{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:58:41Z","timestamp":1747184321424,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2024,11]]},"abstract":"Abstract<\/jats:title>Introduction<\/jats:title>We retrospectively studied the societal value of lost health due to alcohol use and compared it with excise taxes on alcohol sales for India in 2019.<\/jats:p><\/jats:sec>Methods<\/jats:title>We estimated the overall alcohol\u2010attributable disease burden using disability\u2010adjusted life\u2010years (DALY) for India and its 30 states for all causes with alcohol use as a risk factor from the GBD 2019 Study. The societal value of lost health was calculated using value of life\u2010year (VLY) approach by multiplying region\u2010specific factors from \u2018Global Health 2035\u2019, 2019\u20132020 GDP per capita and DALYs. We acquired the national and state\u2010level (top 10 states) alcohol sales excise taxes from the Reserve Bank of India. Net losses were assessed by subtracting the revenue collected from excise taxes from VLY. All values are in Indian rupees (INR).<\/jats:p><\/jats:sec>Results<\/jats:title>The societal value of health lost due to alcohol use in India was 6.2 (95% uncertainty interval 4.8, 7.8) trillion INR in 2019. The absolute state\u2010level values varied from 7.3 (4.7, 10.4) billion INR in Mizoram to 1.1 (0.8, 1.4) trillion INR in Maharashtra. The per capita values ranged from 950.2 (642.9, 1285.3) INR for Bihar to 61,332 (39,273.7, 87,288.5) INR for Mizoram. Nationally, excise tax collection from alcohol sales was 1.8 trillion INR depicting a net loss of 4.4 (3.1, 6.0) trillion. Maharashtra had the largest absolute and per capita net loss.<\/jats:p><\/jats:sec>Discussion and Conclusions<\/jats:title>These are novel estimates depicting the net losses due to alcohol use in India with direct policy implications to disincentivise sales and adequately raise taxes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13932","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T06:28:05Z","timestamp":1724826485000},"page":"1698-1704","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the societal value of health lost to alcohol use in India compared to excise taxes on alcohol sales"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1176-1529","authenticated-orcid":false,"given":"Siddhesh","family":"Zadey","sequence":"first","affiliation":[{"name":"Association for Socially Applicable Research Pune India"},{"name":"GEMINI Research Center Duke University School of Medicine Durham USA"},{"name":"Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth Pune India"},{"name":"Department of Epidemiology Columbia University Mailman School of Public Health New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61462-6"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(18)30337-7"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-021-01031-8"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2019.04.005"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13179"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15966"},{"key":"e_1_2_12_8_1","unstructured":"ZadeyS.Alcohol: bad for Indian outbreak worse for Indian economy [Online].2020[cited 4 September 2023]. Available from:https:\/\/globalhealthnow.org\/2020-05\/alcohol-bad-indian-outbreak-worse-indian-economy"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30925-9"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62105-4"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101675"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare8020084"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0002017"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.4236\/health.2015.74058"},{"volume-title":"Handbook of statistics on Indian economy 2019\u201320","year":"2020","author":"Reserve Bank of India","key":"e_1_2_12_15_1"},{"key":"e_1_2_12_16_1","unstructured":"KantK.Minting money: states earned Rs 1.75 trillion from sale of alcohol in FY20. Business Standard;2020[cited 5 September 2023]. Available from:https:\/\/www.business\u2010standard.com\/article\/markets\/minting\u2010money\u2010states\u2010earned\u2010rs\u20101\u201075\u2010trillion\u2010from\u2010sale\u2010of\u2010alcohol\u2010in\u2010fy20\u2010120050500053_1.html"},{"key":"e_1_2_12_17_1","unstructured":"Technical Group on Population Projections Census 2011.Population projection for India and States 2011\u20132036 [Online].2019[cited 10 January 2023]. 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