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Published in: The European Journal of Health Economics 3/2019

Open Access 01-04-2019 | Original Paper

Alcohol quantity and quality price elasticities: quantile regression estimates

Authors: Robert Pryce, Bruce Hollingsworth, Ian Walker

Published in: The European Journal of Health Economics | Issue 3/2019

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Abstract

Many people drink more than the recommended level of alcohol, with some drinking substantially more. There is evidence that suggests that this leads to large health and social costs, and price is often proposed as a tool for reducing consumption. This paper uses quantile regression methods to estimate the differential price (and income) elasticities across the drinking distribution. This is also done for on-premise (pubs, bars and clubs) and off-premise (supermarkets and shops) alcohol separately. In addition, we examine the extent to which drinkers respond to price changes by varying the ‘quality’ of the alcohol that they consume. We find that heavy drinkers are much less responsive to price in terms of quantity, but that they are more likely to substitute with cheaper products when the price of alcohol increases. The implication is that price-based policies may have little effect in reducing consumption amongst the heaviest drinkers, provided they can switch to lower quality alternatives.
Appendix
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Footnotes
1
Moderate drinkers in this context are males (females) who drink more than 21 (14) units per week. Harmful drinkers are males (females) who drink more than 50 (35) units per week. A unit is equal to 10 ml or 8 g of pure alcohol.
 
2
Moreover, since this estimate comes from differencing across the pseudo-lifecycles of cohorts of individuals the interpretation that should be given to the resulting elasticity is that it is the response to anticipated variation in prices across the lifecycle. The policy elasticity of interest here is the conventional Marshallian one that tells us the response to unanticipated changes in price.
 
3
Censored quantile regression, which assumes all zero expenditures arise due to price/income reasons in a similar manner to the Tobit model, produce broadly similar results.
 
4
An alternative, where the regional element of the price index is removed to generate a single price index for the United Kingdom, is tested and reported in the “Appendix”. The results are broadly similar.
 
5
The finding might be interesting when looking at the shift from on-premise to off-premise consumption. A shift to the off-trade may change the probability of drink-driving or alcohol-related violence.
 
6
Our demand specification satisfies the conditions for exact aggregation, and implies constant elasticities. This implies that we would get the same estimated elasticities if we weighted the individual data together using any arbitrary weights.
 
Literature
1.
go back to reference HMRC: Alcohol Factsheet. Her Majesty’s Revenue and Customs, London (2012) HMRC: Alcohol Factsheet. Her Majesty’s Revenue and Customs, London (2012)
2.
go back to reference WHO: Global Status Report on Alcohol and Health. World Health Organization, New York (2011) WHO: Global Status Report on Alcohol and Health. World Health Organization, New York (2011)
3.
go back to reference ONS: Adult Drinking Habits in Great Britain. Office for National Statistics, London (2016) ONS: Adult Drinking Habits in Great Britain. Office for National Statistics, London (2016)
4.
go back to reference Di Castelnuovo, A., Costanzo, S., Bagnardi, V., Donati, M.B., Iacoviello, L., De Gaetano, G.: Alcohol dosing and total mortality in men and women: an updated meta-analysis of 34 prospective studies. Arch. Intern. Med. 166(22), 2437–2445 (2006)CrossRefPubMed Di Castelnuovo, A., Costanzo, S., Bagnardi, V., Donati, M.B., Iacoviello, L., De Gaetano, G.: Alcohol dosing and total mortality in men and women: an updated meta-analysis of 34 prospective studies. Arch. Intern. Med. 166(22), 2437–2445 (2006)CrossRefPubMed
5.
go back to reference Rehm, J., Taylor, B., Mohapatra, S., Irving, H., Baliunas, D., Patra, J., Roerecke, M.: Alcohol as a risk factor for liver cirrhosis: a systematic review and meta-analysis. Drug Alcohol Rev. 29(4), 437–445 (2010)CrossRefPubMed Rehm, J., Taylor, B., Mohapatra, S., Irving, H., Baliunas, D., Patra, J., Roerecke, M.: Alcohol as a risk factor for liver cirrhosis: a systematic review and meta-analysis. Drug Alcohol Rev. 29(4), 437–445 (2010)CrossRefPubMed
6.
go back to reference Tramacere, I., Negri, E., Bagnardi, V., Garavello, W., Rota, M., Scotti, L., Islami, F., Corrao, G., Boffetta, P., La Vecchia, C.: A meta-analysis of alcohol drinking and oral and pharyngeal cancers. Part 1: overall results and dose-risk relation. Oral Oncol. 46(7), 497–503 (2010)CrossRefPubMed Tramacere, I., Negri, E., Bagnardi, V., Garavello, W., Rota, M., Scotti, L., Islami, F., Corrao, G., Boffetta, P., La Vecchia, C.: A meta-analysis of alcohol drinking and oral and pharyngeal cancers. Part 1: overall results and dose-risk relation. Oral Oncol. 46(7), 497–503 (2010)CrossRefPubMed
7.
go back to reference Elkind, M.S., Sciacca, R., Boden-Albala, B., Rundek, T., Paik, M.C., Sacco, R.L.: Moderate alcohol consumption reduces risk of ischemic stroke: the Northern Manhattan study. Stroke 37(1), 13–19 (2006)CrossRefPubMed Elkind, M.S., Sciacca, R., Boden-Albala, B., Rundek, T., Paik, M.C., Sacco, R.L.: Moderate alcohol consumption reduces risk of ischemic stroke: the Northern Manhattan study. Stroke 37(1), 13–19 (2006)CrossRefPubMed
8.
go back to reference Fillmore, K.M., Stockwell, T., Chikritzhs, T., Bostrom, A., Kerr, W.: Moderate alcohol use and reduced mortality risk: systematic error in prospective studies and new hypotheses. Ann. Epidemiol. 17(5), S16–S23 (2007)CrossRefPubMed Fillmore, K.M., Stockwell, T., Chikritzhs, T., Bostrom, A., Kerr, W.: Moderate alcohol use and reduced mortality risk: systematic error in prospective studies and new hypotheses. Ann. Epidemiol. 17(5), S16–S23 (2007)CrossRefPubMed
9.
go back to reference Knott, C.S., Coombs, N., Stamatakis, E., Biddulph, J.P.: All cause mortality and the case for age specific alcohol consumption guidelines: pooled analyses of up to 10 population based cohorts. BMJ 350, h384 (2015)CrossRefPubMedPubMedCentral Knott, C.S., Coombs, N., Stamatakis, E., Biddulph, J.P.: All cause mortality and the case for age specific alcohol consumption guidelines: pooled analyses of up to 10 population based cohorts. BMJ 350, h384 (2015)CrossRefPubMedPubMedCentral
10.
go back to reference Becker, G.S., Murphy, K.M.: Murphy. A theory of rational addiction. J. Political Econ. 96(4), 675–700 (1988)CrossRef Becker, G.S., Murphy, K.M.: Murphy. A theory of rational addiction. J. Political Econ. 96(4), 675–700 (1988)CrossRef
12.
go back to reference Brennan, A., Meng, Y., Holmes, J., Hill-McManus, D., Meier, P.S.: Potential benefits of minimum unit pricing for alcohol versus a ban on below cost selling in England 2014: modelling study. BMJ 349(302), g5452 (2014)CrossRefPubMedPubMedCentral Brennan, A., Meng, Y., Holmes, J., Hill-McManus, D., Meier, P.S.: Potential benefits of minimum unit pricing for alcohol versus a ban on below cost selling in England 2014: modelling study. BMJ 349(302), g5452 (2014)CrossRefPubMedPubMedCentral
13.
go back to reference Meng, Y., Brennan, A., Purshouse, R., Hill-McManus, D., Angus, C., Holmes, J., Meier, P.S.: Estimation of own and cross-price elasticities of alcohol demand in the UK: a pseudo-panel approach using the living costs and food survey 2001–2009. J. Health Econ. 4, 96–103 (2014)CrossRef Meng, Y., Brennan, A., Purshouse, R., Hill-McManus, D., Angus, C., Holmes, J., Meier, P.S.: Estimation of own and cross-price elasticities of alcohol demand in the UK: a pseudo-panel approach using the living costs and food survey 2001–2009. J. Health Econ. 4, 96–103 (2014)CrossRef
14.
go back to reference Gallet, C.A.: The demand for alcohol: a meta-analysis of elasticities. Aust. J. Agric. Resour. Econ. 51(2), 121–135 (2007)CrossRef Gallet, C.A.: The demand for alcohol: a meta-analysis of elasticities. Aust. J. Agric. Resour. Econ. 51(2), 121–135 (2007)CrossRef
15.
go back to reference Wagenaar, A.C., Salois, M.J., Komro, K.A.: Effect of beverage alcohol price and tax levels on drinking: a meta-analysis of 1003 estimates from 112 studies. Addiction 104(2), 179–190 (2009)CrossRefPubMed Wagenaar, A.C., Salois, M.J., Komro, K.A.: Effect of beverage alcohol price and tax levels on drinking: a meta-analysis of 1003 estimates from 112 studies. Addiction 104(2), 179–190 (2009)CrossRefPubMed
16.
go back to reference Purshouse, R., Meier, P.S., Brennan, A., Taylor, K.B., Rafia, R.: Estimated effect of alcohol pricing policies on health and health economic outcomes in England: an epidemiological model. Lancet 375(9723), 1355–1364 (2010)CrossRefPubMed Purshouse, R., Meier, P.S., Brennan, A., Taylor, K.B., Rafia, R.: Estimated effect of alcohol pricing policies on health and health economic outcomes in England: an epidemiological model. Lancet 375(9723), 1355–1364 (2010)CrossRefPubMed
17.
go back to reference Koenker, R., Hallock, K.: Quantile regression: an introduction. J. Econ. Perspect. 15(4), 43–56 (2001)CrossRef Koenker, R., Hallock, K.: Quantile regression: an introduction. J. Econ. Perspect. 15(4), 43–56 (2001)CrossRef
18.
go back to reference Manning, W.G., Blumberg, L., Moulton, L.H.: The demand for alcohol: the differential response to price. J. Health Econ. 14(2), 123–148 (1995)CrossRefPubMed Manning, W.G., Blumberg, L., Moulton, L.H.: The demand for alcohol: the differential response to price. J. Health Econ. 14(2), 123–148 (1995)CrossRefPubMed
19.
go back to reference Saffer, H., Dave, D., Grossman, M.: A behavioural economic model of alcohol advertising and price. Health Econ. 25(7), 816–828 (2016)CrossRefPubMed Saffer, H., Dave, D., Grossman, M.: A behavioural economic model of alcohol advertising and price. Health Econ. 25(7), 816–828 (2016)CrossRefPubMed
20.
go back to reference Byrnes, J., Shakeshaft, A., Petrie, D., Doran, C.M.: Is response to price equal for those with higher alcohol consumption? Eur. J. Health Econ. 17(1), 23–29 (2016)CrossRefPubMed Byrnes, J., Shakeshaft, A., Petrie, D., Doran, C.M.: Is response to price equal for those with higher alcohol consumption? Eur. J. Health Econ. 17(1), 23–29 (2016)CrossRefPubMed
21.
go back to reference Gruenewald, P.J., Ponicki, W.R., Holder, H.D., Romelsjö, A.: Alcohol prices, beverage quality, and the demand for alcohol: quality substitutions and price elasticities. Alcohol. Clin. Exp. Res. 30(1), 96–105 (2006)CrossRefPubMed Gruenewald, P.J., Ponicki, W.R., Holder, H.D., Romelsjö, A.: Alcohol prices, beverage quality, and the demand for alcohol: quality substitutions and price elasticities. Alcohol. Clin. Exp. Res. 30(1), 96–105 (2006)CrossRefPubMed
22.
go back to reference Firpo, S., Fortin, N.M., Lemieux, T.: Unconditional quantile regressions. Econometrica 77(3), 953–973 (2009)CrossRef Firpo, S., Fortin, N.M., Lemieux, T.: Unconditional quantile regressions. Econometrica 77(3), 953–973 (2009)CrossRef
23.
go back to reference Borah, B.J., Basu, A.: Highlighting differences between conditional and unconditional quantile regression approaches through an application to assess medication adherence. Health Econ. 22(9), 1052–1070 (2013)CrossRefPubMedPubMedCentral Borah, B.J., Basu, A.: Highlighting differences between conditional and unconditional quantile regression approaches through an application to assess medication adherence. Health Econ. 22(9), 1052–1070 (2013)CrossRefPubMedPubMedCentral
24.
go back to reference Deaton, A.: Quality, quantity, and spatial variation of price. Am. Econ. Rev. 78(3), 418–430 (1988) Deaton, A.: Quality, quantity, and spatial variation of price. Am. Econ. Rev. 78(3), 418–430 (1988)
25.
go back to reference Prais, S.J., Houthakker, H.S.: The Analysis of Family Budgets. Cambridge University Press, New York (1955) Prais, S.J., Houthakker, H.S.: The Analysis of Family Budgets. Cambridge University Press, New York (1955)
26.
go back to reference Gibson, J., Kim, B.: Testing the infrequent purchases model using direct measurement of hidden consumption from food stocks. Am. J. Agric. Econ. 94(1), 257–270 (2012)CrossRef Gibson, J., Kim, B.: Testing the infrequent purchases model using direct measurement of hidden consumption from food stocks. Am. J. Agric. Econ. 94(1), 257–270 (2012)CrossRef
27.
go back to reference Boniface, S., Shelton, N.: How is alcohol consumption affected if we account for under-reporting? a hypothetical scenario. Eur. J. Pub. Health 23(6), 1076–1081 (2013)CrossRef Boniface, S., Shelton, N.: How is alcohol consumption affected if we account for under-reporting? a hypothetical scenario. Eur. J. Pub. Health 23(6), 1076–1081 (2013)CrossRef
Metadata
Title
Alcohol quantity and quality price elasticities: quantile regression estimates
Authors
Robert Pryce
Bruce Hollingsworth
Ian Walker
Publication date
01-04-2019
Publisher
Springer Berlin Heidelberg
Published in
The European Journal of Health Economics / Issue 3/2019
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-018-1009-8

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