Educational differences in alcohol-related morbidity and the role of working conditions: a Swedish register-based cohort study.
This study aims to investigate the relationship between education and alcohol-related morbidity and the role that low job control and heavy physical workload play in explaining these associations among men and women in Sweden. This register-based cohort study (SWIP cohort) includes over three millio...
| Publicado en: | European Journal of Public Health Vol. 34; no. 6; pp. 1134 - 1140 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181680563&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181680563 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Dec2024 vid: 34 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 181680563 181680563 181680563 10.1093/eurpub/ckae158 181680563 ppf: 1134 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Educational differences in alcohol-related morbidity and the role of working conditions: a Swedish register-based cohort study. aug: au: Almroth, Melody Hemmingsson, Tomas Falkstedt, Daniel Carlsson, Emma Kjellberg, Katarina Thern, Emelie affil: Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden sug: subj: Alcohol Drinking Morbidity Work Environment Educational Status Workload Sex Factors Sweden Human Male Female Sweden Cox Proportional Hazards Model Confidence Intervals Sociodemographic Factors Funding Source Male Female ab: This study aims to investigate the relationship between education and alcohol-related morbidity and the role that low job control and heavy physical workload play in explaining these associations among men and women in Sweden. This register-based cohort study (SWIP cohort) includes over three million individuals registered in Sweden in 2005. Job control and physical workload were measured using a job exposure matrix linked to the index person based on their registered occupation at baseline. Alcohol-related morbidity was measured through diagnoses in the national patient registers between 2006 and 2020. Cox proportional hazards regression models were built to estimate associations between education and alcohol-related morbidity. Reductions in hazard ratios (HRs) were calculated after adjusting for job control, physical workload, and other covariates. Models were also stratified by sex. Lower levels of education predicted a higher risk of alcohol-related morbidity (HR: 2.55 95% confidence interval: 2.49–2.62 for the lowest educated compared to the highest). Low job control and heavy physical workload both played roles in explaining educational differences in alcohol-related morbidity even after accounting for sociodemographic and health factors (15.1% attenuation for job control and 18.3% for physical workload among the lowest educated). Physical workload explained a larger proportion of the associations among men compared to women. Lower levels of education were associated with an increased risk of alcohol-related morbidity and working conditions partly explained these associations beyond what was explained by sociodemographic and health factors. Improving working conditions could therefore prevent some cases of alcohol-related morbidity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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