Social and economic consequences of alcohol use disorder : a longitudinal cohort and co-relative analysis

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Kendler, K. S.Virginia Commonwealth University (författare)

Social and economic consequences of alcohol use disorder : a longitudinal cohort and co-relative analysis

Artikel/kapitelEngelska2017

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2017
11 s.

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LIBRIS-ID:oai:lup.lub.lu.se:cbb279fc-87a0-4a88-b636-35c52a63b937
https://lup.lub.lu.se/record/cbb279fc-87a0-4a88-b636-35c52a63b937URI
https://doi.org/10.1017/S0033291716003032DOI

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Språk:engelska
Sammanfattning på:engelska

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Background: Although alcohol use disorder (AUD) is associated with future risk for psychosocial dysfunction, the degree to which this arises from a direct causal effect of AUD on functioning v. from correlated risk factors (also known as confounders) is less clearly established. Method: AUD was assessed from Swedish medical, criminal and pharmacy registries. In a large general population cohort, using Cox proportional hazard and regression models, we predicted from the onset of AUD four outcomes: early retirement, unemployment, social assistance, and individual income. We then examined the degree to which these associations were attenuated by relevant confounders as well as by the use of discordant cousin, half-sibling, full-sibling, and monozygotic twin pairs. Results: In males, AUD most strongly predicted social assistance [hazard ratio (HR) 8.27, 95% confidence interval (CI) 7.96–8.59], followed by early retirement (HR 5.63, 95% CI 5.53–5.72) and unemployment (HR 2.75, 95% CI 2.65–2.85). For income at age 50, AUD was associated with a decrease in income of 0.24 s.d.s (95% CI −0.25 to −0.23). Results were similar in females. Modest to moderate attenuation of these associations was seen in both sexes after the addition of relevant covariates. These associations were reduced but remained robust in discordant co-relative pairs, including monozygotic twins. Conclusions: Our results suggest that AUD has a causal impact on a range of measures reflective of psychosocial dysfunction. These findings provide strong support for the drift hypothesis. However, some of the associations between AUD and dysfunction appear to be non-causal and result from shared risk factors, many of which are likely familial.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Beroendelära hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Substance Abuse hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
Alcohol use disorder
co-relative design
drift
early retirement
income
social assistance
unemployment

Biuppslag (personer, institutioner, konferenser, titlar ...)

Ohlsson, H.Lund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups(Swepub:lu)med-heo (författare)
Karriker-Jaffe, K. J.Public Health Institute Oakland (författare)
Sundquist, J.Lund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups(Swepub:lu)med-jsu (författare)
Sundquist, K.Lund University,Lunds universitet,Allmänmedicin, kardiovaskulär epidemiologi och levnadsvanor,Forskargrupper vid Lunds universitet,Family Medicine, Cardiovascular Epidemiology and Lifestyle,Lund University Research Groups(Swepub:lu)med-ksq (författare)
Virginia Commonwealth UniversityAllmänmedicin och klinisk epidemiologi (creator_code:org_t)

Sammanhörande titlar

Ingår i:Psychological Medicine47:5, s. 925-9350033-2917

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Av författaren/redakt...: Kendler, K. S.; Ohlsson, H.; Karriker-Jaffe, ...; Sundquist, J.; Sundquist, K.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Beroendelära

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

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Av lärosätet: Lunds universitet

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