Category Archives: Politics

Higher Rates of Wine Consumption are Associated with Lower Rates of Traffic Fatalities: Suggestions for Policy Changes

There have been many studies performed examining the economic effect of alcohol policies in the United States (i.e. taxes and minimum drinking age), however very little has been done regarding the distribution of these alcoholic beverages.  Currently in the United States, there is significant variation from state to state regarding how alcohol is sold within their borders.  In 12 states, no alcohol is sold in grocery stores; in 6 states, only beer is sold in the grocery stores; in 15 states, only beer and wine are sold in grocery stores; and in 17 states, beer, wine and spirits are sold in grocery stores.

http://t3.gstatic.com/images?
q=tbn:ANd9GcTni_lV0BoK2ijKF
kjW7Io5ZaDWam7wFXywuD3
_c250GATeaUJKI79UBgss

The most common concern is that increased alcohol availability is more dangerous for consumers, in regards to policies related to alcohol distribution and traffic fatalities.  Many policy makers believe that the total amount of alcohol per beverage is more relevant than the type of alcohol that is consumed, which is a belief not shared by some.  Data from the 48 contiguous United States between the years of 1982 and 2000 indicate that states who consume more wine than any other alcoholic beverage have lower traffic fatalities than states who consume more beer and/or spirits.

There is much debate whether or not to allow the sale of certain types of alcohol in grocery stores in the United States.  Lobbyists claim that by introducing wine into grocery stores, there would be increased alcohol consumption and would lead to higher alcohol-related traffic fatalities.  On the other hand, state and local government would benefit from having wine sold in grocery stores, as they would be able to collect taxes or other revenue on each bottle purchased.  What isn’t clear in the literature to date is whether or not there is a clear link between wine sales in the grocery stores and alcohol-related traffic fatalities.  Most of the research to date does not investigate different types of alcohol individually (i.e. beer, wine, spirits), and only examines total alcohol.

Some studies have examined other regulations involving alcohol in the United States, including alcohol taxes, the minimum drinking age, and Sunday sales.  In regards to the minimum drinking age, studies have shown that lowering the minimum drinking age would not have a significant effect on traffic fatalities in the United States.  In regards to instituting an alcohol tax, some studies have found that an alcohol tax would effectively lead to lower traffic fatalities.  In other studies, this response is primarily gender-driven (males) and the effect is relatively small.  In regards to selling alcohol on Sundays, studies have found no significant link between allowing sales of alcohol on Sundays and increased traffic fatalities.

One study published recently took these data and examined links between different states policies regarding alcohol sales in grocery stores and the associated consequences (in regards to traffic fatalities).  The authors examined how alcohol distribution policies affect the price of the beverages, which was then tied to their influence on total amounts of alcohol consumed, which was finally tied to their effects on traffic fatalities.

The study presented today aimed to address these issues two different ways: 1) by differentiating between state that sell no alcohol, sell beer in grocery stores, sell beer and wine in grocery stores, and sell beer, wine and spirits in grocery stores; and 2) by modeling the effect of grocery store alcohol availability on alcohol prices and consumption, then modeling the effects of total consumption and type of alcohol consumption on traffic fatalities.

Data

The data used for this study was for the 48 contiguous United States for the years 1982-2000.  Prices, consumption, and traffic fatality data were collected from various government agencies.  Demographics were not ignored, and variables included: income, population living in dry counties, population between 18 and 29 years of age, population over 65 years of age, types of alcohol consumed in populations associated with different religious beliefs, and tourism income. 

Data were analyzed by creating mathematical models and accompanying statistics which will not be discussed in this post.

Interesting Findings

There were several fascinating results of this study:

Price:

  • In states that sell beer only in grocery stores, prices were 7% higher for wine and spirits.
  • In states that sell beer and wine in grocery stores, prices of beer were 5.1% lower, prices of wine were 6.8% lower, and prices of spirits were 4.4% higher.
  • In states that sell beer, wine, and spirits in grocery stores, beer and wine prices were lower, but there was no change in spirit prices.
  • Higher levels of unemployment were linked to lower prices of wine and spirits.
  • Prices were lower in states with a larger population between the ages of 18 and 29 and states with a larger population of people over 65 years old.
  • Wine and spirit prices were higher in states with a larger proportion of dry counties.

Consumption:

  •       States that sell beer and wine in grocery stores have 12.9% higher beer consumption rates and 48.6% higher wine consumption rates.
  •        States that sell beer, wine, and spirits have higher consumption rates of beer and wine, but lower than that of states that sell beer and wine.
  •        States that sell beer and wine in grocery stores have a 16.3% higher rate of spirit consumption.
  •       States that sell beer, wine, and spirits do not change significantly in their consumption rates.
  •       With states that sell beer and wine in grocery stores, there is an increase in wine consumption.
  •       There is a positive and significant income effect for wine and spirit consumption (higher income = more wine and/or spirits consumed), whereas there is no significant income effect for beer.
  •       There is a positive and significant tourism income effect on alcohol consumption (more tourists = higher alcohol consumption).
  •       There is increased consumption of all types of alcohol in states with higher Catholic populations.

Traffic Fatalities:

  •       Increases in total alcohol consumption increase traffic fatalities.

o   A 1% increase in alcohol consumption results in a 0.00156% increase in traffic fatalities.

  •       Higher rates of beer and spirit consumption are associated with higher rates of traffic fatalities.
  •       Higher rates of wine consumption are associated with lower rates of traffic fatalities.

Other Results:

  •       States with alcohol available for sale after 10pm had higher traffic fatality rates (this association is highest with youth fatalities).
  •       Increases in miles traveled are associated with higher traffic fatalities.
  •       State seat belt laws decrease traffic fatalities.

Suggestions for Policy Changes

There are many fascinating results of this study, but one that is perhaps the most striking is that wine consumption is associated with lower traffic fatalities than beer or spirit consumption.  Also, sales of alcohol after 10pm are associated with higher rates of traffic fatalities.  One policy change that the authors suggest is that grocery stores should reconsider the time of which alcohol may be sold, and that there should be restrictions on the hours alcohol can be sold to consumers (perhaps, stop selling alcohol at 10pm).

Before the authors could stake any claims that allowing wine into grocery stores would not have a negative effect on traffic fatalities, even though the data show wine consumption is associated with lower rates of traffic fatalities, they offered up results of two model simulations examining exactly what would happen if wine and beer were introduced into stores, and what would happen if wine were introduced in stores already selling beer. 

All simulations involved many parameters and mathematical equations which will not be discussed here.

Simulation 1: Introducing beer and wine into grocery stores

  •       There was a negative and significant effect on beer and wine prices, and a positive and significant effect on spirit prices (i.e. beer and wine prices drop, spirit prices rise).
  •       Total alcohol consumption increased.

o   Beer and spirit consumption decreased, though not significantly.

§  This would thereby increase wine consumption, which based on the results of the actual data would decrease traffic fatalities.

Simulation 2: Introducing wine into grocery stores that already sell beer

  •       The price of beer, wine, and spirits significantly decreased.
  •       The price decrease for wine is twice that of the decrease in Simulation 1.
  •       Total alcohol consumption increased significantly.

o   Beer and spirit consumption decreased, though not significantly.

§  The introduction of wine into grocery stores already selling beer would have no significant effect on the rate of traffic fatalities.

Suggestions for Policy Changes

Overall, the results of this study indicate that even though total alcohol consumption was positively correlated with increased traffic fatalities, the type of alcohol consumed significantly affected how this trend occurred.  For example, high beer and spirit consumption revealed increases in traffic fatalities, whereas high wine consumption revealed decreases in traffic fatalities.  Therefore, the authors claimed (and I agreed) that any argument against selling wine in grocery stores appears to be misguided, and that selling wine in grocery stores may have the opposite effect of what they claim.  The idea that wine contains higher alcohol per unit than beer and therefore higher consumption of wine means that traffic fatalities will increase is a false one, and needs to be reevaluated by policy makers.

In summary, the results of the data analysis and simulation analysis indicates that introducing wine in grocery stores will not lead to increased traffic fatalities, and should not be so vehemently lobbied against in state governments throughout the United States.  Wine sales in grocery stores will not only not contribute to the traffic fatality rate in the United States, but could represent a new source of income (via taxes or other fees) for state governments.

There is a lot of talk about with this subject, more than which there is space to discuss in a single blog post.  I’d love for you all to continue the conversation by leaving comments below (click on the comments tab at the end of this post and leave your thoughts)!

Source:  Rickard, B.J., Costanigro, M, and Garg, T. 2011. Regulating the availability of beer, wine, and spirits in grocery stores: Beverage-specific effects on prices, consumption and traffic fatalities. American Association of Wine Economists Working Paper 95.

*I’d like to thank one of my readers for suggesting this paper for me.  If you find a paper you’d like me to present to my readers, please let me know:  Becca@academicwino.com/
I am not a health professional, nor do I pretend to be. Please consult your doctor before altering your alcohol consumption habits. Do not consume alcohol if you are under the age of 21. Do not drink and drive. Enjoy responsibly!

Does Raising Taxes on Alcohol Save Lives?

Today’s review post is a fascinating study regarding alcohol consumption, implementation of excise taxes, and effects on alcohol-related death trends in the United States.  It is relatively lengthy, but it was so chock full of facts that I was unaware of, that I wanted to share all of their findings with you.  There could be some political implications in the findings of this study as well, since taxes are always a hot topic in election campaigns.

The title of the paper for review today is: 

The effect of alcoholic beverage excise tax on alcohol-attributable injury mortalities; by C.H. Son and K. Topyan

Please feel free to leave comments below!

Introduction

Demographics

For those individuals who consume alcohol, they tend to have preferences toward a specific type, and will often stick with that preference for their entire lives.  Studies have found that wine drinkers tend to have a better quality of life, and lower mortality in old age (which is a topic I will likely pursue in a separate blog post in the future).  Also, wine drinkers are more often older, more educated, female, more affluent, non-smokers, drink in the privacy of their own home, and drink less often than beer or spirit drinkers.  Finally, wine drinkers are more often likely to avoid drinking and driving, and have overall better health.

Spirit drinkers tend to be men, drink more heavily, are middle-aged or older, are less educated, and often have risk factors for major diseases or illnesses.  Spirit drinkers consume more than beer or wine drinkers, and tend to be more emotional and aggressive than non-spirit drinkers.  Those consuming either spirits AND beer (or just beer) had more alcohol-related issues than non-spirit or beer drinkers.

Beer drinkers were the group most likely to drink and drive, be arrested for drunk-driving, and most likely to be involved in alcohol-related accidents.  Young men tended to make up the primary demographic of beer drinkers.

Alcohol and Violence/Injury

(Note:  all statistics are for the United States)

As a result of the demographics analysis, it is often suggested that consumption of different types of alcoholic beverages may be good predictors of crime rates.  Studies have shown that there is a significant relationship between beer and spirits sales and the assault rate, with the homicide rate increasing with more spirits sold.  Wine sales, on the other hand, were not linked to any type of violence.

In regards to injuries, wine drinkers are less likely to be injured than those drinking beer or spirits, whereas beer drinkers were more likely to report some form of alcohol-related injury.  Only those consuming cask wine (poor quality wine often found in larger containers) or high alcohol beer were related to assault and acute alcohol-related morbidity.

In summary, studies to date have found that people have varying preferences for their alcoholic beverage of choice, and that the consequences and alcohol-related harmful effects of those choices vary depending upon the specific type of beverage.  This current study looks into this phenomenon, using information for 32 states in the United States from 1995-2004, and limited the ages of individuals in the study from 25-64.

Excise Tax on Alcohol and Alcohol-Related Injury

Many studies to date have used state excise tax on alcohol information as a proxy for the retail price of alcohol, and used in order to analyze alcohol-related injuries.  Basically, the state excise tax affects the cost of the alcohol uniformly, no matter where it is sold.  It is known that any increase in the excise tax on alcohol results in an increase in the retail price of alcohol within three months.  After an increase in price of alcohol, it has been shown that the probability of drinking and driving decreases. Therefore, it can be concluded that an increase in state excise taxes on alcohol will lower alcohol-related mortality.

Specifically, increasing the excise tax on beer had a negative influence on alcohol-related mortality.  By increasing the price of beer, one is effectively decreasing the amount of beer consumed by an individual.  This decrease in beer consumption is thereby associated with the shown decrease in alcohol-related vehicle death rate.

Income

Studies have also looked at income factor on alcohol-related death rates and found that people with higher incomes were safer drivers, owned cars with better safety features, and had fewer alcohol-related vehicle accidents.

Cigarette Use

Studies have shown that those who drink more also tend to be more tobacco dependent, and that smokers were more likely to consume alcohol in higher amounts than non-smokers.  It can be inferred then, that higher cigarette taxes may also decrease alcohol consumption, in addition to decrease cigarette use.  Therefore, higher cigarette taxes may also contribute to lower alcohol-related deaths.

Suicide

Alcohol consumption has been shown to be a factor in suicide attempts.  38% of those attempting suicide had consumed alcohol within three hours of the attempt. 

Suicide rates are also positively associated with per capita consumption of alcohol. 

Both income and unemployment are significantly related to suicide rate, and are both associated with higher alcohol consumption (really?  One would think the opposite, since income and unemployment are total opposites!).

Homicide

Since alcohol excise taxes affect alcohol consumption, and if alcohol consumption is related to homicide rates, then one could argue that alcohol excise taxes should result in a decrease in the homicide rate.  Studies have shown support for this idea, and that between 1934 and 1995, there were declines in homicide rates whenever there was an increase in excise taxes on alcohol.  Other studies have shown that changes in alcohol consumption results in a change in the assault rate. 

This trend, however, is not seen for every type of alcohol.  This relationship of increased excises taxes on alcohol and an associated decrease in homicide rates were only significant for spirits, and not for beer and wine

Overall Goal of the Study

The overall goal of the study under review was to analyze the effect of state excise taxes on different types of alcoholic beverages on alcohol-related deaths (motor vehicle accidents, suicides, homicides, and falls) in the United States between 1995 and 2004.

Methods

There is a lot of information in the methods section of this paper, and due to the sheer length, it does not make sense for me to review it in detail for this blog post.

The authors looked at causes on injury deaths in the United States, and focused on the alcohol-related portion of it.  They also looked at state excise tax implementation, and looked for trends between the two.

The authors report many statistics regarding alcohol-related deaths in the United States, and show overall trends for the categories of motor vehicle deaths, suicide, homicide, and falls.  In general, there are decreases in all of the categories, however, for a more detailed analysis, I’d recommend viewing the methods yourself, or if you’d like a specific piece of information, leave a comment below and I’ll gladly look it up for you.

The authors also presented an empirical mathematical model of alcohol-related injury death rates, which I will refrain from discussing at this point (though again, if you’d like to see the model, just ask!).

Results

There are many results of this study, so I will only present the more major findings for you here.  Feel free to comment if you’d like to know more details:

·         The effect of beer taxes on motor vehicle deaths is negative and statistically significant one year after the taxes had been implemented.  In other words, increase the beer tax, see a decrease in motor vehicle deaths one year later.

o   Implications are that a 10% increase in beer tax by state governments would lower the number of motor vehicle accident deaths by 2.2% (or 22 per 100,000 individuals) in the following year.

·         The effect of state excise taxes on beer and spirits is not significantly associated with suicides.  However, the effect of state excise taxes on wine is negative and statistically significant.  In other words, increase the wine tax, and see a decrease in suicides. 

o   Attempted suicide is often caused by emotional distress.  Therefore, drinking wine may be associated with a lower control of emotions than other types of alcoholic beverages.  More research would need to be done in order to confirm or refute this idea that the authors of the study bring forth.

·         There is no significant relationship between excises taxes on alcohol and homicide rates.

·         The effect of state excise taxes on spirits is positive and statistically significantly related to alcohol-related fall deaths, however the effect of state excise taxes on wine is negative and statistically significantly related to alcohol-related fall deaths.

o   The authors suggest that an increase in state excise taxes on spirits implies an increase in wine consumption as a result of the substitution effect as a result of the increase in spirit taxes.  In other words, lower priced wine becomes a substitute for higher priced spirits when there is an increase in alcohol excise tax.

§  This explains why wine drinkers are much less likely to switch their alcohol beverage of choice, since they can simply switch to a lower priced wine.

Final Thoughts

The results of this study show that by increasing excise taxes on alcohol, there are positive effects on the number of lives saved due to decreased alcohol-related motor vehicle accidents (with beer taxes) and suicides (with wine taxes) and falls (spirit taxes).  State governments would also benefit, not only because of the lives saved, but also as a result of the increased revenue they would be getting from the alcohol excise taxes.

The topic of taxes is often heated, and when one brings up the subject of imposing higher taxes on alcoholic beverages, there is bound to be a lot of debate.  Yes, it’s inconvenient to have to pay more for your alcohol, but if it is most inconveniencing those who would have otherwise cause a motor vehicle accident or suicide, I’m quite alright with that!  Paying a little bit more for my wine is worth it to me, when I can potentially avoid injury (or even death) as a result of being hit by a drunk driver.

Please feel free to leave comments below!

Full Citation:  Son, C.H., and Topyan, K. 2011. The effect of alcoholic beverage excise tax on alcohol-attributable injury mortalities. European Journal of Health Economics 12: 103-113.

I am not a health professional, nor do I pretend to be. Please consult your doctor before altering your alcohol consumption habits. Do not consume alcohol if you are under the age of 21. Do not drink and drive. Enjoy responsibly!