Social Medicine, Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, PO Box 453, SE-405 30 Göteborg, Sweden.
Alcohol Alcohol. 2011 Jul-Aug;46(4):471-7. doi: 10.1093/alcalc/agr033. Epub 2011 Apr 12.
To estimate harmful alcohol habits in a sample of incident sick-listed individuals compared with a random sample from the general population taking social background, health and work-related factors into account.
Data for this cross-sectional questionnaire study were collected in 2008 in the Västra Götaland region, Sweden. The study population (19-64 year olds) consisted of 2888 consecutive incident sick-leave sample (ISS) and 3567 individuals from a random population sample (RPS). The mailed questionnaire included Alcohol Use Disorder Identification Test and validated instruments on health and work-related factors. Socio-demographic data came from register data. Analyses were made with χ(2) tests and logistic regression analyses.
No differences in prevalence of harmful alcohol habits were found between men in the ISS (22%) and the RPS (21%). Compared with women in the ISS, a higher proportion of women in the RPS were likely to report harmful alcohol habits [14 versus 9% (P < 0.001)]. This difference was confirmed in the logistic regression analyses where women in the RPS had higher odds of having harmful alcohol habits compared with women in the ISS [odds ratio (OR) = 1.54 (95% confidence interval (CI): 1.23-1.89)]. Even after controlling for significant confounders (age, low income, high self-reported health and high level of perceived symptoms), we found that the differences in harmful alcohol habits remained [OR = 1.44 (95% CI: 1.16-1.81)].
Harmful alcohol habits were no commoner in men and women who belonged to the sample of incident sick-leave cases. Future studies are needed to analyse the predictive value of harmful alcohol habits on sickness absence length and the time until return to work after sickness absence.
在考虑社会背景、健康和与工作相关的因素的情况下，估计一个新出现的请病假者样本中有害饮酒习惯与一般人群随机样本中的情况。
这项横断面问卷调查研究的数据于 2008 年在瑞典哥德堡地区收集。研究人群（19-64 岁）包括 2888 名连续的新出现的请病假者样本（ISS）和 3567 名来自随机人群样本（RPS）的个体。邮寄问卷包括酒精使用障碍识别测试和健康与与工作相关因素的有效工具。社会人口统计学数据来自登记数据。采用卡方检验和逻辑回归分析进行分析。
在 ISS 中的男性（22%）和 RPS 中的男性（21%）之间，有害饮酒习惯的患病率没有差异。与 ISS 中的女性相比，RPS 中的女性更有可能报告有害饮酒习惯[14 比 9%（P < 0.001）]。在逻辑回归分析中也证实了这一差异，其中 RPS 中的女性与 ISS 中的女性相比，有更高的有害饮酒习惯的可能性[比值比（OR）=1.54（95%置信区间（CI）：1.23-1.89）]。即使控制了显著的混杂因素（年龄、低收入、自我报告的健康状况差和感知症状水平高），我们发现有害饮酒习惯的差异仍然存在[OR=1.44（95% CI：1.16-1.81）]。
在属于新出现的请病假者样本的男性和女性中，有害饮酒习惯并不常见。未来的研究需要分析有害饮酒习惯对病假长度和病假后返回工作的时间的预测价值。
