What question did this study set out to answer?

To evaluate the relationship between alcohol sales taxes and adverse birth outcomes in the United States.

February 19, 2026

Alcohol Sales Taxes Are Associated With Reduced Preterm Birth and Low Birthweight in the United States

Key Points

To evaluate the relationship between alcohol sales taxes and adverse birth outcomes in the United States.
Analyzed state-level beverage-specific sales tax data
Examined rates of preterm birth and low birthweight
Utilized statistical methods to correlate tax levels and birth outcomes
Higher alcohol sales taxes are linked to lower rates of preterm births
An increase in taxes correlates with a decrease in low birthweight infants
Findings support using tax policy as a tool for improving maternal and infant health

Abstract

State-level beverage-specific sales taxes are associated with fewer adverse birth outcomes. This study provides additional evidence that increased alcohol taxes may be relevant for reducing adverse effects related to pregnant people's alcohol consumption.

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