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Alcohol Consumption at Work in Construction Workers Employed in Small Italian Companies
Ivan Borrelli1, Luca Fontana2, Antongiulio Perrotta3
1Catholic University of Sacred Heart, Rome, Italy.
La Medicina Del Lavoro
|April 23, 2026
Summary
A significant portion of Italian construction workers exhibit risky drinking patterns, with some consuming alcohol at work. Enhanced prevention and consistent health surveillance are crucial for mitigating alcohol-related risks in this safety-sensitive industry.
Area of Science:
- Occupational Health
- Public Health
- Behavioral Science
Background:
- Alcohol consumption poses significant occupational risks, particularly in safety-sensitive industries like construction.
- Impairment from alcohol can lead to workplace injuries and endanger third parties.
- Limited data exists on alcohol behaviors, risk perception, and surveillance among Italian construction workers.
Purpose of the Study:
- To assess alcohol consumption patterns, risk perception, and awareness of regulations among Italian construction workers.
- To identify factors associated with risky alcohol consumption in this occupational group.
- To evaluate the effectiveness of current alcohol-related health surveillance in the construction sector.
Main Methods:
- A cross-sectional survey was conducted among 315 construction workers in small Italian companies.
- Data collected via anonymous questionnaire included sociodemographics, AUDIT-C scores, workplace alcohol use, and risk perception.
- Statistical analyses included nonparametric tests, multivariable linear regression, and logistic regression.
Main Results:
- 32.7% of workers screened positive for risky alcohol consumption (AUDIT-C), predominantly males.
- 1.9% reported alcohol consumption during work shifts, and 5.08% during breaks.
- Higher AUDIT-C scores correlated with alcohol consumption during shifts and occasional drinking during breaks.
Conclusions:
- Despite moderate average AUDIT-C scores, a notable subgroup displays risky drinking behaviors and workplace alcohol use.
- Findings underscore the necessity for enhanced prevention strategies and consistent alcohol-focused health surveillance in construction.
- Targeted interventions are needed to address alcohol-related risks in this high-risk occupational setting.
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