The health and economic consequences of alcohol consumption was assessing mainly in developing countries. This study aims to estimate health impact and economic burden attributable to alcohol use in India.
Alcohol related health impact and economic burden obtained from the studies conducted in developed countries; cannot be generalizing to India because of the different socioeconomic milieu and drinking patterns of India; and the western world, hence the present study was conducting. The findings using to highlight the magnitude of harm causing by alcohol in India; and to help inform policy to control alcohol consumption.
A combination of decision tree and mathematical markov model; but was parameterizing to assess the health effects; and economic cost attributable to alcohol consumption. Health effect of alcohol was modelling for a time period of 2011 to 2050; on three sets of conditions liver disease, cancers and road traffic accidents.
Quality adjusted life years
Estimates of illness, death, life years lost and quality adjusted life years (QALYs) gained; were estimating as a result of alcohol consumption. Both direct and indirect costs were estimating to determine economic burden. Future costs and consequences were discounting at 3% for time preferences of cost and utility. Uncertainties in parameters were assessing using probabilistic sensitivity analysis.
Between 2011 and 2050, alcohol attributable deaths would lead to a loss of 258 million life years. In contrast, 552 million QALYs would be gained by eliminating alcohol consumption. Treatment of these conditions will impose an economic burden of INR 3127 billion (US$ 48.11 billion) on the health system.
Societal burden of alcohol, inclusive of health system cost, out of pocket expenditure; and productivity losses will be INR 121,364 billion (US$ 1867 billion). Even after adjusting for tax receipts from sale of alcohol, alcohol poses a net economic loss of INR 97,895 billion (US$ 1506 billion). This amounts to an average loss of 1.45% of the gross domestic product (GDP) per year to the Indian economy.
The magnitude of health and economic harm
Health risks are in transition owing to changing patterns of physical activity and food, alcohol and tobacco consumption (World Health Organization, 2009). It warrants understanding the role of these risk factors for developing clear and effective strategies for improving global health. Using the country specific evidence, we have estimated the magnitude of health and economic harm caused by alcohol consumption in India.
The economic aspects hold increasing significance due to rising healthcare costs and limited healthcare resources in the country, as they highlight the potential to reduce the incidence and cost of health consequences if alcohol use can be minimized.
Given the range of uncertainties and the limitations of the analysis, the estimates of health and economic burden of alcohol use should be interpreted in the context of the analytic purpose of this work, i.e., to leverage country specific data to generate estimates of alcohol attributable harm, thus presenting a strong case for alcohol control policy. The findings of our study endorse that even under conservative assumptions, alcohol use is both clinically and economically unfavourable for Indian society