Background: The incidence of alcoholic liver disease (ALD) has increased, causing it to become a primary indication for liver transplantation in the United States. We hypothesized an association between alcohol taxation and prevalence of ALD.
Methods: We conducted a retrospective study of united network for organ sharing (UNOS) waitlist additions for liver transplantation between January 2007 and December 2016. We also analyzed the average excise tax (2007-2016) for beer, wine, and spirits in listing states of liver transplant waitlist additions (LTWA).
Results: There were 104 805 adult UNOS LTWA with assigned diagnoses, an annual increase from 22% to 28%. There were 24 316 LTWA with ALD diagnosis. The mean value for beer tax was significantly lower for ALD patients than for non-ALD patients across all age groups ( < .001). The analysis demonstrated significantly more ALD in waitlisted patients 35-54 years of age (30%), compared with 18-34 years (10%) and ≥55 years (20%), < .001. The data confirmed significantly more ALD Medicaid patients in the 35-54 year age group (28%) compared with other age groups, < .001.
Discussion: Our research demonstrated an association between lower beer tax and higher ALD prevalence across all age groups. We found a larger percentage of middle-aged (35-54 years) Medicaid patients listed with ALD. These findings raise the need for further investigation of a potential public health concern for an association between ALD and beer tax, especially for middle-aged patients of lower socioeconomic status.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/0003134820945223 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The effect of smokeless tobacco (SLT) excise taxes on SLT use among youth.
Int J Drug Policy
January 2025
Center for Tobacco Research, The Ohio State University Wexner Medical Center, United States; Department of Internal Medicine, Medical Oncology Division, The Ohio State University, United States.
Background: Smokeless Tobacco (SLT) use prevalence among youth in the United States (US) is comparable to youth prevalence of cigarette smoking. However, it is in general understudied compared to cigarettes and draws less attention nowadays compared to e-cigarettes (ECs).
Aim: We estimate the own- and cross-tax elasticities of SLT use among US youth and explicitly test how SLT use changes in response to taxes on SLT, cigarettes, ECs, and beer.
The legal framework for the production of alcohol for personal use within the European Union.
Nordisk Alkohol Nark
August 2024
Technische Universität Dresden, Dresden, Germany; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Dalla Lana School of Public Health & Department of Psychiatry, University of Toronto, Toronto, Canada; Center for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; and Programm on Substance Abuse & WHO Collaborating Centre, Public Health Agency of Catalonia, Barcelona, Spain.
Article Synopsis
- The paper analyzes the legal rules surrounding the production of alcohol for personal use in EU Member States, highlighting that 12 countries allow tax-free production.
- It mentions that some countries limit the quantity, primarily focusing on beer and wine, with only one country exempting spirits from tax.
- The study reveals that legal exemptions exist in about half of the EU, raising concerns about unreported alcohol consumption and the need to balance economic benefits with public health risks.
Estimating the effect of transitioning to a strength-based alcohol tax system on alcohol consumption and health outcomes: a modelling study of tax reform in England.
Lancet Public Health
October 2024
Sheffield Addictions Research Group, School of Medicine and Population Health, University of Sheffield, Sheffield, UK; SPECTRUM Consortium, Edinburgh, UK.
Article Synopsis
- - The UK implemented major changes to its alcohol tax structure in August 2023, taxing all alcohol based on ethanol content, with reduced rates for draught beers and ciders, sparking a study on its impacts.
- - Researchers used the Sheffield Tobacco and Alcohol Policy Model to assess how these reforms would affect alcohol consumption, health outcomes, and government revenue over 5 to 20 years.
- - The reforms are projected to slightly reduce alcohol consumption and prevent thousands of deaths and hospital admissions, but hypothetical scenarios suggest that further changes, like removing draught relief, could marginally improve health outcomes.
Adverse health effects of exposure to plastic, microplastics and their additives: environmental, legal and policy implications for Israel.
Isr J Health Policy Res
September 2024
Department of Maritime Civilizations, Charney School for Marine Science, University of Haifa, 199 Aba Khoushy Ave., 3498838, Mount Carmel, Haifa, Israel.
Background: Israel is a regional "hotspot" of plastic pollution, with little discussion of potential adverse health effects from exposure to plastic. This review aims to stimulate discussion and drive policy by focusing on these adverse health effects.
Main Body: Plastics are synthetic polymers containing additives which can leach from food- and beverage-contact plastic into our food and beverages, and from plastic textiles onto our skin.
The Commercial Determinants of Men's Health Promotion: A Case Study of Gambling, Nonnies, and Athleisurewear.
Am J Mens Health
September 2024
Faculty of Management, The University of British Columbia, Kelowna, British Columbia, Canada.
Although the social determinants of health have guided equity work with the tailoring of men's health promotion programs, the role of, and potential for, the commercial determinants of health in those interventions is rarely addressed and poorly understood. While four commercial products, tobacco, alcohol, ultra-processed food, and fossil fuels, account for more than a third of global deaths, there is a need to recognize that consumer goods industries can make both positive and negative contributions to health. This article begins much-needed discussions about what we might learn from, and strategically tap in the commercial sector to seed, scale, and sustain men's health promotion programs.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!