The price of a drink: levels of consumption and price paid per unit of alcohol by Edinburgh's ill drinkers with a comparison to wider alcohol sales in Scotland
The price of a drink: levels of consumption and price paid per unit of alcohol by Edinburgh's ill drinkers with a comparison to wider alcohol sales in Scotland
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DOI：
10.1111/j.1360-0443.2010.03225.x
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发表时间：
2011-04-01
期刊：
影响因子：
6
通讯作者：
Chick, Jonathan
中科院分区：
文献类型：
--
作者：
Black, Heather;Gill, Jan;Chick, Jonathan
目的比较酒精购买和消费的不良饮酒者在爱丁堡与更广泛的酒精销售在苏格兰。设计横断面。设置两个医院在爱丁堡在2008/09。患者共377例严重的酒精问题;三分之二是住院病人的医疗，手术或精神问题，由于酒精;三分之一是门诊病人。测量上周或典型的每周饮酒量：类型，品牌，单位（1英国单位8克乙醇），购买地点和price.FindingsPatients消耗平均197.7英国单位/周。每单位支付的平均价格为0.43磅（最低0.09磅/单位）（1磅= 1.6美元或1.2），低于2008年苏格兰支付的平均单位价格0.71磅。在消耗的单位中，70.3%以0.40磅/单位或以下的价格出售（苏格兰政府提出的最低定价立法的中间价格模型），83%以英格兰首席医疗官提出的0.50磅/单位或以下的价格出售。每单位支付的价格越低，患者消耗的单位越多。根据苏格兰多重身份指数（基于邮政编码）排名，从较低到较高的社会地位的单位价格持续增加，没有看到;居住在邮政编码中的五分之一的患者支付了最高的单位价格。便宜通常被认为是选择饮料的一个原因;苹果酒，特别是“白色”苹果酒和伏特加，在非销售时，每单位最便宜。偷窃酒精或饮用酒精替代品是非常罕见的reported.ConclusionsBecause严重酒精问题的患者往往购买非常便宜的酒精，消除最低价格或其他立法的最便宜的销售可能会减少他们的消费。目前尚不清楚苏格兰拟议的价格立法是否会鼓励有严重酒精问题的患者开始偷酒或饮用替代品，或者是否会减少招募有严重酒精问题的新饮酒者，并在健康和社会福祉方面产生预期的长期收益。
AimTo compare alcohol purchasing and consumption by ill drinkers in Edinburgh with wider alcohol sales in Scotland.DesignCross-sectional.SettingTwo hospitals in Edinburgh in 2008/09.ParticipantsA total of 377 patients with serious alcohol problems; two-thirds were in-patients with medical, surgical or psychiatric problems due to alcohol; one-third were out-patients.MeasurementsLast week's or typical weekly consumption of alcohol: type, brand, units (1 UK unit 8 g ethanol), purchase place and price.FindingsPatients consumed mean 197.7 UK units/week. The mean price paid per unit was 0.43 pound (lowest 0.09 pound/unit) (1 pound = 1.6 US$ or 1.2), which is below the mean unit price, 0.71 pound paid in Scotland in 2008. Of units consumed, 70.3% were sold at or below 0.40 pound/unit (mid-range of price models proposed for minimum pricing legislation by the Scottish Government), and 83% at or below 0.50 pound/unit proposed by the Chief Medical Officer of England. The lower the price paid per unit, the more units a patient consumed. A continuous increase in unit price from lower to higher social status, ranked according to the Scottish Index of Multiple Deprivation (based on postcode), was not seen; patients residing in postcodes in the mid-quintile paid the highest price per unit. Cheapness was quoted commonly as a reason for beverage choice; ciders, especially 'white' cider, and vodka were, at off-sales, cheapest per unit. Stealing alcohol or drinking alcohol substitutes was only very rarely reported.ConclusionsBecause patients with serious alcohol problems tend to purchase very cheap alcohol, elimination of the cheapest sales by minimum price or other legislation might reduce their consumption. It is unknown whether proposed price legislation in Scotland will encourage patients with serious alcohol problems to start stealing alcohol or drinking substitutes or will reduce the recruitment of new drinkers with serious alcohol problems and produce predicted longer-term gains in health and social wellbeing.