ArticleAddiction (Abingdon, England)2025
A return on investment analysis for the 2017 increase in alcohol excise taxation in Lithuania.
Article in Addiction (Abingdon, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The Baltics: Benchmarking alcohol control reform for the European Union and surrounding countries.Addiction (Abingdon, England) · 2026Article
- Impact of alcohol excise taxation and structural reforms on per capita consumption in Thailand, 1995-2021: an interrupted time-series analysis.The International journal on drug policy · 2026Article
- Using a return on investment analysis to estimate the economic impact of potential changes to alcohol control policies in Estonia.European journal of public health · 2026Article
- Alcohol Excise Taxation, Tax Share and Revenue in the European Union and the United Kingdom in 2022: An Overview and Modelling Analysis.Drug and alcohol review · 2025Article
- A return on investment analysis for the 2017 increase in alcohol excise taxation in Lithuania.Addiction (Abingdon, England) · 2025Article
- The economic costs of alcohol consumption in Lithuania, 2015-20.European journal of public health · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
aimsTo conduct a return on investment analysis of Lithuania's 2017 increase in alcohol excise taxation of 112% for beer, 111% for wine, and 23% for ethyl alcohol (spirits), resulting in a marked decrease in alcohol affordability.
methodsEconomic analyses based on costs of the increased taxation and economic benefits derived from a societal perspective. Costs were measured according to World Health Organization standards, based on Lithuanian public data. Benefits were derived from the difference of direct (healthcare, childcare, legal) and indirect costs between 12 months pre- and post-enactment of the policy. All costs and benefits were expressed in 2023 Euros (€).
resultsOverall, there were net benefits from reductions in productivity losses and increases in tax revenue. Tax revenue increased by 20%, or more than €100 million, in the first-year post enactment, and productivity losses decreased over the same time period by about €35.3 million (95% confidence interval [CI]: -51.9 to -17.1; proportionally -7%; 95% CI: -11.0% to -4.0%), the latter based on marked reductions in premature mortality in all alcohol-attributable causes of death. In addition, healthcare costs decreased by about €3.8 million (95% CI: -8.4 to +0.1; proportionally -5%; 95% CI: -11.0% to +0.1%). On the other hand, childcare and legal costs increased compared with the year before, by €5.3 million (no 95% CI possible; proportionally: +7%) and €4.6 million (95% CI: +0.2 to +8.0; proportionally +5%; 95% CI: +0.3 to +8.7%), respectively. The final return on investment was 420 to 1, i.e. for each Euro invested, the return was €420. In the sensitivity analyses, the return on investment varied between 292 to 1 and 530 to 1, meaning that all assumptions resulted in a very positive return.
conclusionsThe increase in excise taxation for alcohol on March 1, 2017 in Lithuania created a large return on investment and reduced alcohol-attributable mortality and hospitalizations.
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