Author
Ellen Bouchery
Bio: Ellen Bouchery is an academic researcher from Mathematica Policy Research. The author has contributed to research in topics: Medicaid & Binge drinking. The author has an hindex of 11, co-authored 19 publications receiving 2361 citations.
Topics: Medicaid, Binge drinking, Substance abuse, Health care, Poison control
Papers
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TL;DR: Several evidence-based strategies can help reduce excessive drinking and related costs, including increasing alcohol excise taxes, limiting alcohol outlet density, and commercial host liability.
835 citations
TL;DR: In this article, the authors followed U.S. Public Health Service Guidelines to assess the economic cost of excessive alcohol consumption in 2006 and found that excessive drinking causes premature death (average of 79,000 deaths annually), increased disease and injury; property damage from fire and motor vehicle crashes; alcoholrelated crime; and lost productivity.
801 citations
Posted Content•
TL;DR: The economic impact of excessive alcohol consumption in the U.S. is approximately $746 per person, most of which is attributable to binge drinking, and evidence-based strategies for reducing excessive drinking should be widely implemented.
Abstract: Excessive alcohol drinking is the third leading cause of death in the United States, leading to 79,000 premature deaths annually. It is also the cause of increased disease and injury. Although the public health impacts of binge drinking are known, its economic cost has not been assessed for the United States since 1998. Using data from 2006, a new study by Mathematica assessed costs for health care, productivity losses, and other effects, including property damage, from excessive drinking. On a per-capita basis, the economic impact of excessive alcohol consumption is approximately $746 per person, mostly attributable to binge drinking.
722 citations
Posted Content•
TL;DR: For example, this paper estimated that excessive alcohol use cost the U.S. $223.5 billion in 2006, and more current estimates are needed to help inform the planning of prevention strategies.
Abstract: Excessive alcohol use cost the U.S. $223.5 billion in 2006. Given economic shifts in the U.S. since 2006, more-current estimates are needed to help inform the planning of prevention strategies.
171 citations
TL;DR: The goal of the study was to estimate the economic cost of excessive drinking by state for 2006 and found that most of the costs were due to binge drinking and about $2 of every $5 were paid by government.
71 citations
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TL;DR: Increases in alcohol use, high-risk drinking, and DSM-IV AUD in the US population and among subgroups, especially women, older adults, racial/ethnic minorities, and the socioeconomically disadvantaged, constitute a public health crisis.
Abstract: Importance Lack of current and comprehensive trend data derived from a uniform, reliable, and valid source on alcohol use, high-risk drinking, andDSM-IValcohol use disorder (AUD) represents a major gap in public health information. Objective To present nationally representative data on changes in the prevalences of 12-month alcohol use, 12-month high-risk drinking, 12-monthDSM-IVAUD, 12-monthDSM-IVAUD among 12-month alcohol users, and 12-monthDSM-IVAUD among 12-month high-risk drinkers between 2001-2002 and 2012-2013. Design, Setting, and Participants The study data were derived from face-to-face interviews conducted in 2 nationally representative surveys of US adults: the National Epidemiologic Survey on Alcohol and Related Conditions, with data collected from April 2001 to June 2002, and the National Epidemiologic Survey on Alcohol and Related Conditions III, with data collected from April 2012 to June 2013. Data were analyzed in November and December 2016. Main Outcomes and Measures Twelve-month alcohol use, high-risk drinking, andDSM-IVAUD. Results The study sample included 43 093 participants in the National Epidemiologic Survey on Alcohol and Related Conditions and 36 309 participants in the National Epidemiologic Survey on Alcohol and Related Conditions III. Between 2001-2002 and 2012-2013, 12-month alcohol use, high-risk drinking, andDSM-IVAUD increased by 11.2%, 29.9%, and 49.4%, respectively, with alcohol use increasing from 65.4% (95% CI, 64.3%-66.6%) to 72.7% (95% CI, 71.4%-73.9%), high-risk drinking increasing from 9.7% (95% CI, 9.3%-10.2%) to 12.6% (95% CI, 12.0%-13.2%), andDSM-IVAUD increasing from 8.5% (95% CI, 8.0%-8.9%) to 12.7% (95% CI, 12.1%-13.3%). With few exceptions, increases in alcohol use, high-risk drinking, andDSM-IVAUD between 2001-2002 and 2012-2013 were also statistically significant across sociodemographic subgroups. Increases in all of these outcomes were greatest among women, older adults, racial/ethnic minorities, and individuals with lower educational level and family income. Increases were also seen for the total sample and most sociodemographic subgroups for the prevalences of 12-monthDSM-IVAUD among 12-month alcohol users from 12.9% (95% CI, 12.3%-17.5%) to 17.5% (95% CI, 16.7%-18.3%) and 12-monthDSM-IVAUD among 12-month high-risk drinkers from 46.5% (95% CI, 44.3%-48.7%) to 54.5% (95% CI, 52.7%-56.4%). Conclusions and Relevance Increases in alcohol use, high-risk drinking, andDSM-IVAUD in the US population and among subgroups, especially women, older adults, racial/ethnic minorities, and the socioeconomically disadvantaged, constitute a public health crisis. Taken together, these findings portend increases in many chronic comorbidities in which alcohol use has a substantial role.
953 citations
TL;DR: Several evidence-based strategies can help reduce excessive drinking and related costs, including increasing alcohol excise taxes, limiting alcohol outlet density, and commercial host liability.
835 citations
TL;DR: The upshot of these needs for change is both dismaying and exciting, both disturbing in the destruction of long-familiar patterns of dealing with human suffering, and paradoxically hopeful in raising the possibility that significant failures in health care systems of the past may now be addressed more successfully.
Abstract: The upshot of these needs for change is both dismaying and exciting, both disturbing in the destruction of long-familiar patterns of dealing with human suffering, and paradoxically hopeful in raising the possibility that significant failures in our health care systems of the past — limited access to medical care and grossly inadequate public sector “non-systems”, for example — may now be addressed more successfully.
635 citations
TL;DR: Excessive drinking was responsible for 1 in 10 deaths among working-age adults in the United States and AAD rates vary across states, but excessive drinking remains a leading cause of premature mortality nationwide.
Abstract: Introduction
Excessive alcohol consumption is a leading cause of premature mortality in the United States The objectives of this study were to update national estimates of alcohol-attributable deaths (AAD) and years of potential life lost (YPLL) in the United States, calculate age-adjusted rates of AAD and YPLL in states, assess the contribution of AAD and YPLL to total deaths and YPLL among working-age adults, and estimate the number of deaths and YPLL among those younger than 21 years
514 citations