TY - JOUR
PY - 2017//
TI - Trajectories of risky drinking around the time of statutory retirement: a longitudinal latent class analysis
JO - Addiction
A1 - Stenholm, Sari
A1 - Halonen, Jaana I.
A1 - Kivimaki, Mika
A1 - Vahtera, Jussi
A1 - Virtanen, Marianna
A1 - Lallukka, Tea
A1 - Pentti, Jaana
A1 - Aalto, Ville
A1 - Kawachi, Ichiro
A1 - Pulakka, Anna
SP - 1163
EP - 1170
VL - 112
IS - 7
N2 - BACKGROUND AND AIMS: Life transitions such as retirement may influence alcohol consumption, but only a few studies have described this using longitudinal data. We identified patterns and predictors of risky drinking around the time of retirement.
DESIGN: A cohort study assessing trajectories and predictors of risky drinking among employees entering statutory retirement between 2000 and 2011. Setting and Participants 5805 men and women from the Finnish Public Sector study who responded to questions on alcohol consumption one to three times prior to (w-3 , w-2 , w-1 ), and one to three times after (w+1 , w+2 , w+3 ) retirement. MEASUREMENTS: We assessed trajectories of risky drinking (>288 g of pure alcohol per week among men, >192 g among women, or an extreme drinking occasion during past year) from pre- to post-retirement, as well as predictors of each alcohol consumption trajectory.
FINDINGS: Three trajectories were identified: sustained healthy drinking (81% of participants), temporary increase in risky drinking around retirement (12%), and slowly declining risky drinking after retirement (7%). The strongest pre-retirement predictors for belonging to the group of temporary increase in risky drinking were current smoking (odds ratio 3.90, 95% CI 2.70 to 5.64), male sex (2.77, 95% CI 2.16 to 3.55), depression (1.44, 95% CI 1.05 to 1.99), and workplace in the metropolitan area (1.29, 95% CI 1.00 to 1.66). Compared with the slowly declining risky drinking group, the temporary increase in risky drinking group was characterised by lower occupational status and education, and workplace outside the metropolitan area.
CONCLUSIONS: In Finland, approximately 12% of people who reach retirement age experience a temporary increase in alcohol consumption to risky levels while around 7% experience a slow decline in risky level alcohol consumption. Male gender, smoking, being depressed and working in a metropolitan area are associated with increased likelihood of increased alcohol consumption.
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Language: en
LA - en SN - 0965-2140 UR - http://dx.doi.org/10.1111/add.13811 ID - ref1 ER -