ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2024
Associations between alcohol taxes and varied health outcomes among women of reproductive age and infants.
Article in Alcohol and alcoholism (Oxford, Oxfordshire), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Alcohol Sales Taxes Are Associated With Reduced Preterm Birth and Low Birthweight in the United States.Journal of studies on alcohol and drugs · 2026Article
- Associations Between State Alcohol Policy Environment and Infant and Maternal Outcomes: A Retrospective Cohort Study.American journal of preventive medicine · 2026Article
- The Relationship Between Alcohol Availability and Drink-Driving Policies and Admissions to Substance Use Disorder Treatment During Pregnancy.Journal of studies on alcohol and drugs · 2025Article
- Understanding the effects of alcohol policies on treatment admissions and birth outcomes among young pregnant people.Alcohol, clinical & experimental research · 2025Article
- Relationships between state-level general population alcohol policies and birth outcomes: Results from 1972-2019 vital statistics.PloS one · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveNo studies have examined whether alcohol taxes may be relevant for reducing harms related to pregnant people's drinking.
methodWe examined how beverage-specific ad valorem, volume-based, and sales taxes are associated with outcomes across three data sets. Drinking outcomes came from women of reproductive age in the 1990-2020 US National Alcohol Surveys (N = 11 659 women $\le$ 44 years); treatment admissions data came from the 1992-2019 Treatment Episode Data Set: Admissions (N = 1331 state-years; 582 436 pregnant women admitted to treatment); and infant and maternal outcomes came from the 2005-19 Merative Marketscan® database (1 432 979 birthing person-infant dyads). Adjusted analyses for all data sets included year fixed effects, state-year unemployment and poverty, and accounted for clustering by state.
resultsModels yield no robust significant associations between taxes and drinking. Increased spirits ad valorem taxes were robustly associated with lower rates of treatment admissions [adjusted IRR = 0.95, 95% CI: 0.91, 0.99]. Increased wine and spirits volume-based taxes were both robustly associated with lower odds of infant morbidities [wine aOR = 0.98, 95% CI: 0.96, 0.99; spirits aOR = 0.99, 95% CI: 0.98, 1.00] and lower odds of severe maternal morbidities [wine aOR = 0.91, 95% CI: 0.86, 0.97; spirits aOR = 0.95, 95% CI: 0.92, 0.97]. Having an off-premise spirits sales tax was also robustly related to lower odds of severe maternal morbidities [aOR = 0.78, 95% CI: 0.64, 0.96].
conclusionsResults show protective associations between increased wine and spirits volume-based and sales taxes with infant and maternal morbidities. Policies that index tax rates to inflation might yield more public health benefits, including for pregnant people and infants.
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