DOI: 10.21045/2071-5021-2018-60-2-11

Mordovsky E.A.
Northern State Medical University, Arkhangelsk

Contacts: Edgar Mordovsky, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about author:
Mordovsky E. orcid.org/0000-0002-2346-9763
Acknowledgments. The study had no sponsorship.
Conflict of interests. The author declares no conflict of interest.

Abstract

Significance. Alcohol consumption and associated forms of dependent behavior are the cause of a significant direct (including a total spending on treatment of alcohol-attributive conditions) and indirect (reduction of income because of a variety of reasons) economic loss of the citizens (households).

The purpose of the study is to estimate income and spending on medications and medical services of the hospitalized patients associated with their harmful use of alcohol. Methods. The authors carried out a survey (using interview method) in a group of 1335 patients (698 men (52.3%) and 637 women (47.7%)) at hospitals of the Arkhangelsk and Murmansk regions, and the Komi Republic. Multivariate analysis of variance (MANOVA) and multivariate analysis of covariance (MANCOVA) were used to assess the relationship between patients’ spending on medications, medical services and results of the Alcohol Use Disorders Identification Test (AUDIT)) under control of a set of factors and covariates. Simple and multiple linear regression analyzes were used to assess the relationship between characteristics of the socio-demographic status of patients, characteristics of their alcohol history and their monthly income. Results. The study found out that the indicators of "hazardous or harmful use of alcohol " (according to the AUDIT results) were associated with the reduction in the monthly patients’ spending on medications (800-1000 rubles), but they were not associated with changes in the spending on medical services (with due regard to gender, age, income level of the respondent, their self-assessment of health status). Presence of the same signs is also associated with the decrease in the patients’ monthly income by 1500-3400 rubles.

Conclusions. The revealed association between the patients’ alcohol history, income and spending on medications suggests a "vicious circle" in the mechanism of formation of the individual economic loss due to the hazardous or harmful use of alcohol: reduced spending on treatment can lead to the development of additional alcohol-attributive somatic diseases and a subsequent increase of both economic and demographic loss due to the risk factor. Scope of application. The obtained results can be used for developing programs aimed at prevention of excessive economic loss due to hazardous or harmful use of alcohol.

Keywords: economic loss; patient’s spending; hospitals; hazardous use of alcohol; alcohol abuse; Alcohol Use Disorders Identification Test.

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