@article{ref1,
title="Costing alcohol-related assault in the night-time economy from a societal perspective: the case of Central Sydney",
journal="Drug and alcohol review",
year="2021",
author="Deeming, Simon and Kypri, Kypros",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: There is a concern in many countries about violence from late-night alcohol sales and appropriate regulatory responses. However, economic losses arising from this activity rarely feature in public debate. Credible estimates are lacking because economic evaluations have not taken a 'societal perspective', costing health, policing and criminal justice outcomes. Our aims were to: (i) develop an analytic model capable of informing cost-benefit analysis of policy changes; and (ii) estimate costs of alcohol-related assault (ARA) in a major city. <br><br>METHODS: We employed decision-analytic cohort models of health and judicial consequences of ARA in Sydney, Australia. We constructed two 6-branch decision-analytic models of patient and offender pathways through the health and judicial systems. We produced overall estimates and analysed their sensitivity to key assumptions. <br><br>RESULTS: Combining results from a Health model comprising 40 pathways and 137 cost events, and a Justice model comprising 20 pathways and 48 cost events, yielded an overall cost estimate of $85 093 per ARA, of which 64% was health-related, while 36% was justice-related. Estimates were sensitive to values assigned for 'pain, suffering, morbidity and wellbeing', and to costs of incarceration. Health service-related costs accounted for 1.3% of the total. <br><br>DISCUSSION AND CONCLUSION: The costs of ARA are significant and dominated by incidents in which a victim does not necessarily receive acute medical care but suffers loss in quality-of-life, and where a perpetrator is processed through the criminal justice system. Being derived transparently, within a theoretical framework, the estimates are adaptable to inform cost-benefit analyses of policy options in Australia and other countries.<p /> <p>Language: en</p>",
language="en",
issn="0959-5236",
doi="10.1111/dar.13242",
url="http://dx.doi.org/10.1111/dar.13242"
}