To ask the Scottish Executive for what reason the weekly consumption of alcohol and the average millilitres of alcohol per person per week are both higher in England than in Scotland yet alcohol-related deaths for males are more than twice as high in Scotland and for females almost twice as high according to Centre for Public Policy for Regions health spending statistics
The World Health Organization advises that the volume of alcohol use in a country is best estimated from national sales, production and/or taxation data since population surveys invariably underestimate total alcohol consumption. Moreover, Scottish data from the General Lifestyle Survey (GLF) 2008 - the population survey used by the Centre for Public Policy for the Regions - should be treated with significant caution given the small sample size.
The Scottish Health Survey (SHeS), with a Scottish sample size around four times that of the GLF, is therefore the preferred population survey measure of alcohol consumption in Scotland. The SHeSUK Comparisons report, published in August 2010, compared SHeS Scottish estimates with Health Survey for England (HSE) figures. It showed that a significantly higher proportion of men and women in Scotland exceeded the sensible daily drinking guidelines and a significantly higher proportion drank twice the recommended limit (a measure of binge drinking) on at least one occasion in the previous week. Mean daily consumption on the heaviest drinking day was also considerably higher for both men and women in Scotland. Millilitres of alcohol purchased is not a robust measure of relative consumption levels across countries, as it takes no account of the strength of the alcohol purchased.
In addition, sales data published by NHS Health Scotland in July 2010 showed that per capital alcohol sales were 24% higher in Scotland in 2009 than in England and Wales. Average weekly sales per adult (aged 16 and over) in Scotland equated to 22.9 units, 4.5 units higher than in England and Wales (18.4 units). Higher alcohol sales in Scotland have been evident throughout the period covered by this data, i.e. since 2005.
The higher per capita weekly alcohol sales in Scotland are likely to, at least in part, explain the higher alcohol-related mortality rates in Scotland. In addition, SHeS data suggests people in Scotland are more likely to exceed sensible daily limits and to binge drink than their English counterparts, increasing their risk of developing acute and chronic alcohol-related health conditions.