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  • Ervasti, JenniFinnish Institute of Occupational Health, Helsinki, Finland (author)

Sociodemographic Differences Between Alcohol Use and Sickness Absence : Pooled Analysis of Four Cohort Studies

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • 2017-10-13
  • Oxford University Press,2018
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:his-14680
  • https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-14680URI
  • https://doi.org/10.1093/alcalc/agx079DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • © The Author 2017. Medical Council on Alcohol and Oxford University Press. All rights reserved
  • Aims: We examined differences in sickness absence in relation to at-risk drinking and abstinence, taking into account potential changes in consumption.& para;& para;Methods: We used individual-participant data (n = 46,514) from four prospective cohort studies from Finland, France and the UK. Participants responded to a survey on alcohol use at two time points 4-6 years apart, and were linked to records of sickness absence for an similar to 6-year follow-up after the latter survey. Abstainers were those reporting no alcohol use in either survey. At-risk drinkers at T1 were labelled as 'former', at-risk drinkers at T2 as 'current' and at-risk drinkers at both times as 'consistent' at-risk drinkers. The reference group was low-risk drinkers at both times. Study-specific analyses were stratified by sex and socioeconomic status (SES) and the estimates were pooled using meta-analysis.& para;& para;Results: Among men (n = 17,285), abstainers (6%), former (5%), current (5%) and consistent (7%) at-risk drinkers had an increased risk of sickness absence compared with consistent low-risk drinkers (77%). Among women (n = 29,229), only abstainers (12%) had a higher risk of sickness absence compared to consistent low-risk drinkers (74%). After adjustment for lifestyle and health, abstaining from alcohol was associated with sickness absence among people with intermediate and high SES, but not among people with low SES.& para;& para;Conclusions: The U-shaped alcohol use-sickness absence association is more consistent in men than women. Abstinence is a risk factor for sickness absence among people with higher rather than lower SES. Healthy worker effect and health selection may partly explain the observed differences.& para;& para;Short summary: In a pooled analysis from four cohort studies from three European countries, we demonstrated a U-shaped association between alcohol use and sickness absence, particularly among men. Abstinence from alcohol was associated with increased sickness absenteeism among both sexes and across socioeconomic strata, except those with low SES.

Subject headings and genre

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  • Kivimäki, MikaFinnish Institute of Occupational Health, Helsinki, Finland / Department of Epidemiology and Public Health, University College London, London, United Kingdom / Clinicum, University of Helsinki, Helsinki, Finland (author)
  • Head, JennyDepartment of Epidemiology and Public Health, University College London, London, United Kingdom (author)
  • Goldberg, MarcelFrench National Institute of Health and Medical Research (INSERM), Population-based Cohorts Unit, INSERM, Paris, Villejuif, France / French National Institute of Health and Medical Research (INSERM), Research Unit 1168 Aging and Chronic Diseases—Epidemiological and Public Health Approaches, INSERM, Paris, Villejuif, France (author)
  • Airagnes, GuillaumeFaculty of Medicine, Universite Paris Descartes, Paris, France / Department of Psychiatry and Addictology, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France (author)
  • Pentti, JaanaClinicum, University of Helsinki, Helsinki, Finland (author)
  • Oksanen, TuulaFinnish Institute of Occupational Health, Helsinki, Finland (author)
  • Salo, PaulaFinnish Institute of Occupational Health, Helsinki, Finland / Finnish Institute of Occupational Health, Helsinki, Finland (author)
  • Suominen, SakariHögskolan i Skövde,Institutionen för hälsa och lärande,Forskningsspecialiseringen Hälsa och Lärande,University of Turku, Turku, Finland,Individ och samhälle, Individual and Society (VIDSOC)(Swepub:his)suos (author)
  • Jokela, MarkusMedicum, University of Helsinki, Helsinki, Finland (author)
  • Vahtera, JussiUniversity of Turku, Turku, Finland / Turku University Hospital, Turku, Finland (author)
  • Zins, MarieFrench National Institute of Health and Medical Research (INSERM), Population-based Cohorts Unit, INSERM, Paris, Villejuif, France / French National Institute of Health and Medical Research (INSERM), Research Unit 1168 Aging and Chronic Diseases—Epidemiological and Public Health Approaches, INSERM, Paris, Villejuif, France / University Versailles Saint Quentin en Yvelines, Paris, France (author)
  • Virtanen, MariannaFinnish Institute of Occupational Health, Helsinki, Finland (author)
  • Finnish Institute of Occupational Health, Helsinki, FinlandFinnish Institute of Occupational Health, Helsinki, Finland / Department of Epidemiology and Public Health, University College London, London, United Kingdom / Clinicum, University of Helsinki, Helsinki, Finland (creator_code:org_t)

Related titles

  • In:Alcohol and Alcoholism: Oxford University Press53:1, s. 95-1030735-04141464-3502

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