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- Title
Acute alcohol-related dysfunction as a predictor of employment status in a longitudinal study of working-age men in Izhevsk, Russia.
- Authors
Cook, Sarah; DeStavola, Bianca L; Saburova, Lyudmila; Leon, David A
- Abstract
Aims To investigate longitudinally the effect of alcohol consumption and related acute alcohol-related dysfunction on employment status. Design, setting and participants A total of 1143 men aged 25-55 years in regular paid employment and resident in the city of Izhevsk, Russia were interviewed between 2003-06 and then re-interviewed (2008-09) and their employment status ascertained. Measurements Exposures of interest were baseline alcohol intake (yearly total volume of ethanol consumed and non -beverage alcohols) and alcohol-related dysfunction, measured by a latent variable defined in terms of frequency of alcohol-related dysfunctional behaviours and by one or more episodes of zapoi (a period of continuous drunkenness lasting 2 or more days). The outcome of interest was whether or not men were still in regular paid employment at follow-up. The inter-relationship between these variables was investigated using structural equation modelling. Findings Total volume of ethanol consumed had no substantive effect on future employment status; however, taking into account education and other socio-demographic factors, there was strong evidence that loss of regular paid employment at follow-up was influenced by non-beverage alcohol consumption [odds ratio = 2.30 for non-beverage drinkers compared with beverage-only drinkers, 95% confidence interval ( CI) = 1.21, 4.40)], latent acute alcohol-related dysfunction (odds ratio = 1.50 per standard deviation increase in dysfunction score, 95% CI = 1.20, 1.88) and zapoi (odds ratio = 3.08, 95% CI = 1.71, 5.55). Acute alcohol-related dysfunction was an important mediator of the relationship between non-beverage alcohol use and employment status. Conclusions Acute alcohol-related dysfunction is an important factor in determining whether men remain in employment and an important mediator of the effects of alcohol intake.
- Subjects
RUSSIA; COMPLICATIONS of alcoholism; CONFIDENCE intervals; ALCOHOL drinking; EMPLOYMENT; EPIDEMIOLOGY; INTERVIEWING; LONGITUDINAL method; RESEARCH funding; STATISTICAL sampling; LOGISTIC regression analysis; DATA analysis; STRUCTURAL equation modeling; CROSS-sectional method; DATA analysis software; DESCRIPTIVE statistics
- Publication
Addiction, 2014, Vol 109, Issue 1, p44
- ISSN
0965-2140
- Publication type
Article
- DOI
10.1111/add.12329