Changes in alcohol consumption following a reduction in the price of spirits: a natural experiment in Switzerland

Addiction. 2003 Oct;98(10):1433-46. doi: 10.1046/j.1360-0443.2003.00461.x.

Abstract

Aims: To discover what changes in alcohol consumption had occurred in subgroups defined by age, sex, volume of drinking and drinking occasions, following a reduction in the price of spirits in Switzerland in July 1999.

Design: Quasi-experimental. Longitudinal general-population survey with baseline 3 months before and follow-up 3 months after price change.

Participants: Probabilistic telephone sample of 1347 individuals with at least monthly consumption on average in the previous 6 months at both interviews. The response rate at baseline was 74,8% and the attrition rate from baseline to follow-up 20.2%.

Measurements: Alcohol consumption was assessed by means of a beverage-specific graduated-frequency measure. High volume of drinking was defined as 40 + g/day for men and 20 + g/day for women. Binge drinking was defined as six + drinks on an occasion for men and four + drinks for women.

Findings: Spirits consumption increased significantly (by 28.6%) in the total sample, and specifically in young males and in individuals who were low-volume drinkers at baseline. Consumption of alcohol overall, or of wine or beer, did not change significantly. No indication of effects of substitution was found.

Conclusions: Spirits consumption showed price-responsiveness in the early postintervention period. This finding is of particular interest, as (a) the increase in spirits consumption took place at a time of generally declining consumption of alcohol in Switzerland; and (b) in contrast to the findings of most studies, the intervention, namely price reduction, increased availability.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Alcohol Drinking / epidemiology*
  • Alcoholic Beverages / economics*
  • Costs and Cost Analysis
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Statistics as Topic
  • Switzerland / epidemiology