Upmark Marianne, Thundal Kajsa-Lena
Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Stockholm, Sweden.
Scand J Public Health. 2002;30(3):191-9. doi: 10.1080/14034940210133861.
This study investigates the association in women between conditions during childhood and adolescence and alcohol dependence or abuse in adulthood on the one hand, and disability pensions and long-term sickness absence on the other.
A stratified population-based sample of women in Göteborg was interviewed. For analyses in this study the following variables were selected from the interview protocol: childhood and adolescence, education, employment, social class, self-rated physical health and alcohol dependence or abuse (ADA), with diagnoses assessed according to DSM-III-R. Information on disability pension and sickness absence was obtained from the local Social Insurance Office.
Unfavourable conditions during childhood and adolescence and school difficulties as well as early deviant behaviours predicted disability pension and long-term sickness absence in adulthood. For most risk factors ADA could explain only a minor part of the odds ratios found in crude and age-adjusted analyses.
It is concluded that conditions early in life are predictors in women of disability pension and long-term incapacity to work. There are similarities in the pattern of early risk factors for later alcohol dependence or abuse and for disability pension/long-term sickness absence.
本研究一方面调查女性童年和青少年时期的状况与成年期酒精依赖或滥用之间的关联，另一方面调查与残疾抚恤金和长期病假之间的关联。
对哥德堡市基于人群的分层女性样本进行访谈。在本研究分析中，从访谈协议中选取了以下变量：童年和青少年时期、教育程度、就业情况、社会阶层、自评身体健康状况以及酒精依赖或滥用（ADA），诊断依据《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）进行评估。残疾抚恤金和病假信息从当地社会保险办公室获取。
童年和青少年时期的不利状况、学业困难以及早期越轨行为可预测成年期的残疾抚恤金和长期病假。对于大多数风险因素，在粗分析和年龄调整分析中，ADA仅能解释所发现的优势比的一小部分。
得出结论，生命早期的状况是女性残疾抚恤金和长期无法工作的预测因素。在导致后期酒精依赖或滥用以及残疾抚恤金/长期病假的早期风险因素模式方面存在相似之处。
