Impact of Maryland's 2011 alcohol sales tax increase on alcoholic beverage sales.

BACKGROUND: Increasing alcohol taxes has proven effective in reducing alcohol consumption, but the effects of alcohol sales taxes on sales of specific alcoholic beverages have received little research attention. Data on sales are generally less subject to reporting biases than self-reported patterns of alcohol consumption. OBJECTIVES: We aimed to assess the effects of Maryland's July 1, 2011 three percentage point increase in the alcohol sales tax (6-9%) on beverage-specific and total alcohol sales. METHODS: Using county-level data on Maryland's monthly alcohol sales in gallons for 2010-2012, by beverage type, multilevel mixed effects multiple linear regression models estimated the effects of the tax increase on alcohol sales. We controlled for seasonality, county characteristics, and national unemployment rates in the main analyses. RESULTS: In the 18 months after the tax increase, average per capita sales of spirits were 5.1% lower (p < 0.001), beer sales were 3.2% lower (p < 0.001), and wine sales were 2.5% lower (p < 0.01) relative to what would have been expected from sales trends in the 18 months prior to the tax increase. Overall, the alcohol sales tax increase was associated with a 3.8% decline in total alcohol sold relative to what would have been expected based on sales in the prior 18 months (p < 0.001). CONCLUSION: The findings suggest that increased alcohol sales taxes may be as effective as excise taxes in reducing alcohol consumption and related problems. Sales taxes also have the added advantages of rising with inflation and taxing the highest priced beverages most heavily.

Associations of Alcohol Availability and Neighborhood Socioeconomic Characteristics With Drinking: Cross-Sectional Results From the Multi-Ethnic Study of Atherosclerosis (MESA).

BACKGROUND: Living in neighborhoods with a high density of alcohol outlets and socioeconomic disadvantage may increase residents' alcohol use. Few researchers have studied these exposures in relation to multiple types of alcohol use, including beverage-specific consumption, and how individual demographic factors influence these relationships. OBJECTIVE: To examine the relationships of alcohol outlet density and neighborhood disadvantage with alcohol consumption, and to investigate differences in these associations by race/ethnicity and income. METHODS: Using cross-sectional data (N = 5,873) from the Multi-ethnic Study of Atherosclerosis in 2002, we examine associations of residential alcohol outlet density and neighborhood socioeconomic disadvantage with current, total weekly and heaviest daily alcohol use in gender-specific regression models, as well as moderation by race/ethnicity and income. RESULTS: Drinking men living near high densities of alcohol outlets had 23%-29% more weekly alcohol use than men in low density areas. Among women who drank, those living near a moderate density of alcohol outlets consumed approximately 40% less liquor each week than those in low density areas, but higher outlet densities were associated with more wine consumption (35%-49%). Living in highly or moderately disadvantaged neighborhoods was associated with a lower probability of being a current drinker, but with higher rates of weekly beer consumption. Income moderated the relationship between neighborhood context and weekly alcohol use. CONCLUSIONS/IMPORTANCE: Neighborhood disadvantage and alcohol outlet density may influence alcohol use with effects varying by gender and income. Results from this research may help target interventions and policy to groups most at risk for greater weekly consumption.

Contextual determinants and alcohol control policies in the United Kingdom.

In the United Kingdom, between 1960 and the 2000s, there were many sociodemographic and economic factors that played a part in the changing picture of alcohol consumption and its related harm. This paper describes some of these variables along with the political measures that were identified as correlated with changes in consumption and harm. The resulting picture is unclear. No consistent pattern was identified among the variables analyzed. Beverage choice changed over time with a reduction in beer consumption and an increase in wines and spirits. Nevertheless, the overall picture showed an increase in total alcohol consumption and resulting harm.

The effects of beverage type on suicide rate in Russia.

BACKGROUND: Research evidence has suggested that the consumption of different types of alcoholic beverage may have a differential effect on suicide rate. The aim of this study was to examine the relation between the consumption of different beverage types and suicide rates in Russia. SUBJECTS AND METHODS: Age-standardized sex- and age-specific suicide rate for the period 1980-2005 and data on beverage-specific alcohol sale were obtained from the Russian State Statistical Committee. Time-series analytical modeling techniques (ARIMA) were used to examine the relationship between the sale of different alcoholic beverages and suicide rates. RESULTS: Vodka consumption as measured by sale was significantly associated with both male and female suicide rate. The consumption of beer and wine were not associated with suicide rate. The estimates of the age specific models for men were positive (except for the 75+ age group) and ranging from 0.069 (60-74 age group) to 0.123 (30-44 age group). The estimates for women were positive for the 15-29 age group (0.08), 30-44 age group (0.096) and 45-59 age group (0.057). CONCLUSIONS: These findings suggest that public health efforts should focus on both reducing overall consumption and changing beverage preference away from distilled spirits in order to reduce suicide rate in Russia.

Neighbourhood context and binge drinking from adolescence into early adulthood in a US national cohort.

BACKGROUND: Underage binge drinking is a serious health concern that is likely influenced by the neighbourhood environment. However, longitudinal evidence has been limited and few studies have examined time-varying neighbourhood factors and demographic subgroup variation. METHODS: We investigated neighbourhood influences and binge drinking in a national cohort of US 10th grade students at four times (2010-2014; n = 2745). We estimated odds ratios (OR) for past 30-day binge drinking associated with neighbourhood disadvantage, personal and property crime (quartiles), and number of liquor, beer and wine stores within 5 km, and then evaluated whether neighbourhood associations differ by age, sex and race/ethnicity. RESULTS: Neighbourhood disadvantage was associated with binge drinking before 18 [OR = 1.54; 95% confidence interval (1.14, 2.08)], but not after 18 years of age. Property crime in neighbourhoods was associated with a higher odds of binge drinking [OR = 1.54 (0.96, 2.45)], an association that was stronger in early adulthood [4th vs 1st quartile: OR = 1.77 (1.04, 3.03)] and among Whites [4th vs 1st quartile: OR = 2.46 (1.03, 5.90)]. Higher density of liquor stores predicted binge drinking among Blacks [1-10 stores vs none: OR = 4.31 (1.50, 12.36)] whereas higher density of beer/wine stores predicted binge drinking among Whites [one vs none for beer: OR = 2.21 (1.06, 4.60); for wine: OR = 2.04 (1.04, 4.03)]. CONCLUSIONS: Neighbourhood conditions, particularly those related to economic circumstances, crime and alcohol outlet density, were related to binge drinking among young adults, but associations varied across age and individual characteristics.

You save money when you buy in bulk: does volume-based pricing cause people to buy more beer?

This paper uses supermarket scanner data to estimate brand- and packaging-specific own- and cross-price elasticities for beer. We find that brand- and packaging-specific beer sales are highly price elastic. Cross-price elasticity estimates suggest that individuals are more likely to buy a higher-volume package of the same brand of beer than they are to switch brands. Policy simulations suggest that regulation of volume-based price discounts is potentially more effective than a tax increase at reducing beer consumption. Our results suggest that volume-based price discounting induces people to buy larger-volume packages of beer and may lead to an increased overall beer consumption.

Decreases in global beer supply due to extreme drought and heat.

Beer is the most popular alcoholic beverage in the world by volume consumed, and yields of its main ingredient, barley, decline sharply in periods of extreme drought and heat. Although the frequency and severity of drought and heat extremes increase substantially in range of future climate scenarios by five Earth System Models, the vulnerability of beer supply to such extremes has never been assessed. We couple a process-based crop model (decision support system for agrotechnology transfer) and a global economic model (Global Trade Analysis Project model) to evaluate the effects of concurrent drought and heat extremes projected under a range of future climate scenarios. We find that these extreme events may cause substantial decreases in barley yields worldwide. Average yield losses range from 3% to 17% depending on the severity of the conditions. Decreases in the global supply of barley lead to proportionally larger decreases in barley used to make beer and ultimately result in dramatic regional decreases in beer consumption (for example, -32% in Argentina) and increases in beer prices (for example, +193% in Ireland). Although not the most concerning impact of future climate change, climate-related weather extremes may threaten the availability and economic accessibility of beer.

Progress in Brewing Science and Beer Production.

The brewing of beer is an ancient biotechnology, the unit processes of which have not changed in hundreds of years. Equally, scientific study within the brewing industry not only has ensured that modern beer making is highly controlled, leading to highly consistent, high-quality, healthful beverages, but also has informed many other fermentation-based industries.

Applying commodity chain analysis to changing modes of alcohol supply in a developing country.

Development sociology has used global commodity chains as one way of analyzing the dynamics of power and profit-taking in globalized production networks made up of multiple firms and occurring in multiple national settings. A substantial portion of the alcohol supply in developing countries is now produced through such production networks. Particularly in the beer and spirits trade, a small number of transnational firms control networks of local producers, importers, advertisers and distributors. These networks serve to embed transnational or transnationally backed brands in the local culture, using the tools of market research, product design and marketing to influence local drinking practices. Case materials from Malaysia's beer industry help to illustrate how the transnational firms dominate in those links of the commodity chain in which monopoly or oligopoly control is most likely to be found: the design/recipe and marketing/advertising nodes. Their control of the commodity chains and extraction of monopoly or oligopoly profits from them places substantial resources and influence over drinking settings and practices in foreign hands. The impact of this influence on state efficacy and autonomy in setting alcohol policy is an important subject for future research on the creation and implementation of effective alcohol policies in developing societies.

Handgun sales, beer sales, and youth homicide, California, 1972-1993.

Whether regulating access to firearms and alcohol will reduce violent injuries is an important policy question. Empirical answers are difficult to obtain because only observational data are available. The present study estimated the association of firearm sales and alcohol sales with subsequent homicides, after adjusting statistically for potential confounders (e.g., unemployment rates) using California data from 1972 through 1993. Handgun sales and beer sales were lagged one year and used to explain variation in the homicides of Californians (e.g., 1990 sales were used to explain 1991 homicides). Differences across population groups were investigated, with a focus on 15- to 34-year-olds, the highest risk age group. Even when taking potential confounders in the base population into account, beer sales and handgun sales generally are associated positively one year later with homicide, particularly among young men. Reducing beer sales may reduce homicides. And, although they represent a small fraction of existing firearms, regulating the number of handguns sold may reduce the number of homicides.

Impact of changes in distilled spirits availability on alcohol distribution.

An important change in the distribution and availability of distilled spirits in North Carolina has resulted from a move to liquor-by-the-drink. Previously drinkers had to plan to bring distilled spirits with them to eating establishments and purchase mixers and ice; LBD eliminates the need for such planning and makes liquor more easily available. The shift from more restrictive to less restrictive availability does not occur immediately after a local election but is gradual over a two-year period following a local election.

Public availability of distilled spirits: structural and reported consumption changes associated with liquor-by-the-drink.

The impact of the implementation of liquor-by-the-drink (LBD) in North Carolina on the availability of distilled spirits and on individual drinking behavior is evaluated. Distilled spirits outlet data show that the shift from brown-bagging to LBD resulted in a 250% increase in the number of places where liquor could be purchased, whereas the number of on-premise establishments where liquor could be consumed remained relatively constant. Most drinkers in both LBD and non-LBD counties purchase mixed beverages at least occasionally, and such consumption occurs only slightly less frequently than on-premise beer and wine consumption.

Control of alcohol consumption through price increase.

A review of the literature indicates that beer demand tends to be price inelastic, distilled spirits price elastic and wine indeterminate.

The relationship of the retail availability of alcohol and alcohol sales to alcohol-related traffic crashes.

The research literature on the relationship of alcohol consumption to motor vehicle crash risk clearly implicates the importance of minimizing the use of alcohol in conjunction with the operation of motor vehicles. However, there has been relatively little documentation of the direct impact of changes in beverage-specific alcohol sales on the most common surrogate for alcohol-involved traffic crashes, single-vehicle nighttime fatalities. Similarly, there have been few studies of the relationship between the physical availability of alcohol and fatal crash rates which have concurrently controlled for differences in alcohol sales. Indeed, the possibility that reduced availability might lead to increases rather than decreases in fatal crashes (due to increased driving after drinking) has not been adequately tested. This paper presents a series of analyses of time-series cross-sectional data from 38 states over 12 years to evaluate the impact of changes in alcohol sales and the physical availability of alcohol upon single-vehicle nighttime fatal crashes. The results of the study showed, first, that independent of a number of economic and demographic covariates, rates of single-vehicle nighttime fatal crashes were most strongly related to sales of beer and less so to sales of spirits and wine. Second, net of beverage-specific alcohol sales, the physical availability of alcohol was not related to measurable changes in fatal crash rates. Thus, reductions in availability intended to reduce alcohol sales and problems would not appear to increase traffic-related crashes through increased driving exposure.

Changes in alcohol consumption resulting from the elimination of retail wine monopolies: results from five U.S. states.

OBJECTIVE: The role of publicly owned and operated retail alcohol monopolies is currently under debate in many Western and former Eastern-bloc countries. We studied the effects of privatizing wine sales in five U.S. states. METHOD: Data on monthly sales of alcoholic beverages were collected for each of the five states, for all states bordering each of the five states and for the U.S. as a whole for the period from 1968 through 1991. Beer and spirits sales data were collected for comparison with wine sales. A quasiexperimental interrupted time-series design was used, including comparison groups consisting of border states, all other U.S. states and beer and spirits sales within the focal state. Box-Jenkins time-series statistical modeling was used to control for intra- and cross-series dependencies and to estimate the net effect of privatization on wine sales. RESULTS: After controlling for both nationwide and state-specific trends, we found significant increases in wine sales after privatization of 42% in Alabama, 150% in Idaho, 137% in Maine, 75% in Montana and 15% in New Hampshire. The increases in liters of pure ethanol per year in the form of wine were 621,000 in Alabama, 432,000 in Idaho, 364,000 in Maine, 363,000 in Montana and 171,000 in New Hampshire. CONCLUSIONS: The structure of the retail alcohol distribution system has a significant effect on alcohol sales. We recommend that the social costs associated with increased alcohol use be carefully considered before such major policy changes are contemplated.

The dynamics of shifts in alcoholic beverage preference: effects of the legalization of beer in Iceland.

OBJECTIVE: The purpose of the present study is to examine the changes in alcoholic beverage preference and the underlying social and cultural dynamics that followed the legalization of strong beer in Iceland in 1989. METHOD: Data from three nationwide surveys on drinking habits carried out among a random sample of all Icelanders, men and women, 20-69 years old, are analyzed. A questionnaire was mailed to the prospective respondents and in 1988 the response rate was 75.1%, in 1989 it was 73.3% and in 1992 it was 74.7%. RESULTS: Total alcohol consumption peaked the year after strong beer was introduced, but leveled off in the following years as the novelty of the new beverage faded away and real income declined. A shift in beverage preference towards beer took place as soon as it became available. The survey data indicate that almost all sociodemographic groups are moving from the traditional distilled spirits to weaker beverages, beer in particular. The groups contributing most to the current preference for lighter beverages are those living in the capital area, women, individuals aged 30-49 years, people in the academic professions and management, and men belonging to the service professions. CONCLUSIONS: The results suggest some important conclusions regarding alcohol policy. The collective behavior of drinkers documented in this study supports the view that the general population is an important target group for alcohol policy measures. Particular attention to specific subgroups of drinkers may be applied as a supplementary measure.

Iron and alcohol content of traditional beers in rural Zimbabwe.

OBJECTIVES: To determine the concentrations of iron and alcohol in traditional beer, as well as how these may be related to the brewing process. DESIGN: Cross sectional study. SETTING/SUBJECTS: Rural communities living in four of Zimbabwe's nine provinces. MAIN OUTCOME MEASURES: Ionic iron concentration and alcohol concentration in 94 different types of alcoholic beverages prepared in rural areas, and 18 commercially produced beers. RESULTS: The commonest types of traditional beer were a seven day beverage called 'doro rematanda', a by-product of this seven day beer called 'muchaiwa,' and a one-day beverage called 'chikokiyana'. Methods of preparation were similar in the four provinces. Median (Q1, Q3) ionic iron concentrations were 52 (31 to 75) mg/L for the seven-day beer (n = 51), 24 (18 to 36) mg/L for muchaiwa (n = 30) and 21 (17 to 63) mg/L for chikokiyana (n = 13). In contrast, ionic iron concentrations in 12 samples of commercially prepared clear beers were 0.1 mg/L and in commercial opaque beer were 3.6 mg/L. Mean (SD) alcohol concentration in traditional beer was 4.1 g/100 ml (+/- 0.873) compared to 2.8 g/100 ml +/- 1.394) in the muchaiwa and 3.6 g/100 ml (+/- 1.445) in the one day brew, chikokiyana. Mean alcohol concentrations in the three commercial beers are reportedly 3.5 g/100 ml in the opaque beer (Scud), and 4.7 to 5.0 g/ml in clear beer (Zambezi and Castle lagers). CONCLUSIONS: Several preparation methods lead to traditional fermented beverages with very high iron concentrations. Measures to prevent dietary iron overload should include all of these beverages in their scope.

Alcohol law changes and homicide in Iceland.

Homicide rates declined, but not significantly, after the passage of a law in Iceland legalizing the sale of strong beer.

Effect of changing alcohol laws in Iceland on suicide rates.

After the legalization of strong beer in 1989 in Iceland, the decrease in consumption of spirits was accompanied by a decrease in the suicide rate.