Home assignment paper 4.pdf - Eur J Health Econ(2008 9:351360 DOI 10.1007\/s10198-007-0082-1 ORIGINAL PAPER The societal cost of alcohol consumption an

Home assignment paper 4.pdf - Eur J Health Econ(2008...

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ORIGINAL PAPERThe societal cost of alcohol consumption: an estimationof the economic and human cost including health effectsin Sweden, 2002Johan JarlÆPia JohanssonÆAntonina ErikssonÆMimmi ErikssonÆUlf-G. GerdthamÆO¨rjan Hemstro¨mÆKlara Hradilova SelinÆLeif LenkeÆMats RamstedtÆRobin RoomReceived: 2 February 2007 / Accepted: 24 October 2007 / Published online: 28 November 2007ÓSpringer-Verlag 2007AbstractThis article estimates the societal cost of alco-hol consumption in Sweden in 2002, as well as the effectson health and quality of life. The estimation includes directcosts, indirect costs and intangible costs. Relevant cost-of-illness methods are applied using the human capital methodand prevalence-based estimates, as suggested in existinginternationalguidelines,allowingcautiouscomparisonwith prior studies. The results show that the net cost (i.e.including protective effects of alcohol consumption) is 20.3billion Swedish kronor (SEK) and the gross cost (countingonly detrimental effects) is 29.4 billon (0.9 and 1.3% ofGDP). Alcohol consumption is estimated to cause a net lossof 121,800 QALYs. The results are within the range foundin prior studies, although at the low end. A large number ofsensitivity analyses are performed, indicating a sensitivityrange of 50%.KeywordsAlcohol±Sweden±Social cost±COI±Quality of lifeIntroductionAlcohol consumption affects both the individual and soci-ety through its adverse effects on health and welfare. Thehealth care sector encounters these effects most clearlywhen treating dependence but also when treating otheralcohol-induced diseases such as liver cirrhosis and cancersof the upper digestive tract. The causal links betweenalcohol consumption and a number of diseases are well-known in epidemiological research [1,2], although stilldebated for some diseases [3]. The criminal justice systemis also affected by alcohol consumption and, in particular,violent crimes have been found to have a close relationshipwith alcohol consumption [4]. Alcohol consumption alsohas a negative effect on societal productivity, due to alco-hol-related mortality and morbidity, while increasing costsfor social services, traffic accidents, property damage, etc.[5]. It can also be expected, under certain circumstances, tohave a negative effect on the quality of life both of drinkersand others. Given the far-reaching effects of alcohol con-sumption on society, it is of interest and importance to studythese effects taken together, i.e. to study the cost of alcoholconsumption to society, to give a sense of the magnitude ofJ. Jarl (&)±Ulf-G.GerdthamHealth Economic Program (HEP), Department of ClinicalSciences, Lund University, S-205 02 Malmo, Swedene-mail: [email protected]P. JohanssonStockholm Centre for Public Health, Stockholm County Council,Stockholm, SwedenA. Eriksson±M. Eriksson±K. H. Selin±M. Ramstedt±R. RoomCentre for Social Research on Alcohol and Drugs (SoRAD),Stockholm University, Stockholm, SwedenO¨. Hemstro¨m
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