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Journal of Public Health

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01-03-2022 | Original Article

Employment status, gender and hazardous alcohol use: National Health Survey, 2013

Authors: Ada Ávila Assunção, Mery Natali Silva Abreu, Eduardo de Paula Lima

Published in: Journal of Public Health | Issue 3/2022

Abstract

Background

Unemployment is associated with binge drinking (BD) as a means to combat psychological suffering. Also, the context of employment, working conditions and occupational stress have been associated with the consumption of alcoholic beverages. This article examines the role of employment status and gender differences in BD in Brazilian adults at least 18 years of age.

Methods

Logistic regression models were used to analyse data from 33,632 participants (54.5% women) in the National Health Survey (Pesquisa Nacional de Saúde, PNS, 2013) who were part of the workforce and who answered questions about BD. The sample was stratified by gender, with each group being classified into two subgroups according to employment status (ES), namely, employed (workers paid in cash by one or more employers) and unemployed (people without work in the reference period of the PNS). The final model by gender was fit according to ES-related exposure and the explanatory variables, with only those significant at a 5% level remaining in the model.

Results

The prevalence of BD was 15.2%. A higher chance of BD was observed in the employed group compared to the unemployed group, and in men compared to women. Younger age, living without a partner, not practising physical activity and smoking were associated with the outcome, regardless of gender. For women, interactions with income affected the association between ES and the outcome.

Conclusion

Gender differences and high prevalence and overlapping of harmful behaviours provide clues for the evaluation of the future needs of health services, as well as guidance for employment protection policies.

Allamani A, Voller F, Decarli A et al (2011) Contextual determinants of alcohol consumption changes and preventive alcohol policies: a 12-country European study in progress. Subst Use Misuse 46(10):1288–1303. https://doi.org/10.3109/10826084.2011.572942CrossRefPubMed

Ames GM, Rebhun LA (1996) Women, alcohol and work: interactions of gender, ethnicity and occupational culture. Soc Science Med 43(11):1649–1663. https://doi.org/10.1016/s0277-9536(96)00081-0CrossRef

Assunção AA, Lima EdeP, Guimarães MDC (2017) Transtornos mentais e inserção no mercado de trabalho no Brasil: um estudo multicêntrico nacional. Cad Saúde Pública 33:e00166815. https://doi.org/10.1590/0102-311x00166815CrossRefPubMed

Azagba S, Sharaf MF (2011) The effect of job stress on smoking and alcohol consumption. Health Econ Rev 1(1):15. https://doi.org/10.1186/2191-1991-1-15CrossRefPubMedPubMedCentral

Boden JM, Lee JO, Horwood LJ, Grest CV, McLeod GFH (2017) Modelling possible causality in the associations between unemployment, cannabis use, and alcohol misuse. Soc Sci Med 175:127–134. https://doi.org/10.1016/j.socscimed.2017.01.001CrossRefPubMed

Bravo AJ, Kelley ML, Hollis BF (2017) Work stressors, sleep quality, and alcohol-related problems across deployment: a parallel process latent growth modeling approach among Navy members. Stress Health 33(4):339–347. https://doi.org/10.1002/smi.2712CrossRefPubMed

Caetano R, Vaeth PA, Mills B, Canino G (2016) Employment status, depression, drinking, and alcohol use disorder in Puerto Rico. Alcohol Clin Exp Res 40(4):806–815. https://doi.org/10.1111/acer.13020CrossRefPubMedPubMedCentral

Chopko BA, Palmieri PA, Adams RE (2013) Associations between police stress and alcohol use: implications for practice. J Loss Trauma 18(5):482–497. https://doi.org/10.1080/15325024.2012.719340CrossRef

Conroy DE, Ram N, Pincus AL, Coffman DL, Lorek AE, Rebar AL, Roche MJ (2015) Daily Physical Activity and Alcohol Use Across the Adult Lifespan. Health Psychol 34(6):653–660. https://doi.org/10.1037/hea0000157

Cook S, DeStavola BL, Saburova L, Leon DA (2014) Acute alcohol-related dysfunction as a predictor of employment status in a longitudinal study of working-age men in Izhevsk, Russia. Addiction 109(1):44–54. https://doi.org/10.1111/add.12329CrossRefPubMed

Dawson DA, Goldstein RB, Saha TD, Grant BF (2015) Changes in alcohol consumption: United States, 2001–2002 to 2012–2013. Drug Alcohol Depend 148:56–61. https://doi.org/10.1016/j.drugalcdep.2014.12.016CrossRefPubMed

de Paula Leite M, Salas C (2014) Trabalho e desigualdades sob um novo modelo de desenvolvimento. Tempo Social 26(1):87–100. https://doi.org/10.1590/S0103-20702014000100007CrossRef

de Souza-Júnior PRB, de Freitas MPS, de Abreu Antonaci G, Szwarcwald CL (2015) Desenho da amostra da Pesquisa Nacional de Saúde 2013. Epidemiol Serv Saúde 24(2):207–216. https://doi.org/10.5123/S1679-49742015000200003

Dorrian J, Skinner N (2012) Alcohol consumption patterns of shiftworkers compared with dayworkers. Chronobiol Int 29(5):610–618. https://doi.org/10.3109/07420528.2012.675848CrossRefPubMed

Esser MB, Hedden SL, Kanny D, Brewer RD, Gfroerer JC, Naimi TS (2014) Prevalence of alcohol dependence among US adult drinkers, 2009–2011. Prev Chronic Dis 11:E206. https://doi.org/10.5888/pcd11.140329CrossRefPubMedPubMedCentral

GBD 2013 Risk Factors Collaborators, Forouzanfar MH, Alexander L et al (2015) Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 388:1659–1724. https://doi.org/10.1016/S0140-6736(15)00128-2CrossRef

Hult M, Pietilä A-M, Koponen P, Saaranen T (2018) Association between good work ability and health behaviours among unemployed: a cross-sectional survey. Appl Nurs Res 43:86–92. https://doi.org/10.1016/j.apnr.2018.07.008CrossRefPubMed

Instituto Brasileiro de Geografia e Estatística (IBGE) (2017) Síntese de indicadores sociais: uma análise das condições de vida da população brasileira. IBGE, Rio de Janeiro, Brasil

Kalleberg AL (2018) Precarious work, insecure workers: employment relations in transition. Am Sociol Rev 74:1–22. https://doi.org/10.1177/000312240907400101CrossRef

Keyes KM, Li G, Hasin DS (2011) Birth cohort effects and gender differences in alcohol epidemiology: a review and synthesis. Alcohol Clin Exp Res 35:2101–2112. https://doi.org/10.1111/j.1530-0277.2011.01562.xCrossRefPubMedPubMedCentral

Kopp M, Burtscher M, Kopp-Wilfling P et al (2015) Is there a link between physical activity and alcohol use? Subst Use Misuse 50(5):546–551. https://doi.org/10.3109/10826084.2014.980957CrossRefPubMed

Korhonen T, Smeds E, Silventoinen K, Heikkilä K, Kaprio J (2015) Cigarette smoking and alcohol use as predictors of disability retirement: a population-based cohort study. Drug Alcohol Depend 155:260–266. https://doi.org/10.1016/j.drugalcdep.2015.06.047CrossRefPubMed

Kraft JM, Blum TC, Martin JK, Roman PM (1993) Drinking patterns and the gender mix of occupations: evidence from a national survey of American workers. J Subst Abuse 5(2):157–174CrossRef

Lee MR, Chassin L, Mackinnon DP (2015) Role transitions and young adult maturing out of heavy drinking: evidence for larger effects of marriage among more severe premarriage problem drinkers. Alcohol Clin Exp Res 39:1064–1074. https://doi.org/10.1111/acer.12715CrossRefPubMedPubMedCentral

Lewchuk W, de Wolff A, King A, Polanyi M (2003) From job strain to employment strain: health effects of precarious employment. Just Labour 3:23–35. https://doi.org/10.25071/1705-1436.165CrossRef

Lisha NE, Sussman S, Leventhal AM (2013) Physical activity and alcohol use disorders. Am J Drug Alcohol Abuse 39:115–120. https://doi.org/10.3109/00952990.2012.713060CrossRefPubMed

Lovell PA (2006) Race, gender, and work in São Paulo, Brazil, 1960–2000. Lat Am Res Rev 41(3):63–87. https://doi.org/10.1353/lar.2006.0043CrossRef

McKee SA, Weinberger AH (2013) How can we use our knowledge of alcohol-tobacco interactions to reduce alcohol use? Annu Rev Clin Psychol 9:649–674. https://doi.org/10.1146/annurev-clinpsy-050212-185549CrossRefPubMed

Messing K, Mager Stellman J (2006) Sex, gender and women’s occupational health: the importance of considering mechanism. Environ Res 101(2):149–162. https://doi.org/10.1016/j.envres.2005.03.015CrossRefPubMed

Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Análise de Situação de Saúde (2011) Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil 2011–2022. Ministério da Saúde, Brasília, Brasil

Munhoz TN, Santos IS, Nunes BP, Mola CL, da Silva ICM, Matijasevich A (2017) Tendências de consumo abusivo de álcool nas capitais brasileiras entre os anos de 2006 a 2013: análise das informações do VIGITEL. Cad Saude Publica 33:e00104516. https://doi.org/10.1590/0102-311x00104516CrossRefPubMed

Musselman JRB, Rutledge PC (2010) The incongruous alcohol-activity association: Physical activity and alcohol consumption in college students. Psychol Sport Exerc 11: 609-618. https://doi.org/10.1016/j.psychsport.2010.07.005

Nandi A, Charters TJ, Strumpf EC, Heymann J, Harper S (2013) Economic conditions and health behaviours during the ‘Great Recession’. J Epidemiol Community Health 67:1038–1046. https://doi.org/10.1136/jech-2012-202260CrossRefPubMed

Nielsen MB, Finne LB, Christensen JO, Knardahl S (2015) Job demands and alcohol use: testing a moderated mediation model. Scand J Work Environ Health 41:43–53. https://doi.org/10.5271/sjweh.3455CrossRefPubMed

Peacock A, Leung J, Larney S et al (2018) Global statistics on alcohol, tobacco and illicit drug use: 2017 status report. Addiction 113(10):1905–1926. https://doi.org/10.1111/add.14234CrossRefPubMed

Piazza-Gardner AK, Barry AE (2012) Examining Physical Activity Levels and Alcohol Consumption: Are People Who Drink More Active? Am J Health Promot 26(3):e95-104. https://doi.org/10.4278/ajhp.100929-LIT-328

Probst TM, Petitta L, Barbaranelli C, Lavaysse LM (2018) Moderating effects of contingent work on the relationship between job insecurity and employee safety. Saf Sci 106:285–293. https://doi.org/10.1016/j.ssci.2016.08.008CrossRef

Rodriguez E, Chandra P (2006) Alcohol, employment status, and social benefits: one more piece of the puzzle. Am J Drug Alcohol Abuse 32(2):237–259. https://doi.org/10.1080/00952990500479571CrossRefPubMed

Rosta J, Aasland OG (2013) Changes in alcohol drinking patterns and their consequences among Norwegian doctors from 2000 to 2010: a longitudinal study based on national samples. Alcohol Alcohol 48(1):99–106. https://doi.org/10.1093/alcalc/ags084CrossRefPubMed

Salonsalmi A, Laaksonen M, Lahelma E, Rahkonen O (2009) Drinking habits and sickness absence: the contribution of working conditions. Scand J Public Health. 37(8):846–854. https://doi.org/10.1177/1403494809350519CrossRefPubMed

Strickland JR, Wagan S, Dale AM, Evanoff BA (2017) Prevalence and perception of risky health behaviors among construction workers. J Occup Environ Med 59(7):673–678. https://doi.org/10.1097/JOM.0000000000001051CrossRefPubMedPubMedCentral

Thørrisen MM, Skogen JC, Aas RW (2018) The associations between employees’ risky drinking and sociodemographics, and implications for intervention needs. BMC Public Health 18(1):735. https://doi.org/10.1186/s12889-018-5660-xCrossRefPubMedPubMedCentral

Vancea M, Utzet M (2017) How unemployment and precarious employment affect the health of young people: a scoping study on social determinants. Scand J Public Health 45:73–84. https://doi.org/10.1177/1403494816679555CrossRefPubMed

Yan T, Xu H, Ettner SL, Barnes AJ, Moore AA (2014) At-risk drinking and outpatient healthcare expenditures in older adults. J Am Geriatr Soc 62(2):325–328. https://doi.org/10.1111/jgs.12636CrossRefPubMedPubMedCentral

Title: Employment status, gender and hazardous alcohol use: National Health Survey, 2013
Authors: Ada Ávila Assunção
Mery Natali Silva Abreu
Eduardo de Paula Lima
Publication date: 01-03-2022
Publisher: Springer Berlin Heidelberg
Published in: Journal of Public Health / Issue 3/2022
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-020-01280-5

At a glance: The STEP trials

Springer Medicine

Employment status, gender and hazardous alcohol use: National Health Survey, 2013

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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