低酒精摄入的医疗净成本——将健康改善作为酒精和工资之间联系的理由是否需要重新考虑？
Medical net cost of low alcohol consumption - a cause to reconsider improved health as the link between alcohol and wage?
机构信息
Health Economics & Management, Institute of Economic Research, Lund University, Lund, Sweden.
出版信息
Cost Eff Resour Alloc. 2009 Oct 23;7:17. doi: 10.1186/1478-7547-7-17.
BACKGROUND
Studies have found a positive effect of low/moderate alcohol consumption on wages. This has often been explained by referring to epidemiological research showing that alcohol has protective effects on certain diseases, i.e., the health link is normally justified using selected epidemiological information. Few papers have tested this link between alcohol and health explicitly, including all diseases where alcohol has been shown to have either a protective or a detrimental effect.
AIM
Based on the full epidemiological information, we study the effect of low alcohol consumption on health, in order to determine if it is reasonable to explain the positive effect of low consumption on wages using the epidemiological literature.
METHODS
We apply a non-econometrical cost-of-illness approach to calculate the medical care cost and episodes attributable to low alcohol consumption.
RESULTS
Low alcohol consumption carries a net cost for medical care and there is a net benefit only for the oldest age group (80+). Low alcohol consumption also causes more episodes in medical care then what is saved, although inpatient care for women and older men show savings.
CONCLUSION
Using health as an explanation in the alcohol-wage literature appears invalid when applying the full epidemiological information instead of selected information.
背景
研究发现，低/中度饮酒对工资有积极影响。这通常通过参考流行病学研究来解释，这些研究表明酒精对某些疾病有保护作用，即健康关联通常是通过选择流行病学信息来证明的。很少有论文明确测试过酒精与健康之间的这种联系，包括所有已经证明酒精具有保护或有害作用的疾病。
目的
基于完整的流行病学信息，我们研究低酒精摄入量对健康的影响，以确定是否可以合理地使用流行病学文献来解释低消费对工资的积极影响。
方法
我们应用一种非经济成本效益方法来计算低酒精消费的医疗费用和归因于低酒精消费的疾病发作。
结果
低酒精消费对医疗保健产生净成本，只有最年长的年龄组（80 岁以上）才有净收益。低酒精消费也会导致更多的医疗保健疾病发作，尽管女性和老年男性的住院治疗有节省。
结论
当应用完整的流行病学信息而不是选择信息时，在酒精与工资的文献中使用健康作为解释似乎是无效的。
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