Longitudinal, Population-based Study of Self Reported Alcohol Habits, High Levels of Sickness Absence, and Disability Pensions

Overview

Journal J Epidemiol Community Health

Specialty Health Services

Date 1999 Jul 9

PMID 10396548

Citations 24

Authors

M Upmark

J Moller

A Romelsjo

Affiliations

Soon will be listed here.

Abstract

Study Objective: To analyse the relation between self reported hazardous drinking on the one hand and high sickness absence and/or disability pensions in both sexes on the other hand.

Design: The study is based on data from a health survey, Stockholm Health of the Population Study, conducted in 1984. The mailed questionnaire covered alcohol consumption. Three different measures of alcohol habits were used: usual alcohol consumption, consumption during the previous week, and answers to the four CAGE questions on problem drinking. Information from the health survey and data from a subsequent health examination were related to information from the National Swedish Social Insurance Board for the year 1984 and the years 1986 to 1991 concerning sick leave and disability pensioning.

Setting: Four primary health care districts in Stockholm County.

Participants: The study group included persons who were aged 20 to 52 years in 1984, who answered the questionnaire (by mail or by telephone), and who participated in the health examination. The study group comprised 985 women and 870 men fulfilling the criteria for inclusion out of 6217 subjects aged 18 years and over randomly drawn.

Main Results: In both sexes, a consistent pattern of increased sickness absence was seen for high consumers and for those with indications of problem drinking. In most comparisons, a clearly increased relative risk, although not always statistically significant, for an average of at least 60 sick days per year or for a disability pension during follow up was found. In multivariate analysis, controlling for age, socioeconomic group, smoking habits, and self reported health, a small reduction in the relative risks was found, suggesting that these factors could explain only a small part of the relative risks. The risks for abstainers were higher than for low and moderate consumers.

Conclusions: The effects of alcohol on subsequent high levels of sickness absence five to seven years after baseline as well as on the occurrence of disability pensions suggested that there is an effect on working incapacity independent of baseline health status, smoking, and socioeconomic group.

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References

Tibblin G . A population study of 50-year-old men. An analysis of the non-participation group. Acta Med Scand. 1965; 178(4):453-9. DOI: 10.1111/j.0954-6820.1965.tb04290.x. View

Spak F, Hensing G, Allebeck P . Sick-leave in women with alcohol dependence or abuse: effects of additional psychiatric disorders. Soc Psychiatry Psychiatr Epidemiol. 1998; 33(12):613-9. DOI: 10.1007/s001270050101. View

Mayfield D, McLeod G, Hall P . The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974; 131(10):1121-3. DOI: 10.1176/ajp.131.10.1121. View

Wilhelmsen L, LJUNGBERG S, Wedel H, WERKO L . A comparison between participants and non-participants in a primary preventive trial. J Chronic Dis. 1976; 29(5):331-9. DOI: 10.1016/0021-9681(76)90093-x. View

Medhus A . Men with disability pension. Scand J Soc Med. 1976; 4(3):159-62. View

Kristenson H, Ohrn J, Hood B . Convictions for drunkenness or drunken driving, sick absenteeism, and morbidity in middle-aged males with different levels of serum gamma-glutamyltransferase. Prev Med. 1982; 11(4):403-16. DOI: 10.1016/0091-7435(82)90044-5. View

Kristenson H, Ohlin H, Trell E, Hood B . Identification and intervention of heavy drinking in middle-aged men: results and follow-up of 24-60 months of long-term study with randomized controls. Alcohol Clin Exp Res. 1983; 7(2):203-9. DOI: 10.1111/j.1530-0277.1983.tb05441.x. View

Jenkins R . Sex differences in alcohol consumption and its associated morbidity in young civil servants. Br J Addict. 1986; 81(4):525-35. DOI: 10.1111/j.1360-0443.1986.tb00364.x. View

Mansson N, Israelsson B . Middle-aged men before and after disability pension. Health screening profile with special emphasis on alcohol consumption. Scand J Soc Med. 1987; 15(3):185-9. DOI: 10.1177/140349488701500310. View

10.

Astrand N, Isacsson S, Olhagen G . Prediction of early retirement on the basis of a health examination. An 11-year follow-up of 264 male employees in a Swedish pulp and paper company. Scand J Work Environ Health. 1988; 14(2):110-7. DOI: 10.5271/sjweh.1948. View

11.

Persson J, MAGNUSSON P . Sickness absenteeism and mortality in patients with excessive drinking in somatic out-patient care. Scand J Prim Health Care. 1989; 7(4):211-7. DOI: 10.3109/02813438909088666. View

12.

Jenkins R, Harvey S, Butler T, Thomas R . A six year longitudinal study of the occupational consequences of drinking over "safe limits" of alcohol. Br J Ind Med. 1992; 49(5):369-74. PMC: 1039257. DOI: 10.1136/oem.49.5.369. View

13.

Isacsson A, Hanson B, Janzon L, Kugelberg G . The epidemiology of sick leave in an urban population in Malmö, Sweden. Scand J Soc Med. 1992; 20(4):234-9. DOI: 10.1177/140349489202000408. View

14.

North F, Syme S, Feeney A, Head J, Shipley M, Marmot M . Explaining socioeconomic differences in sickness absence: the Whitehall II Study. BMJ. 1993; 306(6874):361-6. PMC: 1676477. DOI: 10.1136/bmj.306.6874.361. View

15.

Bien T, Miller W, Tonigan J . Brief interventions for alcohol problems: a review. Addiction. 1993; 88(3):315-35. DOI: 10.1111/j.1360-0443.1993.tb00820.x. View

16.

Marmot M, North F, Feeney A, Head J . Alcohol consumption and sickness absence: from the Whitehall II study. Addiction. 1993; 88(3):369-82. DOI: 10.1111/j.1360-0443.1993.tb00824.x. View

17.

Alexanderson K, Leijon M, Akerlind I, Rydh H, Bjurulf P . Epidemiology of sickness absence in a Swedish county in 1985, 1986 and 1987. A three year longitudinal study with focus on gender, age and occupation. Scand J Soc Med. 1994; 22(1):27-34. DOI: 10.1177/140349489402200105. View

18.

Eden L, Ejlertsson G, LAMBERGER B, Leden I, Nordbeck B, Sundgren P . Immigration and socio-economy as predictors of early retirement pensions. Scand J Soc Med. 1994; 22(3):187-93. DOI: 10.1177/140349489402200305. View

19.

Stansfeld S, Feeney A, Head J, Canner R, North F, Marmot M . Sickness absence for psychiatric illness: the Whitehall II Study. Soc Sci Med. 1995; 40(2):189-97. DOI: 10.1016/0277-9536(94)e0064-y. View

20.

Marmot M, Feeney A, Shipley M, North F, Syme S . Sickness absence as a measure of health status and functioning: from the UK Whitehall II study. J Epidemiol Community Health. 1995; 49(2):124-30. PMC: 1060095. DOI: 10.1136/jech.49.2.124. View