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Alcohol use and sickness absence due to all causes and mental- or musculoskeletal disorders: a nationally representative study

Published on Dec 1, 2018in BMC Public Health2.567
· DOI :10.1186/s12889-018-5059-8
Leena Kaila-Kangas18
Estimated H-index: 18
(Finnish Institute of Occupational Health),
Aki Koskinen21
Estimated H-index: 21
(Finnish Institute of Occupational Health)
+ 3 AuthorsTea Lallukka38
Estimated H-index: 38
(UH: University of Helsinki)
Abstract
Previous studies have not distinguished between different alcohol-use histories, which could have contributed to the current inconsistent evidence regarding the relationship between alcohol use and subsequent sickness absence. We thus examined alcohol use and subsequent diagnosis-specific sickness absence in groups with different levels of alcohol use, as well as in lifelong abstainers, former drinkers, and people with clinical alcohol use disorders. The data of the population-based Health 2000 Survey (BRIF8901) of 3666 Finns aged 30–55 were linked with national registers on medically certified sickness absences lasting for > 10 working days (long-term) for all causes (2000 − 2010) and for mental or musculoskeletal disorders (2004-2010), as well as with registers on pensions and death (2000-2010). Alcohol use was assessed by questionnaire. Chronic somatic diseases were evaluated at baseline in a clinical examination, and common mental and alcohol use disorders using the Composite International Diagnostic Interview (CIDI). Cox regression analyses were conducted with censoring for death and retirement from work. During an average 10-year follow-up, 56.0% of the participants had at least one long-term sickness absence period. Compared with light drinkers, those having an alcohol use disorder had increased risk of all-cause sickness absence (HR = 1.27; 95% CI = 1.04 − 1.54) and sickness absence due to mental disorders (HR = 2.16; 95% CI = 1.39 − 3.35), when somatic and mental disorders as well as demographic, lifestyle-related and occupational factors at baseline were accounted for. Lifelong abstainers did not differ from light drinkers. Also high-volume drinking (HR = 1.52; 95% CI 1.03 − 2.25) and former drinking (HR = 1.57; 95% CI = 1.15 − 2.15) were associated with long-term sickness absence due to mental disorders. Alcohol use was not predictive of sickness absence due to musculoskeletal disorders. These results highlight the need to distinguish between former drinking and lifelong abstinence, as only former drinking was associated with sickness absence. Alcohol use disorder and high-volume drinking were strongly predictive of sickness absence due to mental disorders. Identifying people with excessive alcohol use e.g. in occupational health care, and mapping and supporting their mental health may help in preventing sickness absences.
  • References (39)
  • Citations (2)
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References39
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#1Sophie Morois (French Institute of Health and Medical Research)H-Index: 25
#2Guillaume AiragnesH-Index: 6
Last. Marie Zins (French Institute of Health and Medical Research)H-Index: 41
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#1Marcus BeasleyH-Index: 8
Last. Gary J. MacfarlaneH-Index: 81
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Acknowledgements This research has been conducted using the UK Biobank resource, and was funded by the University of Aberdeen. The authors have no conflicts of interest to declare.
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#1Gino W. Gaddini (OSU: Oregon State University)H-Index: 3
#2Russell T. Turner (OSU: Oregon State University)H-Index: 62
Last. Urszula T. Iwaniec (OSU: Oregon State University)H-Index: 30
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#1B.L. Odlaug (UCPH: University of Copenhagen)H-Index: 1
#2A. GualH-Index: 12
Last. Jürgen Rehm (CAMH: Centre for Addiction and Mental Health)H-Index: 106
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AIMS: Alcohol dependence is associated with high rates of co-occurring disorders which impact health-related quality of life (HRQoL) and add to the cost-of-illness. This study investigated the burden of alcohol dependence and associated co-occurring conditions on health and productivity. METHODS: A cross-sectional survey was conducted in eight European countries. Physicians (Psychiatrists and General Practitioners) completed patient record forms, which included assessment of co-occurring conditi...
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#1Line Schou (Norwegian Institute for Alcohol and Drug Research)H-Index: 3
#2Inger Synnøve Moan (Norwegian Institute for Alcohol and Drug Research)H-Index: 13
ISSUES: How strong is the available empirical evidence for an association between alcohol use and sickness absence? Does type of measures influence the association, and is the association moderated by gender and socioeconomic status? APPROACH: We designed a search strategy to find all studies on the alcohol use-sickness absence association using individual-level data, published in peer-reviewed journals from 1980 onwards. The quality of the associations was evaluated, giving a score of 0-4 point...
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#1Tomoko Udo (SUNY: State University of New York System)H-Index: 11
#2Elizabeth Vásquez (SUNY: State University of New York System)H-Index: 9
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#1Julien Paccou (Southampton General Hospital)H-Index: 13
#2Mark Hiley Edwards (Southampton General Hospital)H-Index: 2
Last. Curtis Cooper (University of Oxford)H-Index: 174
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article i nfo Purpose: Chronic heavy alcohol consumption is associated with bone density loss and increased fracture risk, while low levels of alcohol consumption have been reported as beneficial in some studies. However, studies relating alcohol consumption to bone geometry, volumetric bone mineral density (vBMD) and bone microarchitecture, as assessed by high-resolution peripheral quantitative computed tomography (HR-pQCT), are lacking. Methods: Here we report an analysis from the Hertfordshir...
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#1Leena Kaila-Kangas (Finnish Institute of Occupational Health)H-Index: 18
#2Teija Kivekäs (Finnish Institute of Occupational Health)H-Index: 6
Last. Päivi Leino-Arjas (UTA: University of Tampere)H-Index: 8
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Aim: According to previous studies, abstinence from alcohol increases the risk of disability retirement (DR). We studied whether former alcohol users’ poor mental or physical health might have contributed to this result. Methods: Prospective population-based study of 3621 occupationally active Finns aged 30–55 years at baseline. Disability pension data for 2000−2011 was retrieved from national pension records. We examined medically certified disability retirement due to all causes and due to men...
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#1C. Nathan Marti (University of Texas at Austin)H-Index: 21
#2Namkee G. Choi (University of Texas at Austin)H-Index: 29
Last. Bryan Y. Choi (Brown University)H-Index: 8
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Abstract Background Compared to the extensive research on the effects of alcohol intake on physical health, little research has been done on the effects of alcohol use/nonuse patterns on mental disorders in late life. This study examined associations between mental disorders and alcohol use/nonuse patterns among individuals aged 65+ years. Methods Data came from the public use files of the 2008 to 2012 National Survey on Drug Use and Health. Alcohol use/nonuse groups were lifetime abstainers, ex...
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OBJECTIVES: The determinants of poor functioning and subsequent early exit from work are well established but very little is known about the positive determinants of maintaining good functioning among the ageing workforce. We investigated modifiable determinants of maintaining good mental and physical health functioning. METHODS: We used prospective survey data collected across four waves among the midlife employees of the City of Helsinki, Finland, 2000-2017 (n=3342). Health functioning was rep...
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#1Sohrab Amiri (BMSU: Baqiyatallah University of Medical Sciences)H-Index: 2
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AbstractSeveral factors are involved in the risk of sick leave and it seems that alcohol consumption is a factor in this regard. We seek a meta-analysis of sick leave with regards to alcohol consum...
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The contribution of physically demanding work to the developmental trajectories of sickness absence (SA) has seldom been examined. We analyzed the associations of 12 physical work exposures, individually and in combination, with SA trajectories among the occupationally active in the Finnish nationally representative Health 2000 survey. We included 3814 participants aged 30–59 years at baseline, when exposure history to work-related factors was reported. The survey and interview responses were li...
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