This document analyzes the affordability of alcoholic beverages in the United States from 1950 to 2011. It finds that alcohol has become dramatically more affordable over this period due to declines in real prices. The percentage of mean disposable income required to purchase one drink per day of the cheapest spirits brand fell from 4.46% in 1950 to 0.29% in 2011. Affordability of popular beer and wine brands also increased substantially. Reduced federal and state alcohol tax rates, which were not adjusted for inflation, were a major driver of the declines in real prices and increases in affordability. Higher and indexed tax rates could help mitigate further declines in prices and increases in affordability.
Soda taxes and the prices of sodas and other drinks evidence from mexicoContribuyentes mx
To combat a growing obesity problem, Mexico imposed a nationwide tax on drinks with added sugar, popularly referred to as a “soda tax,” effective January 2014. I analyze data on taxed and untaxed products collected as part of Mexico’s Consumer Price Index program to estimate how prices responded to the tax. Prices of regular sodas jumped by more than the amount of the tax in the month that the tax took effect.
Lower-alcohol drinks tend to be cheaper, because of lower taxation, and are often lower calorie. Both factors should make them attractive to people drinking at home, helping to retain users at a time when people are cutting back on spend.
Whose to blame for high prescription drug costs?Richard Meyer
Pharma certainly can take the blame for high drug prices but the reality is that even if prescription drugs were free our healthcare costs would still be climbing
Soda taxes and the prices of sodas and other drinks evidence from mexicoContribuyentes mx
To combat a growing obesity problem, Mexico imposed a nationwide tax on drinks with added sugar, popularly referred to as a “soda tax,” effective January 2014. I analyze data on taxed and untaxed products collected as part of Mexico’s Consumer Price Index program to estimate how prices responded to the tax. Prices of regular sodas jumped by more than the amount of the tax in the month that the tax took effect.
Lower-alcohol drinks tend to be cheaper, because of lower taxation, and are often lower calorie. Both factors should make them attractive to people drinking at home, helping to retain users at a time when people are cutting back on spend.
Whose to blame for high prescription drug costs?Richard Meyer
Pharma certainly can take the blame for high drug prices but the reality is that even if prescription drugs were free our healthcare costs would still be climbing
Natural and Organic Foods and Beverages in the U.S., 4th EditionMarketResearch.com
An outline of the Natural and Organic Foods and Beverages in the U.S., 4th Edition report which examines sales and growth potential, identifying key issues and trends that will affect the marketplace through 2019. The report also analyzes and profiles major marketers and retailers, examines marketing and new product trends, and tabulates consumer attitudes and behaviors toward natural/organic foods and beverages and the corresponding retail shopping patterns. Numerous tables, charts, graphs, and illustrations highlight and reinforce key points.
Nearly one in three deaths caused by vehicular accidents in America implicates a driver with a blood alcohol concentration (BAC) of at least 0.08 percent. The law recognizes drivers with 0.08 percent or higher BAC as compromised by alcohol.
How is drug spending affected in the year 2017Steve Martin
As per the reports published in American Journal of Health-System Pharmacy (AJHP) in the year 2016, national trends in prescription drug expenditures were projected to increase by 6 to 8% in 2017 across all healthcare settings.
SPG Trend Advisors and its affiliate, Sage Policy Group, have made presentations on local and regional economies, the national economy, international and geopolitical issues and capital market events. We offer these presentations for our readers to gain additional information from our commentaries and further explanation of our analyses and forecasts.
May restaurant survey data indicated a -1.1% decline in same-store sales and -3.0% decline in traffic. Although industry same-store sales have remained negative for 13 out of the past 14 months, May results reflected a marginal improvement in traffic from April's results.
The demand for expediency and convenience has impacted nearly all forms of the consumer sector in recent years, and the restaurant industry has found itself right in the middle of this seismic shift in preferences. Delivery orders in particular have become the fastest growing trend in the restaurant industry. Read the report for more detail on industry trends, market indices, public market performance and deal activity.
The final examination format is take-home and open bookresources .docxmallisonshavon
The final examination format is take-home and open book/resources and will cover all material presented in the class in order to determine how well you have grasped key concepts. The final will be posted in the classroom at midnight on the first day of the last week of the term.
Your completed final should be posted in the Assignments Folder by no later than 11:59:59 p.m. EST on the due date.
The Assignments folder will lock promptly at midnight. Late work will not be accepted, except in cases of emergency. Extensions will be considered on a case-by-case basis and require documentation.
All questions can be answered using your online in-class materials. It should not be necessary to use other sources.
Students are expected to adhere to UMUC's Code of Conduct. You may not consult with other individuals (e.g., classmates, family members, co-workers) to complete your exams or papers. Known violations will be reported to the provost's office for disciplinary action in accordance with UMUC policy.
The final exam is 92 mixed format questions. Please start the exam ASAP as it is a comprehensive learning experience that requires significant effort. It comprises 25% of your overall grade.
The Multiple Choice and True/ False questions are drawn from the assigned online readings Chapters 1-4, 9-11, 13 Paying the Tab: The costs and benefits of alcohol control.
The essay questions are drawn from the other weekly assigned readings.
Pay close attention to the high point value for the essay questions and plan an appropriate amount of work reflective of the questions point value.
For the essays, Read, Relect, and Write. Do not cut and paste or reproduce the assigned readings word for word. Even when cited it is not permissable to reproduce word for word the reading as an answer to the question. Display your personal understanding of these concepts in the essays.
BEHS 364 SEC 6380 SEM 2158
Final Examination
Alcohol in U. S. Society
UMUC 2015
Match Questions – 4 points each
The public response to excessive drinking has been a mix of two general approaches:
Directly reduce drinking + restrict availability/raise prices
Indirectly reduce drinking + increase availability
Directly reduce drinking + lower price
None of the above
Early in U.S. history, Alexander Hamilton proposed a ____________ to decrease heavy drinking
Prohibition
A whiskey tax
Abstinence
None of the above
Dr. E. M. Jellinek was a researcher that:
Is considered the godfather of the alcoholism movement
Identified small portions of the population vulnerable to alcohol
Suggested that someone with the innate propensity for alcoholism would actually develop the disease depends in part on living in an alcohol wet or dry environment
All of the above
Drinkers are:
Better educated, richer, less ambivalent
Poorly educated, poorer, ambivalent
Exactly the same
None of the above
Federal funding for research and treatment of alcoholism expanded and became institutionaliz.
We exploit a unique panel dataset of about 8000 households, including detailed information of their purchases of products at the barcode level to estimate the impact of the introduction of a
series of taxes on sugary drinks and other products with high caloric density in Mexico using an “event-study” type methodology.
Natural and Organic Foods and Beverages in the U.S., 4th EditionMarketResearch.com
An outline of the Natural and Organic Foods and Beverages in the U.S., 4th Edition report which examines sales and growth potential, identifying key issues and trends that will affect the marketplace through 2019. The report also analyzes and profiles major marketers and retailers, examines marketing and new product trends, and tabulates consumer attitudes and behaviors toward natural/organic foods and beverages and the corresponding retail shopping patterns. Numerous tables, charts, graphs, and illustrations highlight and reinforce key points.
Nearly one in three deaths caused by vehicular accidents in America implicates a driver with a blood alcohol concentration (BAC) of at least 0.08 percent. The law recognizes drivers with 0.08 percent or higher BAC as compromised by alcohol.
How is drug spending affected in the year 2017Steve Martin
As per the reports published in American Journal of Health-System Pharmacy (AJHP) in the year 2016, national trends in prescription drug expenditures were projected to increase by 6 to 8% in 2017 across all healthcare settings.
SPG Trend Advisors and its affiliate, Sage Policy Group, have made presentations on local and regional economies, the national economy, international and geopolitical issues and capital market events. We offer these presentations for our readers to gain additional information from our commentaries and further explanation of our analyses and forecasts.
May restaurant survey data indicated a -1.1% decline in same-store sales and -3.0% decline in traffic. Although industry same-store sales have remained negative for 13 out of the past 14 months, May results reflected a marginal improvement in traffic from April's results.
The demand for expediency and convenience has impacted nearly all forms of the consumer sector in recent years, and the restaurant industry has found itself right in the middle of this seismic shift in preferences. Delivery orders in particular have become the fastest growing trend in the restaurant industry. Read the report for more detail on industry trends, market indices, public market performance and deal activity.
The final examination format is take-home and open bookresources .docxmallisonshavon
The final examination format is take-home and open book/resources and will cover all material presented in the class in order to determine how well you have grasped key concepts. The final will be posted in the classroom at midnight on the first day of the last week of the term.
Your completed final should be posted in the Assignments Folder by no later than 11:59:59 p.m. EST on the due date.
The Assignments folder will lock promptly at midnight. Late work will not be accepted, except in cases of emergency. Extensions will be considered on a case-by-case basis and require documentation.
All questions can be answered using your online in-class materials. It should not be necessary to use other sources.
Students are expected to adhere to UMUC's Code of Conduct. You may not consult with other individuals (e.g., classmates, family members, co-workers) to complete your exams or papers. Known violations will be reported to the provost's office for disciplinary action in accordance with UMUC policy.
The final exam is 92 mixed format questions. Please start the exam ASAP as it is a comprehensive learning experience that requires significant effort. It comprises 25% of your overall grade.
The Multiple Choice and True/ False questions are drawn from the assigned online readings Chapters 1-4, 9-11, 13 Paying the Tab: The costs and benefits of alcohol control.
The essay questions are drawn from the other weekly assigned readings.
Pay close attention to the high point value for the essay questions and plan an appropriate amount of work reflective of the questions point value.
For the essays, Read, Relect, and Write. Do not cut and paste or reproduce the assigned readings word for word. Even when cited it is not permissable to reproduce word for word the reading as an answer to the question. Display your personal understanding of these concepts in the essays.
BEHS 364 SEC 6380 SEM 2158
Final Examination
Alcohol in U. S. Society
UMUC 2015
Match Questions – 4 points each
The public response to excessive drinking has been a mix of two general approaches:
Directly reduce drinking + restrict availability/raise prices
Indirectly reduce drinking + increase availability
Directly reduce drinking + lower price
None of the above
Early in U.S. history, Alexander Hamilton proposed a ____________ to decrease heavy drinking
Prohibition
A whiskey tax
Abstinence
None of the above
Dr. E. M. Jellinek was a researcher that:
Is considered the godfather of the alcoholism movement
Identified small portions of the population vulnerable to alcohol
Suggested that someone with the innate propensity for alcoholism would actually develop the disease depends in part on living in an alcohol wet or dry environment
All of the above
Drinkers are:
Better educated, richer, less ambivalent
Poorly educated, poorer, ambivalent
Exactly the same
None of the above
Federal funding for research and treatment of alcoholism expanded and became institutionaliz.
We exploit a unique panel dataset of about 8000 households, including detailed information of their purchases of products at the barcode level to estimate the impact of the introduction of a
series of taxes on sugary drinks and other products with high caloric density in Mexico using an “event-study” type methodology.
Evaluation of Haematological Parameters among Cigarette Smokers who Drink loc...IJAEMSJORNAL
Cigarette and cannabis smoking and drinking local gin are closely associated with people of different age groups. This study focused on the haematological evaluation of the effect of local gin consumption alongside cigarette and cannabis smoking on haematological parameters in residents of Ogba/Egbema/Ndoni Local Government of Rivers State. One hundred and eighty subjects were recruited for this study and the age bracket was between 22 – 65 years. Thirty of the subjects served as the control, thirty other subjects were drinkers of local gin alone, thirty other subjects were smokers of the mainly donchester brand of cigarette and cannabis popularly called “igboo” and the remaining ninety subjects were drinkers of local gin who also smokes cigarette and cannabis. The subjects 4ml of blood was withdrawn into EDTA specimen container for full blood count assay after obtaining consent from the subjects. BC-2800 Auto Haematology Analyzer was used for the assay for FBC while Westergren method was used for erythrocyte Sedimentation Rate (ESR). Statistical package for the Social Sciences (SPSS) Version 21 was used for analysis for mean, standard deviation, ANOVA and correlation. The results showed that mean cell volume (MCV), Packed cell volume (PCV), White blood cell (WBC), Red blood cell (RBC), and neutrophil were significantly higher in local gin drinkers who also smoke cigarette P<0.05 compared with control. Conversely, the erythrocyte sedimentation rate, platelet, heaemoglobin, mean cell haemoglobin, mean cell haemoglobin concentration, monocytes, lymphocytes were not significant when compared with the control. The results showed that neutrophil increased significantly with P-value of 0.16 and F=1.89, Mean cell volume increased significantly with P-value 0.23, Red blood cell increased significantly with P-value 0.34, White blood cell increased significantly with P-value 0.20 and PCV increased significantly with a P-value of 0.55. The correlation of the parameters that showed increased significance among the subjects showed MCV =0.54 among local gin drinkers who smoke and local gin drinkers alone, but the RBC = -0.67 among cigarette smokers who drink local gin and only smokers alone, correlation among local gin consumers only and cigarette smokers alone showed MCV=0.131, WBC= 1.45 and PCV = 0.45. Therefore, this study suggests that a significant increase in neutrophil, RBC, MCV, WBC and PCV may be due to frequent consumption of local gin and frequent smoking of cannabis and cigarette. Drinkers of local gin and smokers of cigarette and cannabis in Ogba/Egbema/Ndoni Local Government Area should be informed of the implications of this social habit in their haematological parameters.
Match Questions – 4 points eachThe public response to exce.docxbunnyfinney
Match Questions – 4 points each
The public response to excessive drinking has been a mix of two general approaches:
Directly reduce drinking + restrict availability/raise prices
Indirectly reduce drinking + increase availability
Directly reduce drinking + lower price
None of the above
Early in U.S. history, Alexander Hamilton proposed a ____________ to decrease heavy drinking
Prohibition
A whiskey tax
Abstinence
None of the above
Dr. E. M. Jellinek was a researcher that:
Is considered the godfather of the alcoholism movement
Identified small portions of the population vulnerable to alcohol
Suggested that someone with the innate propensity for alcoholism would actually develop the disease depends in part on living in an alcohol wet or dry environment
All of the above
Drinkers are:
Better educated, richer, less ambivalent
Poorly educated, poorer, ambivalent
Exactly the same
None of the above
Federal funding for research and treatment of alcoholism expanded and became institutionalized with the creation of :
Alcoholics Anonymous (AA)
National Institute on Alcoholism and Alcohol Abuse (NIAAA)
Narcotics Anonymous (NA)
None of the above
Today, the “neo-prohibitionist” label suggests people that:
Are moralistic and naïve
Seek to reduce alcohol abuse by advocating controls on supply and higher taxes
Promote deregulation
Both a and b
At the time of the Civil War liquor was used for:
Drinking
Fluid for lamps
Industrial products
All of the above
The national prohibition was popularly known as the:
Volstead Act
Wilson Act
Webb-Kenyon Act
Reed Act
Enforcement of the Volstead Act was done by:
Congress
President
Treasury Department
Homeland Security
The class of people that maintained the same level of drinking throughout Prohibition was:
Middle and Upper class
Working class
Poor
None of the above
The most successful self-help organization of our time is:
Alcoholics Anonymous
Narcotics Anonymous
Al-Anon
Marijuana Anonymous
E. Morton Jellinek:
Identified 5 varieties of alcoholism
Wrote “The Disease Concept of alcoholism”
Offered a science-based understanding of alcoholism
All of the above
______________ was another proponent of the disease model who suggested that uncontrolled, maladaptive ingestion of alcohol is not a disease in the sense of a biological disorder; rather alcoholism is a disorder of behavior:
George Vaillant
E.M. Jellinek
Stanton Peele
Herb Finagarette
The case for a genetic basis to alcoholism is strengthened by the observation:
Identical twins are more alike with respect to the presence or absence of alcoholism than are fraternal twins
Fraternal twins are more alike with respect to the presence or absence of alcoholism than are identical twins
Identical and fraternal twins are equally alike with respect to the presence of alcoholism
Identical and fraternal twins are equally alike with respect to the absence of alcoholism
Project Match was an evaluation study that:
.
More young people in Canada are visiting EDs because of drinking alcoholΔρ. Γιώργος K. Κασάπης
More people are visiting emergency departments after drinking alcohol, a new study finds. Researchers looked at more than 765,000 ED visits in Ontario, Canada’s largest province, and found a 175% increase in such visits between 2003 and 2016 among 25- to 29-year-olds. That spiked to a 240% increase in alcohol-related ED visits for young women, who were also more likely than men to be under Canada’s legal drinking age of 19. For both young men and women, visiting the ED for alcohol-related problems also led to more hospital admissions than other types of ED visits. Other countries, including the U.S., have experienced similar increases in alcohol-related visits to the ED, the authors behind the new study write, urging more research into the reasons behind the growing trend.
Alcohol Action Ireland's Pre-Budget Submission 2014 calls for the introduction of minimum pricing. Minimum pricing has the potential to significantly reduce alcohol-related harm in Ireland, resulting in a reduction of the substantial costs incurred by the State and the number of lives lost due to alcohol in Ireland every year.
Perspective T h e N EW ENGL A N D JOU R NA L o f M ED.docxkarlhennesey
Perspective
T h e N EW ENGL A N D JOU R NA L o f M EDICI N E
april 30, 2009
1n engl j med 10.1056/nejmp0902392
The obesity epidemic has in-spired calls for public health
measures to prevent diet-related
diseases. One controversial idea is
now the subject of public debate:
food taxes.
Forty states already have small
taxes on sugared beverages and
snack foods, but in the past year,
Maine and New York have pro-
posed large taxes on sugared bev-
erages, and similar discussions
have begun in other states. The
size of the taxes, their potential
for generating revenue and reduc-
ing consumption, and vigorous
opposition by the beverage indus-
try have resulted in substantial
controversy. Because excess con-
sumption of unhealthful foods
underlies many leading causes of
death, food taxes at local, state,
and national levels are likely to
remain part of political and pub-
lic health discourse.
Sugar-sweetened beverages
(soda sweetened with sugar, corn
syrup, or other caloric sweeteners
and other carbonated and uncar-
bonated drinks, such as sports
and energy drinks) may be the
single largest driver of the obe-
sity epidemic. A recent meta-
analysis found that the intake of
sugared beverages is associated
with increased body weight, poor
nutrition, and displacement of
more healthful beverages; in-
creasing consumption increases
risk for obesity and diabetes; the
strongest effects are seen in stud-
ies with the best methods (e.g.,
longitudinal and interventional
vs. correlational studies); and in-
terventional studies show that re-
duced intake of soft drinks im-
proves health.1 Studies that do not
support a relationship between
consumption of sugared bever-
ages and health outcomes tend to
be conducted by authors support-
ed by the beverage industry.2
Sugared beverages are market-
ed extensively to children and
adolescents, and in the mid-1990s,
children’s intake of sugared bev-
erages surpassed that of milk. In
the past decade, per capita intake
of calories from sugar-sweetened
beverages has increased by nearly
30% (see bar graph)3; beverages
now account for 10 to 15% of the
calories consumed by children
and adolescents. For each extra
can or glass of sugared beverage
Ounces of Prevention — The Public Policy Case for Taxes
on Sugared Beverages
Kelly D. Brownell, Ph.D., and Thomas R. Frieden, M.D., M.P.H.
Sugar, rum, and tobacco are commodities which
are nowhere necessaries of life, which are become
objects of almost universal consumption, and which
are therefore extremely proper subjects of taxation.
Adam Smith, The Wealth of Nations, 1776
P E R S P E C T I V E
2 n engl j med 10.1056/nejmp0902392
consumed per day, the likelihood
of a child’s becoming obese in-
creases by 60%.4
Taxes on tobacco products have
been highly effective in reducing
consumption, and data indicate
that higher prices also reduce
soda consumption. A review con-
ducted by Yale University’s
Rudd Center ...
After deciding on the topic for your researched argumentative essay,.docxoreo10
After deciding on the topic for your researched argumentative essay, locate six credible sources in the South University Online Library. Take notes on your sources following the methods outlined in the
Week 3
lecture about note-taking. For each source, note the main idea, evaluate the authority or background of the author, identify the target audience, and consider how the text relates to the position you plan to argue in your research paper.
For this assignment:
Draft a references page in APA format that includes all six of your sources.
After each entry, provide a concise annotation about the source. Each annotation should:
Summarize information from the source that is relevant to your research topic
.
Evaluate the credibility of the source
.
Explain how the source relates to other sources in the bibliography
AUTHOR:
HENRY SAFFER
TITLE:
Alcohol Advertising and Youth
SOURCE:
Journal of Studies on Alcohol supp no14 173-81 Mr 2002
References
Saffer, H. (2002). Alcohol Advertising and Youth.
Journal Of Studies On Alcohol. Supplement
, (14), 173-181.
The magazine publisher is the copyright holder of this article and it is reproduced with permission. Further reproduction of this article in violation of the copyright is prohibited.
ABSTRACT
Objective: The question addressed in this review is whether aggregate alcohol advertising increases alcohol consumption among college students. Both the level of alcohol-related problems on college campuses and the level of alcohol advertising are high. Some researchers have concluded that the cultural myths and symbols used in alcohol advertisements have powerful meanings for college students and affect intentions to drink. There is, however, very little empirical evidence that alcohol advertising has any effect on actual alcohol consumption. Method: The methods used in this review include a theoretical framework for evaluating the effects of advertising. This theory suggests that the marginal effect of advertising diminishes at high levels of advertising. Many prior empirical studies measured the effect of advertising at high levels of advertising and found no effect. Those studies that measure advertising at lower, more disaggregated levels have found an effect on consumption. Results: The results of this review suggest that advertising does increase consumption. However, advertising cannot be reduced with limited bans, which are likely to result in substitution to other available media. Comprehensive bans on all forms of advertising and promotion can eliminate options for substitution and be potentially more effective in reducing consumption. In addition, there is an increasing body of literature that suggests that alcohol counteradvertising is effective in reducing the alcohol consumption of teenagers and young adults. Conclusions: These findings indicate that increased counteradvertising, rather than new advertising bans, appears to be the better choice for public policy. It is doubt.
Albert Einstein indeed stands like a giant amid the pantheon of scientific figures of the twentieth century. His ideas unleashed a revolution whose changes are still being felt into the new century.
This day and age we’re living in Give cause for apprehension With speed and new invention And things like fourth dimension Yet we get a trifle weary With Mr. Einstein’s theory So we must get down to earth at times Relax, relieve the tension And no matter what the progress Or what may yet be proved The simple facts of life are such They cannot be removed You must remember this A kiss is just a kiss A sigh is just a sigh The fundamental things apply As time goes by. . .
FORUM ON INVESTING IN YOUNG
CHILDREN GLOBALLY OVERVIEW
In January 2014, the Board on Children, Youth, and Families of the
Institute of Medicine (IOM) and the National Research Council (NRC), in
collaboration with the IOM Board on Global Health, launched the Forum
on Investing in Young Children Globally (forum). At this meeting, the
participants agreed to focus on creating and sustaining, over 3 years, an
evidence-driven community of stakeholders that aims to explore existing,
new, and innovative science and research from around the world and
translate this evidence into sound and strategic investments in policies
and practices that will make a difference in the lives of children and their
caregivers.
Abstract
Approximately 20 percent of Americans are affected by mental health and substance use
disorders, which are associated with significant morbidity and mortality. While the evidence
base for the effectiveness of interventions to treat these disorders is sizable, a considerable gap
exists between what is known to be effective and interventions that are actually delivered in
clinical care. Addressing this quality chasm in mental health and substance use care is
particularly critical given the recent passage of the Patient Protection and Affordable Care Act
(ACA) and Mental Health Parity and Addiction Equity Act, which are changing the delivery of
care and access to treatments for mental health and substance use disorders. Increasing
emphasis on accountability and performance measurement, moreover, will require strategies to
promote and measure the quality of psychosocial interventions.
In this report, the study committee develops a framework that can be used to chart a path
toward the ultimate goal of improving the outcomes of psychosocial interventions for those with
mental health and substance use disorders. This framework identifies the key steps entailed in
successfully bringing an evidence-based psychosocial intervention into clinical practice. It
highlights the need to (1) support research to strengthen the evidence base on the efficacy and
effectiveness of psychosocial interventions; (2) based on this evidence, identify the key elements
that drive an intervention’s effect; (3) conduct systematic reviews to inform clinical guidelines
that incorporate these key elements; (4) using the findings of these systematic reviews, develop
quality measures—measures of the structure, process, and outcomes of interventions; and
(5) establish methods for successfully implementing and sustaining these interventions in regular
practice including the training of providers of these interventions. The committee intends for this
framework to be an iterative one, with the results of the process being fed back into the evidence
base and the cycle beginning anew. Central to the framework is the importance of using the
consumer perspective to inform the process.
The recommendations offered in this report are intended to assist policy makers, health
care organizations, and payers that are organizing and overseeing the provision of care for
mental health and substance use disorders while navigating a new health care landscape. The
recommendations also target providers, professional societies, funding agencies, consumers, and
researchers, all of whom have a stake in ensuring that evidence-based, high-quality care is
provided to individuals receiving mental health and substance use services.
Bullying—long tolerated as just a part of growing up—finally has been recognized as a substantial and preventable health problem. Bullying is associated with anxiety, depression, poor school performance, and future
delinquent behavior among its targets, and reports regularly surface of youth who have committed suicide at least in part because of intolerable bullying. Bullying can also have harmful effects on children who bully, on
bystanders, on school climates, and on society at large. Bullying can occur at all ages, from before elementary school to after high school. It can take the form of physical violence, verbal attacks, social isolation, spreading
rumors, or cyber bullying.
Increased concern about bullying has led 49 states and the District of Columbia to enact anti-bullying legislation since 1999. In addition, researchon the causes, consequences, and prevention of bullying has expanded greatly in recent decades. However, major gaps still exist in the understanding of bullying and of interventions that can prevent or mitigate the effectsof bullying.
This publication examines reviewed research on bullying
prevention and intervention efforts as well as efforts in related areas of research and practice, implemented in a range of contexts and settings, including
• Schools
• Peers
• Families
• Communities
• Laws and Public Policies
• Technology
Despite spending far more on medical care than any other nation and despite having seen a century of unparalleled improvement in population health and longevity, the United States has fallen behind many of its global counterparts and competitors in such health outcomes as overall life expectancy and rates of preventable diseases and
injuries.
A fundamental but often overlooked driver of the imbalance
between spending and outcomes is the nation’s inadequate investment in nonclinical strategies that promote health and prevent disease and injury population-wide, strategies that fall under the rubric of “population
health.
Businesses across the nation are involved in every aspect of their communities and the economy and can be powerful partners in terms of improving the health of the nation, said George Isham, a senior advisor at HealthPartners, Inc., a senior fellow at the HealthPartners Institute for Education and Research, and a co-chair of the Institute of Medicine (IOM) Roundtable on Population Health Improvement. On July 30, 2014, the IOM roundtable held a workshop at the New York Academy of Medicine (NYAM) in New York City to consider the role of business in improving population health beyond the usual worksite wellness and health promotion activities.
In welcoming participants to NYAM, the academy’s president, Jo Ivey Boufford, said that economic development is a crucial factor in achieving population health and that there are many opportunities to create win–win situations for business to promote population health in the communities where they live and serve. She added that in New York State business has been a fundamental
part of a large, multi-stakeholder group that is implementing a prevention agenda for the state and helping communities to identify and address priority needs.
Combined with the more traditional employer occupational safety and health protection activities are newer employment-based programs to promote better health through helping workers quit smoking, lose weight, reduce stress, or exercise more regularly. In support of these efforts, some employers have made changes in their policies and facilities to support physical activity and healthier eating, and some employers connect with ommunity resources for health education, health fairs, and
other services. From company to company, the interest in, resources for, and ability to do more for employee health and well-being vary. Employees’ interest in, needs for, and priorities for these types of programs also vary.
Description
Next Generation Science Standards identifies the science all K-12 students should know. These new standards are based on the National Research Council's A Framework for K-12 Science Education. The National Research Council, the National Science Teachers Association, the American Association for the Advancement of Science, and Achieve have partnered to create standards through a collaborative state-led process. The standards are rich in content and practice and arranged in a coherent manner across disciplines and grades to provide all students an internationally benchmarked science education.
1 Introduction and Overview 1
PART I
UNDERSTANDING BULLYING
2 Overview of Bullying and Victimization 9
3 Targets of Bullying and Bullying Behavior 19
PART II
CONTEXTS FOR PREVENTION AND INTERVENTION
4 School-Based Interventions 35
5 Family-Focused Interventions 49
6 Technology-Based Interventions 57
7 Community-Based Interventions 65
8 Peer-Led and Peer-Focused Programs 73
9 Laws and Public Policies 81
PART III
FUTURE DIRECTIONS AND OVERALL THEMES
10 Translating Bullying Research into Policy and Practice 91
11 Reflections of School Personnel and Student Perspectives 103
12 Final Thoughts 113
APPENDIXES
A References 121
B Workshop Agenda 131
C Workshop Statement of Task 139
Preventing Suicide: A Global Imperative
Preventing Suicide, A Global ImperativeFor World Suicide Prevention Day, September 10th, 2014, the World Health Organization is issuing its first global report on suicide, Preventing Suicide: A Global Imperative.
Suicide is a serious global public health problem. More than 800,000 people worldwide die from suicide every year.
Research shows suicides are preventable. Multiple sectors — public and private, health and non-health sectors, such as education, labor, agriculture, business and the media — have a role to play in prevention.
2. concept of alcohol affordability has received less attention. A recent study of alcohol
demand in New Zealand has found that affordability was a more important determinant of
alcohol consumption than real price over the 1988–2011 period,4 indicating the need for
greater attention to this measure in order to affect health outcomes.
Alcohol affordability has been generally defined in terms of the relationship between the
price of alcohol and personal or household income, with the key issues being which price
and income measures are the most appropriate. An earlier New Zealand study5 used data on
average whisky, wine and beer prices and average hourly gross earnings to calculate alcohol
affordability as the number of minutes of work required to purchase four 10-gram standard
drinks; the number of minutes required declined by 13% (for wine) to 24% (for spirits)
between 1999 and 2010. This measure is similar to some commonly used tobacco
affordability measures.6
In the United Kingdom, the National Health Service (NHS) alcohol affordability index is
calculated as real total household disposable income divided by the relative alcohol price
index.7 Anderson8 reports that alcohol affordability increased by 80% from 1965 to 1989
and, in a later paper,9 finds that affordability rose by 60% from 1980 to 2006. However,
Seabrook10 criticizes the income measure used by the NHS because it is based on total
household income, rather than a more appropriate per capita income measure, and it includes
some imputed incomes from housing rentals and insurance policies. Seabrook’s alternative
affordability index shows only a 5% increase in affordability from 1999 to 2009 as
compared to a 27% increase in the NHS measure.
No U.S. studies have directly addressed changes in alcohol affordability over time. Many
studies note that the real value of state and federal tax rates in the U.S. have declined
dramatically since the 1950s because they are defined in nominal terms, are not adjusted for
inflation and are rarely raised.1 In a recent review of the literature on alcohol prices, Xu and
Chaloupka3 note and review these declines and the low value of many state beer taxes. They
discuss the few studies on alcohol excise tax pass-through, which find that prices to
consumers rise by 1.2–4.2 times the amount of tax.
The current study takes a long-term view of alcohol affordability in the U.S., providing
details on various beverage types and quality levels, with a focus on the costs of off-
premises drinking as a percentage of mean disposable income. Disposable income is
adjusted for taxes paid and represents income available for discretionary purchases. An
alternative measure of low income, the upper limit of the lowest quintile of household
income, is also utilized. Alcoholic beverage prices vary greatly across contexts, beverage
types, and brands, making the choice of any single price or index difficult. Price measures
from the Bureau of Labor Statistics (BLS) alcoholic beverage consumer price indexes (CPI),
which cover both on- and off-premises beer, wine and spirits prices and combine these into
home, away-from-home, and overall alcoholic beverage price indexes are utilized, as are
prices of specific brands available over time from two state-controlled retail systems.
Alcoholic beverages are complex multi-attribute and heterogeneous goods consisting of not
only ethanol but also, in some cases, higher-quality ingredients, complex fermentation or
distillation processes, aging processes, packaging materials, shipping procedures, secret
recipes, and brand value created by marketing and advertising. Additionally, on-premises
prices include glassware, service, access to the premises and often many other amenities.
These additional attributes add to the cost and to what consumers are willing to pay but are
separate from the alcohol itself.11,12
In this framework, the price of alcohol per se is best represented by the price of the lowest-
priced brand of each beverage type for off-premises consumption. The price of the most
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3. popular brand is another alternative focused on popular products that most drinkers would
consume or recognize. These may be best represented by the BLS alcohol price indices or
the prices of popular brands, such as Bacardi Rum in the U.S. Prices should be measured in
terms of a standard drink (0.6 ounces or 14 grams of ethanol) to control for differences in
percentage alcohol by volume (%ABV) within a beverage type and for comparison across
beverage types. Affordability for each brand or drink type is calculated as the percentage of
each income measure required to purchase 1 drink per day.
Methods
Prices
The overall CPI and the alcoholic beverage CPIs were obtained from the Bureau of Labor
and Statistics (BLS). The CPI for all alcoholic beverages was available from 1953 to
present, whereas the CPIs for specific categories of on- and off-premises beer, wine and
spirits were available for shorter periods (Table 1).
The current study identified two government monopoly states that had price lists of their
alcohol brands available. Spirit prices were gathered from the Pennsylvania Alcohol
Beverage Control Wine & Liquor Quarterly and were available from 1950 to 2011 and
include federal and state alcohol taxes. Beer and wine prices were collected from the
Washington Alcohol Beverage Control Price List and were available from 1978 to 2011 and
include sales tax as well as federal and state alcohol taxes.
Because of the varying bottle sizes and %ABV for each brand, beverage volume was
converted (for the current study) into standard drinks (0.6 ounces of ethanol), and the price
per standard drink was calculated for each brand. Since alcohol drinks come in a varying
range of container sizes (and with price per standard drink varying and typically lower for
larger sizes), size was taken into account when selecting brands for comparison. Preference
was given to larger sizes and to maintaining a consistent size or changing bottle size only
once. Bottle sizes used for spirits were mainly a “fifth” (0.757L) and 1.75L. For wine, 1.5-L,
1-gallon, and 4-L bottle sizes were used. Beer prices were mainly for 6-packs of 12-ounce
cans or bottles.
Brand choices for the current study were primarily determined by availability over time and
product popularity. In the spirit category, both the cheapest available brand and one of the
most popular brands were used, which are representative of other cheap and popular brands.
Cheap spirit brands chosen are detailed in Appendix A (available online at
www.ajpmonline.org) where information on brand, type, %ABV, and container size are
presented. For the popular spirit brand, the choice was Bacardi Silver/Light/Superior rum
sold in a 4/5-quart bottle (1950–1975) and 1.75-L (1980–2011) containers.
The choice for wine prices was Gallo Hearty Domestic Burgundy 1-gallon size (1978–1980)
and 4-L size (1985) and Carlo Rossi’s Domestic Burgundy in 4-L bottles (1990–2011). In
the beer category, the choice was Guinness extra stout and Rainier Ale. Also utilized were
mean prices across all areas and observations for 1995 from the American Chamber of
Commerce Research Association (ACCRA),13 as baseline prices for extrapolation using the
“At Home” spirits, beer, and wine CPIs. Brands measured by ACCRA are J&B Scotch,
Budweiser, and Gallo Chablis Blanc. These prices include all alcohol excise taxes and
markups but not sales taxes.
Income
Per capita disposable income includes personal income from all sources such as wages,
dividends and interest less personal taxes assessed on income and property. This measure is
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4. available from the Bureau of Economic Analysis (BEA) over a long time period in the U.S.
and may best represent average individual spending power. Aspects of the income
distribution and the average or median disposable income of specific groups could also be
relevant where available. Long series of various income measures are not available for the
U.S.; however, a measure of low income from 1967 to 2010 was obtained from the BEA: the
upper limit of the lowest quintile of household income. This measure best reflects the
spending power of low-income households but is based on total, rather than disposable,
household income.
Affordability
The preferred measure of affordability is the percentage of mean per capita disposable
income needed to buy 1 drink each day of a particular brand in a given year. This measure
reflects the cost of regular low-risk drinking and can easily be multiplied to reflect higher
drinking amounts such as 2, 5, or 10 drinks per day. A measure of the cost burden of very
heavy drinking on low-income households, calculated as the percentage of the upper limit of
the lowest quintile of household income needed to buy 10 drinks per day of selected brands,
is also presented. Analyses were conducted in 2012.
Results
The first four columns of Table 1 show the BLS CPI for all goods, and overall alcohol price
indices, for the years they are available. Although the overall alcohol index has matched the
all-goods CPI closely, since 1980 there has been some divergence between on-premises and
off-premises prices. The on-premises index, which is also influenced by labor and real estate
costs, has risen substantially more than the at-home index. From 1950 to 1980, alcohol
prices only doubled, whereas the all-goods CPI increased 3.4 times, indicating a decline in
real alcohol prices.
Per capita disposable income in $2011 was about three times higher in 2010 than it was in
1950. Prices for spirits, beer and wine at home estimated from the beverage-specific CPIs
were used to calculate the percentage of mean disposable income needed to purchase 1 drink
per day. Results indicate that beer in 1953 required five times the income share it did in
2010; wine in 1963 required 4.4 times the income share; and spirits in 1973 required three
times the income share.
Table 2 presents the nominal and real ($2011) prices of the lowest-priced spirits brand sold
in Pennsylvania, as well as for the popular Bacardi light rum, along with an affordability
measure calculated as the percentage of per capita disposable income required to purchase 1
drink per day. Affordability was dramatically lower in the past; drinking the cheapest spirits
required 15 times the percentage of income in 1950 that it did in 2011. The cost of heavy
drinking (10 drinks per day of the cheapest brand) required 45% of mean disposable income
in 1950, whereas in 2011 it required less than 3%. The price of Bacardi has declined less,
with the real price being about 3.3 times higher in 1950 and the cost of 1 drink per day in
1950 requiring about ten times the percentage of that year’s disposable income as that
required in 2011.
Appendix B (available online at www.ajpmonline.org) lists standard drink prices in $2011
for two brands of beer, and a brand of low-priced wine available in the Washington state
liquor stores over time. The real price of Guinness since 2000 has been about half the 1978
price. The Rainier and wine prices were more stable after 1980 but declined substantially
from 1978 to 1980. Comparison of the current lowest prices for spirits with those for beer
and wine suggests that heavy drinkers looking for the cheapest alcohol will be incentivized
toward spirits. Affordability measures for beer and wine brands show reduction in the
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5. percentage of income required over time. For Guinness, more than double the percentage of
income was needed in 1978 compared to that needed 2011, whereas for wine about three
times the percentage was needed.
Also considered were the alternative measure of household income (the upper limit of the
lowest quintile), and the affordability of heavy drinking (10 drinks per day) for low-income
households was calculated as an indicator of the burden that heavy or dependent drinkers
would place on such families (Table 3). Heavy drinking has become much more affordable
for such families since 1967. Currently, the burden from the cheapest spirits is about 5% of
this household income measure, about one fifth of the percentage needed in 1967. The
burden in 2011 is twice as high if Bacardi is chosen, which is about one third of the
percentage needed in 1967. Affordability of wine has also increased since 1967 with 10
drinks per day of Carlo Rossi Burgundy requiring about 12% of household income in 2011.
Less change in affordability is seen for beer, with 10 drinks of Budweiser requiring about
17% of household income compared to 25% in 1967.
The key source of the increased affordability of alcoholic beverages in the U.S. has been the
decline in the real values of both federal and state taxes on beer, wine and spirits. Appendix
C (available online at www.ajpmonline.org) presents the federal tax rates and average state
tax rates for license states (those without government monopolies) in 2011 dollars. Many of
these tax rates were three to six times higher in the 1950s than they are today. Combined
state and federal spirits taxes averaged $0.20 per standard drink in 2011 as compared to
$0.36 in 1980, $0.87 in 1965 and nearly $1.00 per standard drink in the 1950s. These real
tax reductions have also affected the relative prices of beer, wine and spirits as they have
declined much more for spirits. The average combined beer tax is now $0.08 per standard
drink compared to $0.33 in 1950, whereas the combined wine tax has declined from $0.22 in
1970 to $0.07 in 2011.
Discussion
The current analysis indicates that alcohol beverages in the U.S. are now considerably more
affordable than they were in the 1950s and 1960s. Consuming 1 drink per day of the
cheapest brand of spirits, representing the price of alcohol with no amenities, currently
requires the outlay of only 0.29% of U.S. per capita disposable income. The same purchases
would have required a share of income 15 times higher in 1950, ten times higher in 1970,
three times higher in 1980, twice the share in 1990, and about 25% higher in 2000.
Price data for wine and beer are not available over as long a period, but substantial increases
in affordability are seen for these as well. One drink per day of Budweiser beer now requires
1.37% of per capita disposable income, and low-priced wine requires 0.36%. The same beer
in 1950 would have required five times the share of income.
One source of increasing affordability is increasing real income. Real per capita disposable
income has tripled since 1950 and increased by 60% since 1980. Declining real prices for
alcoholic beverages account for the rest of the affordability increase with price and income
changes having multiplicative effects on affordability. Declining real federal and state
alcoholic beverage taxes played a key role in the price trends. These taxes are now one third
to one sixth of their real values in the 1950s, with the largest reduction being implemented
for spirits taxes, which were especially high, averaging about $1 per standard drink in 1950
and 1955 in 2011 dollars. These taxes now average about $0.20 per standard drink,
constituting two thirds of the price of the cheapest spirits.
Clearly, taxes have a major impact on the price of low-priced brands and have played a
major role in declining real prices for spirits. Real beer and wine taxes have declined as well
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6. to current levels averaging $0.07 per drink for wine and $0.08 per drink for beer. Although
federal wine taxes have always been low, average state wine taxes were six times higher in
1970 than they are at present. Declines in federal beer taxes have been more substantial,
with real values less than one quarter of their 1950–1960 values. Average real state taxes
have also dropped from $0.10 to $0.03.
Tax rates are the main policy option for maintaining real prices over time. Nearly all U.S.
license state alcohol taxes are based on beverage volume and are not indexed for inflation.
Options for maintaining the real value of taxes over time include periodic increases on an
ad-hoc basis; indexing tax rates to the rate of inflation; and assessing all or part of the tax on
a price basis (ad valorem), as done with the additional sales tax of 3% recently adopted in
Maryland. Levying taxes on the basis of alcohol content, like the federal spirits tax, rather
than beverage volume, would also improve the specificity of the tax and would not tax
higher %ABV beverages at lower rates, as is currently the case.
From the point of view of maintaining real tax rates on alcohol, an indexed excise tax on a
per-ounce-of-ethanol basis would be the preferred method. Practically, it might be easier to
add an ad valorem tax, which would maintain real values without indexing but fall more
heavily on more-expensive products. An indexed minimum price of alcohol could also be
used to prevent erosion of the lowest-priced options.
Alcoholic beverages are highly affordable in the U.S. currently. Even 10 drinks per day can
be purchased for about 5% of the upper limit of the lowest quintile of household incomes. In
1950, even the cheapest spirits would have required 45% of per capita disposable income, a
substantial economic restraint. Moderate drinking has also become more affordable, and this
is a benefit to the majority of drinkers who drink at low risk levels. Increased affordability
may also benefit families burdened by an alcoholic or other heavy drinker, but it also erodes
a barrier to problematic drinking and may lead to more such families having to bear all the
other costs associated with alcohol problems.1,15
Supplementary Material
Refer to Web version on PubMed Central for supplementary material.
Acknowledgments
This work was supported by grants from the National Institute on Alcohol Abuse and Alcoholism:
(R01AA017890-03) and Center Grant P50 AA005595. Dr. Alison Snow Jones is now deceased.
References
1. Cook, PJ. Paying the Tab: The costs and benefits of alcohol control. Princeton, NJ: Princeton
University Press; 2007.
2. Wagenaar AC, Salois MJ, Komro KA. Effects of beverage alcohol price and tax levels on drinking:
a meta-analysis of 1003 estimates from 112 studies. Addiction. 2009; 104(2):179–190. [PubMed:
19149811]
3. Xu X, Chaloupka FJ. The effects of prices on alcohol use and its consequences. Alcohol Research
and Health. 2011; 34(2):236–245. [PubMed: 22330223]
4. Wall M, Casswell S. Affordability of alcohol as a key driver of alcohol demand in New Zealand: a
co-integration analysis. Addiction. 2013; 108:72–79. [PubMed: 22724896]
5. Imlach Gunasekara F, Wilson N. Very cheap drinking in New Zealand: some alcohol is more
affordable than bottled water and nearly as cheap as milk. The New Zealand Medical Journal. 2010;
123(1324):103–107. [PubMed: 20953230]
Kerr et al. Page 6
Am J Prev Med. Author manuscript; available in PMC 2014 May 01.
NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
7. 6. Bogdanovica I, Murray R, McNeill D, Britton J. Cigarette price, affordability and smoking
prevalence in the European Union. Addiction. 2011; 107(1):188–196. [PubMed: 21777323]
7. The NHS Information Centre. Statistics on Alcohol: England. Vol. 2010. Leeds, West Yorkshire,
England: The Health and Social Care Information Centre; 2010 May 26. Lifestyles Statistics.
Archived by WebCite®; www.webcitation.org/5whSopvNx
8. Anderson P. Alcohol as a key area. British Medical Journal. 1991; 303(6805):766–769. [PubMed:
1932941]
9. Anderson P. A safe, sensible and social AHRSE: New Labour and alcohol policy. Addiction. 2007;
102(10):1515–1521. [PubMed: 17854326]
10. Seabrook R. A new measure of alcohol affordability for the UK. Alcohol and Alcoholism. 2010;
45(6):581–585. [PubMed: 21075856]
11. Lancaster KJ. A new approach to consumer theory. The Journal of Political Economy. 1966; 74(2):
132–157.
12. Rosen S. Hedonistic prices and implicit markets: product differentiation in pure competition. The
Journal of Political Economy. 1974; 82(1):34–55.
13. Ponicki, WR. Statewide availability data system II:1933–2003. Berkeley, CA: Pacific Institute for
Research and Evaluation, Prevention Research Center; 2004.
14. Meier PS, Purshouse R, Brennan A. Policy options for alcohol price regulation: the importance of
modelling population heterogeneity. Addiction. 2010; 105(3):383–393. [PubMed: 19839965]
15. Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden
of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. The
Lancet. 2009; 373(9682):2223–2233.
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8. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
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Table1
CPIs,meanincome,andaffordabilityof1drinkperday,%ofpercapitaU.S.disposableincome
CPIPercapitaincomeAt-homeCPI(%)a
YearOverallAlcoholAll-GoodsAlcoholOn-PremisesAlcoholAt-HomeYearshown$Year2011–adjusted$SpiritsBeerWine
195017.6b11.11,3785,7184.87b
195518.112.31,7076,3694.05
196019.313.62,0136,8013.612.92c
196520.014.42,5528,1022.962.31
197023.317.83,5819,2292.371.96
197529.524.724.5d39.2d5,48910,2033.92d1.991.69
198038.737.828.445.78,77910,6542.691.661.44
198547.749.338.155.112,88711,9772.151.431.10
199057.959.949.664.416,98512,9951.941.250.95
199568.969.960.674.920,47213,4331.871.210.92
200078.279.071.182.825,95615,0731.641.040.82
200587.789.683.990.231,36716,0611.480.970.70
2010100.0100.0100.0100.036,09016,5511.370.960.66
Note:SourceforthedataistheU.S.DepartmentofLabor,BureauofLaborStatistics.Referencealcoholpricesareaveragesfor1995fromtheAmericanChamberofCommerceResearchAssociation
index.
a
SpiritsarerepresentedbyJ&BScotch;beerisrepresentedbyBudweiser;wineisrepresentedbyGalloChablis.
b
CPIusedisforYear1953
c
CPIusedisforYear1963.
d
CPIusedisforYear1978.
CPI,consumerpriceindex
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Table2
Historicaland$2011-adjustedpricesandaffordabilityof1standarddrinkperdayofspiritsbrandsinPennsylvania
Price
(Yearshown$)(Year2011–adjusted$)1drinkperday(%ofpercapitadisposableincome)
YearCheapestSpiritsBacardiCheapestSpiritsBacardiCheapestSpiritsBacardi
19500.170.211.572.004.465.67
19550.200.241.662.044.235.20
19600.200.261.511.983.614.72
19650.210.291.512.093.024.18
19700.220.311.271.792.243.15
19750.230.330.951.361.512.17
19800.250.340.670.921.021.41
19850.270.390.570.820.771.11
19900.270.440.470.760.590.95
19950.280.480.410.710.500.86
20000.280.510.360.660.390.71
20050.280.580.320.670.330.68
20100.290.660.300.680.300.67
20110.290.660.290.660.290.65
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Table3
Burdenofheavydrinkingonlow-incomehouseholds
Year
UpperlimitoflowestquintileofHouseholdincome($)
10drinksadayas%oflowest-quintileincome
CheapspiritsBacardiGalloChablisGuinnessBudweiser
19673,00025.6635.5719.66—25.14
19703,68821.7530.6219.05—22.99
19755,00016.6023.7818.51—21.80
19807,47812.0216.5216.9041.4519.53
19859,94110.0014.3314.2335.7218.48
199012,5007.9812.8712.9333.7117.02
199514,4007.0612.2013.1028.8017.20
200017,9205.6210.3211.9523.5115.06
200519,1785.3511.0911.5023.8915.84
201020,0005.3612.0211.9928.6717.30
Note:SpiritspricesarefromPennsylvania,GuinnesspriceisfromWashington;GalloandBudweiserpricesareextrapolatedfrom1995U.S.averageAmericanChamberofCommerceResearch
Associationpricesusingthebeerandwineoff-premisesconsumerpriceindexes.
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