Work- and family-related stressors and risk of hazardous alcohol use: the role of social support. A cohort study in Sweden.

IF 2.2 4区 医学 Q3 SUBSTANCE ABUSE
Ridwanul Amin, Julia Spaton Goppers, Jette Möller, Karin Engström, Anna Sidorchuk, Ellenor Mittendorfer-Rutz, Katalin Gémes
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引用次数: 0

Abstract

Aims: To investigate whether work- and family-related stressors increase the risk of hazardous alcohol use among low-risk drinkers, and to examine the role of sex and social support.

Methods: Overall, 4046 individuals aged 25-55 years, living and working in Stockholm, without a history of hazardous alcohol use, who completed the Mental Health, Work and Social Relations study questionnaire on work- and family-related stressors (exposures) during 1998-2000 and 2001-03, were included. This cohort was followed until 2010 for hazardous alcohol use (outcome) assessed by the Alcohol Use Disorder Identification Test. Weights for selective attrition were calculated, and crude and multivariate (adjusting for sociodemographic, health-, and baseline stress-related factors) logistic regression models, yielding odds ratios (ORs) with 95% confidence intervals (CIs), were used to estimate the exposure-outcome associations. The analyses were stratified by sex and social support.

Results: The crude OR for hazardous alcohol use was 1.28 (95% CI: .88-1.88) and 1.48 (95% CI: 1.05-2.08) among individuals with work-related and family-related stressors, respectively, when compared with those without these exposures. The association between family-related stressors and hazardous alcohol use was slightly more pronounced among women (crude OR, 95% CI: 1.66, 1.02-2.71) and those with low social support (crude OR, 95% CI: 2.06, 1.17-3.62). Adjusting for the history of previous work- and family-related stressors explained most of the associations.

Conclusions: In this population-based longitudinal study of individuals without a history of hazardous alcohol use, we found greater vulnerability to transitioning into hazardous alcohol use among those who experienced family-related stressors, particularly women and individuals with low social support.

Abstract Image

与工作和家庭有关的压力源和危险酒精使用的风险:社会支持的作用。瑞典的一项队列研究。
目的:调查工作和家庭相关的压力源是否会增加低风险饮酒者危险饮酒的风险,并检查性别和社会支持的作用。方法:总共纳入了4046名年龄在25-55岁、在斯德哥尔摩生活和工作、没有危险酒精使用史的个体,他们在1998-2000年和2001- 2003年期间完成了关于工作和家庭相关压力源(暴露)的心理健康、工作和社会关系研究问卷。该队列随访至2010年,通过酒精使用障碍识别测试评估危险酒精使用(结果)。计算选择性磨损的权重,并使用粗糙和多变量(调整社会人口统计学、健康和基线压力相关因素)逻辑回归模型,产生具有95%置信区间(ci)的优势比(ORs)来估计暴露-结果的关联。分析按性别和社会支持程度分层。结果:与没有这些暴露的个体相比,有工作相关压力源和家庭相关压力源的个体危险饮酒的粗比值分别为1.28 (95% CI: 0.88 -1.88)和1.48 (95% CI: 1.05-2.08)。家庭相关压力源与危险酒精使用之间的关联在女性(粗比值比,95% CI: 1.66, 1.02-2.71)和社会支持较低的女性(粗比值比,95% CI: 2.06, 1.17-3.62)中更为明显。调整了以前工作和家庭相关压力源的历史,解释了大多数关联。结论:在这项以人群为基础的无危险酒精使用史的纵向研究中,我们发现那些经历过家庭相关压力源的人更容易过渡到危险酒精使用,尤其是女性和社会支持低的个人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Alcohol and alcoholism
Alcohol and alcoholism 医学-药物滥用
CiteScore
4.70
自引率
3.60%
发文量
62
审稿时长
4-8 weeks
期刊介绍: About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.
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