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Too Young to Die: Regression Discontinuity of a Two-Part Minimum Legal Drinking Age Policy and the Causal Effect of Alcohol on Health

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This study examines the impact of Sweden’s unique two-part Minimum Legal Drinking Age (MLDA) policy on alcohol consumption and health using regression discontinuity design. In Sweden on-licence purchasing of alcohol is legalised at 18 and off-licence purchasing is legalised later at 20 years of age. We find an immediate and significant 6% jump in participation and a larger increase in number of days drinking at age 18 of about 16% but no large jumps at age 20. No discernible increases in mortality at age 18 or 20 are found but hospital visits due to external causes do see an increase at both 18 and 20 years. Compared to previous findings for single MLDAs the alcohol impacts we find are smaller and the health impacts less severe. The findings suggest that a two-part MLDA can help young adults in their transition to unrestricted alcohol and help contain the negative health impacts that have been observed elsewhere.

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  • Heckley, Gawain & Gerdtham, Ulf-G. & Jarl, Johan, 2018. "Too Young to Die: Regression Discontinuity of a Two-Part Minimum Legal Drinking Age Policy and the Causal Effect of Alcohol on Health," Working Papers 2018:4, Lund University, Department of Economics.
    • Handle: RePEc:hhs:lunewp:2018_004
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    Cited by:

    1. Kamalow, Raffael & Siedler, Thomas, 2019. "The Effects of Stepwise Minimum Legal Drinking Age Legislation on Mortality: Evidence from Germany," IZA Discussion Papers 12456, Institute of Labor Economics (IZA).
    2. Ahammer, Alexander & Bauernschuster, Stefan & Halla, Martin & Lachenmaier, Hannah, 2022. "Minimum legal drinking age and the social gradient in binge drinking," Journal of Health Economics, Elsevier, vol. 81(C).
    3. Dehos, Fabian T., 2022. "Underage access to alcohol and its impact on teenage drinking and crime," Journal of Health Economics, Elsevier, vol. 81(C).
    4. Ellegård, Lina Maria & Kjellsson, Gustav & Mattisson, Linn, 2021. "An App Call a Day Keeps the Patient Away? Substitution of Online and In-Person Doctor Consultations Among Young Adults," Working Papers in Economics 808, University of Gothenburg, Department of Economics, revised May 2022.
    5. Dehos, Fabian, 2020. "Legal access to alcohol and its impact on drinking and crime," Ruhr Economic Papers 884, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.

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    More about this item

    Keywords

    Alcohol consumption; regression discontinuity; minimum legal drinking age;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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