Abstract:
OBJECTIVE:This study examined how problem drinking and drug use and their related treatment received by workers varied by health insurance coverage and employment characteristics. METHOD:We used National Survey on Drug Use and Health data on civilian workers ages 18 years and older from the 2002 and 2003 public-use files. Multivariate logistic regressions estimated the relationship between workers' uninsured status and problem use, dependence, and treatment while controlling for worker demographics, education, income, and job characteristics. RESULTS:Controlling for differences in worker and workplace characteristics, uninsured workers were significantly more likely than privately insured workers to be illicit drug users or heavy drinkers. Among dependent workers, the lack of insurance was associated with a reduction in treatment received for problem drinkers (odds ratio = 0.31, p = .13). By contrast, a large, positive-albeit statistically nonsignificant-association between being uninsured and receiving treatment prevailed among uninsured workers using illicit drugs. Workplace substance-use policies were associated with a significant reduction in the odds of treatment received or treatment needed among problem drinkers without insurance coverage. Employee assistance programs were not good predictors of treatment received among uninsured workers. CONCLUSIONS:Uninsured workers were more likely to be heavy drinkers or illicit drug users than were workers with health insurance. Health insurance coverage was not significantly associated with treatment received among workers reporting problem use. Uninsured workers may be unable to benefit fully from employee assistance programs' treatment and referral services, whose utility depends on adequate behavioral health coverage for workers.
journal_name
J Stud Alcohol Drugsjournal_title
Journal of studies on alcohol and drugsauthors
Waehrer GM,Zaloshnja E,Miller T,Galvin Ddoi
10.15288/jsad.2008.69.915subject
Has Abstractpub_date
2008-11-01 00:00:00pages
915-23issue
6eissn
1937-1888issn
1938-4114journal_volume
69pub_type
杂志文章abstract:OBJECTIVE:We examined the effect of providing drinkers with blood alcohol concentration (BAC) information on subjective assessments of alcohol impairment and drunk-driving risk. METHOD:We sampled 959 drinking participants from a natural drinking environment and asked them to self-administer a personal saliva-based alc...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2008.69.539
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:A large minority of collegiate athletes report past-year marijuana use even though there is a significant possibility of experiencing negative athlete-specific consequences related to performance, eligibility, and scholarship. The present study examined risk factors that can drive or curb marijuana use in col...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2011.72.586
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:This study aimed to determine the associations among paternal alcohol problems, separation, and educational attainment in European American and African American offspring and whether offspring early alcohol/tobacco/marijuana use influenced these associations. METHOD:Families with offspring ages 13-19 years a...
journal_title:Journal of studies on alcohol and drugs
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doi:10.15288/jsad.2017.78.426
更新日期:2017-05-01 00:00:00
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journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2012.73.925
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:Perceived descriptive drinking norms often differ from actual norms and are positively related to personal consumption. However, it is not clear how normative perceptions vary with specificity of the reference group. Are drinking norms more accurate and more closely related to drinking behavior as reference g...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,多中心研究
doi:10.15288/jsad.2011.72.833
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:Religious affiliation is inversely associated with the development of alcohol-dependence symptoms in adolescents, but the mechanisms of this effect are unclear. The degree to which religious affiliations accommodate to or differentiate from cultural values may influence attitudes about alcohol use. We hypothe...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2007.68.912
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:The abbreviated Desires for Alcohol Questionnaire (DAQ) is a self-report assessment of craving comprising the following subscales: (a) strong desires/intentions to drink, (b) negative reinforcement, and (c) positive reinforcement and ability to control drinking. Although the DAQ is sensitive to changes in alc...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,随机对照试验
doi:10.15288/jsad.2013.74.797
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:Impulsive personality traits have been found to be robust predictors of substance use and problems in both cross-sectional and longitudinal research. Studies examining the relations of substance use and impulsive personality over time indicate a bidirectional relation, where substance use is also predictive o...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2016.77.473
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:Research suggests unintentional overdose on prescription drugs and intentional self-harm cases differ fundamentally from unintentional illicit drug overdoses, but there are few data on opioid overdose per se. METHOD:We analyzed consecutive opioid overdose patients age 13 and over (N = 435) treated by a toxic...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
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更新日期:2018-11-01 00:00:00
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journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2014.75.817
更新日期:2014-09-01 00:00:00
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journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2010.71.231
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:Marijuana use is relatively common among youth and increases during the transition to adulthood. Yet a substantial number of adolescents and young adults do not use marijuana. The purpose of this study was to examine how high school seniors' reasons for intending not to use marijuana within the next 12 months...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:Changes in the legality and prevalence of marijuana raise questions about whether adolescents' reasons for using marijuana and associations between reasons for use and recent marijuana use have changed historically. METHOD:Using nationally representative data from Monitoring the Future for 1976-2016 (N = 39,...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:Adult sexual assault (ASA) survivors report greater levels of problem drinking than do other women, and research suggests that their coping strategies, reactions from their social networks, and traumatic life events affect their problem drinking. The links between these factors and problem drinking may be mod...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2009.70.41
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:It is well established that college students increase their drinking when they leave home. This study examined changes in drinking as a result of campus closure due to coronavirus disease 2019 (COVID-19), focusing on the influence of living situation. METHOD:A sample of 312 college students (mean age = 21.2 ...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to describe the prevalence and correlates of nonmedical prescription drug misuse (PDM) in a state population of youths in residential care for antisocial behavior. METHOD:Interviews assessing substance use, psychiatric symptoms, antisocial traits/behavior, and traumatic life experie...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2010.71.917
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine the long-term effects of child abuse and neglect on alcohol use in middle adulthood. METHOD:Individuals with documented cases of childhood physical and sexual abuse and/or neglect (n = 500) and matched controls (n = 396) from a metropolitan county in the Midwest wer...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2007.68.317
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this article is to identify the factors that predict initial Alcoholics Anonymous (AA)-related helping following treatment admission. METHOD:Data were derived from Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity), a longitudinal investigation of the efficacy of three beha...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2009.70.117
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:The objectives of the present study were twofold: (1) to determine whether gender differences exist in the roles of drinking in the event (i.e., self-reported drinking before the injury and estimated blood alcohol concentration [BAC] captured after injury) and drinking pattern (i.e., heavy episodic drinking) ...
journal_title:Journal of studies on alcohol and drugs
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doi:10.15288/jsad.2007.68.824
更新日期:2007-11-01 00:00:00
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journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2007.68.220
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:The present study examined the relation of anxiety sensitivity to alcohol-related outcomes via coping drinking motives in college women. Further, the impact of emotion dysregulation on the mediational path between anxiety sensitivity and alcohol-related outcomes was investigated. METHOD:A sample of 223 femal...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:This study tested whether the addition of an enhanced continuing care (ECC) intervention that combined in-person and telephone sessions and began in the first week of treatment improved outcomes for cocaine-dependent patients entering an intensive outpatient program (IOP). METHOD:Participants (N = 152) were ...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,随机对照试验
doi:10.15288/jsad.2013.74.642
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:Groups of potentially violent drinkers may frequent areas of communities with large numbers of alcohol outlets, especially bars, leading to greater rates of alcohol-related assaults. This study assessed direct and moderating effects of bar densities on assaults across neighborhoods. METHOD:We analyzed longit...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2013.74.50
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:Drug craving serves as the major motivator to propagate drug use and is thought to elicit relapse in abstinent individuals. Although craving for methamphetamine has been investigated using both laboratory and neuroimaging methodologies, the relationship between drug-induced craving and neural responses to met...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:Research has documented that sexual minorities are at greater risk for substance use than heterosexuals. However, there are limited studies and mixed findings when investigating these health disparities among racial and ethnic minority samples. We used an intersectionality framework to examine disparities in ...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2014.75.179
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:The effect of drinking during adolescence on adult functioning is a public health concern. A variety of mechanisms have been proposed where drinking in adolescence has an adverse impact on later outcomes; unfortunately, few studies have included methodologies that account for confounding influences that might...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:Alcohol-impaired (AI) driving among college students remains a significant public health concern and may be the single most risky drinking outcome among young adults. Brief motivational interventions (BMIs) have been shown to reduce alcohol use and problems, but their specific efficacy for decreasing AI drivi...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,随机对照试验
doi:10.15288/jsad.2015.76.700
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to test differences in the associations between race and ethnicity and early alcohol use initiation among adolescents from an urban school district in a high-risk area. METHOD:In 2004, a total of 1,350 white, black, and Hispanic seventh graders completed questionnaires assessing...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2008.69.660
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:We sought to determine whether depressive symptoms assessed during hospitalization predicted alcohol use and alcohol-related problems during the subsequent year among medically ill patients. METHOD:The study sample was a cohort of hospitalized medical patients with unhealthy alcohol use who participated in a...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,随机对照试验
doi:10.15288/jsad.2007.68.673
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:Alcohol consumption is characterized by bi-phasic stimulant and sedative effects. In previous studies, various tools were used to assess these effects, including expectancy questionnaires, implicit association tests, and self-report scales. The present study was aimed at clarifying the relationships between t...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,随机对照试验
doi:10.15288/jsad.2013.74.923
更新日期:2013-11-01 00:00:00