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The American Journal of Drug and Alcohol Abuse
Encompassing All Addictive Disorders
Volume 49, 2023 - Issue 6
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Original Article

The effects of alcohol tax policies on alcohol consumption and alcohol use disorders in Mainland of China: an interrupted time series analysis from 1961–2019

Aqian Hua Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaORCID Iconhttps://orcid.org/0000-0001-9005-1909View further author information
ORCID Icon,
Xiaoxi Zhaoa Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaORCID Iconhttps://orcid.org/0000-0003-1397-0877View further author information
ORCID Icon,
Robin Roomb Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Australia;c Centre for Social Research on Alcohol and Drugs, Department of Public Health Sciences, Stockholm University, Stockholm, SwedenORCID Iconhttps://orcid.org/0000-0002-5618-385XView further author information
ORCID Icon,
Wei Haoa Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaORCID Iconhttps://orcid.org/0000-0003-4681-1178View further author information
ORCID Icon,
Xiaojun Xianga Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-5246-5809View further author information
ORCID Icon &
Heng Jiangb Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Australia;d Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia;e Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, AustraliaORCID Iconhttps://orcid.org/0000-0001-8394-6077View further author information
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Pages 746-755 | Received 07 Apr 2023, Accepted 04 Nov 2023, Published online: 07 Dec 2023
 
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ABSTRACT

Background: Overwhelming evidence suggests that increasing alcohol taxes is an effective strategy for curbing alcohol consumption. However, research on the effects of such strategies in low- and middle-income nations is limited.

Objective: The aim is to explore the temporal effect of alcohol tax policy in China.

Methods: We employ interrupted time series analysis to investigate the temporal effects of tax policy changes on alcohol consumption and related consequences in Mainland China from 1961 to 2019. The study population, the total population of mainland region of China, aged more than 15 years.

Results: The results show that the volume tax policy, which was announced in 2000 and implemented in 2001,  led to an immediate reduction in the alcohol consumption (coefficient = −0.429, p < .001). Following the implementation of higher alcohol taxes in 1998 and 2001, the prevalence of alcohol use disorders (AUDs) and related years lived with disability (YLDs) gradually decreased. The relaxation of tax policy in 2006 led to a significant increase in alcohol consumption, both immediately (coefficient = 0.406, p < .001) and in the middle term (coefficient = 0.495, p < .001), as well as contribute to an immediate or medium term significant increase in the prevalence of AUDs (coefficient = 0.038, p = .010; coefficient = 0.032, p < .001) and YLDs (coefficient = 4.363, p = .001; coefficient = 4.226, p < .001).

Conclusion: This study demonstrates that changes in alcohol consumption and related consequences (increase or decrease) have followed corresponding changes in alcohol tax policies (easing or tightening), indicating that increasing alcohol taxes can be an effective strategy in China for controlling alcohol consumption and related harms.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by the Natural Science Foundation of Hunan [grant number 2021JJ30962] and the National Natural Science Foundation of China [grant number 81571306]. H.J. was funded by NHMRC (GNT1141325) and ARC (DP200101781).

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