Harmful alcohol habits did not explain the social gradient of sickness absence in Swedish women and men
<p><strong>Background:</strong> the aim of this study was to examine the prevalence and socioeconomic distribution of harmful alcohol habits in sick-listed women and men, and whether the social gradient in sickness absence could be explained by the socioeconomic distribution of har...
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| Format: | Article |
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Milano University Press
2013-10-01
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| Series: | Epidemiology, Biostatistics and Public Health |
| Online Access: | http://ebph.it/article/view/8768 |
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| author | Ann-Charlotte M Mardby Kristina EM Holmgren Gunnel KE Hensing |
| author_facet | Ann-Charlotte M Mardby Kristina EM Holmgren Gunnel KE Hensing |
| author_sort | Ann-Charlotte M Mardby |
| collection | DOAJ |
| description | <p><strong>Background:</strong> the aim of this study was to examine the prevalence and socioeconomic distribution of harmful alcohol habits in sick-listed women and men, and whether the social gradient in sickness absence could be explained by the socioeconomic distribution of harmful alcohol habits.</p><p><strong>Methods:</strong> this cross-sectional questionnaire study included newly sick-listed individuals (n=2 798, 19-64 years, 66% women) from Sweden. The outcome variable, self-reported harmful alcohol habits, was measured with the Alcohol Use Disorder Identification Test. Registered socioeconomic variables (education, income, occupational class) were explanatory variables with age as confounder and selfreported health, symptoms, mental wellbeing, and self-efficacy as mediators. Chi2-tests and logistic regression models were applied.</p><p><strong>Results:</strong> 9% of sick-listed women and 22% of men had harmful alcohol habits. Women with a low annual income (≤149 000 SEK) had higher odds ratios (OR=2.47; 95% CI=1.43-4.27) of harmful alcohol habits than those with ≥300 000 SEK/year. The significance of low income remained when mediators were introduced into the logistic regression model (OR=2.03, 95% CI=1.13-3.65). In the model including age, income was no longer significant. Men with low income were more likely to have harmful alcohol habits than men with high income (OR=2.59; 95% CI=1.45-4.62). When mediators were included low income remained significant (OR=2.88; 95% CI=1.56-5.31). Income was no longer significant when age was introduced. Education and occupational status were not significant.</p><p><strong>Conclusions:</strong> harmful alcohol habits were common among sick-listed women and men. The socioeconomic differences in harmful alcohol habits did not explain the social gradient in sickness absence.</p> |
| format | Article |
| id | doaj-art-d8f88aa05bb94d7cac23af72beb93b44 |
| institution | Kabale University |
| issn | 2282-0930 |
| language | English |
| publishDate | 2013-10-01 |
| publisher | Milano University Press |
| record_format | Article |
| series | Epidemiology, Biostatistics and Public Health |
| spelling | doaj-art-d8f88aa05bb94d7cac23af72beb93b442025-08-20T03:25:08ZengMilano University PressEpidemiology, Biostatistics and Public Health2282-09302013-10-0111110.2427/87688634Harmful alcohol habits did not explain the social gradient of sickness absence in Swedish women and menAnn-Charlotte M Mardby0Kristina EM Holmgren1Gunnel KE Hensing2Analysis Unit, Sahlgrenska University Hospital, Gothenburg and Department of Public Health and Community Medicine/ Social Medicine at Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, SwedenDepartment of Public Health and Community Medicine/Social Medicine at Institute of Medicine and Department of Clinical Neuroscience and Rehabilitation/Occupational Therapy at Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden, Sahlgrenska Academy, University of Gothenburg, SwedenDepartment of Public Health and Community Medicine/Social Medicine at Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden<p><strong>Background:</strong> the aim of this study was to examine the prevalence and socioeconomic distribution of harmful alcohol habits in sick-listed women and men, and whether the social gradient in sickness absence could be explained by the socioeconomic distribution of harmful alcohol habits.</p><p><strong>Methods:</strong> this cross-sectional questionnaire study included newly sick-listed individuals (n=2 798, 19-64 years, 66% women) from Sweden. The outcome variable, self-reported harmful alcohol habits, was measured with the Alcohol Use Disorder Identification Test. Registered socioeconomic variables (education, income, occupational class) were explanatory variables with age as confounder and selfreported health, symptoms, mental wellbeing, and self-efficacy as mediators. Chi2-tests and logistic regression models were applied.</p><p><strong>Results:</strong> 9% of sick-listed women and 22% of men had harmful alcohol habits. Women with a low annual income (≤149 000 SEK) had higher odds ratios (OR=2.47; 95% CI=1.43-4.27) of harmful alcohol habits than those with ≥300 000 SEK/year. The significance of low income remained when mediators were introduced into the logistic regression model (OR=2.03, 95% CI=1.13-3.65). In the model including age, income was no longer significant. Men with low income were more likely to have harmful alcohol habits than men with high income (OR=2.59; 95% CI=1.45-4.62). When mediators were included low income remained significant (OR=2.88; 95% CI=1.56-5.31). Income was no longer significant when age was introduced. Education and occupational status were not significant.</p><p><strong>Conclusions:</strong> harmful alcohol habits were common among sick-listed women and men. The socioeconomic differences in harmful alcohol habits did not explain the social gradient in sickness absence.</p>http://ebph.it/article/view/8768 |
| spellingShingle | Ann-Charlotte M Mardby Kristina EM Holmgren Gunnel KE Hensing Harmful alcohol habits did not explain the social gradient of sickness absence in Swedish women and men Epidemiology, Biostatistics and Public Health |
| title | Harmful alcohol habits did not explain the social gradient of sickness absence in Swedish women and men |
| title_full | Harmful alcohol habits did not explain the social gradient of sickness absence in Swedish women and men |
| title_fullStr | Harmful alcohol habits did not explain the social gradient of sickness absence in Swedish women and men |
| title_full_unstemmed | Harmful alcohol habits did not explain the social gradient of sickness absence in Swedish women and men |
| title_short | Harmful alcohol habits did not explain the social gradient of sickness absence in Swedish women and men |
| title_sort | harmful alcohol habits did not explain the social gradient of sickness absence in swedish women and men |
| url | http://ebph.it/article/view/8768 |
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