Heterogeneous population effects of an alcohol excise tax increase on sexually transmitted infections morbidity.
Heterogeneous population effects of an alcohol excise tax increase on sexually transmitted infections morbidity.
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DOI：
10.1111/add.12493
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发表时间：
2014-06
期刊：
影响因子：
--
通讯作者：
Wagenaar AC
中科院分区：
文献类型：
--
作者：
Staras SA;Livingston MD;Christou AM;Jernigan DH;Wagenaar AC
酒精税减少人口水平的过度饮酒和酒精相关的发病率和死亡率，但很少有人知道酒精税的影响在种族/族裔和年龄亚组的分布。我们研究了种族/民族和年龄组的消费税增加对常见的和常规收集的酒精相关的发病率指标，性传播感染的影响。我们使用中断的时间序列设计，以检查2009年酒精税增加在美国伊利诺伊州的影响，新的情况下，两种常见的性传播感染（衣原体和淋病）报告给美国国家法定传染病监测系统从2003年1月至2011年12月（n = 108重复每月观察）。我们使用考虑时间趋势和中位收入的混合模型，估计了增税对一般人群以及特定种族/民族和年龄亚组感染率的影响。在伊利诺伊州增加酒精税后，全州淋病发病率下降了21% [95%置信区间（CI）=-25.7，-16.7]，衣原体感染率下降了11% [95% CI =-17.8，-4.4]，估计每年减少3506例淋病感染和5844例衣原体感染。拒绝了人种/种族和年龄同质效应的零假设（P < 0.0001）。在非西班牙裔黑人中观察到显着下降：淋病率下降25.6%（95% CI =-30.0，-21.0），衣原体感染率下降14.7%（95% CI =-20.9，-8.0）。在非西班牙裔美国人中，点估计显示25-29岁的下降幅度最大。增加酒精税似乎可以减少性传播感染，特别是在疾病负担高的亚人群中，如非西班牙裔黑人。
Alcohol taxes reduce population-level excessive alcohol use and alcohol-related morbidity and mortality, yet little is known about the distribution of the effects of alcohol taxation across race/ethnicity and age subgroups. We examined the race/ethnicity- and age group-specific effects of an excise alcohol tax increase on a common and routinely collected alcohol-related morbidity indicator, sexually transmitted infections. We used an interrupted time series design to examine the effect of a 2009 alcohol tax increase in Illinois, USA on new cases of two common sexually transmitted infections (chlamydia and gonorrhea) reported to the US National Notifiable Disease Surveillance System from January 2003 to December 2011 (n = 108 repeated monthly observations). We estimated the effects of the tax increase on infection rates in the general population and within specific race/ethnicity and age subgroups using mixed models accounting for temporal trends and median income. Following the Illinois alcohol tax increase, state-wide rates of gonorrhea decreased 21% [95% confidence Interval (CI) = −25.7, −16.7] and chlamydia decreased 11% [95% CI = −17.8, −4.4], resulting in an estimated 3506 fewer gonorrhea infections and 5844 fewer chlamydia infections annually. The null hypothesis of homogenous effects by race/ethnicity and age was rejected (P < 0.0001). Significant reductions were observed among non-Hispanic blacks: gonorrhea rates decreased 25.6% (95% CI = −30.0, −21.0) and chlamydia rates decreased 14.7% (95% CI = −20.9, −8.0). Among non-Hispanics, point estimates suggest decreases were highest among 25–29-year-olds. Increased alcohol taxes appear to reduce sexually transmitted infections, especially among subpopulations with high disease burdens, such as non-Hispanic blacks.
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DOI：
10.1111/j.1467-8489.2007.00365.x
发表时间：
2007-06-01
影响因子：
3.2
作者：
Gallet, Craig A.
通讯作者：
Gallet, Craig A.
影响因子：
2.2
作者：
Chesson, H;Harrison, P;Kassler, WJ
通讯作者：
Kassler, WJ
影响因子：
10.7
作者：
Markowitz, S;Kaestner, R;Grossman, M
通讯作者：
Grossman, M
影响因子：
6
作者：
Marmot, M
通讯作者：
Marmot, M
影响因子：
12.7
作者：
Eaton LA;Huedo-Medina TB;Kalichman SC;Pellowski JA;Sagherian MJ;Warren M;Popat AR;Johnson BT
通讯作者：
Johnson BT