The association between unemployment trajectories and alcohol consumption patterns. Evidence from a large prospective cohort in The Netherlands

Mangot-Sala, Lluís; Smidt, Nynke; Liefbroer, Aart C.

doi:10.1016/j.alcr.2021.100434

Cited by 10 publications

(16 citation statements)

References 59 publications

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“…We did not observe different patterns for those with moderate and heavy drinking patterns, suggesting that the threshold of 1.5 drinks per day was insufficient to identify a hazardous drinking pattern, at least in terms of mental health in our study population. However, "hardcore drinking" offered a better indicator, probably because it is a proxy for alcohol intoxication, which has been shown to entail higher risks (and present a steeper socioeconomic gradient) than mild, frequent abuse [44,45].…”

Section: Discussionmentioning

confidence: 99%

Changes in anxiety and depression symptoms during the Covid-19 lockdown in the Netherlands. The moderating role of pre-existing mental health, employment situation and alcohol consumption

Mangot-Sala

Smidt

Liefbroer

2023

Soc Psychiatry Psychiatr Epidemiol

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Purpose Evidence suggests an increase of depression and anxiety symptoms during the Covid-19 pandemic but most studies relied on cross-sectional designs and/or small samples, and they often overlooked subgroup effects in the impact of the lockdown. We investigated the effect of the pandemic on depression and anxiety symptoms, and whether it differed by employment situation and alcohol consumption. Methods This longitudinal study used 23 waves of the Covid-Questionnaire (April 2020—July 2021), within the Lifelines cohort from the Netherlands (n = 76,254). Depression and anxiety symptoms were combined in a “mental health score”. Linear fixed-effects models were fitted to analyse trends in mental health throughout the observation period. The moderating role of pre-existing mental health, employment situation, and alcohol consumption was tested. Results Depression and anxiety symptoms fluctuated considerably during the observation period, with clear peaks in winter 2021, during the strictest lockdown period. Moreover, temporal patterns differed by employment situation and alcohol consumption patterns, suggesting that various subgroups reacted to the pandemic and the lockdown in different ways. Conclusion Lockdowns increased depression and anxiety symptoms in the Netherlands. The effect was particularly strong for unemployed individuals, those with risky alcohol consumption patterns and those with pre-existing mental health disorders.

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Section: Discussionmentioning

confidence: 99%

Changes in anxiety and depression symptoms during the Covid-19 lockdown in the Netherlands. The moderating role of pre-existing mental health, employment situation and alcohol consumption

Mangot-Sala

Smidt

Liefbroer

2023

Soc Psychiatry Psychiatr Epidemiol

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“…These studies included diverse sample sizes, ranging from 87 participants to 2.7 million [ 25 , 26 ] from different countries in the U.S. and Europe (e.g., France, Denmark, Germany, etc., [ 27 , 28 , 29 ]) with diverse characteristics (age [ 30 ], gender [ 31 ], education [ 32 ], race [ 33 ], etc. ), and with different types of unemployment scenarios (short-term, long-term, etc., [ 34 ]) and various employment histories (numerous jobs, inconsistent employment, continuous unemployment, etc.). Researchers have used different statistical analyses (e.g., descriptive statistics [ 29 ], logistic regression analysis [ 34 ], etc.…”

Section: Resultsmentioning

confidence: 99%

“…), and with different types of unemployment scenarios (short-term, long-term, etc., [ 34 ]) and various employment histories (numerous jobs, inconsistent employment, continuous unemployment, etc.). Researchers have used different statistical analyses (e.g., descriptive statistics [ 29 ], logistic regression analysis [ 34 ], etc. ), different diagnostic criteria and manuals (Diagnostic and Statistical Manual of Mental Disorders (DSM), International Classification of Disorders (ICD); Comprehensive International Diagnostic Interview [ 35 ], Diagnostic Interview Schedule [ 36 ], Structured Clinical Interview (SCID) for DSM-IV [ 25 , 37 , 38 ], etc.…”

Section: Resultsmentioning

confidence: 99%

“…However, a study from the Netherlands that included more than 45,000 participants did not show a correlation between job loss and alcohol use or SUD but revealed a more general correlation between being consistently unemployed over a long period and heavy as well as binge drinking [ 34 ]. Moreover, some short-term unemployed individuals were more likely to abstain from alcohol [ 34 ], which contradicted previous findings. A study from the U.S. showed that negative employment chances were associated with decreasing binge drinking but increasing drug use during the previous 30-day period [ 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Additional aspects that could have led to a wide range of results were different definitions of drinking and/or smoking patterns (e.g., [ 34 , 38 ]) and the studies being based on divergent drugs with different drug characteristics, consequences of use, etc. [ 69 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Unemployment and Substance Use: An Updated Review of Studies from North America and Europe

et al. 2023

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Since the industrial revolution, the relationship between unemployment and psychiatric disorders has been a subject of high interest. Currently, regarding the correlation between unemployment and substance-use disorders (SUDs), only older, often isolated and fragmented research results are available in the literature. This review was based on an extensive literature search of the European and North American literature in most relevant databases for “unemployment” and “substance use” related to “drugs”, “alcohol”, “nicotine”, and “tobacco” between November 2022 and January 2023, according to the PRISMA (Preferred Reporting Items for Systematic review and Meta-Analysis) guidelines. A total of 59,117 papers were identified, of which only 33 articles were identified as relevant to the research objective. The literature showed significantly higher prevalence rates of SUDs involving divergent psychotropic substances among unemployed people. Unemployment was found to be a risk factor for SUD, and vice versa. However, the correlation between unemployment and relapses or smoking cessation was inconsistent. In addition, there appeared to be a mild effect of business cycles on SUD. The results showed significant multifaceted correlations between unemployment and SUD, indicating that prevention and early intervention are required to prevent harmful psychosocial consequences, such as social disintegration and severe psychiatric disorders.

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Identifying Factors Linked to Current Patterns of Alcohol Consumption in U.S. Veterans with a History of Alcohol Use Disorder

Jalilian-Khave,

Stefanovics,

Potenza

et al. 2024

Int J Ment Health Addiction

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The association between unemployment trajectories and alcohol consumption patterns. Evidence from a large prospective cohort in The Netherlands

Cited by 10 publications

References 59 publications

Changes in anxiety and depression symptoms during the Covid-19 lockdown in the Netherlands. The moderating role of pre-existing mental health, employment situation and alcohol consumption

Changes in anxiety and depression symptoms during the Covid-19 lockdown in the Netherlands. The moderating role of pre-existing mental health, employment situation and alcohol consumption

Unemployment and Substance Use: An Updated Review of Studies from North America and Europe

Identifying Factors Linked to Current Patterns of Alcohol Consumption in U.S. Veterans with a History of Alcohol Use Disorder

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