TY - JOUR
PY - 2012//
TI - Alcohol consumption, problem drinking, abstention and disability pension award. The Nord-Trøndelag Health Study (HUNT)
JO - Addiction
A1 - Skogen, Jens Christoffer
A1 - Knudsen, Ann Kristin
A1 - Mykletun, Arnstein
A1 - Nesvåg, Sverre
A1 - Overland, Simon
SP - 98
EP - 108
VL - 107
IS - 1
N2 - Aims: To examine associations of abstention, alcohol consumption and problem drinking with subsequent disability pensioning (DP), and whether previous excessive consumption ("sick-quitting") could explain some of the increased risk for DP among abstainers. Design: Prospective population-based study. Setting and participants: Data were from two waves of the Nord-Trøndelag Health Study (HUNT) linked with the national insurance database. The two main analyses included 37,729 (alcohol consumption) and 34,666 (problem drinking) participants. Measurements: Alcohol consumption was measured by self-reported consumption, while problem drinking was assessed by the CAGE-questionnaire. Information on subsequent DP, including diagnosis for which the DP was awarded, was gathered from the national insurance database. Covariates included somatic illness and symptoms, mental health, health-related behaviour, socioeconomic status and social activity. Findings: Those reporting the highest level of alcohol consumption were not at increased risk for DP (HR1.12, CI95% 0.92-1.38), whereas problem drinking was a strong predictor (HR2.79, CI95% 2.08-3.75) compared to their corresponding reference groups. Alcohol abstainers were also at increased risk for DP, but among them, the previous consumers (HR1.95, CI95% 1.48-2.57) and previous excessive consumers (HR1.67, CI95% 1.01-2.74) were at higher risk for DP than constant abstainers. Conclusions: Problem drinking is linked to subsequent requirement for a disability pension but mere alcohol consumption is not. This is partly explained by "sick-quitting". Language: en
LA - en
SN - 0965-2140
UR - http://dx.doi.org/10.1111/j.1360-0443.2011.03551.x
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