Drinking habits and disability retirement

Research output: Contribution to journalArticleScientificpeer-review

Abstract

AIMS: To examine associations between drinking habits and disability retirement, and to determine whether the associations differ between all-cause disability retirement and the main causes of disability retirement, i.e. musculoskeletal diseases and mental disorders.

DESIGN: A prospective cohort study with a mean follow-up time of 8 years.

SETTING: Middle-aged employees of the City of Helsinki, Finland.

PARTICIPANTS: A total of 6275 municipal employees (78% women) who were 40-60 years old at baseline.

MEASUREMENTS: Data on drinking habits, i.e. quantity and frequency of drinking, binge drinking and problem drinking, were derived from the baseline questionnaire. The data on disability retirement and its diagnoses came from the Finnish Centre for Pensions. The analyses were made using Cox regression analysis.

FINDINGS: Heavy average and frequent drinking were not associated with all-cause disability retirement, but increased the risk of disability retirement due to mental disorders even after adjusting for all covariates [hazard ratios (HR) and 95% confidence intervals (CI) 2.54 (1.26-5.12) and 2.10 (1.23-3.61), respectively]. Binge and problem drinking were both associated with all-cause disability retirement in the base models adjusted for age, gender and marital status. Problem drinking more than doubled the risk of disability retirement due to mental disorders even after all adjustments (HR 2.17, CI 1.53-3.08). Non-drinkers had an increased risk for disability retirement due to all mental and musculoskeletal diagnoses.

CONCLUSIONS: Adverse drinking habits may contribute to disability retirement among the middle-aged working population. Tackling unhealthy drinking habits may lessen the likelihood of early retirement due to poor mental health.

Original languageEnglish
JournalAddiction
Volume107
Issue number12
Pages (from-to)2128-2136
Number of pages9
ISSN0965-2140
DOIs
Publication statusPublished - 2012
MoE publication typeA1 Journal article-refereed

Fields of Science

  • 3142 Public health care science, environmental and occupational health
  • alcohol drinking
  • disability retirement
  • drinking behaviour
  • mental disorders
  • middle aged
  • occupational health
  • pensions
  • 3124 Neurology and psychiatry

Cite this

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title = "Drinking habits and disability retirement",
abstract = "AIMS: To examine associations between drinking habits and disability retirement, and to determine whether the associations differ between all-cause disability retirement and the main causes of disability retirement, i.e. musculoskeletal diseases and mental disorders. DESIGN: A prospective cohort study with a mean follow-up time of 8 years. SETTING: Middle-aged employees of the City of Helsinki, Finland. PARTICIPANTS: A total of 6275 municipal employees (78{\%} women) who were 40-60 years old at baseline. MEASUREMENTS: Data on drinking habits, i.e. quantity and frequency of drinking, binge drinking and problem drinking, were derived from the baseline questionnaire. The data on disability retirement and its diagnoses came from the Finnish Centre for Pensions. The analyses were made using Cox regression analysis. FINDINGS: Heavy average and frequent drinking were not associated with all-cause disability retirement, but increased the risk of disability retirement due to mental disorders even after adjusting for all covariates [hazard ratios (HR) and 95{\%} confidence intervals (CI) 2.54 (1.26-5.12) and 2.10 (1.23-3.61), respectively]. Binge and problem drinking were both associated with all-cause disability retirement in the base models adjusted for age, gender and marital status. Problem drinking more than doubled the risk of disability retirement due to mental disorders even after all adjustments (HR 2.17, CI 1.53-3.08). Non-drinkers had an increased risk for disability retirement due to all mental and musculoskeletal diagnoses. CONCLUSIONS: Adverse drinking habits may contribute to disability retirement among the middle-aged working population. Tackling unhealthy drinking habits may lessen the likelihood of early retirement due to poor mental health.",
keywords = "3142 Public health care science, environmental and occupational health, alcohol drinking, disability retirement, drinking behaviour, mental disorders, middle aged, occupational health, pensions, 3124 Neurology and psychiatry",
author = "Salonsalmi, {Aino Emilia} and Mikko Laaksonen and Eero Lahelma and Ossi Rahkonen",
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Drinking habits and disability retirement. / Salonsalmi, Aino Emilia; Laaksonen, Mikko; Lahelma, Eero; Rahkonen, Ossi.

In: Addiction, Vol. 107, No. 12, 2012, p. 2128-2136.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Drinking habits and disability retirement

AU - Salonsalmi, Aino Emilia

AU - Laaksonen, Mikko

AU - Lahelma, Eero

AU - Rahkonen, Ossi

N1 - WOS:000311388900017 Volume: Proceeding volume:

PY - 2012

Y1 - 2012

N2 - AIMS: To examine associations between drinking habits and disability retirement, and to determine whether the associations differ between all-cause disability retirement and the main causes of disability retirement, i.e. musculoskeletal diseases and mental disorders. DESIGN: A prospective cohort study with a mean follow-up time of 8 years. SETTING: Middle-aged employees of the City of Helsinki, Finland. PARTICIPANTS: A total of 6275 municipal employees (78% women) who were 40-60 years old at baseline. MEASUREMENTS: Data on drinking habits, i.e. quantity and frequency of drinking, binge drinking and problem drinking, were derived from the baseline questionnaire. The data on disability retirement and its diagnoses came from the Finnish Centre for Pensions. The analyses were made using Cox regression analysis. FINDINGS: Heavy average and frequent drinking were not associated with all-cause disability retirement, but increased the risk of disability retirement due to mental disorders even after adjusting for all covariates [hazard ratios (HR) and 95% confidence intervals (CI) 2.54 (1.26-5.12) and 2.10 (1.23-3.61), respectively]. Binge and problem drinking were both associated with all-cause disability retirement in the base models adjusted for age, gender and marital status. Problem drinking more than doubled the risk of disability retirement due to mental disorders even after all adjustments (HR 2.17, CI 1.53-3.08). Non-drinkers had an increased risk for disability retirement due to all mental and musculoskeletal diagnoses. CONCLUSIONS: Adverse drinking habits may contribute to disability retirement among the middle-aged working population. Tackling unhealthy drinking habits may lessen the likelihood of early retirement due to poor mental health.

AB - AIMS: To examine associations between drinking habits and disability retirement, and to determine whether the associations differ between all-cause disability retirement and the main causes of disability retirement, i.e. musculoskeletal diseases and mental disorders. DESIGN: A prospective cohort study with a mean follow-up time of 8 years. SETTING: Middle-aged employees of the City of Helsinki, Finland. PARTICIPANTS: A total of 6275 municipal employees (78% women) who were 40-60 years old at baseline. MEASUREMENTS: Data on drinking habits, i.e. quantity and frequency of drinking, binge drinking and problem drinking, were derived from the baseline questionnaire. The data on disability retirement and its diagnoses came from the Finnish Centre for Pensions. The analyses were made using Cox regression analysis. FINDINGS: Heavy average and frequent drinking were not associated with all-cause disability retirement, but increased the risk of disability retirement due to mental disorders even after adjusting for all covariates [hazard ratios (HR) and 95% confidence intervals (CI) 2.54 (1.26-5.12) and 2.10 (1.23-3.61), respectively]. Binge and problem drinking were both associated with all-cause disability retirement in the base models adjusted for age, gender and marital status. Problem drinking more than doubled the risk of disability retirement due to mental disorders even after all adjustments (HR 2.17, CI 1.53-3.08). Non-drinkers had an increased risk for disability retirement due to all mental and musculoskeletal diagnoses. CONCLUSIONS: Adverse drinking habits may contribute to disability retirement among the middle-aged working population. Tackling unhealthy drinking habits may lessen the likelihood of early retirement due to poor mental health.

KW - 3142 Public health care science, environmental and occupational health

KW - alcohol drinking

KW - disability retirement

KW - drinking behaviour

KW - mental disorders

KW - middle aged

KW - occupational health

KW - pensions

KW - 3124 Neurology and psychiatry

U2 - 10.1111/j.1360-0443.2012.03976.x

DO - 10.1111/j.1360-0443.2012.03976.x

M3 - Article

VL - 107

SP - 2128

EP - 2136

JO - Addiction

JF - Addiction

SN - 0965-2140

IS - 12

ER -