Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.

<h4>Background</h4>The role of alcohol consumption for disability pension (DP) is controversial and systematic reviews have not established causality. We aimed to assess the role of adolescent alcohol use for future DP. We wanted to find out whether an increased risk mainly would affect...

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Autores principales:	Anna Sidorchuk, Tomas Hemmingsson, Anders Romelsjö, Peter Allebeck
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/68d4f6dd5e834e0aab6a6258a85d841c
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spelling	oai:doaj.org-article:68d4f6dd5e834e0aab6a6258a85d841c2021-11-18T07:10:05ZAlcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.1932-620310.1371/journal.pone.0042083https://doaj.org/article/68d4f6dd5e834e0aab6a6258a85d841c2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22870284/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The role of alcohol consumption for disability pension (DP) is controversial and systematic reviews have not established causality. We aimed to assess the role of adolescent alcohol use for future DP. We wanted to find out whether an increased risk mainly would affect DP occurring early or late in life as well as whether the level of alcohol consumption and patterns of drinking contribute differently in DP receiving.<h4>Methodology/principal findings</h4>The study is a 39-year follow-up of 49 321 Swedish men born in 1949-1951 and conscripted for compulsory military service in 1969-1970. As study exposures (i) "risk use" of alcohol composed of measures related to pattern of drinking, and (ii) the level of consumption based on self-reported volume and frequency of drinking had been used. Information on DP was obtained from social insurance databases through 2008. "Risk use" of alcohol was associated with both "early DP" and "late DP", i.e. granted below and above the approximate age of 40 years, with crude hazard ratio (HR) of 2.89 (95% confidence intervals (CI) 2.47-3.38) and HR of 1.87 (95%CI: 1.74-2.02), respectively. After adjustment for covariates, HR was reduced to 1.32 (95%CI: 1.09-1.59) and 1.14 (95%CI: 1.05-1.25), respectively. Similar patterns were seen for moderate (101-250 g 100% alcohol/week) and high (>250 g) consumption, though the risk disappeared when fully adjusted.<h4>Conclusions/significance</h4>Alcohol use in adolescence, particularly measured as "risk use", is associated with increased risk of future DP. The association is stronger for "early DP", but remains significant even for DP granted in older ages. Therefore, pattern of drinking in adolescent should be considered an important marker for future reduced work capacity.Anna SidorchukTomas HemmingssonAnders RomelsjöPeter AllebeckPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 8, p e42083 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Anna Sidorchuk Tomas Hemmingsson Anders Romelsjö Peter Allebeck Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.
description	<h4>Background</h4>The role of alcohol consumption for disability pension (DP) is controversial and systematic reviews have not established causality. We aimed to assess the role of adolescent alcohol use for future DP. We wanted to find out whether an increased risk mainly would affect DP occurring early or late in life as well as whether the level of alcohol consumption and patterns of drinking contribute differently in DP receiving.<h4>Methodology/principal findings</h4>The study is a 39-year follow-up of 49 321 Swedish men born in 1949-1951 and conscripted for compulsory military service in 1969-1970. As study exposures (i) "risk use" of alcohol composed of measures related to pattern of drinking, and (ii) the level of consumption based on self-reported volume and frequency of drinking had been used. Information on DP was obtained from social insurance databases through 2008. "Risk use" of alcohol was associated with both "early DP" and "late DP", i.e. granted below and above the approximate age of 40 years, with crude hazard ratio (HR) of 2.89 (95% confidence intervals (CI) 2.47-3.38) and HR of 1.87 (95%CI: 1.74-2.02), respectively. After adjustment for covariates, HR was reduced to 1.32 (95%CI: 1.09-1.59) and 1.14 (95%CI: 1.05-1.25), respectively. Similar patterns were seen for moderate (101-250 g 100% alcohol/week) and high (>250 g) consumption, though the risk disappeared when fully adjusted.<h4>Conclusions/significance</h4>Alcohol use in adolescence, particularly measured as "risk use", is associated with increased risk of future DP. The association is stronger for "early DP", but remains significant even for DP granted in older ages. Therefore, pattern of drinking in adolescent should be considered an important marker for future reduced work capacity.
format	article
author	Anna Sidorchuk Tomas Hemmingsson Anders Romelsjö Peter Allebeck
author_facet	Anna Sidorchuk Tomas Hemmingsson Anders Romelsjö Peter Allebeck
author_sort	Anna Sidorchuk
title	Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.
title_short	Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.
title_full	Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.
title_fullStr	Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.
title_full_unstemmed	Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.
title_sort	alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/68d4f6dd5e834e0aab6a6258a85d841c
work_keys_str_mv	AT annasidorchuk alcoholuseinadolescenceandriskofdisabilitypensiona39yearfollowupofapopulationbasedconscriptionsurvey AT tomashemmingsson alcoholuseinadolescenceandriskofdisabilitypensiona39yearfollowupofapopulationbasedconscriptionsurvey AT andersromelsjo alcoholuseinadolescenceandriskofdisabilitypensiona39yearfollowupofapopulationbasedconscriptionsurvey AT peterallebeck alcoholuseinadolescenceandriskofdisabilitypensiona39yearfollowupofapopulationbasedconscriptionsurvey
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Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey.

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