Abstract
Background
Alcohol consumption accounts for over 4% of the global burden of disease and an even higher figure in developing countries. Several policies have been proposed to curb the negative impact of alcohol misuse. Apart from South Africa, which has witnessed a rapid development in alcohol policy, such policies are poorly developed in most African countries. South Africa uses taxation as a policy lever, in line with international evidence, to reduce alcohol consumption. However, the problem of alcohol abuse still exists.
Objective
The objective of this article is to present an analysis of alcohol tax incidence for the first time in South Africa. This was done for each category of alcohol tax (wines, spirits, beer and traditional brew [sorghum beer]) and for alcohol tax as a whole. The paper also uses the results to point to the areas where a greater understanding of the issues surrounding alcohol abuse needs to be developed.
Methods
Data were drawn from the 2005/06 South African Income and Expenditure Survey. Reported expenditures on alcohol beverages were used to obtain the tax component paid by households. This was done under certain assumptions relating to alcohol content and the price per litre of alcohol. Per adult equivalent consumption expenditure was used as the measure of relative living standards and concentration curves and Kakwani indices to assess relative progressivity of alcohol taxes. Statistical dominance tests were also performed.
Results
Most sorghum beer and malt beer drinkers were in the poorer quintiles. The reverse was the case for wines and spirits. Overall, alcohol tax in South Africa was regressive (Kakwani index–0.353). The individual categories were found to be regressive. The most regressive tax was that on sorghum beer (Kakwani index–1.01); the least regressive was that on spirits (Kakwani index–0.09), although this was not statistically significant at conventional levels. These results were confirmed by the test of dominance.
Conclusion
In South Africa, there has been a renewed interest in addressing the problem of rising alcohol abuse, but the extent to which this will translate into meaningful policies is unclear. The use of an excise tax is increasingly being recognized by economists as a way to get around some of the negative effects of abusive alcohol consumption. However, this study indicates that alcohol taxes are regressive in South Africa.
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Notes
1 Controls on packaging include preventing manufacturers from using papsakke (wine or alcohol in plastic bags or sacks) and limiting the size of the alcohol bottle or can.
2 Here the authors only assessed alcohol tax as a whole without splitting this up into the various categories.
References
WHO. The world health report 2000: reducing risks, promoting healthy life. Geneva: World Health Organisation, 2002
Babor T, Caetano R, Casswell S, et al. Alcohol: no ordinary commodity research public policy. 2nd ed. New York: Oxford University Press, 2010
Doran C, Jainullabudeen T. Economic efficiency of alcohol policy. Appl Health Econ Health Policy 2010; 8(5): 351–4
Bennett LA, Campillo C, Chandrashekar C, et al. Alcoholic beverage consumption in India, Mexico, and Nigeria: a cross-cultural comparison. Alcohol Health Res World 1998; 22(4): 243–52
Parry CDH. Alcohol policy in South Africa: a review of policy development processes between 1994 and 2009. Addiction 2010; 105(8): 1340–5
Schneider M, Norman R, Parry C, et al. Estimating the burden of disease attributable to alcohol use in South Africa in 2000. S Af Med J 2007; 97(8): 664–72
World Health Organization. Global status report on alcohol. Geneva: World Health Organization, 1999
WHO/AFRO. Africans must curb harmful use of alcohol [press release]. 2008 Sep 2. Available from URL: http://www.afro.who.int/en/media-centre/pressreleases/672-africans-must-curb-harmful-use-of-alcohol.html [Accessed 2011 Jan 10]
World Health Organization. Global status report on alcohol and health: South Africa. Geneva: World Health Organization, 2011
Parry CDH, Myers B, Thiede M. The case for an increased tax on alcohol in South Africa. S Af J Econ 2003; 71(2): 137–45
May PA, Brooke L, Gossage JP, et al. Epidemiology of fetal alcohol syndrome in a South African community in the Western Cape Province. Am J Public Health 2000; 90(12): 1905–12
Plüddemann A, Parry C, Donson H, et al. Alcohol use and trauma in Cape Town, Durban and Port Elizabeth, South Africa: 1999–2001. Inj Control Saf Promot 2004; 11(4): 265–7
Mauser E, Van Stelle KR, Moberg DP. The economic impact of diverting substance-abusing offenders into treatment. Crime Delinquency 1994; 40(4): 568–88
Baumberg B. The global economic burden of alcohol: a review and some suggestions. Drug Alcohol Rev 2006; 25(6): 537–51
Nakamura K, Tanaka A, Takano T. The social cost of alcohol abuse in Japan. J Stud Alcohol Drugs 1993; 54(5): 618–25
Cook PJ, Moore MJ. This tax’s for you: the case for higher beer taxes. Nat Tax J 1994; 47: 559–73
Lyon AB, Schwab R. Consumption taxes in a life-cycle framework: are sin taxes regressive? Rev Econ Stat 1995; 77(3): 389–40
Ballard CL, Shoven JB, Whalley J. The welfare cost of distortions in the United States tax system: a general equilibrium approach. NBER working paper no. 1043. Cambridge (MA): National Bureau of Economic Research, 1982
Grossman M, Sindelar JL, Mullahy J, et al. Policy watch: alcohol and cigarette taxes. J Econ Perspect 1993; 7(4): 211–22
Kaplow L. Taxing leisure complements. Econ Inq 2010; 48(4): 1065–71
Corlett WJ, Hague DC. Complementarity and the excess burden of taxation. Rev Econ Stud 1953; 21(1): 21–30
Manning WG, Keeler EB, Newhouse JP, et al. The costs of poor health habits. Cambridge (MA): Harvard University Press, 1991
Statistics South Africa. Income and expenditure of households 2005/2006: Statistical release P0100. Pretoria: Statistics South Africa, 2008
National Treasury. 2004 Budget review. Pretoria: National Treasury, 2004
National Treasury. 2005 Budget review. Pretoria: National Treasury, 2005
National Treasury. 2006 Budget review. Pretoria: National Treasury, 2006
National Treasury. 2007 Budget review. Pretoria: National Treasury, 2007
National Treasury. 2008 Budget review. Pretoria: National Treasury, 2008
National Treasury. 2009 Budget review. Pretoria: National Treasury, 2009
National Treasury. 2010 Budget review. Pretoria: National Treasury, 2010
National Treasury. 2011 Budget review. Pretoria: National Treasury, 2011
South African Revenue Service. Tax guide for small businesses 2005/06. Pretoria: South African Revenue Service, 2005
Borghi J, Ataguba J, Mtei G, et al. Methodological challenges in evaluating health care financing equity in data-poor contexts: lessons from Ghana, South Africa and Tanzania. In: Chernichovsky D, Hanson K, editors. Advances in Health Economics and Health Services Research, Volume 21: Innovations in health system finance in developing and transitional economies. Bingley: Emerald Group Publishing, 2009: 133–56
O’Donnell O, Van Doorslaer E, Wagstaff A, et al. Analyzing health equity using household survey data: a guide to techniques and their implementation. Washington (DC): World Bank Publications, 2008
Deaton A. The analysis of household surveys. Baltimore (MD): The Johns Hopkins University Press, 1997
Banks J, Johnson P. Equivalence scale relativities revisited. Econ J 1994; 104(425): 883–90
Gemmell N, Morrissey O. Distribution and poverty impacts of tax structure reform in developing countries: how little we know. Dev Policy Rev 2005; 23(2): 131–44
Shah A, Whalley J. Tax incidence analysis of developing countries: an alternative view. World Bank Econ Rev 1991; 5(3): 535–52
Barde J-P, Braathen NA. Environmentally related levies. In: Cnossen S, editor. Theory and practice of excise taxation: smoking, drinking, gambling, polluting, and driving. New York: Oxford University Press, 2005: 120–54
Smith S. Economic issues in alcohol taxation. In: Cnossen S, editor. Theory and practice of excise taxation: smoking, drinking, gambling, polluting, and driving. New York: Oxford University Press, 2005: 56–83
Lambert PJ. The distribution and redistribution of income. 3rd ed. Manchester: Manchester University Press, 2001
Duclos JY, Araar A. Poverty and equity: measurement, policy, and estimation with DAD. Berlin and Ottawa: Springer and IDRC, 2006
Suits DB. Measurement of tax progressivity. Am Econ Rev 1977; 67(4): 747–52
Kakwani NC. Measurement of tax progressivity: an international comparison. Econ J 1977; 87(345): 71–80
Kakwani N, Wagstaff A, van Doorslaer E. Socioeconomic inequalities in health: measurement, computation, and statistical inference. J Econometrics 1997; 77(1): 87–103
Lerman RI, Yitzhaki S. Improving the accuracy of estimates of Gini coefficients. J Econometrics 1989; 42(1): 43–7
Dardanoni V, Forcina A. Inference for Lorenz curve orderings. Econometrics J 1999; 2(1): 49–75
Segal I, Reinach S, De Beer M. Factors associated with oesophageal cancer in Soweto, South Africa. Br J Cancer 1988; 58(5): 681–6
Parry CDH. South Africa: alcohol today. Addiction 2005; 100(4): 426–9
Almeida-Filho N, Lessa I, Magalhães L, et al. Alcohol drinking patterns by gender, ethnicity, and social class in Bahia, Brazil. Revista de Saúde Pública 2004; 38(1): 45–54
Dawson DA, Grant BF, Patricia Chou S, et al. Subgroup variation in US drinking patterns: results of the 1992 national longitudinal alcohol epidemiologic study. J Subst Abuse 1995; 7(3): 331–44
Marmot M. Inequality, deprivation and alcohol use. Addiction 1997; 92Suppl. 1: S13–20
Statistics South Africa. Income and expenditure of households 2005/2006: analysis of results. Pretoria: Statistics South Africa, 2008
Sammartino F. Federal taxation of tobacco, alcohol beverages and motor fuels. Washington (DC): The Congress of the United States Congressional Budget Office, 1990
Sahn DE, Younger SD. Dominance testing of social sector expenditures and taxes in Africa. IMF WOrking Paper No WP/99/172. Washington (DC): International Monetary Fund, Fiscal Affairs Department, 1999
Sahn DE, Younger SD. Expenditure incidence in Africa: microeconomic evidence. Fisc Stud 2000; 21(3): 329–47
Heien DM. Are higher alcohol taxes justified? Cato J 1996; 15: 243–58
Wimbush E. The cost of poor health habits [book review]. Sociol Health Illness 1992; 14(3): 434–5
Department of Social Development. Ethekwini declaration on second biennial substance abuse summit, 2011. Peetoria: South African Department of Social Development. Available from URL: http://www.dsd.gov.za/index.php?option=com_content&task=view&id=306&Itemid=1 [Accessed 2011 Mar 20]
Department of Social Development. Ethekwini resolution on second biennial substance abuse summit, 2011. Pretoria: South African Department of Social Development [online]. Available from URL: http://www.dsd.gov.za/index.php?option=com_content&task=view&id=307&Itemid=106 [Accessed 2011 Oct19]
Harper TA, Mooney G. Prevention before profits: a levy on food and alcohol advertising. Med J Austr 2010; 192(7): 400–2
Samman E, McAuliffe E, MacLachlan M. The role of celebrity in endorsing poverty reduction through international aid. Int J Nonprofit Voluntary Sector Market 2009; 14(2): 137–48
Loxley W, Gray D, Wilkinson C, et al. Alcohol policy and harm reduction in Australia. Drug Alcohol Rev 2005; 24(6): 559–68
Byrnes JM, Cobiac LJ, Doran CM, et al. Cost-effectiveness of volumetric alcohol taxation in Australia. Med J Austr 2010; 192(8): 439–43
Doran CM, Hall WD, Shakeshaft AP, et al. Alcohol policy reform in Australia: what can we learn from the evidence. Med J Austr 2010; 192(8): 468–70
Byrnes J, Petrie DJ, Doran CM, et al. The efficiency of a volumetric alcohol tax in Australia. Appl Health Econ Health Policy 2011; 10(1): 37–49
Mooney G. Alcohol taxation policy in Australia: public health imperatives for action (Letter). Med J Austr 2009; 190(12): 714–5
Mooney G. A handbook on citizens’ juries, 2010. Available from URL: http://www.gavinmooney.com [Accessed 2011 Mar 19]
Acknowledgements
No sources of funding were used to conduct this study. The author has no conflicts of interest that are directly relevant to the content of this manuscript. The author acknowledges the useful comments from Gavin Mooney during the preparation of the manuscript and those from two anonymous reviewers.
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Ataguba, J.EO. Alcohol policy and taxation in South Africa. Appl Health Econ Health Policy 10, 65–76 (2012). https://doi.org/10.2165/11594860-000000000-00000
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DOI: https://doi.org/10.2165/11594860-000000000-00000