Employment status and alcohol-attributable mortality risk

• Verfasst von: Saul, Celine [VerfasserIn]
• Verfasst von: Lange, Shannon [VerfasserIn]
• Verfasst von: Probst, Charlotte [VerfasserIn]
• Titel: Employment status and alcohol-attributable mortality risk
• Titelzusatz: a systematic review and meta-analysis
• Verf.angabe: Celine Saul, Shannon Lange and Charlotte Probst
• E-Jahr: 2022
• Jahr: 15 June 2022
• Umfang: 10 S.
• Begleitmaterial: Supplementary material
• Fussnoten: Gesehen am 18.08.2022 ; This article belongs to the special issue "Social determinants of alcohol use and its consequences"
• Titel Quelle: Enthalten in: International journal of environmental research and public health
• Ort Quelle: Basel : MDPI AG, 2004
• Jahr Quelle: 2022
• Band/Heft Quelle: 19(2022), 12, special issue, Artikel-ID 7354, Seite 1-10
• ISSN Quelle: 1660-4601
• DOI: doi:10.3390/ijerph19127354
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: alcohol use
• Sach-SW: alcohol-attributable mortality
• Sach-SW: employment status
• Sach-SW: inequality
• Sach-SW: mortality
• Sach-SW: public health
• Sach-SW: socioeconomic status
• Sach-SW: systematic literature review and meta-analysis
• K10plus-PPN: 1814699872

Abstract

Being unemployed has been linked to various health burdens. In particular, there appears to be an association between unemployment and alcohol-attributable deaths. However, risk estimates presented in a previous review were based on only two studies. Thus, we estimated updated sex-stratified alcohol-attributable mortality risks for unemployed compared with employed individuals. A systematic literature search was conducted in August 2020 using the following databases: Embase, MEDLINE, PsycINFO, and Web of Science. The relative risk (RR) of dying from an alcohol-attributable cause of death for unemployed compared with employed individuals was summarized using sex-stratified random-effects DerSimonian-Laird meta-analyses. A total of 10 studies were identified, comprising about 14.4 million women and 19.0 million men, among whom there were about 3147 and 17,815 alcohol-attributable deaths, respectively. The pooled RRs were 3.64 (95% confidence interval (CI): 2.04-6.66) and 4.93 (95% CI 3.45-7.05) for women and men, respectively. The findings of our quantitative synthesis provide evidence that being unemployed is associated with an over three-fold higher risk of alcohol-attributable mortality compared with being employed. Consequently, a global public health strategy connecting brief interventions and specialized care with social services assisting those currently unemployed is needed.