Does drinking really decrease in bad times?

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Abstract

This paper investigates the relationship between macroeconomic conditions and drinking using individual-level data from 1987 to 1999 interview years of the “behavioral risk factor surveillance system” (BRFSS). We confirm the procyclical variation in overall drinking identified in previous research using aggregate sales data and show that this largely results from changes in consumption by existing drinkers, rather than movements into or out of drinking. Moreover, the decrease occurring during bad economic times is concentrated among heavy consumers, with light drinking actually rising. We also find no evidence that the decline in overall alcohol use masks a rise for persons becoming unemployed during contractions. These results suggest that any stress-induced increases in drinking during bad economic times are more than offset by declines resulting from changes in economic factors such as lower incomes.

Introduction

Research emphasizing psychological responses to economic downturns predicts that alcohol use will rise during these periods as a form of self-medication for stress, with particularly large growth in abusive drinking and risky behaviors such as drunk-driving (e.g. Brenner and Mooney, 1983, Winton et al., 1986, Pierce et al., 1994). However, the causal effects of macroeconomic conditions are actually more complicated. A separate psychological literature emphasizes the role of job stress (e.g. Baker, 1985, Karasek and Theorell, 1990, Fenwick and Tausig, 1994, Sokejima and Kagamimori, 1998), implying that drinking may increase with the intensity of employment. Previous research also indicates that consumption is positively related to incomes (e.g. Skog, 1986, Sloan et al., 1995, Ruhm, 1995). Thus, stress-induced drinking during depressed periods might be partially or fully offset by reductions due to decreased earnings. The costs of drinking may also rise for employed persons fearing job loss. Conversely, the opportunity cost of alcohol use might fall if the negative consequences of intoxication during the work-day are reduced due to declining work hours or increased unemployment. Finally, drinking patterns could differ across groups. For instance, employed individuals might drink less while alcohol problems increase among the newly unemployed (Catalano et al., 1993).

This paper analyzes the relationship between economic conditions and drinking using individual-level data from the “behavioral risk factor surveillance system” (BRFSS). Several features make this study unique. First, we consider a wider range of outcomes than in previous research, including differences in the responsiveness of “light” and “heavy” drinkers. Second, we examine the dynamics of the adjustment of alcohol use to changes in macroeconomic conditions. Third, we explore whether the cyclical fluctuations differ across population subgroups stratified by sex, race/ethnicity, age, and employment status.

Our investigation confirms the procyclical variation in overall drinking identified in previous research. In addition, we show that almost all of the fluctuation results from changes in consumption for existing drinkers, instead of entry into or exit from alcohol use. In fact, decreased drinking during bad times is dominated by reductions in heavy rather than recreational drinking. Although the strength of the macroeconomic variations differ across demographic groups, these patterns appear fairly universal. Finally, we uncover no evidence that drinking increases among persons becoming newly unemployed during bad economic times.

Section snippets

Previous research

Considerable research examines how alcohol use is affected by taxes or prices, minimum legal drinking ages, restrictions on availability, and laws aimed at reducing drunk-driving.

Data and methods of analysis

Data are from 1987 to 1999 interview years of the BRFSS. The BRFSS, administered by the Centers for Disease Control and Prevention, is an annual telephone survey of the non-institutionalized adult population designed to produce uniform state-specific data on preventive health practices and risky behaviors, including alcohol use and abuse. One goal of the survey is to enable public health professionals to monitor state and national progress towards meeting the Healthy People 2010: National

Drinking is procyclical

Table 2 summarizes alternative econometric estimates of the effect of a one percentage point increase in the state unemployment rate on drinking participation, conditional drinking, and alcohol-involved driving. One percentage point corresponds to a 17% (0.62 standard deviation) change from the sample mean of 5.85%. The first three columns differ according to whether or not they include state-specific time trends or weight the data. All specifications also control for individual

Light versus heavy drinking

The aforementioned findings demonstrate that the macroeconomic variation in alcohol use is dominated by changes at the intensive margin (how much drinkers consume) rather than the extensive margin (whether they drink at all). We next consider fluctuations in conditional drinking by limiting the sample to alcohol users and analyzing dichotomous variables for binge drinking and consumption of 1–10, 1–20, 21–59, ≥60, ≥100 drinks during the last 30 days.

The 60 drink cut-off is frequently used to

Dynamics

Economic conditions have been assumed to have only a contemporaneous impact on alcohol use until now. Information on the dynamics of the adjustment process is provided in Table 5. Models that include 18 months lags of the state unemployment rate are estimated and the predicted impact of a one percentage point rise in joblessness that has been sustained for k months is calculated as n=0kβ̂t−n for β̂t−n the regression coefficient on the n months lag of unemployment.

The adjustment patterns

Population subgroups

We next test for differences across population groups. Table 6 shows that males drink much more than females, consumption falls with age, and non-Hispanic minorities consume relatively little alcohol. These patterns are consistent with the findings of other research (e.g. see US Department of Health and Human Services, 1997). The econometric results summarized in Table 7 confirm a strong procyclical variation in conditional drinking and heavy consumption for most subgroups, with weaker impacts

Conclusion

This investigation uses microdata to confirm that drinking decreases in bad economic times and expands on previous analyses by providing three new findings. First, almost all of the procyclical variation is due to changes in the consumption of existing drinkers with, at most, short-lasting movements into or out of alcohol use. Second, the decrease in alcohol use during downturns is concentrated among heavy rather than recreational drinkers. Since heavy use is associated with alcohol problems

Acknowledgements

We thank Michael Grossman, Doug Staiger, and seminar participants at the Triangle Applied Microeconomics Conference, NBER Summer Institute in Health Economics, and the Lund University Center for Health Economics for helpful comments. Olga Khavjou provided outstanding research assistance. Ruhm gratefully acknowledges financial support from the National Institute on Alcohol Abuse and Alcoholism (AA12309) and the National Science Foundation (SES-9876511). The opinions, findings, and conclusions

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