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음주의 경제사회적 비용 추계

Other Titles
 Estimates of social and economic costs of alcohol drinking. 
Authors
 전현준 
Issue Date
2003
Description
국제보건학과/석사
Abstract
[한글]최근 지속적인 알코올 소비량 증가와 이에 따른 폐해가 중요한 보건·사회문제로 대두됨에 따라 적정한 관련정책 마련의 근거자료로 우리나라에서 발생하는 음주로 인한 사회경제적 비용 추계에 관한 연구가 시급히 요구되어지고 있다.본 연구는 가용자료를 중심으로 음주와 관련한 질병치료를 위한 의료비, 생/산성 감소의 손실, 조기사망으로 인한 생산인력 손실, 재산피해, 각종 행정비용, 주류소비 지출에 대한 비용부분과 적정음주를 통한 편익부분으로 항목을 구분하였으며, 추계과정에서 적용한 Single(1999) 및 English(1995)의 음주원인 기여비율에 따라 음주의 경제사회적 비용을 제시하였다. 또한 추계과정에서 적용한 중요지표에 따라 손실규모가 과소·과대 평가될 가능성이 있으므로 생산성 저하율, 할인율, 간접의료비 비율, 음주관련 산재보험비율에 대해서 민감도 분석을 시행하였다. 연구결과, Single(1999)의 음주원인 기여비율을 적용한 추계에서는 음주로 인한 경제사회적 비용 총액은 14조 4,874억원으로 GDP 대비 2.78%에 이르며, 질병 및 과도한 음주로 인한 생산성 감소의 손실이 5조 9,722억원으로 전체비용의 41.22%로 가장 큰 손실을 야기하는 것으로 나타났다. 다음으로는 질병과 사고로 인한 조기사망의 손실이 4조 2,868억원(29.59%), 주류소비 지출이 3조 37억원(20.73%), 질병치료를 위한 의료비가 9,267억원(6.40%), 교통사고 및 화재사고로 인한 재산피해액이 2,736억원(1.89%), 자동차보험 및 경찰행정비용이 244억원(0.17%) 순으로 나타났다. English(1995)의 음주원인 기여비율을 적용한 추계에서는 음주로 인한 사회경제적 비용 총액은 15조 1,286억원으로 GDP 대비 2.9%에 이르며, 질병 및 과도한 음주로 인한 생산성 감소의 손실이 6조 489억원으로 전체비용의 39.98%로 가장 큰 비중을 차지하였으며, 질병과 사고로 인한 조기사망의 손실이 4조 7,695억원(31.53%), 주류소비 지출이 3조 37억원(19.85%), 질병치료를 위한 의료비가 9,936억원(6.57%), 교통사고 및 화재사고로 인한 재산피해액이 2,885억원(1.91%), 자동차보험 및 경찰행정비용이 244억원(0.16%) 순으로 나타났다. 민감도 분석에서는 조기사망으로 인한 생산인력 손실분의 할인율 3%∼7%에 따라 전체 비용이 최소 13조 2,427억원에서 최대 17조 4,976억원으로 변동분이 가장 큰 것으로 나타났다. 본 연구는 국내외 자료분석을 통해 다양한 음주원인 기여비율 및 가장 최근의 자료를 이용하여 손실규모를 산출하였으나 국내 음주 소비행태를 반영한 관련자료가 매우 제한적인 실정이었으므로 보다 정확한 추계를 위해서는 알코올 소비와 음주관련 폐해를 정기적으로 측정하는 체계가 마련되어져야 할 것이다.
[영문]With the current increase in alcohol consumption, and its abuse, it is becoming a serious health and social problem. Therefore, there is a demand on studies about the estimation of social economic cost, due to alcohol intake, as well-founded data of planning an appropriate relevant policy. In this study, focusing on the available data, a category was classified on benefit through appropriate alcohol drinking and cost on the expenses of lost productivity due to premature mortality, lower productivity, damage in property, various administration cost, alcohol consumption and medical care cost due to alcohol drinking. And the social economic cost of alcohol drinking was presented according to the alcohol aetiological fraction of Single (1999) and English (1995), applied in the estimation process. In addition, as there is a possibility of the scale of lose to be evaluated to be too little or exaggerated according to the important index applied in the estimation process, an analysis was conducted on the sensitivity on-the-job reduction in productivity rate, discount rate, indirect medical cost rate, workmen''s accident insurance cost rate related to alcohol drinking.As the result of the analysis, in the estimation process with the application of alcohol aetiological fraction of Single (1999), the total social economic cost due to alcohol drinking was 14 trillion 487.4 billion won- 2.78% of GDP- and the reduction and loss of production due to disease and excessive alcohol drinking was 5 trillion 972.2 billion won, the greatest loss with 41.22% of the total cost. In addition, the lost productivity by premature death due to accidents and diseases was 4 trillion 286.8 billion won (29.59%); expenses for alcohol consumption was 3 trillion 3.7 billion won (20.73%); medical cost to treat diseases was 926.7 billion won (6.40%); damage in property due to traffic accidents and fire was 273.6 billion won (1.89%); and the car insurance and police administration cost was 24.4 billion won (0.17%), in order.In the estimation process with the application of alcohol aetiological fraction of English (1995), the total social economic cost due to alcohol drinking was 15 trillion 128.6 billion won- 2.9% of GDP- the loss in the reduction of production due to diseases and excessive drinking was 6 trillion and 48.9 billion won, the greatest scale with 39.98% of the total cost. In addition, the lost productivity by premature death due to accidents and diseases was 4 trillion 769.5 billion won (31.53%); expenses for alcohol consumption was 3 trillion 3.7 billion won (19.85%); medical cost to treat diseases was 993.6 billion won (6.57%); damage in property due to traffic accidents and fire was 288.5 (1.91%); and the car insurance and police administration cost was 24.4 billion won (0.16%), in order.In the analysis of sensitivity, there was the greatest amount of fluctuation- from the minimum of 13 trillion 242.7 billion won to the maximum of 17 trillion 497.6 billion won- according to the discount rate of 3%∼7% of lost productivity due to premature death. In this study, the contribution ratio of various alcohol aetiological fraction was calculated through the analysis of domestic and foreign data, and the scale of loss was calculated using the most recent data. However, as the domestic relevant data that reflects the types of alcohol consumption is very limited, a system that regularly measures the abuses relevant to alcohol consumption and alcohol abuse should be provided, for more precise estimation.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/128315
Appears in Collections:
2. Thesis / Dissertation (학위논문) > 4. Graduate School of Public Health (보건대학원) > Master's Degree (석사)
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