Economic Costs of Excessive Alcohol Consumption in the US, 2006
Economic Costs of Excessive Alcohol Consumption in the US, 2006
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DOI：
10.1016/j.amepre.2011.06.045
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发表时间：
2011-11-01
影响因子：
5.5
通讯作者：
Brewer, Robert D.
中科院分区：
文献类型：
--
作者：
Bouchery, Ellen E.;Harwood, Henrick J.;Brewer, Robert D.
背景资料：过量饮酒导致过早死亡（平均每年79 000人死亡）;疾病和伤害增加;火灾和车祸造成的财产损失;与酒精有关的犯罪;以及生产力损失。然而，它的经济成本还没有被评估为美国。S.自1998年以来，目的：更新先前的国家估计的经济成本过量饮酒。S. 2006年评估过度饮酒经济成本的公共卫生服务指南。医疗保健成本、生产力损失和其他影响（e）。例如，在一个实施例中，2006年财产损失的数据来自国家数据库。从多个来源获得了可归因于酒精的分数，并用于评估可归因于过度饮酒的成本比例。2006年，过度饮酒的经济损失估计为2235亿美元（72.2%来自生产力损失，11.0%来自医疗保健成本，9.4%来自刑事司法成本，7.5%来自其他影响）或每杯酒精饮料约1.90美元。酗酒造成的损失为1707亿美元（占总数的76.4%）;未成年人饮酒270亿美元;怀孕期间饮酒52亿美元。酒精犯罪的成本为733亿美元。政府的成本为942亿美元（占总成本的42.1%），相当于2006年每消费一杯酒精饮料约0.80美元（类别不相互排斥，可能重叠）。S.每人约746美元，其中大部分是由于酗酒造成的。应广泛实施减少过量饮酒的循证战略。(Am J Prev Med 2011;41（5）：516-524）（C）2011年美国预防医学杂志
Background: Excessive alcohol consumption causes premature death (average of 79,000 deaths annually); increased disease and injury; property damage from fire and motor vehicle crashes; alcohol-related crime; and lost productivity. However, its economic cost has not been assessed for the U. S. since 1998.Purpose: To update prior national estimates of the economic costs of excessive drinking.Methods: This study (conducted 2009-2010) followed U. S. Public Health Service Guidelines to assess the economic cost of excessive alcohol consumption in 2006. Costs for health care, productivity losses, and other effects (e. g., property damage) in 2006 were obtained from national databases. Alcohol-attributable fractions were obtained from multiple sources and used to assess the proportion of costs that could be attributed to excessive alcohol consumption.Results: The estimated economic cost of excessive drinking was $223.5 billion in 2006 (72.2% from lost productivity, 11.0% from healthcare costs, 9.4% from criminal justice costs, and 7.5% from other effects) or approximately $1.90 per alcoholic drink. Binge drinking resulted in costs of $170.7 billion (76.4% of the total); underage drinking $27.0 billion; and drinking during pregnancy $5.2 billion. The cost of alcohol-attributable crime was $73.3 billion. The cost to government was $94.2 billion (42.1% of the total cost), which corresponds to about $0.80 per alcoholic drink consumed in 2006 (categories are not mutually exclusive and may overlap).Conclusions: On a per capita basis, the economic impact of excessive alcohol consumption in the U. S. is approximately $746 per person, most of which is attributable to binge drinking. Evidence-based strategies for reducing excessive drinking should be widely implemented. (Am J Prev Med 2011;41(5):516-524) (C) 2011 American Journal of Preventive Medicine