Changes in drinking as predictors of changes in sickness absence : a case-crossover study

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Ervasti , J , Kivimaki , M , Pentti , J , Halonen , J I , Vahtera , J & Virtanen , M 2018 , ' Changes in drinking as predictors of changes in sickness absence : a case-crossover study ' , Journal of Epidemiology & Community Health , vol. 72 , no. 1 , pp. 61-67 . https://doi.org/10.1136/jech-2017-209777

Title: Changes in drinking as predictors of changes in sickness absence : a case-crossover study
Author: Ervasti, Jenni; Kivimaki, Mika; Pentti, Jaana; Halonen, Jaana I.; Vahtera, Jussi; Virtanen, Marianna
Other contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Public Health


Date: 2018-01
Language: eng
Number of pages: 7
Belongs to series: Journal of Epidemiology & Community Health
ISSN: 0143-005X
DOI: https://doi.org/10.1136/jech-2017-209777
URI: http://hdl.handle.net/10138/311547
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.
Subject: 3142 Public health care science, environmental and occupational health
CAPITA ALCOHOL-CONSUMPTION
SOCIOECONOMIC DIFFERENCES
WHITEHALL-II
HEALTH-CARE
GENDER
RISK
METAANALYSIS
ABSENTEEISM
BEHAVIORS
MORTALITY
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