The association between alcohol drinking and self-reported mental and physical functioning : a prospective cohort study among City of Helsinki employees

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Salonsalmi , A , Rahkonen , O , Lahelma , E & Laaksonen , M 2017 , ' The association between alcohol drinking and self-reported mental and physical functioning : a prospective cohort study among City of Helsinki employees ' , BMJ Open , vol. 7 , no. 4 , 014368 . https://doi.org/10.1136/bmjopen-2016-014368

Title: The association between alcohol drinking and self-reported mental and physical functioning : a prospective cohort study among City of Helsinki employees
Author: Salonsalmi, Aino; Rahkonen, Ossi; Lahelma, Eero; Laaksonen, Mikko
Contributor: University of Helsinki, Center for Population, Health and Society
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2017-04
Language: eng
Number of pages: 8
Belongs to series: BMJ Open
ISSN: 2044-6055
URI: http://hdl.handle.net/10138/198022
Abstract: Objectives Alcohol drinking is associated with ill health but less is known about its contribution to overall functioning. We aimed to examine whether alcohol drinking predicts self-reported mental and physical functioning 5-7 years later. Design A prospective cohort study. Setting Helsinki, Finland. Participants 40-year-old to 60-year-old employees of the City of Helsinki (5301 women and 1230 men) who participated in a postal survey in 2000-2002 and a follow-up survey in 2007. Primary and secondary outcome measures Mental and physical functioning measured by the Short Form 36 Health Survey. Results Alcohol drinking was differently associated with mental and physical functioning. Heavy average drinking, binge drinking and problem drinking were all associated with subsequent poor mental functioning except for heavy average drinking among men, whereas only problem drinking was associated with poor physical functioning. Also, non-drinking was associated with poor physical functioning. Problem drinking was the drinking habit showing most widespread and strongest associations with health functioning. The associations between problem drinking and poor mental functioning and with poor physical functioning among women remained after adjusting for baseline mental functioning, sociodemographic factors, working conditions and other health behaviours. Conclusions Alcohol drinking is associated especially with poor mental functioning. Problem drinking was the drinking habit strongest associated with poor health functioning. The results call for early recognition and prevention of alcohol problems in order to improve health functioning among employees.
Subject: QUALITY-OF-LIFE
GENERAL-POPULATION SURVEY
DISABILITY RETIREMENT
SICKNESS ABSENCE
HEALTH
CONSUMPTION
PATTERNS
MORTALITY
HEAVY
WOMEN
3142 Public health care science, environmental and occupational health
3121 General medicine, internal medicine and other clinical medicine
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