ArticleBMC medicine2023
The impact of alcohol taxation increase on all-cause mortality inequalities in Lithuania: an interrupted time series analysis.
Article in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Can alcohol use explain the increase in educational inequalities in all-cause mortality after 2010 in the USA? A three-way interaction analysis.Addiction (Abingdon, England) · 2026Article
- Targeting alcohol use in high-risk population groups: a US microsimulation study of beverage-specific pricing policies.The Lancet. Public health · 2025Article
- Dental caries and body mass index in adult and elderly lithuanians: a cross-sectional study exploring sex-specific patterns.BMC oral health · 2025Article
- Persistently high impact of alcohol use on fatal violence in Lithuania despite strengthening alcohol control policies, 2004-19.European journal of public health · 2025Article
- Educational attainment as a potential effect modifier of alcohol use and 100% alcohol-attributable mortality in the United States-A longitudinal analysis of mortality linked survey data from 1997 to 2018.Addiction (Abingdon, England) · 2025Article
- Interpretation of coefficients in segmented regression for interrupted time series analyses.BMC medical research methodology · 2025Article
- The impact of Covid-19 on harm reduction policies in Iran: an interrupted time series analysis.Harm reduction journal · 2025Article
- Investigating Indicators to Assess and Support Alcohol Taxation Policy: Results From the International Alcohol Control (IAC) Study.International journal of health policy and management · 2025Article
- Trends of alcohol-attributable deaths in Lithuania 2001-2021: epidemiology and policy conclusions.BMC public health · 2024Article
- Not everyone benefits equally from Sunday alcohol sales bans: socioeconomic differences in alcohol consumption and alcohol-attributable mortality.International journal of mental health and addiction · 2024Article
- Structural Stigma, Racism, and Sexism Studies on Substance Use and Mental Health: A Review of Measures and Designs.Alcohol research : current reviews · 2024Review
- Alcohol, No Ordinary Commodity: policy implications for Canada.Frontiers in public health · 2024Review
- Who benefits from alcohol screening and brief intervention? A mini-review on socioeconomic inequalities with a focus on evidence from the United States.Addictive behaviors · 2023Review
- Impact of the WHO "best buys" for alcohol policy on consumption and health in the Baltic countries and Poland 2000-2020.The Lancet regional health. Europe · 2023Review
- Reducing alcohol use through alcohol control policies in the general population and population subgroups: a systematic review and meta-analysis.EClinicalMedicine · 2023Review
- An exploration of stakeholder views and perceptions on taxing tobacco, alcohol and sugar-sweetened beverages in Ghana.BMJ global health · 2023Review
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Authors and funding
8 authors.
Funding
Abstract
backgroundTaxation increases which reduce the affordability of alcohol are expected to reduce mortality inequalities. A recent taxation increase in Lithuania offers the unique possibility to test this hypothesis.
methodsCensus-linked mortality data between 2011 and 2019 were used to calculate monthly sex- and education-stratified age-standardized mortality rates for the population aged 40 to 70 years. As primary outcome, we analysed the difference in age-standardized all-cause mortality rates between the population of lowest versus highest educational achievement. The impact of the 2017 taxation increase was evaluated using interrupted time series analyses. To identify whether changes in alcohol use can explain the observed effects on all-cause mortality, the education-based mortality differences were then decomposed into n = 16 cause-of-death groupings.
resultsBetween 2012 and 2019, education-based all-cause mortality inequalities in Lithuania declined by 18% among men and by 14% among women. Following the alcohol taxation increase, we found a pronounced yet temporary reduction of mortality inequalities among Lithuanian men (- 13%). Subsequent decomposition analyses suggest that the reduction in mortality inequalities between lower and higher educated men was mainly driven by narrowing mortality differences in injuries and infectious diseases.
conclusionsA marked increase in alcohol excise taxation was associated with a decrease in mortality inequalities among Lithuanian men. More pronounced reductions in deaths from injuries and infectious diseases among lower as compared to higher educated groups could be the result of differential changes in alcohol use in these populations.
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