The effect of exposure to long working hours on alcohol consumption, risky drinking and alcohol use disorder : A systematic review and meta-analysis from the WHO/ILO Joint Estimates of the Work-related burden of disease and injury

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dc.contributor.author Pachito, Daniela V.
dc.contributor.author Pega, Frank
dc.contributor.author Bakusic, Jelena
dc.contributor.author Boonen, Emma
dc.contributor.author Clays, Els
dc.contributor.author Descatha, Alexis
dc.contributor.author Delvaux, Ellen
dc.contributor.author De Bacquer, Dirk
dc.contributor.author Koskenvuo, Karoliina
dc.contributor.author Kroeger, Hannes
dc.contributor.author Lambrechts, Marie-Claire
dc.contributor.author Latorraca, Carolina O. C.
dc.contributor.author Li, Jian
dc.contributor.author Cabrera Martimbianco, Ana L.
dc.contributor.author Riera, Rachel
dc.contributor.author Rugulies, Reiner
dc.contributor.author Sembajwe, Grace
dc.contributor.author Siegrist, Johannes
dc.contributor.author Sillanmäki, Lauri
dc.contributor.author Sumanen, Markku
dc.contributor.author Suominen, Sakari
dc.contributor.author Ujita, Yuka
dc.contributor.author Vandersmissen, Godelieve
dc.contributor.author Godderis, Lode
dc.date.accessioned 2021-02-15T05:49:01Z
dc.date.available 2021-02-15T05:49:01Z
dc.date.issued 2021-01
dc.identifier.citation Pachito , D V , Pega , F , Bakusic , J , Boonen , E , Clays , E , Descatha , A , Delvaux , E , De Bacquer , D , Koskenvuo , K , Kroeger , H , Lambrechts , M-C , Latorraca , C O C , Li , J , Cabrera Martimbianco , A L , Riera , R , Rugulies , R , Sembajwe , G , Siegrist , J , Sillanmäki , L , Sumanen , M , Suominen , S , Ujita , Y , Vandersmissen , G & Godderis , L 2021 , ' The effect of exposure to long working hours on alcohol consumption, risky drinking and alcohol use disorder : A systematic review and meta-analysis from the WHO/ILO Joint Estimates of the Work-related burden of disease and injury ' , Environment International , vol. 146 , 106205 . https://doi.org/10.1016/j.envint.2020.106205
dc.identifier.other PURE: 160364078
dc.identifier.other PURE UUID: a5a31349-73c1-4bda-994b-0f4ab8eef909
dc.identifier.other WOS: 000604625200012
dc.identifier.uri http://hdl.handle.net/10138/326433
dc.description.abstract Background: The World Health Organization (WHO) and the International Labour Organization (ILO) are developing Joint Estimates of the work-related burden of disease and injury (WHO/ILO Joint Estimates), with contributions from a large network of experts. Evidence from mechanistic data suggests that exposure to long working hours may increase alcohol consumption and cause alcohol use disorder. In this paper, we present a systematic review and meta-analysis of parameters for estimating the number of deaths and disability-adjusted life years from alcohol consumption and alcohol use disorder that are attributable to exposure to long working hours, for the development of the WHO/ILO Joint Estimates. Objectives: We aimed to systematically review and meta-analyse estimates of the effect of exposure to long working hours (three categories: 41-48, 49-54 and >55 h/week), compared with exposure to standard working hours (35-40 h/week), on alcohol consumption, risky drinking (three outcomes: prevalence, incidence and mortality) and alcohol use disorder (three outcomes: prevalence, incidence and mortality). Data sources: We developed and published a protocol, applying the Navigation Guide as an organizing systematic review framework where feasible. We searched electronic bibliographic databases for potentially relevant records from published and unpublished studies, including the WHO International Clinical Trials Register, Ovid MEDLINE, PubMed, Embase, and CISDOC on 30 June 2018. Searches on PubMed were updated on 18 April 2020. We also searched electronic grey literature databases, Internet search engines and organizational websites; hand searched reference list of previous systematic reviews and included study records; and consulted additional experts. Study eligibility and criteria: We included working-age (15 years) and unpaid domestic workers. We considered for inclusion randomized controlled trials, cohort studies, case-control studies and other nonrandomized intervention studies with an estimate of the effect of exposure to long working hours (41-48, 49-54 and 55 h/week), compared with exposure to standard working hours (35-40 h/week), on alcohol consumption (in g/week), risky drinking, and alcohol use disorder (prevalence, incidence or mortality). Study appraisal and synthesis methods: At least two review authors independently screened titles and abstracts against the eligibility criteria at a first stage and full texts of potentially eligible records at a second stage, followed by extraction of data from publications related to qualifying studies. Two or more review authors assessed the risk of bias, quality of evidence and strength of evidence, using Navigation Guide and GRADE tools and approaches adapted to this project. Results: Fourteen cohort studies met the inclusion criteria, comprising a total of 104,599 participants (52,107 females) in six countries of three WHO regions (Americas, South-East Asia, and Europe). The exposure and outcome were assessed with self-reported measures in most studies. Across included studies, risk of bias was generally probably high, with risk judged high or probably high for detection bias and missing data for alcohol consumption and risky drinking. Compared to working 35-40 h/week, exposure to working 41-48 h/week increased alcohol consumption by 10.4 g/week (95% confidence interval (CI) 5.59-15.20; seven studies; 25,904 participants, I2 71%, low quality evidence). Exposure to working 49-54 h/week increased alcohol consumption by 17.69 g/week (95% confidence interval (CI) 9.16-26.22; seven studies, 19,158 participants, I2 82%, low quality evidence). Exposure to working >55 h/week increased alcohol consumption by 16.29 g/week (95% confidence interval (CI) 7.93-24.65; seven studies; 19,692 participants; I2 82%, low quality evidence). We are uncertain about the effect of exposure to working 41-48 h/week, compared with working 35-40 h/week on developing risky drinking (relative risk 1.08; 95% CI 0.86-1.36; 12 studies; I2 52%, low certainty evidence). Working 49-54 h/week did not increase the risk of developing risky drinking (relative risk 1.12; 95% CI 0.90-1.39; 12 studies; 3832 participants; I2 24%, moderate certainty evidence), nor working >55 h/week (relative risk 1.11; 95% CI 0.95-1.30; 12 studies; 4525 participants; I2 0%, moderate certainty evidence). Subgroup analyses indicated that age may influence the association between long working hours and both alcohol consumption and risky drinking. We did not identify studies for which we had access to results on alcohol use disorder. Conclusions: Overall, for alcohol consumption in g/week and for risky drinking, we judged this body of evidence to be of low certainty. Exposure to long working hours may have increased alcohol consumption, but we are uncertain about the effect on risky drinking. We found no eligible studies on the effect on alcohol use disorder. Producing estimates for the burden of alcohol use disorder attributable to exposure to long working hours appears to not be evidence-based at this time. Protocol identifier: https://doi.org/10.1016/j.envint.2018.07.025. PROSPERO registration number: CRD42018084077 en
dc.format.extent 26
dc.language.iso eng
dc.relation.ispartof Environment International
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Global burden of disease
dc.subject Occupational health
dc.subject Long working hours
dc.subject Alcohol consumption
dc.subject Systematic review
dc.subject Meta-analysis
dc.subject EVIDENCE-BASED MEDICINE
dc.subject NATIONAL LONGITUDINAL SURVEY
dc.subject CORONARY-HEART-DISEASE
dc.subject BELGIAN WORKFORCE
dc.subject COHORT PROFILE
dc.subject SICK LEAVE
dc.subject HEALTH
dc.subject STRESS
dc.subject PROTOCOL
dc.subject METHODOLOGY
dc.subject 3142 Public health care science, environmental and occupational health
dc.title The effect of exposure to long working hours on alcohol consumption, risky drinking and alcohol use disorder : A systematic review and meta-analysis from the WHO/ILO Joint Estimates of the Work-related burden of disease and injury en
dc.type Review Article
dc.contributor.organization Clinicum
dc.contributor.organization Department of Public Health
dc.contributor.organization University of Helsinki
dc.contributor.organization HUS Head and Neck Center
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1016/j.envint.2020.106205
dc.relation.issn 0160-4120
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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