Substance-use problems: are uninsured workers at greater risk?

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 Drugs

authors

Waehrer GM,Zaloshnja E,Miller T,Galvin D

doi

10.15288/jsad.2008.69.915

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

915-23

issue

6

eissn

1937-1888

issn

1938-4114

journal_volume

69

pub_type

杂志文章
  • The consequences of providing drinkers with blood alcohol concentration information on assessments of alcohol impairment and drunk-driving risk.

    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

    authors: Johnson MB,Voas RB,Kelley-Baker T,Furr-Holden CD

    更新日期:2008-07-01 00:00:00

  • Risk of marijuana use in male and female college student athletes and nonathletes.

    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

    authors: Buckman JF,Yusko DA,Farris SG,White HR,Pandina RJ

    更新日期:2011-07-01 00:00:00

  • The Influence of Paternal Separation, Paternal History of Alcohol Use Disorder Risk, and Early Substance Use on Offspring Educational Attainment by Young Adulthood.

    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

    pub_type: 杂志文章

    doi:10.15288/jsad.2017.78.426

    authors: Sadler BE,Grant JD,Duncan AE,Sartor CE,Waldron M,Heath AC,Bucholz KK

    更新日期:2017-05-01 00:00:00

  • Low sensitivity to alcohol: relations with hangover occurrence and susceptibility in an ecological momentary assessment investigation.

    abstract:OBJECTIVE:The current investigation tested whether low sensitivity to alcohol, as measured by the Self-Rating of the Effects of Alcohol (SRE) form, is associated with hangover occurrence or resistance, two potentially important predictors of later problematic drinking outcomes. METHOD:Drinkers who reported using alcoh...

    journal_title:Journal of studies on alcohol and drugs

    pub_type: 杂志文章

    doi:10.15288/jsad.2012.73.925

    authors: Piasecki TM,Alley KJ,Slutske WS,Wood PK,Sher KJ,Shiffman S,Heath AC

    更新日期:2012-11-01 00:00:00

  • Descriptive drinking norms: For whom does reference group matter?

    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

    authors: Larimer ME,Neighbors C,LaBrie JW,Atkins DC,Lewis MA,Lee CM,Kilmer JR,Kaysen DL,Pedersen ER,Montoya H,Hodge K,Desai S,Hummer JF,Walter T

    更新日期:2011-09-01 00:00:00

  • Alcoholism risk moderation by a socio-religious dimension.

    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

    authors: Haber JR,Jacob T

    更新日期:2007-11-01 00:00:00

  • Craving and subjective responses to alcohol administration: validation of the desires for alcohol questionnaire in the human laboratory.

    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

    authors: Courtney KE,Ashenhurst J,Bacio G,Moallem N,Bujarski S,Hartwell E,Ray LA

    更新日期:2013-09-01 00:00:00

  • Impulsive Personality and Alcohol Use: Bidirectional Relations Over One Year.

    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

    authors: Kaiser A,Bonsu JA,Charnigo RJ,Milich R,Lynam DR

    更新日期:2016-05-01 00:00:00

  • Prescription-, Illicit-, and Self-Harm Opioid Overdose Cases Treated in Hospital.

    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

    doi:

    authors: Conner KR,Wiegand TJ,Kaukeinen K,Gorodetsky R,Schult R,Heavey SC

    更新日期:2018-11-01 00:00:00

  • Impaired visual information processing in alcohol-dependent subjects: a proton magnetic resonance spectroscopy study of the primary visual cortex.

    abstract:OBJECTIVE:Chronic alcoholism is associated with impaired cognitive abilities, with a more severe deficit in visual than in verbal functions. The visual processing deficits have classically been associated with impaired function of the visual cortex, located in the occipital lobe. The present study sought to increase cu...

    journal_title:Journal of studies on alcohol and drugs

    pub_type: 杂志文章

    doi:10.15288/jsad.2014.75.817

    authors: Bagga D,Khushu S,Modi S,Kaur P,Bhattacharya D,Garg ML,Singh N

    更新日期:2014-09-01 00:00:00

  • Examining perceived alcoholism stigma effect on racial-ethnic disparities in treatment and quality of life among alcoholics.

    abstract:OBJECTIVE:The aim of this study was to examine racial-ethnic differences in perceived stigmatization of former alcoholics and their effect on associations of race-ethnicity with treatment history and psychological function among lifetime alcoholics. METHOD:Logistic regression analyses were conducted using data from Wa...

    journal_title:Journal of studies on alcohol and drugs

    pub_type: 杂志文章

    doi:10.15288/jsad.2010.71.231

    authors: Smith SM,Dawson DA,Goldstein RB,Grant BF

    更新日期:2010-03-01 00:00:00

  • Passing on Pot: High School Seniors' Reasons for Not Using Marijuana as Predictors of Future Use.

    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:

    authors: Martz ME,Schulenberg JE,Patrick ME

    更新日期:2018-09-01 00:00:00

  • Reasons High School Students Use Marijuana: Prevalence and Correlations With Use Across Four Decades.

    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:

    authors: Patrick ME,Evans-Polce RJ,Kloska DD,Maggs JL

    更新日期:2019-01-01 00:00:00

  • Revictimization as a moderator of psychosocial risk factors for problem drinking in female sexual assault survivors.

    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

    authors: Ullman SE,Najdowski CJ

    更新日期:2009-01-01 00:00:00

  • Changes in Alcohol Consumption Among College Students Due to COVID-19: Effects of Campus Closure and Residential Change.

    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:

    authors: White HR,Stevens AK,Hayes K,Jackson KM

    更新日期:2020-11-01 00:00:00

  • Prescription drug misuse among antisocial youths.

    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

    authors: Hall MT,Howard MO,McCabe SE

    更新日期:2010-11-01 00:00:00

  • Long-term effects of child abuse and neglect on alcohol use and excessive drinking in middle adulthood.

    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

    authors: Widom CS,White HR,Czaja SJ,Marmorstein NR

    更新日期:2007-05-01 00:00:00

  • Predictors of initial AA-related helping: findings from project MATCH.

    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

    authors: Pagano ME,Zemore SE,Onder CC,Stout RL

    更新日期:2009-01-01 00:00:00

  • Gender differences in the relationship between alcohol and violent injury: an analysis of cross-national emergency department data.

    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

    pub_type: 杂志文章

    doi:10.15288/jsad.2007.68.824

    authors: Wells S,Thompson JM,Cherpitel C,Macdonald S,Marais S,Borges G

    更新日期:2007-11-01 00:00:00

  • Correlates of in-store promotions for beer: differential effects of market and product characteristics.

    abstract:OBJECTIVE:We estimated the strength and direction of the association between product characteristics (beer type, package size, and brand name) and market-area socioeconomic characteristics, and promoted sales of beer in grocery stores. METHOD:Supermarket scanner data from 64 market areas across the United States over ...

    journal_title:Journal of studies on alcohol and drugs

    pub_type: 杂志文章

    doi:10.15288/jsad.2007.68.220

    authors: Bray JW,Loomis B,Engelen M

    更新日期:2007-03-01 00:00:00

  • Anxiety sensitivity, coping motives, emotion dysregulation, and alcohol-related outcomes in college women: a moderated-mediation model.

    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

    doi:10.15288/jsad.2014.75.83

    authors: Chandley RB,Luebbe AM,Messman-Moore TL,Ward RM

    更新日期:2014-01-01 00:00:00

  • Enhanced continuing care provided in parallel to intensive outpatient treatment does not improve outcomes for patients with cocaine dependence.

    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

    authors: McKay JR,van Horn D,Ivey M,Drapkin ML,Rennert L,Lynch KG

    更新日期:2013-07-01 00:00:00

  • Varying impacts of alcohol outlet densities on violent assaults: explaining differences across neighborhoods.

    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

    authors: Mair C,Gruenewald PJ,Ponicki WR,Remer L

    更新日期:2013-01-01 00:00:00

  • Drug-Induced Craving for Methamphetamine Is Associated With Neural Methamphetamine Cue Reactivity.

    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:

    authors: Grodin EN,Courtney KE,Ray LA

    更新日期:2019-03-01 00:00:00

  • Intersecting identities and substance use problems: sexual orientation, gender, race, and lifetime substance use problems.

    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

    authors: Mereish EH,Bradford JB

    更新日期:2014-01-01 00:00:00

  • A Co-Twin Control Study of the Relationship Between Adolescent Drinking and Adult Outcomes.

    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:

    authors: Waldron JS,Malone SM,McGue M,Iacono WG

    更新日期:2018-07-01 00:00:00

  • Brief Motivational Interventions Are Associated With Reductions in Alcohol-Impaired Driving Among College Drinkers.

    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

    authors: Teeters JB,Borsari B,Martens MP,Murphy JG

    更新日期:2015-09-01 00:00:00

  • Interactions between race/ethnicity and psychosocial correlates of preteen alcohol use initiation among seventh grade students in an urban setting.

    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

    authors: Bossarte RM,Swahn MH

    更新日期:2008-09-01 00:00:00

  • Depressive symptoms and subsequent alcohol use and problems: a prospective study of medical inpatients with unhealthy alcohol use.

    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

    authors: Palfai TP,Cheng DM,Samet JH,Kraemer KL,Roberts MS,Saitz R

    更新日期:2007-09-01 00:00:00

  • Assessing the stimulant and sedative effects of alcohol with explicit and implicit measures in a balanced placebo design.

    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

    authors: Kreusch F,Vilenne A,Quertemont E

    更新日期:2013-11-01 00:00:00