Alcohol consumption and labour market participation: a prospective cohort study of transitions between work, unemployment, sickness absence, and social benefits
Alcohol consumption and labour market participation: a prospective cohort study of transitions between work, unemployment, sickness absence, and social benefits
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DOI：
10.1007/s10654-018-0476-7
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发表时间：
2019-04-01
影响因子：
13.6
通讯作者：
Tolstrup, Janne S.
中科院分区：
文献类型：
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作者：
Jorgensen, Maja Baeksgaard;Pedersen, Jacob;Tolstrup, Janne S.
本研究的目的是调查酒精消费和问题饮酒之间的工作，失业，病假和社会福利的过渡协会。2010年丹麦全国健康调查的参与者为86，417名年龄在18- 60岁之间的男性和女性。通过问卷调查获得关于饮酒量（每周单位）和问题饮酒（CAGE-C评分为4-6）的信息。主要结果是劳动力市场依恋。在5年的跟踪期内，从国家行政登记册获得了关于劳动力市场依附的信息。使用考克斯比例风险模型，我们估计的风险比（HR）之间的工作，失业，病假和社会福利的过渡。对与人口统计学、健康和社会经济相关的潜在混杂因素进行了调整。与每周饮酒1-6杯的参与者相比，高饮酒量和问题饮酒与基线时就业的参与者的失业，病假和社会福利的可能性更高有关。与每周饮酒1-6次的参与者和无问题饮酒者相比，在基线时接受病假的参与者中，高饮酒量和问题饮酒与返回工作的可能性较低相关：每周饮酒35次以上的HR为0.75（0.58-0.98），问题饮酒的HR为0.81（0.65-1.00）（CAGE-C评分为4-6）。在基线时失业的参与者中观察到每周饮酒和问题饮酒的类似趋势。总之，问题饮酒对劳动力市场的参与产生不利影响，并与失业的可能性较高和再次就业的机会较低有关。
The aim of this study was to investigate the association of alcohol consumption and problem drinking on transitions between work, unemployment, sickness absence and social benefits. Participants were 86,417 men and women aged 18-60years who participated in the Danish National Health Survey in 2010. Information on alcohol consumption (units per week) and problem drinking (CAGE-C score of 4-6) was obtained by questionnaire. The primary outcome was labour market attachment. Information on labour market attachment was obtained from the national administrative registers during a 5-year follow-up period. Using Cox proportional hazards models, we estimated hazard ratios (HR) for transitions between work, unemployment, sickness absence and social benefits. Analyses were adjusted for potential confounders associated with demography, health, and socio-economy. High alcohol consumption and problem drinking was associated with higher probability of unemployment, sickness absence and social benefits among participants employed at baseline compared with participants who consumed 1-6 drinks/week. High alcohol consumption and problem drinking was associated with lower probability of returning to work among participants receiving sickness absence at baseline compared with participants who consumed 1-6 drinks/week and with non-problem drinkers: HRs were 0.75 (0.58-0.98) for 35+ drinks per week and 0.81 (0.65-1.00) for problem drinking (CAGE-C score of 4-6). Similar trends for weekly alcohol consumption and problem drinking were observed among participants who were unemployed at baseline. In summary, problem drinking has adverse consequences for labour market participation and is associated with higher probability of losing a job and a lower chance of becoming employed again.