PharmacoEconomics German Research Articles

, Volume 5, Issue 1, pp 41–56 | Cite as

Direkte und indirekte Kosten des Alkoholkonsums in Deutschland

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Direct and Indirect Costs Attributable to Alcohol Consumption in Germany

Abstract

Aim

To estimate the direct and indirect costs of morbidity and mortality attributable to alcohol consumption in Germany from a societal perspective in 2002.

Methods

Using the concept of attributable risks and the prevalence-based approach, age and gender-specific alcohol-attributable fractions for morbidity and mortality were calculated for alcoholic disorder, neoplasms, endocrinological, nervous, circulatory, digestive, skin and perinatal disorders, injuries and poisonings. The literature provided data on alcohol consumption in Germany by age, gender and dose amount, and relative risks. Direct costs were calculated based on routine resource utilisation and expenditure statistics. Indirect costs were calculated based on the human capital approach using a discount rate of 5%.

Results

Alcohol consumption accounted for 5,5% of all deaths and 970,000 years of potential life lost. Total costs were €24,398 million, amounting to 1.16% of Germany’s GDP, or €296 per person. Direct medical and non-medical costs were €8,441 million. Indirect costs were €15,957 million (69% mortality and 31% morbidity costs). In contrast, protective health effects of alcohol consumption saved €4,839 million.

Conclusions

The magnitude of alcohol-attributable morbidity and mortality and associated costs demands more preventive efforts.

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Copyright information

© Adis Data Information BV 2007

Authors and Affiliations

  1. 1.Stiftungsprofessur für Gesundheitsökonomie, Klinik und Poliklinik für PsychiatrieUniversität LeipzigLeipzigDeutschland

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