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.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA015695-03
Application #
7433947
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Bloss, Gregory
Project Start
2006-06-01
Project End
2010-11-30
Budget Start
2008-06-01
Budget End
2010-11-30
Support Year
3
Fiscal Year
2008
Total Cost
$422,054
Indirect Cost
Name
University of Miami Coral Gables
Department
Social Sciences
Type
Schools of Arts and Sciences
DUNS #
625174149
City
Coral Gables
State
FL
Country
United States
Zip Code
33146
Popovici, Ioana; French, Michael T (2014) Cannabis use, employment, and income: fixed-effects analysis of panel data. J Behav Health Serv Res 41:185-202
Popovici, Ioana; French, Michael T (2013) Does Unemployment Lead to Greater Alcohol Consumption? Ind Relat (Berkeley) 52:444-466
Davalos, Maria E; Fang, Hai; French, Michael T (2012) Easing the pain of an economic downturn: macroeconomic conditions and excessive alcohol consumption. Health Econ 21:1318-35
Popovici, Ioana; Homer, Jenny F; Fang, Hai et al. (2012) Alcohol use and crime: findings from a longitudinal sample of U.S. adolescents and young adults. Alcohol Clin Exp Res 36:532-43
Balsa, Ana I; Homer, Jenny F; French, Michael T et al. (2011) Alcohol Use and Popularity: Social Payoffs from Conforming to Peers' Behavior. J Res Adolesc 21:559-568
Balsa, Ana I; Giuliano, Laura M; French, Michael T (2011) The effects of alcohol use on academic achievement in high school. Econ Educ Rev 30:1-15
Davalos, Maria E; French, Michael T (2011) This recession is wearing me out! Health-related quality of life and economic downturns. J Ment Health Policy Econ 14:61-72
French, Michael T; Popovici, Ioana (2011) That instrument is lousy! In search of agreement when using instrumental variables estimation in substance use research. Health Econ 20:127-46
Ettner, Susan L; Maclean, Johanna Catherine; French, Michael T (2011) DOES HAVING A DYSFUNCTIONAL PERSONALITY HURT YOUR CAREER? AXIS II PERSONALITY DISORDERS AND LABOR MARKET OUTCOMES. Ind Relat (Berkeley) 50:149-173
Pyne, Jeffrey M; Tripathi, Shanti; French, Michael et al. (2011) Longitudinal association of preference-weighted health-related quality of life measures and substance use disorder outcomes. Addiction 106:507-15

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