Ervasti, J;
Kivimaki, M;
Pentti, J;
Halonen, JI;
Vahtera, J;
Virtanen, M;
(2018)
Changes in drinking as predictors of changes in sickness absence: a case-crossover study.
Journal of Epidemiology and Community Health
, 72
(1)
pp. 61-67.
10.1136/jech-2017-209777.
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Abstract
BACKGROUND: We investigated whether changes in alcohol use predict changes in the risk of sickness absence in a case-crossover design. METHODS: Finnish public sector employees were surveyed in 2000, 2004 and 2008 on alcohol use and covariates. Heavy drinking was defined as either a weekly intake that exceeded recommendations (12 units for women; 23 for men) or having an extreme drinking session. The responses were linked to national sickness absence registers. We analysed the within-person relative risk of change in the risk of sickness absence in relation to change in drinking. Case period refers to being sickness absent within 1 year of the survey and control period refers to not being sickness absent within 1 year of the survey. RESULTS: Periods of heavy drinking were associated with increased odds of self-certified short-term (1–3 days) sickness absence (multivariable-adjusted OR 1.21, 95% CI 1.07 to 1.38 for all participants; 1.62, 95% CI 1.19 to 2.21 for men and 1.15, 95% CI 1.00 to 1.33 for women). A higher risk of short-term sickness absence was also observed after increase in drinking (OR=1.27, 95% CI 1.07 to 1.52) and a lower risk was observed after decrease in drinking (OR=0.83, 95% CI 0.69 to 1.00). Both increase (OR=1.38, 95% CI 1.21 to 1.57) and decrease (OR=1.27, 95% CI 1.19 to 1.43) in drinking were associated with increased risk of long-term (>9 days) medically certified all-cause sickness absence. CONCLUSION: Increase in drinking was related to increases in short-term and long-term sickness absences. Men and employees with a low socioeconomic position in particular seemed to be at risk.
| Type: | Article |
|---|---|
| Title: | Changes in drinking as predictors of changes in sickness absence: a case-crossover study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/jech-2017-209777 |
| Publisher version: | http://dx.doi.org/10.1136/jech-2017-209777 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Public, Environmental & Occupational Health, CAPITA ALCOHOL-CONSUMPTION, SOCIOECONOMIC DIFFERENCES, WHITEHALL-II, HEALTH-CARE, GENDER, RISK, METAANALYSIS, ABSENTEEISM, BEHAVIORS, MORTALITY |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10041188 |
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