Format

Send to:

Choose Destination
See comment in PubMed Commons below
Soc Sci Med. 2014 Jun;110:89-95. doi: 10.1016/j.socscimed.2014.03.034. Epub 2014 Mar 31.

Individual and spousal unemployment as predictors of smoking and drinking behavior.

Author information

  • 1Harvard University, USA. Electronic address: marcaya@hsph.harvard.edu.
  • 2Harvard University, University of California, San Francisco, USA.
  • 3Yale University, USA.
  • 4Harvard University, USA.

Abstract

The effects of unemployment on health behaviors, and substance use in particular, is still unclear despite substantial existing research. This study aimed to assess the effects of individual and spousal unemployment on smoking and alcohol consumption. The study was based on eight waves of geocoded Framingham Heart Study Offspring Cohort data (US) from 1971 to 2008 that contained social network information. We fit three series of models to assess whether lagged 1) unemployment, and 2) spousal unemployment predicted odds of being a current smoker or drinks consumed per week, adjusting for a range of socioeconomic and demographic covariates. Compared with employment, unemployment was associated with nearly twice the subsequent odds of smoking, and with increased cigarette consumption among male, but not female, smokers. In contrast, unemployment predicted a one drink reduction in weekly alcohol consumption, though effects varied according to intensity of consumption, and appeared stronger among women. While spousal unemployment had no effect on substance use behaviors among men, wives responded to husbands' unemployment by reducing their alcohol consumption. We conclude that individual, and among women, spousal unemployment predicted changes in substance use behaviors, and that the direction of the change was substance-dependent. Complex interactions among employment status, sex, and intensity and type of consumption appear to be at play and should be investigated further.

Copyright © 2014 Elsevier Ltd. All rights reserved.

KEYWORDS:

Alcohol consumption; Multilevel modeling; Smoking; Social epidemiology; US; Unemployment

PMID:
24727666
[PubMed - indexed for MEDLINE]
PMCID:
PMC4043205
[Available on 2015-06-01]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk