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Trajectories of risky drinking around the time of statutory retirement: a longitudinal latent class analysis.

Halonen, JI; Stenholm, S; Pulakka, A; Kawachi, I; Aalto, V; Pentti, J; Lallukka, T; ... Kivimäki, M; + view all (2017) Trajectories of risky drinking around the time of statutory retirement: a longitudinal latent class analysis. Addiction 10.1111/add.13811. (In press). Green open access

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Abstract

BACKGROUND AND AIMS: Life transitions such as retirement may influence alcohol consumption, but only a few studies have described this using longitudinal data. We identified patterns and predictors of risky drinking around the time of retirement. DESIGN: A cohort study assessing trajectories and predictors of risky drinking among employees entering statutory retirement between 2000 and 2011. SETTING AND PARTICIPANTS: A total of 5805 men and women from the Finnish Public Sector study who responded to questions on alcohol consumption one to three times prior to (w-3 , w-2 , w-1 ), and one to three times after (w+1 , w+2 , w+3 ) retirement. MEASUREMENTS: We assessed trajectories of risky drinking (> 24 units per week among men, > 16 units among women, or an extreme drinking occasion during past year) from pre- to post-retirement, as well as predictors of each alcohol consumption trajectory. FINDINGS: Three trajectories were identified: sustained healthy drinking (81% of participants), temporary increase in risky drinking around retirement (12%) and slowly declining risky drinking after retirement (7%). The strongest pre-retirement predictors for belonging to the group of temporary increase in risky drinking were current smoking [odds ratio (OR) = 3.90, 95% confidence interval (CI) = 2.70-5.64], male sex (OR = 2.77, 95% CI = 2.16-3.55), depression (OR = 1.44, 95% CI = 1.05-1.99) and work-place in the metropolitan area (OR = 1.29, 95% CI = 1.00-1.66). Compared with the slowly declining risky drinking group, the temporary increase in risky drinking group was characterized by lower occupational status and education, and work-place outside the metropolitan area. CONCLUSIONS: In Finland, approximately 12% of people who reach retirement age experience a temporary increase in alcohol consumption to risky levels, while approximately 7% experience a slow decline in risky levels of alcohol consumption. Male gender, smoking, being depressed and working in a metropolitan area are associated with increased likelihood of increased alcohol consumption.

Type: Article
Title: Trajectories of risky drinking around the time of statutory retirement: a longitudinal latent class analysis.
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/add.13811
Publisher version: http://dx.doi.org/10.1111/add.13811
Language: English
Additional information: © 2017 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction. RESEARCH REPORT doi:10.1111/add.13811 This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Keywords: Ageing, alcohol, cohort, retirement, risky drinking, trajectory
UCL classification: UCL > Provost and Vice Provost Offices
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 Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: http://discovery.ucl.ac.uk/id/eprint/1544706
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