Hostname: page-component-77c89778f8-m8s7h Total loading time: 0 Render date: 2024-07-20T21:53:11.572Z Has data issue: false hasContentIssue false

Alcohol Consumption and Liver Cirrhosis Mortality: New Evidence from a Panel Data Analysis for Sixteen European Countries*

Published online by Cambridge University Press:  08 June 2012

Jan Bentzen
Affiliation:
Department of Economics, Aarhus University, Hermodsvej 22, 8230 Aabyhoj,Denmark, e-mail: jb@asb.dk
Valdemar Smith
Affiliation:
Department of Economics, Aarhus University, Hermodsvej 22, 8230 Aabyhoj,Denmark, e-mail: vs@asb.dk

Abstract

Empirical evidence gives support to a close association between liver cirrhosis mortality and the intake of alcohol. The present analysis draws on a panel data set for sixteen European countries from 1970–2006 where both alcohol consumption and liver cirrhosis seem best described as trend-stationary variables. Consequently, a flexible non-linear functional form with country fixed effects including linear trends is applied in the analysis. It is argued that fewer restrictions on the relationship between liver cirrhosis mortality and alcohol consumption are appropriate for empirical modeling. The conclusion is that the total level of alcohol consumption as well as the specific beverages – beer, wine and spirits – contribute to liver cirrhosis mortality, but the present study also reveals that addressing the question of panel unit roots directly and in this case subsequently applying a trend-stationary modeling methodology reduces the estimates of the impacts from alcohol consumption to liver cirrhosis. Finally, more restrictive alcohol policies seem to have influenced the country-specific development in cirrhosis mortality positively. (JEL Classification: 110)

Type
Articles
Copyright
Copyright © American Association of Wine Economists 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anderson, P. and Baumberg, B. (2006). Alcohol in Europe – A public health perspective. Report for the European Commission. Institute of Alcohol Studies, London, UK.Google Scholar
Antoñanzas, F., Rodríguez-Ibeas, R., Barco, E., Ramírez, M. and Pinillos, M. (2008). Alcohol consumption in the EU: health economics and policy issues under a permanent debate. European Journal of Health Economics, 9, 16.CrossRefGoogle Scholar
Astudillo, M., Kuntsche, S., Graham, K. and Gmel, G. (2010). The influence of drinking pattern, at individual and aggregate levels, on alcohol-related negative consequences. European Addiction Research, 16, 115123.CrossRefGoogle ScholarPubMed
Becker, U., Groenbaek, M., Johansen, D. and Soerensen, T. I. A. (2002). Lower risk for alcohol-induced cirrhosis in wine drinkers. Hepatology, 35, 868875.CrossRefGoogle ScholarPubMed
Chaloupka, F. J., Grossman, M. and Saffer, H. (2002). The effects of price on alcohol consumption and alcohol-related problems. Alcohol Research and Health, 26, 2234.Google Scholar
Cook, P. J. and Tauchen, G. (1982). The effect of liquor taxes on heavy drinking. Bell Journal of Economics 13(2), 379390.Google Scholar
Day, C. P. (2006). Alcohol and the liver. Medicine, 35, 2225.CrossRefGoogle Scholar
de Lorimier, A. A. (2000). Alcohol, wine, and health. The American Journal of Surgery, 180, 357361.CrossRefGoogle ScholarPubMed
Euromonitor International (2009). Global Market Information Database. Online at: www.euromonitor.com.Google Scholar
Gmel, G., Rehm, J. and Frick, U. (2001). Methodological approaches to conducting pooled cross-sectional time series analysis: the example of the association between all-cause mortality and per capita alcohol consumption for men in 15 European states. European Addiction Research, 7, 128137.Google Scholar
Gutjahr, E., Gmel, G. and Rehm, J. (2001). Relation between average alcohol consumption and disease: an overview. European Addiction Research, 7, 117127.CrossRefGoogle ScholarPubMed
Greene, W. H. (1993). Econometric Analysis. Upper Saddle River, New Jersey: Prentice Hall.Google Scholar
Grossman, M. (1993). The economic analysis of addictive behavior. In: Hilton, M. E. and Bloss, G. (eds.), Economics and the Prevention of Alcohol-Related Problems. NIAAA Research Monograph No. 25, NIH Pub. No. 93–3513. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism, 91123.Google Scholar
Im, K. S., Pesaran, M. H. and Shin, Y. (2003). Testing for unit roots in heterogeneous panels. Journal of Econometrics, 115, 5374.CrossRefGoogle Scholar
Karlsson, T. and Österberg, E. (2001). A scale of formal alcohol control policy in 15 European countries. Nordisk Alkohol- og Narkotikatidskrift (English Supplement), 18, 117131.Google Scholar
Kerr, W. C., Fillmore, K. M. and Marvy, P. (2000). Beverage-specific alcohol consumption and cirrhosis mortality in a group of English-speaking beer-drinking countries. Addiction, 95, 339346.Google Scholar
Mills, T. C. (2007). Liver cirrhosis and alcohol consumption in the U.K.: time series modeling of recent trends. Statistical Modelling, 7, 91103.Google Scholar
Mumenthaler, M. S., Taylor, J. L., O'Hara, R. and Yesavage, J. E. (1999). Gender differences in moderate drinking effects. Alcohol Research and Health, 23, 5561.Google ScholarPubMed
Norström, T. (1989). The use of aggregate data in alcohol epidemiology. British Journal of Addiction, 84, 969977.CrossRefGoogle ScholarPubMed
Norström, T. and Skog, O. J. (2001). Alcohol and mortality: methodological and analytical issues in aggregate analyses. Addiction, 96 (Supplement), 517.CrossRefGoogle ScholarPubMed
Norström, T. and Ramstedt, M. (2005). Mortality and population drinking: a review of the literature. Drug and Alcohol Review, 24, 537547.CrossRefGoogle ScholarPubMed
Pindyck, R. S. and Rubinfeld, D. L. (1998). Econometric Models and Economic Forecasts. New York: McGraw-Hill.Google Scholar
Ramstedt, M. (2001). Per capita alcohol consumption and liver cirrhosis mortality in 14 European countries. Addiction, 96 (Supplement), 1934.CrossRefGoogle ScholarPubMed
Rehm, J. and Gmel, G. (2001). Aggregate time-series regression in the field of alcohol. Addiction, 96, 945954.Google Scholar
Rehm, J., Room, R., Graham, K., Monteiro, M., Gmel, G. and Sempos, C. T. (2003). The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease: an overview. Addiction, 98, 12091228.Google Scholar
Roizen, R., Kerr, W. C. and Fillmore, K. M. (1999). Cirrhosis mortality and per capita consumption of distilled spirits, United States, 1949–94: trend analysis. British Medical Journal, 319, 666–70.CrossRefGoogle ScholarPubMed
Room, R., Babor, T. and Rehm, J. (2005). Alcohol and public health. The Lancet, 365, 519–30.CrossRefGoogle ScholarPubMed
Saffer, H. (1991). Alcohol advertising bans and alcohol abuse: an international perspective. Journal of Health Economics, 10(1), 6579.CrossRefGoogle ScholarPubMed
Sloan, F. A., Reilly, B. A. and Schenzler, C. (1994). Effects of prices, civil and criminal sanctions, and law enforcement on alcohol-related mortality. Journal of Studies on Alcohol, 55(4), 454465.CrossRefGoogle ScholarPubMed
Stokkeland, K. (2006). Studies on alcoholic liver disease. Karolinska Institutet, Stockholm, Sweden.Google Scholar
Stranges, S., Freudenheim, J. L., Muti, P., Farinaro, E., Russell, M., Nochajski, T. H. and Trevisan, M. (2004). Differential effects of alcohol drinking pattern on liver enzymes in men and women. Alcoholism: Clinical and Experimental Research, 28(6), 949956.Google Scholar
The World Health Organization (2010). WHO Statistical Information System (WHOSIS). Online at www.who.int.Google Scholar
World Drink Trends (1999). Henley-on-Thames, UK: NTC Publications Ltd.Google Scholar
World Drink Trends (2005). London: World Advertising Research Center Ltd.Google Scholar