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The public-private decision for alcohol retail systems: Examining the economic, health, and social impacts of alternative systems in Finland

Nordisk alkohol- & narkotikatidskrift : NAT, 2023-06, Vol.40 (3), p.218-232 [Peer Reviewed Journal]

The Author(s) 2023 ;The Author(s) 2023. ;The Author(s) 2023. This work is licensed under the Creative Commons Attribution License https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2023 2023 SAGE Publications Ltd, or Nordic Centre for Welfare and Social Issues, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses ;ISSN: 1455-0725 ;ISSN: 1458-6126 ;EISSN: 1458-6126 ;DOI: 10.1177/14550725231160335 ;PMID: 37255607

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  • Title:
    The public-private decision for alcohol retail systems: Examining the economic, health, and social impacts of alternative systems in Finland
  • Author: Sherk, Adam ; Stockwell, Tim ; Sorge, Justin ; Churchill, Samuel ; Angus, Colin ; Chikritzhs, Tanya ; Holmes, John ; Meier, Petra ; Naimi, Timothy S. ; Norström, Thor ; Ramstedt, Mats ; Simpura, Jussi
  • Subjects: alcohol policy ; alcohol retail systems ; Alcohol use ; alcohol-caused harms ; Alcoholic beverages ; Costs ; Crime ; Criminal justice ; Death & dying ; Disability ; Drinks ; Economic impact ; Economic models ; Epidemic models ; Epidemiology ; Judicial system ; Medicin och hälsovetenskap ; modelling study ; Ownership ; Privatization ; Public ownership ; Research Reports ; Sales ; Social costs ; Social impact ; Uncertainty
  • Is Part Of: Nordisk alkohol- & narkotikatidskrift : NAT, 2023-06, Vol.40 (3), p.218-232
  • Description: Background: Organising alcohol retail systems with more or less public ownership has implications for health and the economy. The aim of the present study was to estimate the economic, health, and social impacts of alcohol use in Finland in 2018 (baseline), and in two alternative scenarios in which current partial public ownership of alcohol retail sales is either increased or fully privatised. Methods: Baseline alcohol-attributable harms and costs were estimated across five categories of death, disability, and criminal justice. Two alternate alcohol retail systems were defined as privately owned stores selling: (1) only low strength alcoholic beverages (public ownership scenario, similar to Sweden); or (2) all beverages (private ownership scenario). Policy analyses were conducted to estimate changes in alcohol use per capita. Health and economic impacts were modelled using administrative data and epidemiological modelling. Results: In Finland in 2018, alcohol use was estimated to be responsible for €1.51 billion (95% Uncertainty Estimates: €1.43 billion, €1.58 billion) in social cost, 3,846 deaths, and 270,652 criminal justice events. In the public ownership scenario, it was estimated that alcohol use would decline by 15.8% (11.8%, 19.7%) and social cost by €384.3 million (€189.5 million, €559.2 million). Full privatisation was associated with an increase in alcohol use of 9.0% (6.2%, 11.8%) and an increase in social cost of €289.7 million (€140.8 million, €439.5 million). Conclusion: The outcome from applying a novel analytical approach suggests that more public ownership of the alcohol retail system may lead to significant decreases in alcohol-caused death, disability, crime, and social costs. Conversely, full privatisation of the ownership model would lead to increased harm and costs.
  • Publisher: London, England: SAGE Publications
  • Language: English;Danish;Norwegian;Swedish
  • Identifier: ISSN: 1455-0725
    ISSN: 1458-6126
    EISSN: 1458-6126
    DOI: 10.1177/14550725231160335
    PMID: 37255607
  • Source: ProQuest One Psychology
    SAGE Open Access Journals
    PubMed Central
    SWEPUB Freely available online
    ProQuest Central
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