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Minimum unit price on alcohol could substantially reduce SA heavy drinking

University of Cape Town researchers have published findings from a study investigating the feasibility of a minimum unit price (MUP) on alcohol in South Africa, with the aim of reducing heavy drinking. An MUP at a level of R10.00 per standard drink could cut alcohol use by 21.8% among regular heavy-drinking households, and by lower percentages among those with more moderate consumption.

The study was conducted by Professor Corné van Walbeek, director of the UCT Research Unit on the Economics of Excisable Products, and Dr Grieve Chelwa, an economist and senior lecturer in the UCT Graduate School of Business, according to a story in UCT News on 5 July 2021

Reporting their findings in the South African Medical Journal, the researchers found that if the government were to implement an MUP on alcohol products successfully and effectively, it could substantially decrease the alcohol consumption of regular heavy‑drinking households, and to a lesser extent, that of occasional heavy‑drinking and intermediate-drinking households.

“Despite the fact that these categories of drinking households are relatively price‑insensitive, an MUP, levied at an appropriate level, would substantially increase the price. This, in turn, would substantially reduce households’ alcohol consumption,” Chelwa noted.

In the study, the researchers calculated unit values, defined as total monthly alcohol expenditure per household, divided by the household’s total monthly alcohol consumption, for four categories of drinking households – moderate, intermediate, occasional heavy and regular heavy – using ‘Wave 4’ data (2015) from the “National Income Dynamics Study”.

Hypothetical MUPs

Cumulative distribution of the unit values was derived for each of the four categories of drinking households. Several hypothetical MUPs were imposed, and the impact of these MUPs on the consumption of the different categories of drinking households was estimated, taking cognisance of the fact that the households respond differently to price changes.

“We found that moderately drinking households tend to be more price‑sensitive than regular heavy‑drinking households. Occasional and regular heavy‑drinking households comprise a quarter of all households (and half of all drinking households) in South Africa but consume 84% of all alcohol consumed in the country,” said Van Walbeek.

“An excise tax increase will cause the prices of all alcoholic beverages to increase, while an MUP would only target low‑priced products.”

There are large differences in the calculated average price of alcohol between different categories of drinking households, ranging from R12.00 per standard drink among moderately drinking households, to R1.53 per standard drink among regular heavy‑drinking households.

An MUP of R3.00 per standard drink is estimated to reduce alcohol consumption by 11.9% among regular heavy‑drinking households, by 3.1% among occasional heavy-drinking households, by 2.3% among intermediate‑drinking households and by 0.3% among moderately drinking households.

If the MUP is levied at a level of R10.00 per standard drink, this is expected to reduce alcohol consumption by 21.8% among regular heavy‑drinking households, by 11.6% among occasional drinking households, by 15.9% among intermediate drinking households and by 6.1% among moderately drinking households.

Effective alcohol policy

If the aim of a tax or pricing policy is to reduce consumption by heavy and intermediate drinkers, while having a limited effect on moderate drinkers, Van Walbeek said an MUP is more effective than an increase in the excise tax.

“An excise tax increase will cause the prices of all alcoholic beverages to increase, while an MUP would only target low‑priced products. Low‑priced alcohol products are disproportionately heavily consumed by regular heavy‑drinking households and, to a lesser extent, by occasional heavy‑drinking and intermediate‑drinking households,” he added.

This does not mean that the government should de-emphasise the role of excise taxes in its alcohol policy.

“The impact of an excise tax is more broad‑based, whereas an MUP is specifically targeted at drinkers who consume cheap alcohol, which tend to be the heavy drinkers.”

“Both excise taxes and an MUP on alcohol are important components of an effective alcohol policy. The World Health Organization [WHO] encourages countries to use both.

Alcohol continues to play an important economic role in South Africa. However, the country has a significant problem with alcohol abuse.

“Although survey results from South Africa show that only about a third of adults indicate that they consume alcohol, nearly half of alcohol users reported that they consume five or more standard drinks on an average drinking day,” said Van Walbeek.

According to WHO, South Africa’s pattern of drinking is categorised as “most risky” and is in the same category as the Russian Federation and Ukraine, among others.

There is an important caveat, warns Van Walbeek. Because the demand for alcohol is price inelastic, especially for heavy-drinking households, a large increase in the price of alcohol will increase such households’ total alcohol expenditure, and therefore the share of alcohol in the total budget.

“Other expenditures would be increasingly crowded out by alcohol. While this does not nullify the effectiveness of an MUP as a policy to reduce alcohol use, especially by heavy-drinking households, it may deepen the financial hardship of such households.”

 

Study details

The case for minimum unit prices on alcohol in South Africa

C van Walbeek and G Chelwa

University of Cape Town

Published in the SA Medical Journal on 30 June 2021. Volume 111, Number 7.

 

Abstract

Although only about a third of South African adults indicate that they consume alcohol, heavy drinking is common. As a result, society carries large alcohol-related mortality and economic burdens.

Objectives

To investigate the feasibility of a minimum unit price (MUP) on alcohol, aimed at reducing the prevalence of heavy drinking.

Methods

The study calculates unit values, defined as total monthly alcohol expenditure per household, divided by the household’s total monthly alcohol consumption, for four categories of drinking households (moderate, intermediate, occasional heavy and regular heavy), using wave 4 data (2015) from the National Income Dynamics Study. A cumulative distribution of the unit values is derived for each of the four categories of drinking households.

A number of hypothetical MUPs are imposed, and the impact of these MUPs on the consumption of the different categories of drinking households is estimated, taking cognisance of the fact that these households respond differently to price changes. Moderately drinking households tend to be more price sensitive than regular heavy-drinking households.

Results

Occasional and regular heavy-drinking households comprise a quarter of all households (and half of all drinking households) in SA, but consume 84% of all alcohol consumed in the country.

There are large differences in the calculated average price of alcohol between different categories of drinking households, ranging from ZAR12.00 per standard drink among moderately drinking households to ZAR1.53 per standard drink among regular heavy-drinking households.

An MUP of ZAR3.00 (alternatively ZAR10.00) per standard drink is estimated to reduce alcohol consumption by 11.9% (21.8%) among regular heavy-drinking households, by 3.1% (11.6%) among occasional heavy-drinking households, by 2.3% (15.9%) among intermediate-drinking households and by 0.3% (6.1%) among moderately drinking households.

Conclusions

An MUP on alcohol is not a silver bullet, but could have a significant impact on reducing the consumption of alcohol among regular heavy-drinking households, and to a lesser extent among occasional heavy-drinking and intermediate-drinking households. The government should strongly consider implementing such a policy.

 

UCT News material – Minimum unit price on alcohol could substantially reduce heavy drinking (Open access)

 

SA Medical Journal article – The case for minimum unit prices on alcohol in South Africa (Open access)

 

See also from the MedicalBrief archives

 

Minimum unit alcohol price in Scotland and Wales reaps benefits

 

Scientists offer six proposals to limit boozing after alcohol ban is lifted

 

MRC wants further controls to tackle SA’s alcohol abuse problem

 

Alan Winde on the alcohol ban: South Africa needs to act smarter

 

Harmful use of alcohol kills millions annually – WHO global report

 

 

 

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