Economic Consequences of Alcohol Use Disorders

描述(申请人提供)：许多实证研究发现，行为健康障碍患者(S)会引发各种个人问题，有时还会给他人带来代价高昂的外部性。考虑到需要当前和全国具有代表性的与酒精滥用和依赖相关的经济后果的类型和成本的信息，本研究应用程序将分析国家酒精及相关条件流行病学调查(NESARC)的第一波，以实现以下四个目标：1.估计酒精使用障碍对劳动力市场表现的影响，包括就业状况、劳动力供应、职业和个人收入；2.估计酒精使用障碍对犯罪活动的影响，包括破坏、商店盗窃、严重攻击、身体伤害、任何非法活动和受害者；3.评估酒精使用障碍对卫生服务利用的影响，包括急诊室发作、需要医疗护理的伤害、住院发作和住院日；4.制定政策、临床和研究建议，以解决美国酒精使用障碍的经济影响。拟议的对NESARC的二次分析具有重要的政策含义、公共卫生相关性和研究意义，因为目前几乎没有与酒精使用障碍相关的广泛不利经济后果的信息。这些信息对于政策制定者、酒精滥用预防和治疗人员、雇主、刑事司法机构和卫生保健提供者在考虑和决定实施酒精干预措施时至关重要。这些发现的额外政策和公共健康价值与社会成本文献和国家酒精政策有关。这些方法和发现可以用来评估酗酒和依赖在就业、犯罪和卫生服务利用领域的潜在社会成本。这些方法也可用作酒精滥用干预措施的经济评估的组成部分。最后，研究意义很高，因为很少有研究使用当代的研究方法和数据来估计酒精使用和滥用的经济影响。

DESCRIPTION (provided by applicant): Many empirical studies have found that individuals with a behavioral health disorder(s) incur a variety of personal problems and sometimes impose costly externalities on others. Given the need for current and nationally representative information on the type and cost of economic consequences associated with alcohol abuse and dependence, this research application will analyze Wave 1 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) to accomplish the following four aims: 1. Estimate the effects of alcohol use disorders on labor market performance including employment status, labor supply, occupation, and personal income; 2. Estimate the effects of alcohol use disorders on criminal activity including vandalizing, shoplifting, aggravated assault, physical harm, any illegal activity, and victimization; 3. Estimate the effects of alcohol use disorders on health services utilization including emergency room episodes, injuries requiring medical care, inpatient hospital episodes, and inpatient hospital days; 4. Develop policy, clinical, and research recommendations for addressing the economic impact of alcohol use disorders in the U.S. The proposed secondary analysis of the NESARC has important policy implications, public health relevance, and research significance because little current information is available on a broad range of adverse economic consequences associated with alcohol use disorders. Such information is crucial for policy makers, alcohol abuse prevention and treatment personnel, employers, criminal justice agencies, and health care providers as they consider and decide on implementing alcohol interventions. Additional policy and public health value of these findings is linked with the social cost literature and national alcohol policy. The methods and findings can be used to assess the potential social cost of alcohol abuse and dependence in the areas of employment, crime, and health services utilization. These methods can also be used as a component of an economic evaluation of alcohol abuse interventions. Finally, the research significance is high because few studies have used contemporary research methods and data to estimate the economic effects of alcohol use and abuse.