 Mar 16.
Article
em En
| MEDLINE
| ID: mdl-38497162
ABSTRACT
OBJECTIVE:
No studies have examined whether alcohol taxes may be relevant for reducing harms related to pregnant people's drinking.METHOD:
We examined how beverage-specific ad valorem, volume-based, and sales taxes are associated with outcomes across three data sets. Drinking outcomes came from women of reproductive age in the 1990-2020 US National Alcohol Surveys (N = 11 659 women $\le$ 44 years); treatment admissions data came from the 1992-2019 Treatment Episode Data Set Admissions (N = 1331 state-years; 582 436 pregnant women admitted to treatment); and infant and maternal outcomes came from the 2005-19 Merative Marketscan® database (1 432 979 birthing person-infant dyads). Adjusted analyses for all data sets included year fixed effects, state-year unemployment and poverty, and accounted for clustering by state.RESULTS:
Models yield no robust significant associations between taxes and drinking. Increased spirits ad valorem taxes were robustly associated with lower rates of treatment admissions [adjusted IRR = 0.95, 95% CI 0.91, 0.99]. Increased wine and spirits volume-based taxes were both robustly associated with lower odds of infant morbidities [wine aOR = 0.98, 95% CI 0.96, 0.99; spirits aOR = 0.99, 95% CI 0.98, 1.00] and lower odds of severe maternal morbidities [wine aOR = 0.91, 95% CI 0.86, 0.97; spirits aOR = 0.95, 95% CI 0.92, 0.97]. Having an off-premise spirits sales tax was also robustly related to lower odds of severe maternal morbidities [aOR = 0.78, 95% CI 0.64, 0.96].CONCLUSIONS:
Results show protective associations between increased wine and spirits volume-based and sales taxes with infant and maternal morbidities. Policies that index tax rates to inflation might yield more public health benefits, including for pregnant people and infants.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Vinho
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Bebidas Alcoólicas
Limite:
Adult
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Female
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Humans
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Pregnancy
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article