Jarman Dwayne W, Naimi Timothy S, Pickard Stephen P, Daley Walter Randolph, De Anindya K
Centers for Disease Control and Prevention, Atlanta, GA 30341-3717, USA.
Prev Chronic Dis. 2007 Oct;4(4):A94. Epub 2007 Sep 15.
Binge drinking is a leading cause of preventable death and results in employee absenteeism and lost productivity. Knowledge about the prevalence of binge drinking among employees of different occupations is limited.
We assessed the prevalence of binge drinking (i.e., consuming five or more drinks per occasion during the previous 30 days) by primary occupation using data from the 2004-2005 North Dakota Behavioral Risk Factor Surveillance System. We used logistic regression to assess the association between binge drinking and primary occupation.
Overall, 24.1% (95% confidence interval [CI], 22.5-25.7) of North Dakota workers reported binge drinking. The prevalence was highest among farm or ranch employees (45.3%; 95% CI, 28.3-63.4), food or drink servers (33.4%; 95% CI, 23.9-44.4), and farm or ranch owners (32.5%; 95% CI, 26.3-39.4). The prevalence was lowest among health care workers (13.2%; 95% CI, 10.3-16.8). Compared with health care workers, the adjusted odds of binge drinking were highest among farm or ranch employees (adjusted odds ratio [AOR], 2.2; 95% CI, 0.9-5.5), food or drink servers (AOR, 2.1; 95% CI, 1.1-4.0), and farm or ranch owners (AOR, 1.7; 95% CI, 1.1-2.6). Health insurance coverage was lowest among employees in occupations with the highest prevalence of binge drinking.
We found occupational differences in the prevalence of binge drinking among employees in North Dakota. Many occupational categories had a high prevalence of binge drinking. We recommend the implementation of both employer-sponsored and population-based interventions to reduce binge drinking among North Dakota workers, particularly because employees in occupations with the highest rates of binge drinking had the lowest rates of health insurance coverage.
暴饮是可预防死亡的主要原因，会导致员工旷工和生产力损失。关于不同职业员工中暴饮流行情况的了解有限。
我们使用2004 - 2005年北达科他州行为风险因素监测系统的数据，按主要职业评估暴饮（即在前30天内每次饮用五杯或更多酒）的流行情况。我们使用逻辑回归评估暴饮与主要职业之间的关联。
总体而言，北达科他州24.1%（95%置信区间[CI]，22.5 - 25.7）的工人报告有暴饮情况。在农场或牧场员工中流行率最高（45.3%；95%CI，28.3 - 63.4），食品或饮料服务员中（33.4%；95%CI，23.9 - 44.4），以及农场或牧场主中（32.5%；95%CI，26.3 - 39.4）。在医护人员中流行率最低（13.2%；95%CI，10.3 - 16.8）。与医护人员相比，暴饮的调整后优势比在农场或牧场员工中最高（调整优势比[AOR]，2.2；95%CI，0.9 - 5.5），食品或饮料服务员中（AOR，2.1；95%CI，1.1 - 4.0），以及农场或牧场主中（AOR，1.7；95%CI，1.1 - 2.6）。在暴饮流行率最高的职业的员工中，医疗保险覆盖率最低。
我们发现北达科他州员工中暴饮流行情况存在职业差异。许多职业类别中暴饮流行率较高。我们建议实施雇主赞助和基于人群的干预措施，以减少北达科他州工人中的暴饮情况，特别是因为暴饮率最高的职业的员工医疗保险覆盖率最低。
