The effects of a large reduction in alcohol prices on hospitalizations related to alcohol: a population-based natural experiment

Addiction. 2011 Apr;106(4):759-67. doi: 10.1111/j.1360-0443.2010.03296.x. Epub 2011 Feb 14.


Aims: Finland experienced a large reduction in alcohol prices in 2004 due to in the lowering of alcohol taxes by about one-third and the abolition of duty-free allowances for travellers from the European Union. We examined the effects of these changes on alcohol-related hospitalizations.

Design and participants: Time-series intervention analyses of monthly aggregations of hospitalization for acute and chronic causes among men and women aged 15-39, 40-49, 50-69 and more than 69 years.

Setting: Finland, 1996-2006.

Findings: After the price reduction the chronic hospitalization rate for men increased among those below age 70 years. It was largest among those aged 50-69 years: 22%, which implies an increase of 18.0 monthly hospitalizations per 100,000 person-years, and there was an 11% and 16% (11.5 and 4.8 monthly hospitalizations) increase among those aged 40-49 and 15-39, respectively. Among the women the rate increased by 23% (4.0 monthly hospitalizations) in the 50-69-year-olds, and decreased in the under-40s. The increase in all the population groups was due mainly to an increase in mental and behavioural disorders due to alcohol. Acute hospitalizations increased by 17% and 20% (6.2 and 7.0 per month) among men aged 40-49 and 50-69 years, respectively, and by 38% among women aged 50-69 years (2.3 per month).

Conclusions: The results, obtained in a natural experimental setting when trends and seasonal variation had been taken into account, suggest that the reduction in alcohol prices led to increases in alcohol-related hospitalization in certain population groups, mainly among 50-69-year-olds, in Finland.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / economics*
  • Alcohol Drinking / epidemiology
  • Alcohol-Related Disorders / epidemiology*
  • Alcoholic Beverages / economics*
  • Chronic Disease
  • Commerce / economics
  • European Union / economics
  • Female
  • Finland / epidemiology
  • Hospitalization / statistics & numerical data*
  • Hospitalization / trends
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical*
  • Public Policy
  • Taxes / economics*
  • Time Factors
  • Young Adult