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Addiction. 2017 Jul;112(7):1163-1170. doi: 10.1111/add.13811. Epub 2017 Apr 16.

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

Author information

1
Finnish Institute of Occupational Health, Helsinki/Kuopio, Finland.
2
University of Turku, Department of Public Health, and Turku University Hospital, Turku, Finland.
3
University of Tampere, Faculty of Social Sciences (Health Science), Tampere, Finland.
4
Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
5
Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
6
Department of Epidemiology and Public Health, University College London Medical School, UK.

Abstract

BACKGROUND AND AIMS:

Life 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.

DESIGN:

A cohort study assessing trajectories and predictors of risky drinking among employees entering statutory retirement between 2000 and 2011.

SETTING AND PARTICIPANTS:

A 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.

MEASUREMENTS:

We 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.

FINDINGS:

Three 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.

CONCLUSIONS:

In 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.

KEYWORDS:

Ageing; alcohol; cohort; retirement; risky drinking; trajectory

PMID:
28257157
PMCID:
PMC5498817
DOI:
10.1111/add.13811
[Indexed for MEDLINE]
Free PMC Article

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