Evidence map›Paper›PMID 31066910›Full record

ArticleAlcoholism, clinical and experimental research2019

Price of Four Loko in Large U.S. Cities, 2018.

Matthew E Rossheim, Dennis L Thombs, Ryan D Treffers, Pamela J Trangenstein, Kayla K McDonald, Reema Ahmad, Sieka S Siklo, Kwynn M Gonzalez-Pons, Sumihiro Suzuki, David H Jernigan

Abstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Matthew E RossheimDepartment of Global and Community Health, George Mason University, Fairfax, Virginia.ORCID 0000-0003-4388-5251
Dennis L ThombsDepartment of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth, Texas.
Ryan D TreffersPacific Institute for Research and Evaluation, Santa Cruz, California.
Pamela J TrangensteinAlcohol Research Group, Emeryville, California.
Kayla K McDonaldDepartment of Global and Community Health, George Mason University, Fairfax, Virginia.
Reema AhmadDepartment of Global and Community Health, George Mason University, Fairfax, Virginia.
Sieka S SikloDepartment of Global and Community Health, George Mason University, Fairfax, Virginia.
Kwynn M Gonzalez-PonsCollege of Social Work, University of Utah, Salt Lake City, Utah.
Sumihiro SuzukiDepartment of Biostatistics and Epidemiology, School of Public Health, University of North Texas Health Science Center, Fort Worth, Texas.
David H JerniganDepartment of Health Law, Policy and Management, Boston University, Boston, Massachusetts.ORCID 0000-0002-0789-6917

Funding

TREND &STRUCTURE OF ALCOHOL DEPENDENCE--GENERAL POPULATION 1990 SURVEY DATAP50AA005595 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI LUI, CAMILLIA K. · 1985 to 2025
$34.1M
GRADUATE RESEARCH TRAINING ON ALCOHOL PROBLEMST32AA007240 · NIAAA · UNIVERSITY OF CALIFORNIA BERKELEY · PI William C. Kerr · 1985 to 2026
$7.5M
NIAAA NIH HHS P50 AA005595NIAAA NIH HHS T32 AA007240
6 · The paper itself

Abstract

backgroundSupersized alcopops are flavored alcoholic beverages that contain up to 5.5 standard alcoholic drinks in a single can. Limited research suggests Four Loko-the most commonly consumed supersized alcopop by underage drinkers-is among the least expensive ready-to-drink alcohol products on the U.S. market. This is a public health concern because alcohol prices are inversely associated with consumption and related harms, particularly among youth. This study investigated Four Loko's retail price per volume of alcohol in large U.S. cities.

methodsThis study used multistage random sampling to collect data in the largest city of each state and Washington, DC. A simple random sample of 5 ZIP codes from each city was selected and entered into Four Loko's website product locator. Within ZIP codes, up to 4 stores were randomly selected and contacted by telephone. Retailers were interviewed about Four Loko in regard to: availability, volume, alcohol by volume (abv), price for 1 can, and discounts for purchasing more than 1 can.

resultsThe sample included 344 retail stores with Four Loko in stock. Average price per standard alcoholic drink (i.e., 14 g of absolute alcohol) was $0.54 for Four Loko products. Taking into account volume, price, and discounts, an average of 17 standard alcoholic drinks could be purchased via Four Loko with $10. Adjusted analysis using linear regression showed that availability of bulk price discounts and higher abv (14% vs. 12%) were associated with lower price per drink.

conclusionThis study verifies that Four Loko is among the least expensive ready-to-drink alcohol available for purchase in the United States. Given that consuming a single supersized alcopop constitutes binge drinking and is therefore unsafe, regulatory agencies should consider a variety of steps to reduce the availability and abv of these products and increase their retail price in order to reduce and prevent unsafe alcohol consumption.

Indexed as

AdolescentAlcoholic BeveragesCentral Nervous System DepressantsChildCitiesCosts and Cost AnalysisEthanolHumansMarketingSurveys and QuestionnairesUnited StatesYoung AdultCentral Nervous System DepressantsEthanolAlcohol PricingConvenience StoresFlavored Alcoholic BeveragesFlavored Malt BeveragesGas Stations

Identifiers

PMID31066910
PMCPMC6878890

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.