viernes, 24 de junio de 2016

CDC - Prevention Status Reports (PSR) - National Summary - Alcohol-Related Harms - STLT Gateway

CDC - Prevention Status Reports (PSR) - National Summary - Alcohol-Related Harms - STLT Gateway

Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People

Prevention Status Reports

Alcohol-Related Harms

PSR NATIONAL SUMMARY


Icon depicting alcohol beverage bottles and a wine glass



The Prevention Status Reports highlight—for all 50 states and the District of Columbia—the status of public health policies and practices designed to address 10 important public health problems and concerns. This report focuses on the following evidence-based policies recommended by the Community Preventive Services Task Force for preventing alcohol-related harms (1,2):
  • Increasing state excise taxes on beer
  • Increasing state excise taxes on distilled spirits
  • Increasing state excise taxes on wine
  • Having commercial host (dram shop) liability laws
Other strategies recommended by the Community Preventive Services Task Force and US Preventive Services Task Force for reducing alcohol-related harms include regulating alcohol outlet density, avoiding further privatization of retail alcohol sales, and providing adults (including pregnant women) with screening and brief intervention for excessive alcohol use (3–5).

State beer excise tax

The excise tax rate, in dollars per gallon, imposed by the state on beer containing 5% alcohol by volume. State beer excise tax does not include any additional taxes, such as those based on price rather than volume (e.g., ad valorem or sales taxes) that states have implemented at the wholesale or retail level.
Bar chart showing the number of states rated green, yellow, and red for state beer excise tax in the 2013 PSRs and 2015 PSRs, along with a table showing the rating scale. In 2013, of states with available data, 3 states rated green, 4 states rated yellow, and 43 states rated red. In 2015, of states with available data, 4 states rated green, 4 states rated yellow, and 42 states rated red. Green means the beer excise tax was greater than or equal to $1.00 per gallon. Yellow means the beer excise tax was $0.50 to $0.99 per gallon. Red means the beer excise tax was less than $0.50 per gallon. States with missing data are not included. (State count includes the District of Columbia.)
How These Ratings Were Determined
Data on state beer excise taxes were obtained from the Alcohol Policy Information System (6). As of January 1, 2014, state beer excise taxes ranged from $0.02 to $1.29 per gallon across states for which data were available. The ratings reflect where each state’s tax fell within this range. For states with different tax rates for off-premises (e.g., liquor stores) and on-premises (e.g., restaurants) retailers, the off-premises tax rate was reported.

State distilled spirits excise tax

The excise tax rate, in dollars per gallon, imposed by the state on distilled spirits containing 40% alcohol by volume. State distilled spirits excise tax does not include any additional taxes, such as those based on price rather than volume (e.g., ad valorem or sales taxes) that states have implemented at the wholesale or retail level.
Bar chart showing the number of states rated green, yellow, and red for state distilled spirits excise tax in the 2013 PSRs and 2015 PSRs, along with a table showing the rating scale. In 2013, of states with available data, 3 states rated green, 10 states rated yellow, and 21 states rated red. In 2015, of states with available data, 3 states rated green, 11 states rated yellow, and 20 states rated red. Green means the state distilled spirits excise was greater than or equal to $8.00 per gallon. Yellow means the state distilled spirits excise was $4.00 to $7.99 per gallon. Red means the state distilled spirits excise was less than $4.00 per gallon. States with missing data are not included. (State count includes the District of Columbia.)
How These Ratings Were Determined
Data on state distilled spirits excise taxes were obtained from the Alcohol Policy Information System (7). As of January 1, 2014, state distilled spirits excise taxes ranged from $1.50 to $14.25 per gallon across states for which data were available. The ratings reflect where each state’s tax fell within this range. For states with different tax rates for off-premises (e.g., liquor stores) and on-premises (e.g., restaurants) retailers, the off-premises tax rate was reported.

State wine excise tax

The excise tax rate, in dollars per gallon, imposed by the state on wine containing 12% alcohol by volume. State wine excise tax does not include any additional taxes, such as those based on price rather than volume (e.g., ad valorem or sales taxes) that states have implemented at the wholesale or retail level.
Bar chart showing the number of states rated green, yellow, and red for state wine excise tax in the 2013 PSRs and 2015 PSRs, along with a table showing the rating scale. In 2013, of states with available data, 2 states rated green, 7 states rated yellow, and 30 states rated red. In 2015, of states with available data, 2 states rated green, 8 states rated yellow, and 29 states rated red. Green means the state wine excise tax was greater than or equal to $2.00 per gallon. Yellow means the state wine excise tax was $1.00 to $1.99 per gallon. Red means the state wine excise tax was less than $1.00 per gallon. States with missing data are not included. (State count includes the District of Columbia.)
How These Ratings Were Determined
Data on state wine excise taxes were obtained from the Alcohol Policy Information System (8). As of January 1, 2014, state wine excise taxes ranged from $0.11 to $2.50 per gallon across states for which data were available. The ratings reflect where each state’s tax fell within this range. For states with different tax rates for off-premises (e.g., liquor stores) and on-premises (e.g., restaurants) retailers, the off-premises tax rate was reported.

Commercial host (dram shop) liability laws

Laws that permit alcohol retail establishments to be held liable for injuries or harms caused by illegal service to intoxicated or underage customers.
Bar chart showing the number of states rated green, yellow, and red for commercial host (dram shop) liability laws in the 2013 PSRs and 2015 PSRs, along with a table showing the rating scale. In 2013, of states with available data, 21 states rated green, 24 states rated yellow, and 6 states rated red. In 2015, of states with available data, 20 states rated green, 25 states rated yellow, and 6 states rated red. Green means the state had commercial host liability with no major limitations. Yellow means the state had commercial host liability with major limitations. Red means the state had no commercial host liability. States with missing data are not included. (State count includes the District of Columbia.)
How These Ratings Were Determined
These ratings reflect data provided by Alcohol Policy Consultations and ChangeLab Solutions on current state laws for commercial host liability (9–11). A state’s commercial host liability law was considered to have major limitations if it 1) covered underage patrons or intoxicated adults but not both, 2) required increased evidence for finding liability, 3) set limitations on damage awards, or 4) set restrictions on who may be sued.
**State count includes District of Columbia.

References

  1. Community Preventive Services Task Force. Preventing excessive alcohol consumption: increasing alcohol taxes. In: Guide to Community Preventive Services. Updated Jun 2007.
  2. Community Preventive Services Task Force. Preventing excessive alcohol consumption: dram shop liability. In: Guide to Community Preventive Services. Updated Mar 2010.
  3. Community Preventive Services Task Force. Preventing excessive alcohol consumption: regulation of alcohol outlet density. In: Guide to Community Preventive Services. Updated Feb 2007.
  4. Community Preventive Services Task Force. Preventing excessive alcohol consumption: privatization of retail alcohol sales. In: Guide to Community Preventive Services. Updated Apr 2011.
  5. US Preventive Services Task Force. Alcohol Misuse: Screening and Behavioral Counseling Interventions in Primary Care. Updated May 2013.
  6. National Institute on Alcohol Abuse and Alcoholism. Alcohol beverages taxes: beer. Alcohol Policy Information System. Accessed Jun 17, 2015.
  7. National Institute on Alcohol Abuse and Alcoholism. Alcohol beverages taxes: distilled spirits. Alcohol Policy Information System. Accessed Jun 17, 2015.
  8. National Institute on Alcohol Abuse and Alcoholism. Alcohol beverages taxes: wine. Alcohol Policy Information System. Accessed Jun 17, 2015.
  9. Substance Abuse and Mental Health Services Administration. Report to Congress on the Prevention and Reduction of Underage Drinking. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2015.
  10. Mosher JF, Cohen EN, Jernigan DH. Commercial host (dram shop) liability: current status and trends. American Journal of Preventive Medicine 2013;45(3):347–53.
  11. ChangeLab Solutions. 2015 PSR Update: Status of State Dram Shop Liability. Nov 30, 2015.
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