Sickness absence diagnoses among abstainers, low-risk drinkers and at-risk drinkers: consideration of the U-shaped association between alcohol use and sickness absence in four cohort studies.
Sickness absence diagnoses among abstainers, low-risk drinkers and at-risk drinkers: consideration of the U-shaped association between alcohol use and sickness absence in four cohort studies.
复制标题
DOI：
10.1111/add.14249
复制
发表时间：
2018-06-05
期刊：
影响因子：
--
通讯作者：
Virtanen M
中科院分区：
文献类型：
--
作者：
Ervasti J;Kivimäki M;Head J;Goldberg M;Airagnes G;Pentti J;Oksanen T;Salo P;Suominen S;Jokela M;Vahtera J;Zins M;Virtanen M
估计酒精使用与诊断特异性疾病缺席之间关联的强度和形式的差异。一项多队列研究。参与者（n = 47520）在两个时间点对酒精使用情况进行了调查，并与病假记录相关联。从后一项调查开始，对诊断特异性疾病缺勤进行了4-7年的随访。从芬兰，我们有1998年和2003年的人口队列调查数据以及2000-02年和2004年的雇员队列调查数据。我们从法国和英国分别获得了1993年和1997年、1985年至1988年和1991年至1994年的员工队列调查数据。我们使用标准问卷评估酒精摄入量，女性每周酒精摄入量分为0,1 - 11和> - 11单位，男性每周酒精摄入量分为0,1 - 34和> - 34单位。我们确定了随着时间的推移酒精使用稳定和变化的群体。我们将参与者与缺勤记录联系起来。病假缺勤的诊断根据国际疾病分类进行编码。根据性别、年龄、社会经济地位、吸烟和体重指数调整了估计值。在两项调查中，报告每周饮酒1-11单位的女性和报告每周饮酒1-34单位的男性是参照组。与他们相比，在两项调查中报告不饮酒的女性和男性因精神障碍（比率比= 1.51,95%可信区间(CI) = 1.22 - 1.88）、肌肉骨骼疾病（1.22,95% CI = 1.06-1.41）、消化系统疾病（1.35,95% CI = 1.02-1.77）和呼吸系统疾病（1.49,95% CI = 1.29-1.72）而缺勤的风险更高。在两项调查中，报告每周饮酒量为110亿英镑的女性和报告每周饮酒量为34亿英镑的男性因受伤或中毒而缺勤的风险增加（1.44,95% CI = 1.13-1.83）。在芬兰、法国和联合王国，间隔数年两次不饮酒的人因慢性躯体和精神疾病而缺勤的比例似乎高于饮酒量低于风险阈值（女性每周11个单位，男性每周34个单位）的人。在芬兰、法国和英国，持续的高危饮酒似乎与因受伤或中毒而缺勤的增加有关。
To estimate differences in the strength and shape of associations between alcohol use and diagnosis‐specific sickness absence. A multi‐cohort study. Participants (n = 47 520) responded to a survey on alcohol use at two time‐points, and were linked to records of sickness absence. Diagnosis‐specific sickness absence was followed for 4–7 years from the latter survey. From Finland, we had population cohort survey data from 1998 and 2003 and employee cohort survey data from 2000–02 and 2004. From France and the United Kingdom, we had employee cohort survey data from 1993 and 1997, and 1985–88 and 1991–94, respectively. We used standard questionnaires to assess alcohol intake categorized into 0, 1–11 and > 11 units per week in women and 0, 1–34 and > 34 units per week in men. We identified groups with stable and changing alcohol use over time. We linked participants to records from sickness absence registers. Diagnoses of sickness absence were coded according to the International Classification of Diseases. Estimates were adjusted for sex, age, socio‐economic status, smoking and body mass index. Women who reported drinking 1–11 units and men who reported drinking 1–34 units of alcohol per week in both surveys were the reference group. Compared with them, women and men who reported no alcohol use in either survey had a higher risk of sickness absence due to mental disorders [rate ratio = 1.51, 95% confidence interval (CI) = 1.22–1.88], musculoskeletal disorders (1.22, 95% CI = 1.06–1.41), diseases of the digestive system (1.35, 95% CI = 1.02–1.77) and diseases of the respiratory system (1.49, 95% CI = 1.29–1.72). Women who reported alcohol consumption of > 11 weekly units and men who reported alcohol consumption of > 34 units per week in both surveys were at increased risk of absence due to injury or poisoning (1.44, 95% CI = 1.13–1.83). In Finland, France and the United Kingdom, people who report not drinking any alcohol on two occasions several years apart appear to have a higher prevalence of sickness absence from work with chronic somatic and mental illness diagnoses than those drinking below a risk threshold of 11 units per week for women and 34 units per week for men. Persistent at‐risk drinking in Finland, France and the United Kingdom appears to be related to increased absence due to injury or poisoning.
登录
查看更多内容
DOI：
10.1111/j.1360-0443.2011.03605.x
发表时间：
2011-10
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Parry CD;Patra J;Rehm J
通讯作者：
Rehm J
影响因子：
4.4
作者：
Kuendig, Herve;Plant, Martin A.;Gmel, Gerhard
通讯作者：
Gmel, Gerhard
影响因子：
5
作者：
Vahtera, J;Poikolainen, K;Pentti, J
通讯作者：
Pentti, J
影响因子：
6
作者：
Vasse, RM;Nijhuis, FJN;Kok, G
通讯作者：
Kok, G
诊断特定的疾病缺乏作为死亡率的预测指标：Whitehall II前瞻性队列研究。
DOI：
10.1136/bmj.a1469
发表时间：
2008-10-02
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Head J;Ferrie JE;Alexanderson K;Westerlund H;Vahtera J;Kivimäki M;Whitehall II prospective cohort study
通讯作者：
Whitehall II prospective cohort study