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From Pubs to Scrubs: Alcohol Misuse and Health Care Use
dc.contributor.authorBalsa, Ana I.en_US
dc.contributor.authorFrench, Michael T.en_US
dc.contributor.authorMaclean, Johanna Catherineen_US
dc.contributor.authorNorton, Edward C.en_US
dc.date.accessioned2010-06-01T19:56:02Z
dc.date.available2010-06-01T19:56:02Z
dc.date.issued2009-10en_US
dc.identifier.citationBalsa, Ana I.; French, Michael T.; Maclean, Johanna Catherine; Norton, Edward C. (2009). "From Pubs to Scrubs: Alcohol Misuse and Health Care Use." Health Services Research 44(5p1): 1480-1503. <http://hdl.handle.net/2027.42/73063>en_US
dc.identifier.issn0017-9124en_US
dc.identifier.issn1475-6773en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/73063
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=19500163&dopt=citationen_US
dc.description.abstractTo analyze the relationships between alcohol misuse and two types of acute health care use—hospital admissions and emergency room (ER) episodes. Data Sources/Study Setting . The first (2001/2002) and second (2004/2005) waves of the National Epidemiological Survey of Alcohol and Related Conditions (NESARC). Study Design . Longitudinal study using a group of adults (18–60 years in Wave 1, N =23,079). Gender-stratified regression analysis adjusted for a range of covariates associated with health care use. First-difference methods corrected for potential omitted variable bias. Data Collection . The target population of the NESARC was the civilian noninstitutionalized population aged 18 and older residing in the United States and the District of Columbia. The survey response rate was 81 percent in Wave 1 ( N =43,093) and 65 percent in Wave 2 ( N =34,653). Principal Findings . Frequent drinking to intoxication was positively associated with hospital admissions for both men and women and increased the likelihood of using ER services for women. Alcohol dependence and/or abuse was related to higher use of ER services for both genders and increased hospitalizations for men. Conclusions . These findings provide updated and nationally representative estimates of the relationships between alcohol misuse and health care use, and they underscore the potential implications of alcohol misuse on health care expenditures.en_US
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dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
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dc.publisherBlackwell Publishing Incen_US
dc.rights© 2009 Health Research and Educational Trusten_US
dc.subject.otherAlcohol Misuseen_US
dc.subject.otherProblem Drinkingen_US
dc.subject.otherHealth Care Useen_US
dc.subject.otherFirst-difference Estimationen_US
dc.titleFrom Pubs to Scrubs: Alcohol Misuse and Health Care Useen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDepartment of Health Management and Department of Economics, University of Michigan, Ann Arbor, MIen_US
dc.contributor.affiliationotherHealth Economics Research Group, Department of Sociology, Department of Epidemiology and Public Healthen_US
dc.contributor.affiliationotherDepartment of Economics, 5202 University Drive, Merrick Building, Room 121F, PO Box 248162, Coral Gables, FL 33124-2030en_US
dc.contributor.affiliationotherHealth Economics Research Group, Department of Sociology, Sociology Research Center, University of Miami, Coral Gables, FLen_US
dc.contributor.affiliationotherJohanna Catherine Maclean, Ph.D. Student, is with the Department of Economics, Uris Hall, Cornell University, Ithaca, NYen_US
dc.identifier.pmid19500163en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/73063/1/j.1475-6773.2009.00987.x.pdf
dc.identifier.doi10.1111/j.1475-6773.2009.00987.xen_US
dc.identifier.sourceHealth Services Researchen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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