Alcohol consumption and labour market participation: a prospective cohort study of transitions between work, unemployment, sickness absence, and social benefits

AbstractThe 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 –60 years 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 ob tained 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 wit h 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 consumpt ion 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...

Source: European Journal of Epidemiology - January 10, 2019 Category: Epidemiology Source Type: research