Literature DB >> 19852776

Medical net cost of low alcohol consumption - a cause to reconsider improved health as the link between alcohol and wage?

Johan Jarl1, Ulf G Gerdtham, Klara Hradilova Selin.   

Abstract

BACKGROUND: Studies have found a positive effect of low/moderate alcohol consumption on wages. This has often been explained by referring to epidemiological research showing that alcohol has protective effects on certain diseases, i.e., the health link is normally justified using selected epidemiological information. Few papers have tested this link between alcohol and health explicitly, including all diseases where alcohol has been shown to have either a protective or a detrimental effect. AIM: Based on the full epidemiological information, we study the effect of low alcohol consumption on health, in order to determine if it is reasonable to explain the positive effect of low consumption on wages using the epidemiological literature.
METHODS: We apply a non-econometrical cost-of-illness approach to calculate the medical care cost and episodes attributable to low alcohol consumption.
RESULTS: Low alcohol consumption carries a net cost for medical care and there is a net benefit only for the oldest age group (80+). Low alcohol consumption also causes more episodes in medical care then what is saved, although inpatient care for women and older men show savings.
CONCLUSION: Using health as an explanation in the alcohol-wage literature appears invalid when applying the full epidemiological information instead of selected information.

Entities:  

Year:  2009        PMID: 19852776      PMCID: PMC2770988          DOI: 10.1186/1478-7547-7-17

Source DB:  PubMed          Journal:  Cost Eff Resour Alloc        ISSN: 1478-7547


  17 in total

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3.  Per capita alcohol consumption and ischaemic heart disease mortality.

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4.  Consumption of alcoholic beverages and subjective health in Spain.

Authors:  P Guallar-Castillón; F Rodríguez-Artalejo; L D Díez Gañán; J R Banegas Banegas; P L Lafuente Urdinguio; R H Herruzo Cabrera
Journal:  J Epidemiol Community Health       Date:  2001-09       Impact factor: 3.710

5.  The association of tobacco and alcohol consumption with the use of health care services in Spain.

Authors:  F Rodríguez Artalejo; B de Andrés Manzano; P Guallar-Castillón; M T Puente Mendizabal; J González Enríquez; J del Rey Calero
Journal:  Prev Med       Date:  2000-11       Impact factor: 4.018

6.  Alcohol drinking patterns and medical care use in an HMO setting.

Authors:  D P Rice; C Conell; C Weisner; E M Hunkeler; B Fireman; T W Hu
Journal:  J Behav Health Serv Res       Date:  2000-02       Impact factor: 1.505

7.  Workplace absenteeism and alcohol use: a sequential analysis.

Authors:  Susan K McFarlin; William Fals-Stewart
Journal:  Psychol Addict Behav       Date:  2002-03

Review 8.  Swedish Council on Technology Assessment in Health Care (SBU). Chapter 7. Sickness absence and psychiatric disorders.

Authors:  Gunnel Hensing; Rolf Wahlström
Journal:  Scand J Public Health Suppl       Date:  2004       Impact factor: 3.021

9.  Alcohol drinking patterns and health care utilization in a managed care organization.

Authors:  Gary A Zarkin; Jeremy W Bray; Thomas F Babor; John C Higgins-Biddle
Journal:  Health Serv Res       Date:  2004-06       Impact factor: 3.402

10.  Alcohol consumption and sickness absence: evidence from microdata.

Authors:  Edvard Johansson; Petri Böckerman; Antti Uutela
Journal:  Eur J Public Health       Date:  2008-11-25       Impact factor: 3.367

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