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Associations between unemployment and heavy episodic drinking from adolescence to midlife in Sweden and Finland
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Public Health. Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland. (Public Health Sciences)
Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.
Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.;Department of Health and Social Welfare, City of Vantaa, Vantaa, Finland.
Finnish Foundation for Alcohol Studies, Helsinki, Finland.;Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland.
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2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, no 2, p. 258-263Article in journal (Refereed) Published
Abstract [en]

Background

Unemployment and alcohol use have often been found to correlate and to act as risk factors for each other. However, only few studies have examined these associations at longitudinal settings extending over several life phases. Moreover, previous studies have mostly used total consumption or medical diagnoses as the indicator, whereas subclinical measures of harmful alcohol use, such as heavy episodic drinking (HED), have been used rarely. The aim of this study was to examine the associations between HED and unemployment from adolescence to midlife in two Nordic countries.

Methods

Participants of separate cohort studies from Sweden and Finland were recruited at age 16 in 1981/1983 and followed up at ages 21/22, 30/32 and 43/42, (n = 1080/2194), respectively. Cross-lagged autoregressive models were used to determine associations between HED and unemployment.

Results

In the Swedish cohort, HED at ages 16 and 30 in men and HED at age 21 in women were associated with subsequent unemployment. In the Finnish cohort, we found corresponding associations at age 16 in women and at age 22 in men. However, the gender differences were not statistically significant. The associations from unemployment to HED were non-significant in both genders, in both cohorts and at all ages.

Conclusions

Our results suggest that heavy drinkers are more likely to experience unemployment in subsequent years. The associations from HED to unemployment seem to exist through the life course from adolescence to midlife. More emphasis should be put on reducing alcohol related harms in order to improve labour-market outcomes.

Place, publisher, year, edition, pages
2018. Vol. 28, no 2, p. 258-263
Keywords [en]
unemployment, alcohol
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-333032DOI: 10.1093/eurpub/ckx207ISI: 000429036800012PubMedID: 29240887OAI: oai:DiVA.org:uu-333032DiVA, id: diva2:1154864
Funder
Swedish Research Council Formas, 259-2012-37Forte, Swedish Research Council for Health, Working Life and Welfare, 2011-0445Available from: 2017-11-06 Created: 2017-11-06 Last updated: 2018-06-07Bibliographically approved

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Berg, NooraVirtanen, PekkaHammarström, Anne

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