[Risky alcohol consumption among working Canadians: variations among different occupations and economic sectors].
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ABSTRACT:
SUBMITTER: Marchand A
PROVIDER: S-EPMC6973700 | biostudies-literature | 2009 Jul-Aug
REPOSITORIES: biostudies-literature
Publications
[Risky alcohol consumption among working Canadians: variations among different occupations and economic sectors].
Marchand Alain A Charbonneau Martin M
Canadian journal of public health = Revue canadienne de sante publique 20090701 4
<h4>Objective</h4>Examine the differences in weekly high-risk alcohol consumption among working people by economic sector and occupation.<h4>Method</h4>Secondary analysis of data from Cycle 2.1 of the Canadian Community Health Survey conducted by Statistics Canada. The sample comprised 76,136 subjects 15 years of age and older in 139 occupations and 96 economic sectors.<h4>Results</h4>The prevalence of weekly high-risk alcohol consumption is estimated to be 8% among workers. Major disparities ex ...[more]
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Project description:The moral hazard theory asserts that having health insurance may increase individual risk-taking behaviors. We examined the association between state health insurance coverage and excessive alcohol use among U.S. adults. We used 2001-2017 Behavioral Risk Factor Surveillance System data to estimate annual binge and heavy drinking rates for each state. In a multivariable regression analysis, we used difference-in-difference (DID) models to assess the association between state-level insurance coverage and binge and heavy drinking. Additionally, we assess the potential asymmetric effect and whether economic recessions (2001, 2008-09) had a moderation effect. In the multivariable DID analysis, aggregate state insurance coverage was not significantly associated with binge drinking rates in baseline analysis with state-fixed effects (Model 1), and in the analysis that extends the baseline model to include state unique time trend (Model 2). A similar result was found for heavy drinking in Model 1. In contrast, the result showed a significant association between health insurance coverage and heavy drinking rates in Model 2. However, we found no significant association for binge and heavy drinking rates in both models in the analyses restricting data to periods before the methodological change in the BRFSS sampling frame. The results did not show asymmetric effects, and the association between health insurance and excessive alcohol use did not differ during economic recessions. These findings largely do not support assertions that health insurance may lead to moral hazards (risk-taking behaviors), especially binge drinking.
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