{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T14:42:04Z","timestamp":1776868924738,"version":"3.51.2"},"reference-count":32,"publisher":"Mattioli1885","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,22]]},"abstract":"<jats:p>Background: Alcohol consumption is an important occupational risk factor, especially in safety-sensitive sectors such as construction. Alcohol-related psychomotor impairment may increase the risk of workplace injuries and may also affect the safety of third parties. However, data on alcohol-related behaviors, workers\u2019 risk perception, and alcohol-focused health surveillance among Italian construction workers are still limited. \u00a0Methods: We conducted a cross-sectional survey between September 2023 and June 2024 in 315 construction workers employed in small Italian companies. All participants performed work activities for which local legislation mandates alcohol-use and alcohol-dependence checks as part of occupational health surveillance. Data were collected through an anonymous 27-item questionnaire exploring sociodemographic characteristics, alcohol consumption (AUDIT-C; cut-off \u22655 for men and \u22654 for women), alcohol use at work, knowledge of national regulations, alcohol-related risk perception, and accident\/injury indicators. Nonparametric tests and multivariable linear regression were used to identify factors associated with AUDIT-C scores. Logistic regression analyses examined associations between perceived alcohol-related risks and awareness of, and exposure to, alcohol-dependence checks during health surveillance. Results: The sample was predominantly male (274\/315; 86.98%), and 26.03% of workers were aged 46\u201355 years. The mean AUDIT-C score was 2.85\u00b12.49 (3.13\u00b12.47 in men; 0.95\u00b11.75 in women); 32.7% of workers screened positive, mainly men. Alcohol consumption during the work shift was reported by 1.9% of participants (7.94% occasionally), and during breaks by 5.08% (19.37% occasionally). Most workers were aware of the workplace alcohol ban (90.48%), and 83.49% reported having undergone alcohol-related checks. Higher AUDIT-C scores were associated with alcohol consumption during the work shift and occasional drinking during breaks. Conclusions: Although average AUDIT-C scores were not high, a relevant subgroup of workers showed risky drinking patterns and some alcohol consumption at work.\u00a0 These findings highlight the need to strengthen prevention strategies and ensure consistent alcohol-related health surveillance in construction settings.<\/jats:p>","DOI":"10.23749\/mdl.2026.18756","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T13:50:39Z","timestamp":1776865839000},"page":"18756","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol Consumption at Work in Construction Workers Employed in Small Italian Companies"],"prefix":"10.23749","volume":"117","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6361-8823","authenticated-orcid":false,"given":"Ivan","family":"Borrelli","sequence":"first","affiliation":[{"name":"Catholic University of Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4621-7374","authenticated-orcid":false,"given":"Luca","family":"Fontana","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antongiulio","family":"Perrotta","sequence":"additional","affiliation":[{"name":"Department of Prevention, U.O.S.T. Interdistrettuale Ambienti di Lavoro Ambito Sud, Asl Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Zita","sequence":"additional","affiliation":[{"name":"Catholic University of Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Fedele","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0444-3792","authenticated-orcid":false,"given":"Ivo","family":"Iavicoli","sequence":"additional","affiliation":[{"name":"Catholic University of Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"27750","reference":[{"key":"10.23749\/mdl.2026.18756_ref1","unstructured":"1. World Health Organization (WHO). Global status report on alcohol and health and treatment of sub-stance use disorders. 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