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首页> 外文期刊>European addiction research >The Contribution of Alcohol Use, Other Lifestyle Factors and Working Conditions to Socioeconomic Differences in Sickness Absence
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The Contribution of Alcohol Use, Other Lifestyle Factors and Working Conditions to Socioeconomic Differences in Sickness Absence

机译：酒精使用的贡献，其他生活方式因素和工作条件对疾病的疾病的社会经济差异

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Introduction: This study investigates how alcohol use contributes to the social gradient in sickness absence. Other factors assessed include lifestyle factors (smoking, physical activity and body mass index), physical and psychosocial working conditions. Methods: The study used baseline data from the Stockholm public health cohort 2006, with an analytical sample of 17,008 respondents aged 25-64 years. Outcome variables included self-reported short-term ( 14 days) sickness absence. Socioeconomic position (SEP) was measured by occupational class. Alcohol use was measured by average weekly volume and frequency of heavy episodic drinking. Negative binominal regression was used to estimate sex-specific SEP differences in sickness absence, before and after adjusting for alcohol use and the additional explanatory factors. Results: Adjusting for alcohol use attenuated the SEP differences in long-term sickness absence by 20% for men and 14% for women. Alcohol use explained a smaller proportion of the differences in short-term sickness absence. Alcohol use in combination with other lifestyle factors attenuated the SEP differences (20-35%) for both outcomes. Physical working conditions explained more than half of the gradient in long-term sickness absence, whereas psychosocial conditions had greater impact on short-term sickness absence among men. Discussion/Conclusion: Alcohol use explains a substantial proportion of the SEP disparities in long-term sickness absence among men. The effect is smaller among women and for short-term sickness absence. Our findings support the notion that physical working conditions constitute the key explanatory variable for SEP differences in long-term sickness absence, but add that psychosocial working conditions have greater impact on the gradient in short-term sickness absence among men.
机译：介绍：本研究调查了酒精用量如何在疾病缺席中贡献社会梯度。评估的其他因素包括生活方式因素（吸烟，身体活动和体重指数），身体和心理社会工作条件。方法：该研究采用了斯德哥尔摩公共卫生队队2006年的基线数据，分析样本为17,008名患者25-64岁。结果变量包括自我报告的短期（14天）疾病缺勤。社会经济地位（SEP）由职业阶级衡量。通过平均每周体积和重型沉重饮用频率来测量醇使用。负二聚体回归用于估计疾病缺失的性别特异性的SEP差异，调整酒精使用之前和之后以及另外的解释因素。结果：调整酒精使用减毒，对男性的20％和14％的男性缺乏20％的疾病的SEP差异。酒精使用解释了短期疾病缺失的差异较小的差异。酒精与其他生活方式因素结合使用，衰减两种结果的差异（20-35％）。物理工作条件在长期疾病缺席中解释了超过一半的梯度，而心理社会条件对男性之间短期疾病的影响更大。讨论/结论：酒精用途解释了男性之间长期疾病中的大部分SEP差异。妇女的效果较小，短期疾病缺席。我们的调查结果支持了物理工作条件构成了短期疾病缺失中SEP差异的关键解释变量，但补充说，心理社会工作条件对男性短期疾病缺席的渐变产生了更大的影响。

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