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Author (up) Skogen, J.C.; Knudsen, A.K.; Mykletun, A.; Nesvag, S.; Overland, S. url  doi
  Title Alcohol consumption, problem drinking, abstention and disability pension award. The Nord-Trondelag Health Study (HUNT) Type Journal Article
  Year 2012 Publication Addiction (Abingdon, England) Abbreviated Journal Addiction  
  Volume 107 Issue 1 Pages 98-108  
  Keywords Adult; Alcohol Drinking/*epidemiology; Alcoholism/*epidemiology; Chronic Disease; Confounding Factors (Epidemiology); Disabled Persons/statistics & numerical data; Female; Health Behavior; *Health Status; Humans; Male; Middle Aged; Norway/epidemiology; Pensions/*statistics & numerical data; Retirement/statistics & numerical data; Sick Leave/statistics & numerical data; Social Class; Social Security/*statistics & numerical data; Temperance/*statistics & numerical data; Young Adult  
  Abstract 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-Trondelag 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 Cut down, Annoyed, Guilt, Eye-opener (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, socio-economic status and social activity. FINDINGS: Those reporting the highest level of alcohol consumption were not at increased risk for DP [hazard ratio (HR) 1.12, 95% confidence interval (CI): 0.92-1.38], whereas problem drinking was a strong predictor (HR 2.79, 95% CI: 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 (HR 1.95, 95% CI: 1.48-2.57) and previous excessive consumers (HR 1.67, 95% CI: 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'.  
  Address Research Centre for Health Promotion, Faculty of Psychology, University of Bergen, Bergen, Norway  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0965-2140 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:21707810 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 1576  
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