Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
The European Journal of Health Economics
Erschienen in: The European Journal of Health Economics 4/2008

01.11.2008 | Original paper

The societal cost of alcohol consumption: an estimation of the economic and human cost including health effects in Sweden, 2002

verfasst von: Johan Jarl, Pia Johansson, Antonina Eriksson, Mimmi Eriksson, Ulf-G. Gerdtham, Örjan Hemström, Klara Hradilova Selin, Leif Lenke, Mats Ramstedt, Robin Room

Erschienen in: The European Journal of Health Economics | Ausgabe 4/2008

Einloggen, um Zugang zu erhalten

Abstract

This article estimates the societal cost of alcohol consumption in Sweden in 2002, as well as the effects on health and quality of life. The estimation includes direct costs, indirect costs and intangible costs. Relevant cost-of-illness methods are applied using the human capital method and prevalence-based estimates, as suggested in existing international guidelines, allowing cautious comparison with prior studies. The results show that the net cost (i.e. including protective effects of alcohol consumption) is 20.3 billion Swedish kronor (SEK) and the gross cost (counting only detrimental effects) is 29.4 billon (0.9 and 1.3% of GDP). Alcohol consumption is estimated to cause a net loss of 121,800 QALYs. The results are within the range found in prior studies, although at the low end. A large number of sensitivity analyses are performed, indicating a sensitivity range of 50%.
Fußnoten
1
A full account of methods, data and results are reported in Johansson et al. [7].
 
2
The included diseases are malignant neoplasms (C00-C14, C15, C16, C22, C32, C50, D00-D48), diabetes (E10-E14), neuro-psychiatric conditions (F10, F32-F33, G31.2, G40-41, G62.1), cardiovascular diseases (I10-15, I20-I24, I25.1-I25.9, I42.6, I47-I49), cerebrovascular diseases (I60-I62, I63-I66, I85), digestive diseases (K29.2, K70, K74, K80, K85, K86.0, K86.1), skin disease (L40), conditions arising during the perinatal period (Q86.0, R78.0) and other diseases (E24.4, G72.1, O35.4, P04.3, T51, Z72.1).
 
3
The complete ICD-10 chapters V, W, X and Y, divided into different causes of injuries.
 
4
Adjustment by multiplying the AAF for traffic accidents by 2/3 and all other accidents by 4/9.
 
5
The age groups used are 0-14, 15–17, 18–29, 30–49, 50–64, 65–79 and 80+.
 
6
The groups are abstainers (no alcohol within last year), low consumption (women 0–19.99 g, men 0–39.99 g), hazardous consumption (women 20–39.99 g, men 40–59.99 g) and harmful consumption (women 40+ g, men 60+ g).
 
7
Includes 1,500 respondents aged 16–80 each month.
 
8
Mainly concerning motor vehicle, water traffic and drowning, and fire accidents as well as homicides.
 
9
Additional costs as a consequence of crime are health care and productivity costs, which are accounted for under these headings.
 
10
No longer a criminal offence, it involves the police with the task of bringing the person into a safe environment.
 
11
No future costs are calculated for direct costs, thus no discount rate has been applied.
 
12
Before taxes, i.e. including the contribution to the social welfare system.
 
13
Early retirement can be granted fully or in part.
 
14
Longer than 14 days and paid for by the national sickness insurance.
 
15
The Swedish Survey of Living Conditions (ULF).
 
17
Some figures differ between this article and the original report [7] due to minor corrections of mainly computational errors.
 
18
The net per capita cost is equivalent to $243 and the gross to $352 (PPP USD).
 
19
See Johansson et al. [7] for a full account of methods and results from all sensitivity analyses.
 
20
Hybrid approach [12], friction cost method [40], cost in added life-years [41, 21], exclusion of non-market productivity and different valuations of non-market productivity.
 
21
The method uses the difference between market production and market consumption at different ages as a value of lost life-years.
 
22
2,800 SEK per capita aged 15 and above.
 
23
Where all credible analyses were in the range of 50% of the point estimate of 20.3 billion SEK.
 
24
Human capital, hybrid, willingness-to-pay, and demographic method are employed in different studies.
 
Literatur
1.
2.
Corrao, G., Bagnardi, V., Zambon, A., Arico, S.: Exploring the dose–response relationship between alcohol consumption and the risk of several alcohol-related conditions: a meta-analysis. Addiction 94, 155–1573 (1999)CrossRef
3.
Fillmore, K.M., Kerr, W.T., Stockwell, T., Chikritzhs, T., Bostrom, A.: Moderate alcohol use and reduced mortality risk: systematic error in prospective studies. Addict. Res. Theory 14, 101–132 (2006)CrossRef
4.
Room, R., Rossow, I.: The share of violence attributable to drinking. J. Subst. Use 6, 218–228 (2001)CrossRef
5.
Single, E., Collins, D., Easton, B., Harwood, H., Lapsley, H., Kopp, P., Wilson, E. (eds): International guidelines for estimating the costs of substance abuse, 2nd edn. World Health Organization, Geneva (2003)
6.
Single, E.: International guidelines for estimating the economic costs of substance abuse. In: 2nd Window of Opportunity National Congress, Brisbane, Australia (1995)
7.
8.
Markandya, A., Pearce, D.: The social costs of tobacco smoking. Br. J. Addict. 84, 1139–1150 (1989)CrossRef
9.
Single, E., Robson, L., Rehm, J., Xie, X.: The economic costs of alcohol, tobacco and illicit drugs in Canada 1992. Addiction 93(7), 991–1006 (1998)CrossRef
10.
11.
12.
13.
Collins, D.J., Lapsley, H.M.: Counting the cost: estimates of the social costs of drug abuse in Australia in 1998–1999. National Drug Strategy, Monograph Series No. 49. Australian Government Printing Service, Canberra (2002)
14.
UK Strategy Unit (2003) Alcohol misuse: how much does it cost? Cabinet Office, Strategy Unit, London
15.
Jarl, J., Gerdtham, U-G., Lyttkens, C.H., Lithman, T., Merlo, J.: The Danish effect on Swedish alcohol cost: an analysis based on hospitalisation data from southern Sweden. Eur. J. Health. Econ. 7(1), 46–54 (2006)CrossRef
16.
Mäkelä, P.: Alcohol-related mortality by age and sex and its impact on life expectancy. Eur. J. Public. Health 8, 43–51 (1998)CrossRef
17.
Lindholm, M.: Alkoholpåverkade personbilsförare inblandade I dödsolyckore. 2002 Publikation 2004:161. Vägverket, Borlänge (2004)
18.
Rehm, J., Room, R., Monteiro, M., Gmel, G., Graham, K., Rehn, N., Sempos, C.T., Frick, U., Jernigan, D.: Alcohol use. In: Ezzati, M., Lopez, A.D., Rodgers, A., Murray C.J.L. (eds.) Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors, vol. 1, pp. 959–1108. World Health Organization, Geneva (2004)
19.
20.
CAN: Drogutvecklingen i Sverige [Trends in the Use of Alcohol and Drugs in Sweden]. CAN, Stockholm (2004)
21.
22.
Statskontoret: Utnyttja företagshälsovården bättre [Make Better Use of the Workplace Care]. Statskontoret, Stockholm 2001: 29 (2001)
23.
National Board of Health and Welfare: Insatser och klienter i behandlingsenheter inom missbrukarvården den 2 april 2003 [Measures and Clients in Treatment Units]. Socialstryelsen, Stockholm (2003)
24.
Brand, S., Price, R.: The Economic and Social Costs of Crime. Home Office, Research Study, London (2000)
25.
Norström, T.: Effects on criminal violence of different beverage types and private and public drinking. Addiction 93, 689–699 (1998)CrossRef
26.
Andersson, H.: Anlagda bränders omfattning, motiv och påverkansfaktorer [Extent, Motives and Influences on Arson] Dissertation, Department of Criminology, Stockholm University, Stockholm (1995)
27.
Roos, H-E.: Vandalism i storstad och glesbygd [Vandalism in the Big City and the Suburb]. Byggforskningsrådet/Liber, Lund (1986)
28.
Brottsförebyggande rådet: Våldtäkt: En kartläggning av polisanmälda våldtäkter [Rape: A Mapping of Reported Rapes]. Rapport 2005, vol. 7. Brottsförebyggande rådet, Stockholm (2005)
29.
30.
Pernanen, K., Cousineau, M-M., Brochu, S., Sun, F.: Proportions of Crimes Associated with Alcohol and Other Drugs in Canada. Canadian Centre of Substance Abuse, Ottawa (2002)
31.
Midanik, L.T.: Biomedicalization and alcohol research in Sweden. In: Biomedicalization of Alcohol Studies: Ideological Shifts and Institutional Challenges, pp 123–139. Aldine Transaction, New Brunswick (2006)
32.
33.
Alkoholinspektionen [The Alcohol Inspection].: Annual report 1999 (2000)
34.
Gold, M.R., Siegel, J.E., Russel, L., Weinstein, M.C. (eds.): Cost-Effectiveness in Health and Medicine. Oxford University Press, New York (1996)
35.
Statistics Sweden. Lönestatistisk årsbok 2002 [Statistical Yearbook of Salaries and Wages 2002]. SCB, Stockholm (2003)
36.
37.
Burström, K., Johannesson, M., Diderichsen, F.: Health-related quality of life by disease and socio-economic group in the general population in Sweden. Health Policy 55, 51–69 (2001)CrossRef
38.
Kraemer, K.L., Roberts, M.S., Horton, N.J., Palfai, T., Samet, J.H., Freedner, N., Tibbetts, N., Saitz, R.: Health utility ratings for a spectrum of alcohol-related health states. Med. Care 43, 541–550 (2005)CrossRef
39.
40.
Koopmanschap, M.A., Rutten, F.F.H., van Ineveld, B.M., van Roijen, L.: The friction cost method for measuring indirect costs of disease. J. Health. Econ. 14, 171–89 (1995)CrossRef
41.
Johannesson, M., Meltzer, D.: Some reflections on cost-effectiveness analysis. Health. Econ. 7, 1–7 (1998)CrossRef
42.
43.
Gjelsvik, R.: Utredning av de samfunnmessige kostnadene relatert til alkohol [Inquiry into societal costs related to alcohol]. Program for helseekonomi. Nr 07/04 Bergen. University of Bergen, Bergen, Norway (2004)
44.
Karlsson, T., Österberg, E.: A scale of formal alcohol control policies in 15 European countries. Nord. Alkohol Narkotikatidskr. 18 (English suppl.), 117–131 (2001)
45.
46.
Allebeck, P., Moradi, T., Jacobsson, A.: Sjukdomsbördan i Sverige och dess riskfaktorer. Svensk tillämpning av WHO:s “DALY-metod” för beräkning av sjukdomsbörda och riskfaktorer [The burden of disease in Sweden and its risk factors. Swedish application of WHO’s “DALY-method” for the calculation of the burden of disease and risk factors]. Statens folkhälsoinstitut, Östersund (2006)
47.
Hemström, Ö.: Per capita alcohol consumption and ischemic heart disease mortality. Addiction 96 (Suppl. 1), S93–S112 (2001)CrossRef
Metadaten
Titel
The societal cost of alcohol consumption: an estimation of the economic and human cost including health effects in Sweden, 2002
verfasst von
Johan Jarl
Pia Johansson
Antonina Eriksson
Mimmi Eriksson
Ulf-G. Gerdtham
Örjan Hemström
Klara Hradilova Selin
Leif Lenke
Mats Ramstedt
Robin Room
Publikationsdatum
01.11.2008
Verlag
Springer-Verlag
Erschienen in
The European Journal of Health Economics / Ausgabe 4/2008
Print ISSN: 1618-7598
Elektronische ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-007-0082-1

Weitere Artikel der Ausgabe 4/2008

The European Journal of Health Economics 4/2008 Zur Ausgabe

Original paper

Economic evaluation of innovative technologies in health care should include a short-run perspective

Original paper

Health insurance theory: the case of the missing welfare gain

Original paper

Redistributive effects in public health care financing

Original paper

Expanding access to primary care without additional budgets? A case study from Burkina Faso

Original paper

Cost of care of colorectal cancers according to health care patterns and stage at diagnosis in France

Original paper

Decision-analytical modelling in health-care economic evaluations