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an innocent indulgence,
or a hangover too many?
Autor For many of us the busy festive season will have meant a few drinks at Christ-
mas parties or on New Year’s Eve. The ongoing stressors of daily life mean it
Reece Hodgson
can be easy to reach for a ‘medicinal’ alcoholic beverage to aid with unwinding.
Senior Risk Management Specialist
But exactly how harmful is binge drinking to our health? And how honest are
rhodgson@munichre.ca
we with our levels of consumption?
Heavy drinking has been endemic in British society over many centuries and
can be a part of many social and work practices. Concerns about alcohol
misuse are nothing new. In the mid 18th century, a gin appetite swept through
London, and was viewed at the time as being behind much of the capital’s
crime. In 1751 the ‘Gin Act’ was passed to reduce consumption in response.
Today there is a new concern about the extent and consequences of alcohol
misuse. The shorthand for these varied concerns is binge drinking. However,
this term can be confusing.
The government advises that people should not regularly drink more than the
lower risk guidelines of three to four units of alcohol for men and two to three
units of alcohol for women. ‘Regularly’ means drinking every day or most days
of the week.
On a positive note, studies show that when compared with abstinence from
alcohol, low to moderate average consumption is associated with a lower risk
of CHD incidence and mortality6. For example, men and women who drank
one to two drinks per day on five or six days per week had one-third the risk
of major coronary events. However, for higher levels of consumption, the risk
relationship was found to reverse.
When examining the data for weekly units of alcohol consumed by region,
people in the North West, North East, Yorkshire and the Humber are the
biggest drinkers.11 Weekly consumption of alcohol is the lowest in the West
Midlands and East of England, though still comes close to recommended
limits.
Munich Re Page 3/4
Binge drinking
Women, especially those on high incomes and those living in the South of
England, are most likely to be binge drinkers, as are high earners generally and
also those in deprived areas, for reasons that are not understood.12
Previous studies have also shown that ‘older age’ drinking is a worsening
problem. In England, 28% of men and 14% of women over 65 now drink alcohol
more than five times per week15. Heavy drinking in this age group is strongly
linked with depression and anxiety and longer-term health problems.16
If the under-reporting findings from the study conducted by UCL are taken
literally, you could even make a case for considering whether to factor up the
alcohol consumption disclosures made by applicants for insurance. Particu-
larly those in certain risk categories such as high earners or those in deprived
areas, as previously mentioned.
The inherent challenge will always be attempting to price lifestyle risks that
rely on self-reporting. If as an industry we do consider the factoring up
approach, then it may be possible to more accurately price for these risks
accordingly.
−−The over 65’s, especially those with mental and chronic health problems
Looking ahead, as an industry, evidence would strongly suggest the need for
more robust information about national alcohol consumption from many
sources, including alcohol sales and surveys of consumption. Simply increas-
ing everyone’s alcohol disclosures, for example, by 40% at time of underwriting
seems rather a blunt and inaccurate method to apply.
This UCL study usefully highlights the important point that survey data alone
cannot provide the full picture on alcohol consumption, or other issues, and it
is clear we should continue to draw on our own experience of alcohol related
risks from claims and non-disclosure data.
Literature
2, 3, 6
Alcohol-Related Morbidity and 8 World Health Organization –
Mortality – Jürgen Rehm, Ph.D., Gerhard Global Status Report on Alcohol 2004
Gmel, Ph.D., Christopher T. Sempos,
Ph.D., and Maurizio Trevisan, M.D., M.S. 13 Adult outcomes of binge drinking in
dolescence: findings from a UK national
a
4 http://www.cancerresearchuk.org/ birth cohort – R M Viner, B Taylor
cancer-info/healthyliving/
alcohol//1/2014 14 http://www.ias.org.uk/resources/
factsheets/binge_drinking.pdf
5 http://www.nhs.uk/Livewell/alcohol/