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Information on health risk behaviors and preventive health practices related to the leading causes of death among the U. civilian, noninstitutionalized population aged 18 years or older is obtained from BRFSS data (21).

Details of the BRFSS sampling methods, purpose, and method of analysis are published elsewhere (4,21,22).

The purpose of this study was to assess rates of binge drinking and frequent binge drinking among occupational groups in North Dakota.

Because occupation may determine health care coverage and therefore affect the availability of effective clinical interventions (e.g., brief counseling, intervention), we assessed health care access among North Dakota workers who reported binge drinking.

Back to top The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing, state-based, random-digit–dialed telephone survey coordinated by the Centers for Disease Control and Prevention (CDC).

The survey uses a disproportionate stratified sampling method and is conducted annually by all states (4).

To our knowledge, North Dakota is the only state that collects information on occupation and binge drinking using the BRFSS.

Health insurance coverage was lowest among employees in occupations with the highest prevalence of binge drinking.

Conclusion We found occupational differences in the prevalence of binge drinking among employees in North Dakota.

Back to top Excessive drinking, including high per-occasion alcohol consumption (e.g., binge drinking) and high average daily alcohol consumption, is the third leading cause of preventable death in the United States (1).

In 2001, excessive alcohol consumption accounted for 75,000 deaths (2).The prevalence was lowest among health care workers (13.2%; 95% CI, 10.3–16.8).