Results for “alcohol”
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Against alcohol, #6437

This paper evaluates the impact of a sudden and unexpected nation-wide alcohol sales ban in South Africa. We find that this policy causally reduced injury-induced mortality in the country by at least 14% during the five weeks of the ban. We argue that this estimate constitutes a lower bound on the true impact of alcohol on injury-induced mortality. We also document a sharp drop in violent crimes, indicating a tight link between alcohol and aggressive behavior in society. Our results underscore the severe harm that alcohol can cause and point towards a role for policy measures that target the heaviest drinkers in society.

That is new research from Kai Barron, Charles D.H. Parry, Debbie Bradshaw, Rob Dorrington, Pam Groenewald, Ria Laubscher, and Richard Matzopoulos.  To be clear, the “policy measure” I favor is absolute individual boycott, not some kind of soporific Pigouvian tax scheme that won’t attract any real extra attention.

Against alcohol, part #6437

Utah’s shift to lower the legal limit for a driver’s blood-alcohol concentration successfully reduced car-crash deaths in its first year of adoption, according to a new report from the National Highway Traffic Safety Administration.

The law, which took effect on Dec. 30, 2018, made Utah the only state in the country in which a driver can be arrested for having a blood-alcohol concentration between .05% and .079%.

NHTSA’s report found that fatal car crashes in Utah were down 5.1% in 2019 from the year before the law went into effect. Nationally, fatal car crashes fell 2% in the same period. Fatal crashes in which alcohol was detected dropped to 38 from 56 in 2019, the first time such crashes declined in three years, Utah Highway Safety Office data shows.

Here is more from the WSJ, via Tim Gillespie.

Does church keep you away from alcohol?

Based on a panel between 1980 and 2016, I find that one more Sunday with precipitation at the time of church increases yearly drug-related, alcohol-related and white-collar crimes. I do not find an effect for violent or property crimes. These effects are driven by more religious counties. Previous evidence showing negative effects of church attendance on the demand for alcohol and drugs is consistent with a demand-driven interpretation of the results presented.

That is from a new paper by Jonathan Moreno-Medina.  Via the excellent Kevin Lewis.

Does performance pay increase alcohol and drug use?

I would like to see this replicated, but the result is interesting nonetheless:

Using US panel data on young workers, we demonstrate that those who receive performance pay are more likely to consume alcohol and illicit drugs. Recognizing that this likely reflects worker sorting, we first control for risk, ability, and personality proxies. We further mitigate sorting concerns by introducing worker fixed effects, worker-employer match fixed effects, and worker-employer-occupation match fixed effects. Finally, we present fixed effect IV estimates. All of these estimates continue to indicate a greater likelihood of substance use when a worker receives performance pay. The results support conjectures that stress and effort increase with performance pay and that alcohol and drug use is a coping mechanism for workers.

By Benjamin Arta, Colin P. Green, and John S. Heywood, via the excellent Kevin Lewis.

Alcohol is again the culprit

It is “crystal clear” drunk people can’t – or won’t – socially distance, a police chief has warned after scenes showed huge crowds packed into Soho in central London.

John Apter, chair of the Police Federation, said he witnessed “naked men, happy drunks, angry drunks, fights and more angry drunks” while on shift in Southampton – and there were similar scenes across the rest of England.

Chris Whitty, England’s chief medical officer, had warned reopening pubs was a “high risk” for spreading coronavirus ahead of the easing of lockdown restrictions which also saw restaurants, cinemas, hairdressers and museums open their doors on what was dubbed “Super Saturday”.

Here is the article (no further reason to click), via Matt Yglesias.

World’s Largest Producer of Rubbing Alcohol Can’t Manufacturer Hand Sanitizer

How many stupid, outrageous, maddening government failures can you document in just 500 words? Jim Doti and my former colleague Laurence Iannaccone should win a prize for this piece in the WSJ:

…the U.S. is, by far, the world’s largest producer of alcohol. That distinction is a result of the Energy Policy Act of 2005, which required fuel producers to blend four billion gallons of corn ethanol into their gasoline by 2006 and 7.5 billion by 2012. The immediate result was a spike in the price of corn and an increase in food prices world-wide. U.S. farmers soon solved this problem by diverting millions of acres of land to growing corn. Ironically, this increased overall CO2 emissions, much to the chagrin of the environmentalists who had championed the mandate as a way of fighting global warming.

Long before policy makers had seen their error, however, farm states had so fallen in love with ethanol that they successfully lobbied the federal government to raise the mandate to 32 billion gallons a year by 2022. Keep in mind that the oil industry would gladly pay billions of dollars in extra taxes each year not to use it.

The negative effects of this forced usage of corn-based ethanol in refined petroleum include higher gas prices (alcohol costs more than oil per British thermal unit) and more than 30 million acres lost to subsidized corn production — an area that vastly exceeds all the land lost to urban, suburban and exurban “sprawl” over the past century. And while the U.S. now has inordinate supplies of excess alcohol, fuel producers can’t use it, since adding any more to gasoline will damage car engines.

Surely now, with people clamoring for germ-sanitizing alcohol, this excess supply can be put to good use. Not so fast. The Food and Drug Administration and Bureau of Alcohol, Tobacco, Firearms and Explosives have prohibited the use of ethanol in place of isopropyl alcohol even though both are equally effective as germ-killers.

On April 3 the FDA announced that “ethanol made at plants producing fuel ethanol can be used as rubbing alcohol if it contains no additional additive or chemicals from the plants and they can ensure water purity and proper sanitation of equipment.” But it’s unclear how much supply will increase, since the FDA also stated that it would “consider each plant on an individual basis and grant approval only if a plant meets quality control specifications.”

Worse yet, the FDA reversed course on April 16, announcing additional restrictions that effectively prevent any sales, even though ethanol companies had already produced and shipped millions of gallons of high-grade alcohol for hand sanitizer. With U.S. ethanol inventories at all-time high of about 900 million gallons, you’d think the FDA would let us have a little for our hands.

From the comments, on alcohol abuse

I refer you to Prevalence of 12-Month Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder in the United States, 2001-2002 to 2012-2013. My apologies for not being able to locate the primary data sooner.

Key summary quotes below:

Twelve-month alcohol use significantly increased from 65.4% in 2001-2002 to 72.7% in 2012-2013, a relative percentage increase of 11.2%

The prevalence of 12-month high-risk drinking increased significantly between 2001-2002 and 2012-2013 from 9.7% to 12.6% (change, 29.9%) in the total population.

The prevalence of 12-month DSM-IV AUD increased significantly from 8.5% to 12.7% (change, 49.4%) in the total population.

Twelve-month DSM-IV AUD among 12-month alcohol users significantly increased from 12.9% to 17.5% (change, 35.7%) in the total population.

At the end of the day, I am still going to trust outcomes data over survey data. People lie, autopsies don’t. What I know is that acute alcohol poisoning increased by 700% in 20 years. You die from acute alcohol poisoning not because you slowly got sick over years, but because you drank so much so quickly that your body is overwhelmed. And this is in spite of the medical profession getting better at hemodialysis to bring down acutely toxic ethanol poisoning.

What I also know is that alcohol related hepatic deaths bottomed out in 2003 and have since been rising rapidly (~50% increase). This is due to the fact that the generation socialized by prohibition had lower lifetime alcohol use and problematic alcohol use than the generations before or after. As that generation died off, or aged out, successive generations who drank more started refilling the hepatic wards. Even more fun for every age bracket, we are seeing more alcohol related hepatic death than we saw a decade ago for those same age brackets excepting only the youngest cohorts.

These are basically impossible to square with a thesis of no substantial change in drinking patterns. They fit quite nicely with formal epidemiological surveys showing more problematic drinking and a shift in alcohol consumption.

That is from “Sure,” see also his/her other comments in the longer thread.

Claims about alcohol

From Tom McKay at Gizmodo:

Alcohol is responsible for over one in 20 of all deaths worldwide, according to the most recent edition of a World Health Organization (WHO) report that comes out every four years.

The Guardian writes that the report found that roughly three million deaths in 2016 can be attributed to alcohol, of which 2.3 million were men and 29 percent were caused by injuries (including everything from accidents to car collisions and suicides) rather than health problems. Other recorded causes of death included digestive disorders (21 percent) and cardiovascular diseases (19 percent), as well as “infectious diseases, cancers, mental disorders” and other conditions caused by alcohol intake, CNN added.

According to the WHO data, approximately 7.2 percent of premature deaths worldwide are linked to alcohol, and as well as 5.3 of all deaths in general.

Obviously murky and multiple causalities will make any of these numbers debatable.  Still, I guess this explains why debates over alcohol so command the headlines these days and make alcohol the number one social issue?

Alcohol Bans in India and the United States

The Indian Supreme Court has just banned sales of alcohol within 500 meters of a national highway. The ban affects not just liquor stores but tens of thousands of restaurants and hotels. In response, the Rajasthan Public Works Department announced that they would now recategorize highways in urban areas as roads! Other states may follow suit. (David Keohane at the FT has further background on the India ban.)

Lost in the shenanigans is that even if the ban were implemented perfectly it’s not at all obvious that it would reduce traffic accidents. Alcohol can be easily stored and if you are thirsty driving 500 meters doesn’t seem like very far to go to buy alcohol.

Entire counties in the United States have banned alcohol but that doesn’t seem to have reduced traffic fatalities. It may even have increased fatalities because residents of dry counties drive to a wet county to find a bar and then they drive drunk for longer distances as they head home.

Alcohol, poverty, and self-control in India

Those are the topics of the job market paper (pdf) from Frank Schilbach of Harvard:

High levels of alcohol consumption are more common among the poor. This could have economic consequences beyond mere income effects because alcohol impairs mental processes and decision-making. Since alcohol is thought to induce myopia, this paper tests for impacts on self-control and on savings behavior. In a three-week field experiment with low-income workers in India, I provided 229 individuals with a high-return savings opportunity and randomized incentives for sobriety among them. The incentives significantly reduced daytime drinking as measured by decreased breathalyzer scores. This in turn increased savings by approximately 60 percent. No more than half of this effect is explained by changes in income net of alcohol expenditures. In addition, consistent with enhanced self-control due to lower inebriation levels, incentivizing sobriety reduced the impact of a savings commitment device. Finally, alcohol consumption itself is prone to self-control problems: over half of the study participants were willing to sacrifce money to receive incentives to be sober, exhibiting demand for commitment to increase their sobriety. These findings suggest that heavy alcohol consumption is not just a result of self-control problems, but also creates self-control problems in other areas, potentially even exacerbating poverty by reducing savings.

I saw the pointer from Sendhil Mullainathan on Twitter.

Alcohol inequality

I double-checked these figures with [Philip] Cook, just to make sure I wasn’t reading them wrong. “I agree that it’s hard to imagine consuming 10 drinks a day,” he told me. But, “there are a remarkable number of people who drink a couple of six packs a day, or a pint of whiskey.”

As Cook notes in his book, the top 10 percent of drinkers account for well over half of the alcohol consumed in any given year. On the other hand, people in the bottom three deciles don’t drink at all, and even the median consumption among those who do drink is just three beverages per week.

The piece, by Christopher Ingraham, is interesting throughout.  Here is my earlier post on “The culture of guns, the culture of alcohol”, one of my favorites.

Addendum: Via Robert Wiblin, Trevor Butterworth offers a good critique of the data.

Should you ever pay alcoholics in beer?

Via Eric Crampton and also John Chilton, here is the culture that is Dutch:

An unusual Dutch initiative aims to put an end to one of Amsterdam’s worst nuisances — those bawdy, loitering alcoholics — by employing them in a kind of street cleaning corps. The problem, though, is that the state-financed Rainbow Foundation behind the project pays the self-professed chronic alcoholics in beer for their labor.

“The aim is to keep them occupied, to get them doing something so they no longer cause trouble at the park,” Gerrie Holterman, who heads the Rainbow Foundation, told AFP, referring to Amsterdam’s Oosterpark, an apparent favorite haunt of the alcoholics. And at least some of the participants agree on the apparent benefits of the initiative. One man in the program named Frank told AFP, “Lots of us haven’t had any structure in our lives for years, we just don’t know what it is, and so this is good for us.”

In an interesting twist on “Nudge,” Eric comments:

I don’t know, but would be willing to bet, that most of these workers were consuming rather more than the equivalent of five cans of beer per day before they started in. The delivery is paced throughout the day so there’s no chance any of them get drunk. By delivering the beer as beer rather than as the cash equivalent encourages pacing things rather than having the workers spend it all on lower cost per unit binge at the end of the day. The FP piece turns pretty snide about the initiative, saying it’s enabling alcoholism. Looks a lot more like harm-minimisation to me.

The culture of guns, the culture of alcohol

I receive many emails asking me what is my attitude toward guns and gun control.  I would say I wish it worked better than it does (a key point), I don’t think it works very well, I am happy to make those changes which seem to work somewhat, but overall I see an America with lots of guns and a falling crime and murder rate, so let’s focus on what is working, whatever that may be.

I would be happier if advocates of stronger gun control would state up front what percentage of the variation in the murder rate they thought they would be controlling.  I see them as likely to make some dent in the suicide rate, most of all.

I would gladly see a cultural shift toward the view that gun ownership is dangerous and undesirable, much as the cultural attitudes toward smoking have shifted since the 1960s.

I am, however, consistent.  I also think we should have a cultural shift toward the view that alcohol — and yes I mean all alcohol — is at least as dangerous and undesirable.  I favor a kind of voluntary prohibition on alcohol.  It is obvious to me that alcohol is one of the great social evils and when I read the writings of the prohibitionists, while I don’t agree with their legal remedies, their arguments make sense to me.  It remains one of the great undervalued social movements.  For mostly cultural reasons, it is now a largely forgotten remnant of progressivism and it probably will stay that way, given that “the educated left” mostly joined with America’s shift to being “a wine nation” in the 1970s.

Guns, like alcohol, have many legitimate uses, and they are enjoyed by many people in a responsible manner.  In both cases, there is an elite which has absolutely no problems handling the institution in question, but still there is the question of whether the nation really can have such bifurcated social norms, namely one set of standards for the elite and another set for everybody else.

In part our guns problem is an alcohol problem.  According to Mark Kleiman, half the people in prison were drinking when they did whatever they did.  (Admittedly the direction of causality is murky but theory points in some rather obvious directions.)  Our car crash problem – which kills many thousands of Americans each year — is also in significant part an alcohol problem.  There are connections between alcohol and wife-beating and numerous other social ills, including health issues of course.

It worries me when people focus on “guns” and do not accord an equivalent or indeed greater status to “alcohol” as a social problem.  Many of those people drink lots of alcohol, and would not hesitate to do so in front of their children, although they might regard owning an AK-47, or showing a pistol to the kids, as repugnant.  I believe they are a mix of hypocritical and unaware, even though many of these same individuals have very high IQs and are well schooled in the social sciences.  Perhaps they do not want to see the parallels.

The people who get this right — it seems to me — are the Mormons.  Compassion, most of all for the poor, means that we should raise the social status of Mormons on this issue.

I don’t see that happening anytime soon.

Women and alcohol

Is there a better blog post title?  Here is the abstract of a new paper, "Women or Wine, Monogamy and Alcohol":

Intriguingly, across the world the main social groups which practice polygyny do not consume alcohol. We investigate whether there is a correlation between alcohol consumption and polygynous/monogamous arrangements, both over time and across cultures. Historically, we find a correlation between the shift from polygyny to monogamy and the growth of alcohol consumption. Cross-culturally we also find that monogamous societies consume more alcohol than polygynous societies in the preindustrial world. We provide a series of possible explanations to explain the positive correlation between monogamy and alcohol consumption over time and across societies.

That's by Mara Squicciarini and Jo Swinnen.