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      Preventing violence-related injuries in England and Wales: a panel study examining the impact of on-trade and off-trade alcohol prices

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          Abstract

          To examine the influence of real on-trade and off-trade alcohol prices and socioeconomic and environmental factors on rates of violence-related emergency department (ED) attendances in England and Wales over an 8-year period.

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          Most cited references18

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          Effects of alcohol tax and price policies on morbidity and mortality: a systematic review.

          We systematically reviewed the effects of alcohol taxes and prices on alcohol-related morbidity and mortality to assess their public health impact. We searched 12 databases, along with articles' reference lists, for studies providing estimates of the relationship between alcohol taxes and prices and measures of risky behavior or morbidity and mortality, then coded for effect sizes and numerous population and study characteristics. We combined independent estimates in random-effects models to obtain aggregate effect estimates. We identified 50 articles, containing 340 estimates. Meta-estimates were r = -0.347 for alcohol-related disease and injury outcomes, -0.022 for violence, -0.048 for suicide, -0.112 for traffic crash outcomes, -0.055 for sexually transmitted diseases, -0.022 for other drug use, and -0.014 for crime and other misbehavior measures. All except suicide were statistically significant. Public policies affecting the price of alcoholic beverages have significant effects on alcohol-related disease and injury rates. Our results suggest that doubling the alcohol tax would reduce alcohol-related mortality by an average of 35%, traffic crash deaths by 11%, sexually transmitted disease by 6%, violence by 2%, and crime by 1.4%.
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            Urban poverty and the family context of delinquency: a new look at structure and process in a classic study.

            This paper reanalyzes data from the Gluecks classic study of 500 delinquents and 500 nondelinquents reared in low-income neighborhoods of central Boston. Based on a general theory of informal social control, we propose a 2-step hypothesis that links structure and process: family poverty inhibits family processes of informal social control, in turn increasing the likelihood of juvenile delinquency. The results support the theory by showing that (1) erratic, threatening, and harsh discipline, (2) low supervision, and (3) weak parent-child attachment mediate the effects of poverty and other structural factors on delinquency. We also address the potential confounding role of parental and childhood disposition. Although difficult children who display early antisocial tendencies do disrupt family management, as do antisocial and unstable parents, mediating processes of informal social control still explain a large share of variance in adolescent delinquency. Overall, the results underscore the indirect effects of structural contexts like family poverty on adolescent delinquency within disadvantaged populations. We note implications for current debates on race, crime, and the "underclass" in urban America.
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              Estimated effect of alcohol pricing policies on health and health economic outcomes in England: an epidemiological model.

              Although pricing policies for alcohol are known to be effective, little is known about how specific interventions affect health-care costs and health-related quality-of-life outcomes for different types of drinkers. We assessed effects of alcohol pricing and promotion policy options in various population subgroups. We built an epidemiological mathematical model to appraise 18 pricing policies, with English data from the Expenditure and Food Survey and the General Household Survey for average and peak alcohol consumption. We used results from econometric analyses (256 own-price and cross-price elasticity estimates) to estimate effects of policies on alcohol consumption. We applied risk functions from systemic reviews and meta-analyses, or derived from attributable fractions, to model the effect of consumption changes on mortality and disease prevalence for 47 illnesses. General price increases were effective for reduction of consumption, health-care costs, and health-related quality of life losses in all population subgroups. Minimum pricing policies can maintain this level of effectiveness for harmful drinkers while reducing effects on consumer spending for moderate drinkers. Total bans of supermarket and off-license discounting are effective but banning only large discounts has little effect. Young adult drinkers aged 18-24 years are especially affected by policies that raise prices in pubs and bars. Minimum pricing policies and discounting restrictions might warrant further consideration because both strategies are estimated to reduce alcohol consumption, and related health harms and costs, with drinker spending increases targeting those who incur most harm. Policy Research Programme, UK Department of Health. Copyright 2010 Elsevier Ltd. All rights reserved.
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                Author and article information

                Journal
                Injury Prevention
                Inj Prev
                BMJ
                1353-8047
                1475-5785
                January 20 2017
                February 11 2017
                : 23
                : 1
                : 33-39
                Article
                10.1136/injuryprev-2015-041884
                27401328
                9ed14f51-4f53-40d3-808a-5a884893861a
                © 2017
                History

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