Per capita alcohol consumption and sickness absence in Norway

Norström, Thor; Moan, Inger Synnøve

doi:10.1093/eurpub/ckp044

Cited by 40 publications

(38 citation statements)

References 33 publications

(36 reference statements)

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“…Moderate and high consumers also had a statistically significant increased risk of DP, which gradually reduced when expanding the number of controlled covariates and disappeared when the most conservative model for adjustment had been used. Our findings are consistent with previous results where high alcohol consumption [4], [6], [52]–[56], hazardous drinking [4], [5], [52], and alcohol dependence and abuse [3] were positively associated with future DP and/or sickness absence. While our results confirm the findings from the 22-year follow-up of the same cohort [1], [2], it is of interest that the associations remain above the age of 40 and after thorough adjustment for potential confounders.…”

Section: Discussionsupporting

confidence: 93%

Alcohol Use in Adolescence and Risk of Disability Pension: A 39 Year Follow-up of a Population-Based Conscription Survey

et al. 2012

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BackgroundThe role of alcohol consumption for disability pension (DP) is controversial and systematic reviews have not established causality. We aimed to assess the role of adolescent alcohol use for future DP. We wanted to find out whether an increased risk mainly would affect DP occurring early or late in life as well as whether the level of alcohol consumption and patterns of drinking contribute differently in DP receiving.Methodology/Principal FindingsThe study is a 39-year follow-up of 49 321 Swedish men born in 1949–1951 and conscripted for compulsory military service in 1969–1970. As study exposures (i) “risk use” of alcohol composed of measures related to pattern of drinking, and (ii) the level of consumption based on self-reported volume and frequency of drinking had been used. Information on DP was obtained from social insurance databases through 2008. “Risk use” of alcohol was associated with both “early DP” and “late DP”, i.e. granted below and above the approximate age of 40 years, with crude hazard ratio (HR) of 2.89 (95% confidence intervals (CI) 2.47–3.38) and HR of 1.87 (95%CI: 1.74–2.02), respectively. After adjustment for covariates, HR was reduced to 1.32 (95%CI: 1.09–1.59) and 1.14 (95%CI: 1.05–1.25), respectively. Similar patterns were seen for moderate (101–250 g 100% alcohol/week) and high (>250 g) consumption, though the risk disappeared when fully adjusted.Conclusions/SignificanceAlcohol use in adolescence, particularly measured as “risk use”, is associated with increased risk of future DP. The association is stronger for “early DP”, but remains significant even for DP granted in older ages. Therefore, pattern of drinking in adolescent should be considered an important marker for future reduced work capacity.

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Section: Discussionsupporting

confidence: 93%

Alcohol Use in Adolescence and Risk of Disability Pension: A 39 Year Follow-up of a Population-Based Conscription Survey

et al. 2012

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“…No significant effects were found among women. These results were later repeated in a similar study in Norway (Norström and Synnøve Moan, 2009). Two recent studies have employed alcohol groups based on the level of consumption when studying the effect on absenteeism.…”

supporting

confidence: 53%

Does drinking affect long-term sickness absence? A sample selection approach correcting for employment and accounting for drinking history

Jarl

Gerdtham

2012

Applied Economics

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“…There is a long history of longitudinal analysis of aggregated measures of sickness absence for a single country or geographic area (Bäckman, 1998; Doherty, 1979; Dyrstad & Lyso, 1998; Henrekson & Persson, 2004; Hughes, 1982; Lantto & Lindblom, 1987; Norström, 2006; Norström & Moan, 2009). Most of the cited studies examined different indicators of economic and societal conditions in relation to variations in the number of people on sick leave, and they detected associations between such absence and changes in the macroeconomy, the labour market and the sickness insurance system (Doherty, 1979; Dyrstad & Lyso, 1998; Henrekson & Persson, 2004; Hughes, 1982; Lantto & Lindblom, 1987).…”

Section: Introductionmentioning

confidence: 99%

Trends in long‐term sickness absence in Sweden 1992–2008: the role of economic conditions, legislation, demography, work environment and alcohol consumption

Lidwall

Marklund

2011

Int J Soc Welfare

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Lidwall U, Marklund S. Trends in long‐term sickness absence in Sweden 1992–2008: the role of economic conditions, legislation, demography, work environment and alcohol consumption Int J Soc Welfare 2011: 20: 167©179 © 2010 The Author(s), International Journal of Social Welfare © 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare. In Sweden, absence from work because of illness or injury has fluctuated considerably over time. This study aimed to identify potentially important factors behind variations in long‐term sickness absence. Aggregated data were used to assess factors correlated with the number of ongoing cases of sickness absence lasting more than 59 days. Trends were analysed using statistics from national social insurance records, labour force surveys and other official statistics. Although specific changes in the degree of generosity in the sickness insurance scheme were important in some cases, the results showed no consistent associations for the study period 1992–2008. Men were generally more sensitive to macroeconomic factors than women. Furthermore, compared with earlier findings, workforce composition had less impact on variations in long‐term sickness absence. Notably, public health indicators such as alcohol sales and working conditions were clearly related to long‐term sick leave during the period under investigation.

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Per capita alcohol consumption and sickness absence in Norway

Abstract: The present findings strengthen the conclusion from the Swedish study, that sickness absence may be added to the list of indicators of alcohol-related harm.

Cited by 40 publications

References 33 publications

Alcohol Use in Adolescence and Risk of Disability Pension: A 39 Year Follow-up of a Population-Based Conscription Survey

Alcohol Use in Adolescence and Risk of Disability Pension: A 39 Year Follow-up of a Population-Based Conscription Survey

Does drinking affect long-term sickness absence? A sample selection approach correcting for employment and accounting for drinking history

Trends in long‐term sickness absence in Sweden 1992–2008: the role of economic conditions, legislation, demography, work environment and alcohol consumption

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