Unemployment from stable, downsized and closed workplaces and alcohol-related mortality.
Alcohol
alcohol-related diseases
downsizing
external causes
mortality
plant closure
unemployment
Journal
Addiction (Abingdon, England)
ISSN: 1360-0443
Titre abrégé: Addiction
Pays: England
ID NLM: 9304118
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
11
10
2019
revised:
10
01
2020
accepted:
27
04
2020
pubmed:
5
5
2020
medline:
23
7
2021
entrez:
5
5
2020
Statut:
ppublish
Résumé
To assess the importance of health selection in the association between unemployment and alcohol-related mortality by comparing mortalities of those unemployed from workplaces experiencing different levels of downsizing. The more severe the downsizing, the less dependent unemployment would be on personal characteristics and the weaker the role of health selection. We estimated hazards models of unemployment on alcohol-related diseases and poisonings and external causes with alcohol as a contributing cause over follow-ups of 0-5, 6-10 and 11-20 years and at different levels of downsizing (stable, downsized or closed). Finland, 1990 to 2009. A register-based random sample of employees aged 25-63 in privately owned workplaces (n = 275 738). The outcome was alcohol-related death and the exposure was unemployment. We adjusted for age, sex, year, education, marital status, health status, workplace tenure, industry, region and unemployment rate. Alcohol-disease mortality was elevated among the unemployed throughout the follow-up, regardless of the level of downsizing. At 11-20 years after baseline, those unemployed from stable workplaces had a 2.46 hazard ratio (HR) (95% confidence interval [CI] = 2.14-2.82), those from downsized workplaces 1.94 (95% CI = 1.64-2.30) and those from closed workplaces 2.13 (95% CI = 1.75-2.59), when compared with the controls. Alcohol-related external-cause mortality at 0-5 years follow-up was only associated with unemployment from stable workplaces (HR = 1.39, 95% CI = 1.22-1.58), but over time, an association emerged among those unemployed following downsizing and closure. At 11-20-year follow-up, the HR following downsizing was 1.83 (CI 95% = 1.37-2.45) and 1.54 (95% CI = 1.03-2.28) following closure. There is some indication that alcohol-related ill-health may lead to unemployment in Finland. However, the persistent long-term association between unemployment and alcohol-related mortality even after workplace closure may imply a causal relation.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
74-82Informations de copyright
© 2020 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.
Références
Henkel D. Unemployment and substance use: a review of the literature (1990-2010). Curr Drug Abuse Rev 2011; 4: 4-27.
Martikainen P. T. Unemployment and mortality among Finnish men, 1981-5. BMJ 1990; 301: 407-411.
Forcier M. W. Unemployment and alcohol abuse: a review. J Occup Med 1988; 30: 246-251.
Berkowitz L. Frustration-aggression hypothesis: examination and reformulation. Psychol Bull 1989; 106: 59-73.
Jahoda M. Work, employment, and unemployment: values, theories, and approaches in social research. Am Psychol 1981; 36: 184.
Berg N., Kiviruusu O., Huurre T., Lintonen T., Virtanen P., Hammarström A. Unemployment and heavy episodic drinking from adolescence to midlife in Sweden and Finland. Eur J Public Health 2017; 27.
Egan K., Jørgensen M., Becker U., Tolstrup J. Alcohol consumption, educational level and labour market participation: a prospective cohort study of transitions between work and unemployment. Rev Epidemiol Sante Publique 2018; 66: S367.
Jørgensen M. B., Pedersen J., Thygesen L. C., et al. Alcohol consumption and labour market participation: a prospective cohort study of transitions between work, unemployment, sickness absence, and social benefits. Eur J Epidemiol 20191-11.
Lahelma E., Kangas R., Manderbacka K. Drinking and unemployment: contrasting patterns among men and women. Drug Alcohol Depend 1995; 37: 71-82.
Catalano R., Dooley D., Wilson G., Hough R. Job loss and alcohol abuse: a test using data from the epidemiologic catchment area project. J Health Soc Behav 1993215-225.
Claussen B. Alcohol disorders and re-employment in a 5-year follow-up of long-term unemployed. Addiction 1999; 94: 133-138.
Popovici I., French M. T. Does unemployment lead to greater alcohol consumption? Industrial Relations: A Journal of Economy and Society 2013; 52: 444-466.
Virtanen P., Vahtera J., Broms U., Sillanmäki L., Kivimäki M., Koskenvuo M. Employment trajectory as determinant of change in health-related lifestyle: the prospective HeSSup study. Eur J Public Health 2008; 18: 504-508.
Leino-Arjas P., Liira J., Mutanen P., Malmivaara A., Matikainen E. Predictors and consequences of unemployment among construction workers: prospective cohort study. BMJ 1999; 319: 600-605.
Backhans M. C., Lundin A., Hemmingsson T. Binge drinking-a predictor for or a consequence of unemployment? Alcohol Clin Exp Res 2012; 36: 1983-1990.
Hammer T. Unemployment and use of drug and alcohol among young people: a longitudinal study in the general population. Br J Addict 1992; 87: 1571-1581.
Morris J. K., Cook D. G., Shaper A. G. Non-employment and changes in smoking, drinking, and body weight. BMJ 1992; 304: 536-541.
Garcy A. M., Vågerö D. The length of unemployment predicts mortality, differently in men and women, and by cause of death: a six year mortality follow-up of the Swedish 1992-1996 recession. Soc Sci Med 2012; 74: 1911-1920.
Voss M., Nylen L., Floderus B., Diderichsen F., Terry P. D. Unemployment and early cause-specific mortality: a study based on the Swedish twin registry. Am J Public Health 2004; 94: 2155-2161.
Vågerö D., Garcy A. M. Does unemployment cause long-term mortality? Selection and causation after the 1992-96 deep Swedish recession. The European Journal of Public Health 2016; 26: 778-783.
Fischer E. H., Dornelas E. A., Goethe J. W. Characteristics of people lost to attrition in psychiatric follow-up studies. J Nerv Ment Dis 2001; 189: 49-55.
Morris J. K., Cook D. G. A critical review of the effect of factory closures on health. Br J Ind Med 1991; 48: 1-8.
Mäkelä P. Alcohol-related mortality by age and sex and its impact on life expectancy: estimates based on the Finnish death register. The European Journal of Public Health 1998; 8: 43-51.
Herttua K., Mäkelä P., Martikainen P. Differential trends in alcohol-related mortality: a register-based follow-up study in Finland in 1987-2003. Alcohol & Alcoholism 2007; 42: 456-464.
Eliason M., Storrie D. Does job loss shorten life? J Hum Resour 2009; 44: 277-302.
Jin R. L., Shah C. P., Svoboda T. J. The impact of unemployment on health: a review of the evidence. CMAJ 1995; 153: 529-540.
O'shea R. S., Dasarathy S., McCullough A. J. Alcoholic liver disease. Hepatology 2010; 51: 307-328.
Holmes J., Meier P. S., Booth A., Guo Y., Brennan A. The temporal relationship between per capita alcohol consumption and harm: a systematic review of time lag specifications in aggregate time series analyses. Drug Alcohol Depend 2012; 123: 7-14.
Herttua K., Mäkelä P., Martikainen P. An evaluation of the impact of a large reduction in alcohol prices on alcohol-related and all-cause mortality: time series analysis of a population-based natural experiment. Int J Epidemiol 2009; 40: 441-454.
Paljärvi T., Mäkelä P., Poikolainen K. Pattern of drinking and fatal injury: a population-based follow-up study of Finnish men. Addiction 2005; 100: 1851-1859.
Uysal S. D., Pohlmeier W. Unemployment duration and personality. Journal of economic psychology 2011; 32: 980-992.
Nabi H., Kivimäki M., Zins M., et al. Does personality predict mortality? Results from the GAZEL French prospective cohort study. Int J Epidemiol 2008; 37: 386-396.
Dooley D., Prause J. Effect of favorable employment change on alcohol abuse: one-and five-year follow-ups in the National Longitudinal Survey of youth. Am J Community Psychol 1997; 25: 787-807.
Janlert U., Hammarström A. Alcohol consumption among unemployed youths: results from a prospective study. Br J Addict 1992; 87: 703-714.
Adema W., Fron P., Ladaique M. How much do OECD countries spend on social protection and how redistributive are their tax/benefit systems? International Social Security Review 2014; 67: 1-25.
Cylus J., Papanicolas I. An analysis of perceived access to health care in europe: how universal is universal coverage? Health Policy 2015; 119: 1133-1144.
Wahlbeck K., Manderbacka K., Vuorenkoski L., Kuusio H., Luoma M., Widström E. Quality and equality of access to healthcare services. HealthQUEST country report for Finland. Helsinki, Finland: National Research and Development Centre for Welfare and Health; 2008.
Martikainen P., Mäki N., Jäntti M. The effects of unemployment on mortality following workplace downsizing and workplace closure: a register-based follow-up study of Finnish men and women during economic boom and recession. Am J Epidemiol 2007; 165: 1070-1075.