Job Loss, Unemployment and the Incidence of Hazardous Drinking during the Late 2000s Recession in Europe among Adults Aged 50–64 Years

Bosque-Prous, Marina; Espelt, Albert; Sordo, Luis; Guitart, Anna M.; Brugal, M. Teresa; Bravo, María J.

doi:10.1371/journal.pone.0140017

Cited by 47 publications

(39 citation statements)

References 42 publications

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“…For some of the study population, the unexpected association between unemployment and seeking care for AUD might be attributable to job loss or difficulties finding a job due to alcohol consumption. This contrasts however with previous studies which found a positive association between job loss, unemployment and AUD [49,50], especially among people with a higher education level [51].…”

Section: Discussioncontrasting

confidence: 99%

Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach

et al. 2020

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Background:The widespread under-screening and under-treatment of alcohol use disorder (AUD) contributes to its health and socioeconomic burden. We conducted a mixed-methods (qualitative and qualitative) study in people with alcohol use disorder (PWAUD) to explore their expectations, as well as barriers and levers to AUD care.Methods: Individuals with AUDIT > 15 (N = 179) were interviewed using computer-assisted interviews in several medical and non-medical sites (e.g., bars) (quantitative substudy). We also conducted semi-structured face-to-face interviews with 36 PWAUD (qualitative substudy). Using logistic regression, we explored factors associated with having previously received/sought care for AUD. Three major themes were identified in the qualitative textual analysis using a descending hierarchical classification. Results: Not socializing with heavy drinkers (AOR [95%CI]:3.84[1.66-8.85]), regular smoking (9.72[3.91-24.15]) and feeling discriminated against (2.35[1.10-5.05]) were independent levers to having sought/received care for AUD, while being aged < 50 and employment were independent barriers. The five predominant themes in PWAUD discourses emerging from the textual analysis were: drinking context, medical care, alcohol treatment, tobacco/ addiction and family. When triangulating results from the logistic regression and the textual analysis, two barriers (social drinking and difficulties with the medical care system), and two levers (family influence and tobacco addiction), emerged.Conclusion: These results underline the need for interventions targeting families and the social network to increase awareness about AUD and related care. Simplified and novel comprehensive care trajectories are urgently needed to reduce the clinical and public health burden of AUD.

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Section: Discussioncontrasting

confidence: 99%

Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach

et al. 2020

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“…Adverse life events, such as divorce and job loss, may increase alcohol consumption 2, 3. Retirement is a further significant life transition when substantial changes in daily life are experienced as retirees adapt to life without work.…”

Section: Introductionmentioning

confidence: 99%

Trajectories of risky drinking around the time of statutory retirement: a longitudinal latent class analysis

et al. 2017

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Background and AimsLife transitions such as retirement may influence alcohol consumption, but only a few studies have described this using longitudinal data. We identified patterns and predictors of risky drinking around the time of retirement.DesignA cohort study assessing trajectories and predictors of risky drinking among employees entering statutory retirement between 2000 and 2011.Setting and ParticipantsA total of 5805 men and women from the Finnish Public Sector study who responded to questions on alcohol consumption one to three times prior to (w−3, w−2, w−1), and one to three times after (w+1, w+2, w+3) retirement.MeasurementsWe assessed trajectories of risky drinking (> 24 units per week among men, > 16 units among women, or an extreme drinking occasion during past year) from pre‐ to post‐retirement, as well as predictors of each alcohol consumption trajectory.FindingsThree trajectories were identified: sustained healthy drinking (81% of participants), temporary increase in risky drinking around retirement (12%) and slowly declining risky drinking after retirement (7%). The strongest pre‐retirement predictors for belonging to the group of temporary increase in risky drinking were current smoking [odds ratio (OR) = 3.90, 95% confidence interval (CI) = 2.70–5.64], male sex (OR = 2.77, 95% CI = 2.16–3.55), depression (OR = 1.44, 95% CI = 1.05–1.99) and work‐place in the metropolitan area (OR = 1.29, 95% CI = 1.00–1.66). Compared with the slowly declining risky drinking group, the temporary increase in risky drinking group was characterized by lower occupational status and education, and work‐place outside the metropolitan area.ConclusionsIn Finland, approximately 12% of people who reach retirement age experience a temporary increase in alcohol consumption to risky levels, while approximately 7% experience a slow decline in risky levels of alcohol consumption. Male gender, smoking, being depressed and working in a metropolitan area are associated with increased likelihood of increased alcohol consumption.

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“…Moreover, regarding Europe, a longitudinal study was carried out in 11 countries on persons aged 50 to 64 comparing their alcohol consumption habits in 2006 and 2012. The study concluded that loss of employment during the recession was an important risk factor for increased abusive alcohol consumption 22 .…”

Section: Impacts On Risk Factorsmentioning

confidence: 97%

Fiscal austerity and the health sector: the cost of adjustments

Paes-Sousa

Schramm

Mendes

2019

Ciênc. saúde coletiva

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Fiscal austerity policies have been used as responses to economic crises and fiscal deficits in both developed and developing countries. While they vary in regard to their content, intensity and implementation, such models recommend reducing public expenses and social investments, retracting the public service and substituting the private sector in lieu of the State to provide certain services tied to social policies. The present article discusses the main effects of the recent economic crisis on public health based on an updated review with consideration for three dimensions: health risks, epidemiological profiles of different populations, and health policies. In Brazil, the combination of economic crisis and fiscal austerity policies is capable of producing a direr situation than those experienced in developed countries. The country is characterized by historically high levels of social inequality, an under-financed health sector, highly prevalent chronic degenerative diseases and persisting preventable infectious diseases. It is imperative to develop alternatives to mitigate the effects of the economic crisis taking into consideration not only the sustainability of public finance but also public well-being.

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Job Loss, Unemployment and the Incidence of Hazardous Drinking during the Late 2000s Recession in Europe among Adults Aged 50–64 Years

Cited by 47 publications

References 42 publications

Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach

Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach

Trajectories of risky drinking around the time of statutory retirement: a longitudinal latent class analysis

Fiscal austerity and the health sector: the cost of adjustments

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