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Long-term effects of youth unemployment on alcoholrelated morbidity
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. The Swedish Council for Information on Alcohol and Other Drugs (CAN), Sweden.ORCID iD: 0000-0002-1679-3506
2020 (English)In: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 115, no 3, p. 418-425Article in journal (Refereed) Published
Abstract [en]

Aim

To test if exposure to unemployment in young adulthood is associated with an increased risk of later alcohol‐related morbidity.

Design

A nation‐wide register‐linked longitudinal population‐based study.

Setting

Sweden.

Participants

A total of 16 490 individuals born between 1967 and 1978, who had participated in the Labour Force Survey between the ages of 16–24 years during 1990–95.

Measurement

Information on the outcome of alcohol‐related morbidity was obtained from the National Hospital Discharge Register. The Swedish index of alcohol‐related in‐patient care was used to define the outcome. Information on sex, age and country of birth, as well as parents’ level of education, socio‐economic status and alcohol‐related health problems, were also obtained. Average follow‐up time was 22 years. Cox regression analysis was used to obtain hazard ratios (HR) with 95% confidence intervals (CI).

Findings

Compared with full‐time students, individuals who experienced short‐ and long‐term unemployment spells at a young age were at an increased risk of later alcohol‐related morbidity; < 3 months (HR = 2.04, 95% CI = 1.35–3.09), 3–6 months (HR = 2.20, 95% CI = 1.29–3.75) and > 6 months (HR = 1.99, 95% CI = 1.06–3.71) of unemployment, after adjusting for several important individual and family level covariates.

Conclusion

In Sweden, a nation‐wide register‐based study with a 22‐year follow‐up suggests that being unemployed in young adulthood is associated with an increased risk of alcohol‐related morbidity later in life.

Place, publisher, year, edition, pages
2020. Vol. 115, no 3, p. 418-425
Keywords [en]
alcohol, hospitalization, register-based, Sweden, unemployment, young adults
National Category
Public Health, Global Health, Social Medicine and Epidemiology Sociology
Identifiers
URN: urn:nbn:se:su:diva-177282DOI: 10.1111/add.14838ISI: 000500509800001OAI: oai:DiVA.org:su-177282DiVA, id: diva2:1381137
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-02-19Bibliographically approved

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