Heavy drinking and the risk of occupational injury

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Abstract

This study evaluated the association between the frequency of heavy drinking and the risk of occupational injury, using nationally representative data from the 1988 National Health Interview Survey (NHIS). The sample consisted of 29,192 adults who were employed at some time during the year preceding the NHIS interview. Overall, 7.2% reported an on-the-job injury during the preceding year, but the rates were higher-about 13%-for those employed as skilled or unskilled laborers or who reported engaging in repeated strenuous physical activity at work. Slightly more than one-fourth of the employed adults reported at least one occasion of drinking five or more drinks during the preceding year. After adjusting for the effects of age, gender, education, occupation, and strenuous job activity, the odds of occupational injury increased with frequency of heavy drinking, with odds ratios varying from 1.08 (one occasion of heavy drinking) to 1.74 (daily heavy drinking). Odds ratios were decreased slightly by the inclusion of smoking as a control variable, indicating that some of the excess risk of injury among heavy drinkers may reflect their greater propensity to take health-related risks rather than direct effects of ethanol. The odds ratios also were slightly lower when the analysis was restricted to current drinkers, suggesting that the risk of work injury was increased by light or moderate as well as heavy drinking.

References (28)

  • G.M. Ames et al.

    Heavy and problem drinking in an American blue-collar population: Implications for prevention

    Soc. Sci. Med.

    (1987)
  • M. Zuckerman

    Influences of sensation seeking, gender,risk appraisal, and situational motivation on smoking

    Addict. Behav.

    (1990)
  • P.B.S. Clarke

    Nicotine and smoking: A perspective from animal studies

    Psychopharmacology

    (1987)
  • T. Combs-Orme et al.

    Violent deaths among alcoholics: A descriptive study

    J. Stud. Alcohol

    (1983)
  • J. Crofton

    Extent and costs of alcohol problems in employment: A review of British data

    Alcohol Alcohol

    (1987)
  • J.C. Fell

    Alcohol involvement rates in fatal crashes: A focus on young drivers and female drivers

  • J.L. Gutierrez-Fisac et al.

    Occupational accidents and alcohol consumption in Spain

    Int. J. Epidemiol.

    (1992)
  • T.C. Harford et al.

    Alcohol use and dependence among employed men and women in the United States in 1988

    Alcohol. Clin. Exper. Res.

    (1992)
  • R.W. Hingson et al.

    Employee drinking patterns and accidental injury: A study of four New England states

    J. Stud. Alcohol

    (1985)
  • R. Hingson et al.

    Alcohol as a risk factor for injury or death resulting from accidental falls: A review of the literature

    J. Stud. Alcohol

    (1987)
  • R. Honkanen et al.

    The role of alcohol in accidental falls

    J. Stud. Alcohol

    (1983)
  • J. Howland et al.

    Alcohol as a risk factor for injury or death due to fires and burns: Review of the literature

    Public Health Rep.

    (1987)
  • J. Howland et al.

    Alcohol as a risk factor for drownings: A review of the literature (1950–1985)

    Accid. Anal. Prev.

    (1987)
  • R.J. Jenks

    Attitudes, perceptions, and risk-taking behaviors of smokers, exsmokers, and nonsmokers

    J. Soc. Psychol.

    (1992)
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