Differential impact of minimum unit pricing on alcohol consumption between Scottish men and women: controlled interrupted time series analysis

Objective To assess the immediate impact of the introduction of minimum unit pricing (MUP) in Scotland on alcohol consumption and whether the impact differed by sex, level of alcohol consumption, age, social grade and level of residential deprivation of respondents.Design Primary controlled interrup...

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Main Authors: Peter Anderson, Eileen F S Kaner, Jakob Manthey, Jürgen Rehm, Amy O'Donnell, Eva Jané Llopis
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e054161.full
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author Peter Anderson
Eileen F S Kaner
Jakob Manthey
Jürgen Rehm
Amy O'Donnell
Eva Jané Llopis
author_facet Peter Anderson
Eileen F S Kaner
Jakob Manthey
Jürgen Rehm
Amy O'Donnell
Eva Jané Llopis
author_sort Peter Anderson
collection DOAJ
description Objective To assess the immediate impact of the introduction of minimum unit pricing (MUP) in Scotland on alcohol consumption and whether the impact differed by sex, level of alcohol consumption, age, social grade and level of residential deprivation of respondents.Design Primary controlled interrupted time series analysis and secondary before-and-after analysis of the impact of introducing MUP in Scotland using alcohol consumption data for England as control.Setting Data from Kantar Worldpanel’s Alcovision survey, a continuous retrospective online timeline follow-back diary survey of the previous week’s alcohol consumption.Participants 53 347 women and 53 143 men.Interventions Introduction of a minimum price of 50 pence per UK unit (6.25 pence/g) for the sale of alcohol in Scotland on 1 May 2018.Main outcome measures Number of grams of alcohol consumed per week, in total, in off-trade (eg, at home) and in on-trade (eg, in pubs, restaurants).Results Primary interrupted time series analyses found that the introduction of MUP was associated with a drop in reported weekly total alcohol consumption of 5.94 g (95% CI 1.29 to 10.60), a drop in off-trade consumption of 3.27 g (95% CI −0.01 to 6.56) and a drop in on-trade consumption of 2.67 g (95% CI −1.48 to 6.82). Associated reductions were larger for women than for men and were greater among heavier drinkers than for lighter drinkers, except for the 5% of heaviest drinking men for whom an associated increase in consumption was found. Secondary before-and-after analyses found that reductions in consumption were greater among older respondents and those living in less deprived areas. The introduction of MUP was not associated with a reduction in consumption among younger men and men living in more deprived areas.Conclusions Greater policy attention needs to be addressed to the heaviest drinking men, to younger men and to men who live in more deprived areas.
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spelling doaj-art-ffd4240b326444f3b6bd4d96fe2cdacd2025-01-30T23:25:13ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-054161Differential impact of minimum unit pricing on alcohol consumption between Scottish men and women: controlled interrupted time series analysisPeter Anderson0Eileen F S Kaner1Jakob Manthey2Jürgen Rehm3Amy O'Donnell4Eva Jané Llopis52 Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK5 Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Sachsen, GermanyCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, CanadaNIHR Policy Research Unit in Behavioural Science, Newcastle University, Newcastle upon Tyne, UK3 Department of Health Promotion, Maastricht University, Maastricht, Limburg, The NetherlandsObjective To assess the immediate impact of the introduction of minimum unit pricing (MUP) in Scotland on alcohol consumption and whether the impact differed by sex, level of alcohol consumption, age, social grade and level of residential deprivation of respondents.Design Primary controlled interrupted time series analysis and secondary before-and-after analysis of the impact of introducing MUP in Scotland using alcohol consumption data for England as control.Setting Data from Kantar Worldpanel’s Alcovision survey, a continuous retrospective online timeline follow-back diary survey of the previous week’s alcohol consumption.Participants 53 347 women and 53 143 men.Interventions Introduction of a minimum price of 50 pence per UK unit (6.25 pence/g) for the sale of alcohol in Scotland on 1 May 2018.Main outcome measures Number of grams of alcohol consumed per week, in total, in off-trade (eg, at home) and in on-trade (eg, in pubs, restaurants).Results Primary interrupted time series analyses found that the introduction of MUP was associated with a drop in reported weekly total alcohol consumption of 5.94 g (95% CI 1.29 to 10.60), a drop in off-trade consumption of 3.27 g (95% CI −0.01 to 6.56) and a drop in on-trade consumption of 2.67 g (95% CI −1.48 to 6.82). Associated reductions were larger for women than for men and were greater among heavier drinkers than for lighter drinkers, except for the 5% of heaviest drinking men for whom an associated increase in consumption was found. Secondary before-and-after analyses found that reductions in consumption were greater among older respondents and those living in less deprived areas. The introduction of MUP was not associated with a reduction in consumption among younger men and men living in more deprived areas.Conclusions Greater policy attention needs to be addressed to the heaviest drinking men, to younger men and to men who live in more deprived areas.https://bmjopen.bmj.com/content/12/7/e054161.full
spellingShingle Peter Anderson
Eileen F S Kaner
Jakob Manthey
Jürgen Rehm
Amy O'Donnell
Eva Jané Llopis
Differential impact of minimum unit pricing on alcohol consumption between Scottish men and women: controlled interrupted time series analysis
BMJ Open
title Differential impact of minimum unit pricing on alcohol consumption between Scottish men and women: controlled interrupted time series analysis
title_full Differential impact of minimum unit pricing on alcohol consumption between Scottish men and women: controlled interrupted time series analysis
title_fullStr Differential impact of minimum unit pricing on alcohol consumption between Scottish men and women: controlled interrupted time series analysis
title_full_unstemmed Differential impact of minimum unit pricing on alcohol consumption between Scottish men and women: controlled interrupted time series analysis
title_short Differential impact of minimum unit pricing on alcohol consumption between Scottish men and women: controlled interrupted time series analysis
title_sort differential impact of minimum unit pricing on alcohol consumption between scottish men and women controlled interrupted time series analysis
url https://bmjopen.bmj.com/content/12/7/e054161.full
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