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Changes in alcohol drinking and subsequent sickness absence.

Aino Salonsalmi1, Ossi Rahkonen2, Eero Lahelma2

  • 1Department of Public Health, University of Helsinki, Finland aino.salonsalmi@helsinki.fi.

Scandinavian Journal of Public Health
|March 7, 2015
PubMed
Summary
This summary is machine-generated.

Changes in alcohol consumption are linked to sickness absence, particularly self-certified absences. Reducing problem drinking may prevent employee sickness absence.

Keywords:
alcohol drinkingdrinking habitemployee healthlongitudinal studiessickness absence

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Area of Science:

  • Occupational Health
  • Public Health
  • Epidemiology

Background:

  • Alcohol consumption is a significant public health concern with potential impacts on workforce productivity.
  • Understanding the relationship between drinking habits and sickness absence is crucial for developing targeted interventions.
  • Previous research has explored links between alcohol and health, but specific associations with different types of sickness absence require further investigation.

Purpose of the Study:

  • To investigate the association between changes in alcohol drinking patterns and sickness absence among employees.
  • To differentiate the impact of alcohol consumption on self-certified versus medically confirmed sickness absences.
  • To quantify the contribution of problem drinking to sickness absence using population attributable fractions (PAFs).

Main Methods:

  • A longitudinal study involving repeated postal questionnaires on alcohol consumption among employees of the City of Helsinki (2000-2 and 2007).
  • Sickness absence data (self-certified and medically confirmed) were obtained from employer registers for follow-up from 2007 to 2010.
  • Poisson regression analysis and calculation of population attributable fractions (PAFs) were employed to analyze data from 3252 female and 682 male employees aged 40-60 at baseline.

Main Results:

  • Alcohol drinking showed a significant association with self-certified sickness absence in both genders.
  • Stable problem drinking and, for women, stable heavy drinking, were linked to increased self-certified sickness absence.
  • While associations with medically confirmed sickness absence were observed, they were largely explained by underlying health and health behaviors. Problem drinking contributed more to sickness absence than average weekly drinking.

Conclusions:

  • Alcohol consumption, particularly problem drinking, is strongly associated with self-certified sickness absence.
  • Interventions aimed at reducing adverse drinking habits could be effective in preventing employee sickness absence.
  • The findings highlight the importance of addressing alcohol use in occupational health strategies.