Socioeconomic Costs of Alcohol Drinking in Korea

음주의 사회경제적 비용 추계

  • Chung, Woo-Jin (Graduate School of Public Health, Yonsei University) ;
  • Chun, Hyun-Jun (Graduate School of Public Health, Yonsei University) ;
  • Lee, Sun-Mi (Department of Public Health, Yonsei University Graduate School)
  • 정우진 (연세대학교 보건대학원) ;
  • 전현준 (연세대학교 보건대학원) ;
  • 이선미 (연세대학교 대학원 보건학과)
  • Published : 2006.01.31

Abstract

Objectives: We wanted to estimate the annual socioeconomic costs of alcohol drinking in Korea. Methods: The costs were classified as direct costs, indirect costs and the other costs. The direct costs consisted of direct medical costs, indirect medical costs and subsidiary medical costs. Particularly, the medical costs and population attributable fraction for disease were considered to reflect the calculation of the direct medical costs. The indirect costs were computed by the extent to which the loss of productivity and loss of the workforce might have occurred due to changes in mortality and morbidity according to alcohol drinking. The other costs consisted of property loss, administration costs and costs of alcoholic beverage. Results: The annual costs, which seemed to be attributable to alcohol drinking, were estimated to be 149,352 hundred million won (2.86% of GDP). In case of the latter, the amount includes 9,091 hundred million won for direct costs (6.09%), 62,845 hundred million won for the reduction and loss of productivity (42.08%), 44,691 hundred million won for loss of the workforce (29.92%), and the other costs (21.91%). Conclusions: Our study confirms that compared with the cases of Japan (1.9% of GNP) and the other advanced countries (1.00-1.42% of GDP), alcohol drinking incurs substantial socioeconomic costs to the Korean society. Therefore, this study provides strong support for government interventions to control alcohol drinking in Korea.

Keywords

References

  1. Sacco RL, Elkind M, Boden-Albala B, Lin IF, Kargman DE, Hauser WA, Shea S, Paik MC The protective effect of moderate alcohol consumption on ischemic stroke. JAMA 1999; 281(1): 53-60 https://doi.org/10.1001/jama.281.1.53
  2. Razay G, Heaton KW, Bolton CH, Hughes AO. Alcohol consumption and its relation to cardiovascular risk factors in British women. Br Med J 1992; 304: 80-83 https://doi.org/10.1136/bmj.304.6819.80
  3. Tuner TB, Bennett VL, Hernandez H. The beneficial side of moderate drinking. Johns Hopkins Med J 1981; 148: 53-63
  4. Bagnardi V, Blangiardo M, Vecchia CL, Corrao G. A meta-analysis of alcohol drinking and cancer risk. Br J Cancer 2001; 85(11): 1700-1705 https://doi.org/10.1054/bjoc.2001.2140
  5. Jacobson JL, Jacobson SW. Drinking moderately and pregnancy: Effects on child development. Alc Res Health 1999; 23(1): 25-30
  6. West LJ. Alcoholism and Related Problems: an Overview, in Alcoholism and Related Problems: Issues for the American Public. Prentice_Hall, Englewood Cliffs, NJ; 1984
  7. 노인철, 서문희, 김영래. 음주의 경제사회적 비용과 정책과제. 한국보건사회연구원;1997
  8. Kim HJ, Park TK, Jee SH, Kang HY, Narn CM. Analysis of socioeconomic costs of smoking in Korea. Korean J Prev Med 2001; 34(3): 183-190 (Korean)
  9. Fenoglio P, Parel V, Kopp P. The social cost of alcohol, tobacco and illicit drugs in France, 1997. Eur Addict Res 2003; 9: 18-28 https://doi.org/10.1159/000067730
  10. 통계청. 한국의 사회지표. 2004
  11. Nakamura K, Tanaka A, Takano T. The social cost of alcohol abuse in Japan. J Stud Alcohol 1993: 618-625 (September)
  12. Harwood H, Napolitano DM, Christensen PL, Collins JJ, Economic Costs to Society of Alcohol and Drug Abuse and Mental lllness: 1980, Report to Alcohol, Drug Abuse, and Mental Health Administration. Research Triangle Park, NC: Research Triangle Institute; 1984
  13. Devlin NJ, Scuftharn PA, Bunt LJ. The social costs of alcohol abuse in New Zealand. Addiction 1997; 92(11): 1491-1505 https://doi.org/10.1111/j.1360-0443.1997.tb02870.x
  14. Scragg R. A quantification of alcohol-related mortality in New Zealand. Aust N Z J Med 1995;25:5-11 https://doi.org/10.1111/j.1445-5994.1995.tb00571.x
  15. Single E, Robson L, Xie X, Rehm J. The economic costs of alcohol, tobacco and illicit drugs in Canada, 1992. Addiction 1998; 93(7): 991-1006 https://doi.org/10.1046/j.1360-0443.1998.9379914.x
  16. Varney SJ, Guest JF. The annual societal cost of alcohol misuse in Scotland. Pharmacoeconomics 2002; 20(13): 891-900 https://doi.org/10.2165/00019053-200220130-00003
  17. Schultz J, Rice D, Parker D, Goodman R, Stroh G, Chalmers N. Quantifying the disease impact of alcohol with ADRl software. Public Health Rep 1991; 106: 443-450
  18. English DR, Holman C, Milne E, Hulse G, Winte M. The Quantification of Morbidity and Mortality Caused by Substance Abuse, Paper Prepared for the Second International Symposium on the Social and Economic Costs of Substance Abuse, 2-5 October, 1995
  19. Single E, Robson J, Rehm J, Xie X. Morbidity and mortality attributable to alcohol, tobacco, and illicit drug use in Canada. Am J Public Health 1999; 89(3): 385-390 https://doi.org/10.2105/AJPH.89.3.385
  20. WHO. International Guide for Monitoring Alcohol Consumption and Related Harm, 2000
  21. 김광기, 김명순, 이승욱, 이원재. 알코올소비 및 음주관련 폐해 통계지표의 정보화; 보건복지부, 2001
  22. 국민건강보험공단, 2000년 건강보험통계연보, 2001
  23. 노동부. 2000년 산재보험사업연보, 2001
  24. 도로교통안전관리공단. 2000년 교통사고 통계분석, 2001
  25. 보험개발원. 2000년 자동차보험통계자료집, 2001
  26. 통계청. 1999년 한국의 사회지표. 2000
  27. 통계청, 2000년 경제활동인구연보, 2001
  28. 노동부. 1999년 임금구조기본통계조사보고서, 2000
  29. 한국보건사회연구원. 1998년도 국민건강영양조사, 1999
  30. US General Accounting Office. Comptroller General's Report to Subcommittee on Alcoholism and Narcotics. Washington DC: Government Printing Office; 1970
  31. Jones S, Casswell S, Zhang J. The economic cost of alcohol-related absenteeism and reduced productivity among the working population of New Zealand. Addiction 1995; 90: 1455-1461 https://doi.org/10.1111/j.1360-0443.1995.tb02807.x
  32. 통계청. 사망원인통계연보, 1993-2001
  33. 통계청. 생명표, 2001
  34. 행정자치부. 민방위재난통제, 2001
  35. 관세청. 무역통계연보, 1997-2000
  36. 국세청, 국세통계연보, 1997-2000
  37. 박수철, 제조업부문의 생산성과 단위노동 비용 국제비교. 한국생산성본부, 1998
  38. 연하청. 국민경제운용고 건강보험재정의 정상화; 패러다임의 전환. 명지대학교, 2002
  39. WHO. Global Alcohol Database- adult per Capita Alcohol Consumption. Available from:URL:http://www3.who.int/whosis/alcohol/alcohol_apc_data.cfm?path=whosis,alcohol,alcohol.apc,alcohol_apc_data&language=english
  40. World Bank. Total GDP 2003. Available from:URL:http://www.worldbank.org/data/databytopic/GDP.pdf