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Beer-Purchasing Behavior, Dietary Quality, and Health Outcomes among U.S. Adults*

Published online by Cambridge University Press:  05 December 2016

Richard Volpe*
Affiliation:
Agribusiness Department, College of Agricultural, Food and Environmental Sciences, California Polytechnic State University, San Luis Obispo, 1 Grand Ave., San Luis Obispo, CA 93407
Michael McCullough
Affiliation:
Agribusiness Department, College of Agricultural, Food and Environmental Sciences, California Polytechnic State University, San Luis Obispo, 1 Grand Avenue, San Luis Obispo, CA 93407; e-mail: mpmccull@calpoly.edu.
Michael K. Adjemian
Affiliation:
Markets and Trade Division, Economic Research Service, U.S. Department of Agriculture, 1400 Independence Ave. SW, Mail Stop 1800, Washington, DC 20250-1800; e-mail: madjemian@ers.usda.gov.
Timothy Park
Affiliation:
Food Economics Division, Economic Research Service, U.S. Department of Agriculture, 1400 Independence Ave. SW, Mail Stop 1800, Washington, DC 20250-1800; e-mail: tapark@ers.usda.gov.
*
(corresponding author) e-mail: rvolpe@calpoly.edu.

Abstract

We use rich IRI household- and individual-level data sets to examine the relationships between heart disease and type 2 diabetes with alcohol consumption. We control for a wide variety of potential confounders, including diet quality and lifestyle choices. Beer has long been studied in related literature to ambiguous outcomes. We explore the role of beer consumption in detail by separating craft beer from macrobeer and imported beer. The results indicate that most alcohol types could have protective effects against heart disease and diabetes, with the strongest effects occurring for craft beer and wine. Treating beer as a single, homogenous category in health studies likely leads to measurement error. (JEL Classifications: D12, I12, R20, L66, P36)

Type
Articles
Copyright
Copyright © American Association of Wine Economists 2016 

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Footnotes

*

We are thankful to participants at the 2015 Beeronomics Conference in Seattle and the 2016 American Association of Wine Economists Conference in Bordeaux for helpful feedback and suggestions on this manuscript. We are grateful to Abigail Okrent, Jessica Todd, and Annemarie Kuhns at the U.S. Department of Agriculture, Economic Research Service (USDA-ERS) for their work in organizing foods in the Information Resources Incorporated (IRI) data to enable the calculation of dietary scores. We also thank an anonymous referee for a number of helpful comments and suggestions on the manuscript. The views expressed in this paper are those of the authors and may not be attributed to the USDA or the ERS. This research was conducted using a third-party agreement with IRI.

References

Adjemian, M.K., Volpe, R.J., and Adjemian, J. (2015). Relationships between diet, alcohol preference, and heart disease and type 2 diabetes among Americans. PLoS ONE, 10(5), e0124351. doi:10.1371/journal.pone.0124351.Google Scholar
Arranz, S., Chiva-Blanch, G., Valderas-Martínez, P., Medina-Remón, A., Lamuela-Raventós, R.M., and Estruch, R. (2012). Wine, beer, alcohol and polyphenols on cardiovascular disease and cancer. Nutrients, 4(7), 759781.Google Scholar
Bamforth, C.W. (2002). Nutritional aspects of beer—a review. Nutrition Research, 22(1–2), 227237.Google Scholar
Barefoot, J.C., Grønbæk, M., Feaganes, J.R., McPherson, R.S., Williams, R.B., and Siegler, I.C. (2002). Alcoholic beverage preference, diet, and health habits in the UNC Alumni Heart Study. American Journal of Clinical Nutrition, 76(2), 466472.Google Scholar
Bray, J.W., Loomis, B.R., and Engelen, M. (2009). You save money when you buy in bulk: Does volume-based pricing cause people to buy more beer? Health Economics, 18(5), 607618.Google Scholar
Brenner, H., Rothenbacher, D., Bode, G., März, W., Hoffmeister, A., and Koenig, W. (2001). Coronary heart disease risk reduction in a predominantly beer-drinking population. Epidemiology, 12(4), 390395.Google Scholar
Breslow, R.A., Guenther, P.M., and Smothers, B.A. (2006). Alcohol drinking patterns and diet quality: The 1999–2000 National Health and Nutrition Examination Survey. American Journal of Epidemiology, 163(4), 359366.Google Scholar
Brien, S.E., Ronksley, P.E., Turner, B.J., Mukamal, K.J., and Ghali, W.A. (2011). Effect of alcohol consumption on biological markers associated with risk of coronary heart disease: Systematic review and meta-analysis of interventional studies. British Medical Journal, 342, d636. doi:10.1136/bmj.d636.Google Scholar
Centers for Disease Control and Prevention. (2011). Most Americans with high blood pressure and high cholesterol at unnecessary risk for heart attack and stroke. Accessed July 20, 2016, at http://www.cdc.gov/media/releases/2011/p0201_vitalsigns.html.Google Scholar
Centers for Disease Control and Prevention. (2014). National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. Atlanta, GA: U.S. Department of Health and Human Services. Accessed October 24, 2016, at http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf.Google Scholar
Center for Disease Control and Prevention. (2016). “Overweight and Obesity Statistics.” Accessed online on November 4, 2016. Available at https://www.niddk.nih.gov/health-information/health-statistics/Pages/overweight-obesity-statistics.aspx.Google Scholar
Costanzo, S., Di Castelnuovo, A., Donati, M.B., Iacoviello, L., and de Gaetano, G. (2011). Wine, beer or spirit drinking in relation to fatal and non-fatal cardiovascular events: A meta-analysis. European Journal of Epidemiology, 26(11), 833850.Google Scholar
Criqui, M.H., and Ringel, B.L. (1994). Does diet or alcohol explain the French paradox? Lancet, 344(8939–8940), 17191723.Google Scholar
Cuellar, S.S., and Huffman, R. (2008). Estimating the demand for wine using instrumental variable techniques. Journal of Wine Economics, 3(2), 172184.Google Scholar
Djouseé, L., and Gaziano, J.M. (2007). Alcohol consumption and risk of heart failure in the Physicians’ Health Study I. Circulation, 115(1), 3439.Google Scholar
Elzinga, K.G., Tremblay, C.H., and Tremblay, V.J. (2015). Craft Beer in the United States: History, numbers, and geography. Journal of Wine Economics, 10(3), 242274.Google Scholar
Empen, J., Glauben, T., and Loy, J.-P. (2012). Spatial retail pricing strategies for beer in Germany. Paper presented at the German Association of Agricultural Economists (GEWISOLA) 52nd Annual Conference, Stuttgart, Germany.Google Scholar
Fillmore, K.M., Kerr, W.C., Stockwell, T., Chikritzhs, T., and Bostrom, A. (2006). Moderate alcohol use and reduced mortality risk: Systematic error in prospective studies. Addiction Research & Theory, 14(2), 101132.Google Scholar
Gehm, B.D., McAndrews, J.M., Chien, P.-Y., and Jameson, J.L. (1997). Resveratrol, a polyphenolic compound found in grapes and wine, is an agonist for the estrogen receptor. Proceedings of the National Academy of Sciences of the United States of America, 94(25), 1413814143.Google Scholar
Gerhäuser, C., Alt, A.P., Klimo, K., Knauft, J., Frank, N., and Becker, H. (2002). Isolation and potential cancer chemopreventive activities of phenolic compounds of beer. Phytochemistry Reviews, 1(3), 369377.Google Scholar
Johansen, D., Friis, K., Skovenborg, E., and Grønbæk, M. (2006). Food buying habits of people who buy wine or beer: Cross sectional study. British Medical Journal, 332(7540), 519521.Google Scholar
Joosten, M.M., Grobbee, D.E., van der A, D.L., Verschuren, W.M.M., Hendriks, H.F.J., and Beulens, J.W.J. (2010). Combined effect of alcohol consumption and lifestyle behaviors on risk of type 2 diabetes. American Journal of Clinical Nutrition, 91(6), 17771783.Google Scholar
Kaplan, N.M., Palmer, B.F., and Denke, M.A. (2000). Nutritional and health benefits of beer. American Journal of the Medical Sciences, 320(5), 320326.Google Scholar
Keil, U., Chambless, L.E., Döring, A., Filipiak, B., and Stieber, J. (1997). The relation of alcohol intake to coronary heart disease and all-cause mortality in a beer-drinking population. Epidemiology, 8(2), 150156.Google Scholar
Klatsky, A.L., Friedman, G.D., Armstrong, M.A., and Kipp, H. (2003). Wine, liquor, beer, and mortality. American Journal of Epidemiology, 158(6), 585595.Google Scholar
Klatsky, A.L., Friedman, G.D., Siegelaub, A.B., and Gérard, M.J. (1977). Alcohol consumption and blood pressure—Kaiser Permanente multiphasic health examination data. New England Journal of Medicine, 296(21), 11941200.Google Scholar
Koppes, L.L.J., Dekker, J.M., Hendriks, H.F.J., Bouter, L.M., and Heine, R.J. (2005). Moderate alcohol consumption lowers the risk of type 2 diabetes: A meta-analysis of prospective observational studies. Diabetes Care, 28(3), 719725.Google Scholar
Magalhães, P.J., Carvalho, D.O., Cruz, J.M., and Barros, A.A. (2009). Fundamentals and health benefits of xanthohumol, a natural product derived from hops and beer. Natural Product Communications, 4(5), 591610.Google Scholar
Marmot, M.G., Shipley, M.J., Rose, G., and Thomas, B.J. (1981). Alcohol and mortality: A U-shaped curve. Lancet, 317(8220), 580583.CrossRefGoogle Scholar
Mortensen, E.L., Jensen, H.H., Sanders, S.A., and Reinisch, J.M. (2001). Better psychological functioning and higher social status may largely explain the apparent health benefits of wine: A study of wine and beer drinking in young Danish adults. Archives of Internal Medicine, 161(15), 18441848.Google Scholar
National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health. (2016). Alcohol facts and statistics. Accessed October 24, 2016, at http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-facts-and-statistics.Google Scholar
Nelson, J.P. (2013). Robust demand elasticities for wine and distilled spirits: Meta-analysis with corrections for outliers and publication bias. Journal of Wine Economics, 8(3), 294317.Google Scholar
Renaud, S., and de Lorgeril, M.. (1992). Wine, alcohol, platelets, and the French paradox for coronary heart disease. Lancet, 339(8808), 15231526.Google Scholar
Renaud, S.C., Guéguen, R., Siest, G., and Salamon, R. (1999). Wine, beer, and mortality in middle-aged men from eastern France. Archives of Internal Medicine, 159(16), 18651870.Google Scholar
Rimm, E.B., Klatsky, A., Grobbee, D., and Stampfer, M.J. (1996). Review of moderate alcohol consumption and reduced risk of coronary heart disease: Is the effect due to beer, wine, or spirits? British Medical Journal, 312(7033), 731736.Google Scholar
Roerecke, M., and Rehm, J. (2014). Alcohol consumption, drinking patterns, and ischemic heart disease: A narrative review of meta-analyses and a systematic review and meta-analysis of the impact of heavy drinking occasions on risk for moderate drinkers. BMC Medicine, 12, 182. doi:10.1186/s12916-014-0182-6. Google Scholar
Ronksley, P.E., Brien, S.E., Turner, B.J., Mukamal, K.J., and Ghali, W.A. (2011). Association of alcohol consumption with selected cardiovascular disease outcomes: A systematic review and meta-analysis. British Medical Journal, 342, d671. doi:10.1136/bmj.d671.Google Scholar
Silverman, M., Castaldi, R., Baack, S., and Sorlien, G. (2002). Competition in the global wine industry: A U.S. perspective. In Thompson, A., and Strickland, A.J. (Eds.), Strategic Management: Concepts and Cases. New York: McGraw-Hill Irwin. Available at http://online.sfsu.edu/castaldi/bie/globcase.htm Google Scholar
Stevens, J.F., and Page, J.E. (2004). Xanthohumol and related prenylflavonoids from hops and beer: To your good health! Phytochemistry, 65(10), 13171330.Google Scholar
Tjønneland, A., Grønbæk, M., Stripp, C., and Overvad, K. (1999). Wine intake and diet in a random sample of 48763 Danish men and women. American Journal of Clinical Nutrition, 69(1), 4954.CrossRefGoogle Scholar
Valmadrid, C.T., Klein, R., Moss, S.E., Klein, B.E.K., and Cruickshanks, K.J. (1999). Alcohol intake and the risk of coronary heart disease mortality in persons with older-onset diabetes mellitus. JAMA, 282(3), 239246.Google Scholar
Vanhoecke, B., Derycke, L., Van Marck, V., Depypere, H., De Keukeleire, D., and Bracke, M. (2005). Antiinvasive effect of xanthohumol, a prenylated chalcone present in hops (Humulus lupulus L.) and beer. International Journal of Cancer, 117(6), 889895.Google Scholar
Volpe, R.J., and Okrent, A. (2012). Assessing the Healthfulness of Consumers’ Grocery Purchases. Washington, DC: U.S. Department of Agriculture, Economic Research Service, Economic Information Bulletin No. 102.Google Scholar
Wang, L., Lee, I.-M., Manson, J.E., Buring, J.E., and Sesso, H.D. (2010). Alcohol consumption, weight gain, and risk of becoming overweight in middle-aged and older women. Archives of Internal Medicine, 170(5), 453461.Google Scholar
Williams, F.M.K., Cherkas, L.F., Spector, T.D., and MacGregor, A.J. (2005). The effect of moderate alcohol consumption on bone mineral density: A study of female twins. Annals of the Rheumatic Diseases, 64(2), 309310.Google Scholar
Williams, J. (2005). Habit formation and college students’ demand for alcohol. Health Economics, 14(2), 119134.Google Scholar