International Journal of Epidemiology, Vol 26, 584-591, Copyright © 1997 by International Epidemiological Association
T Hemmingsson, I Lundberg, A Romelsjo and L Alfredsson
BACKGROUND: A number of studies have shown variations in the occurrence of
alcoholism between different socioeconomic groups and occupations, but it
has not been clear to what extent this is related to the average alcohol
consumption in the same socioeconomic groups or occupations. METHODS: The
relationship between socioeconomic group and occupation and hospital
discharge 1981-1983 due to 'diagnoses related to alcoholism' (AD) (alcohol
psychosis, alcoholism, and alcohol intoxication) and liver cirrhosis was
studied in a cohort of 375,035 men and 140,139 women in 13 counties in
Sweden who had reported the same occupation in the censuses of 1960 and
1970. Data on alcohol consumption in different socioeconomic groups and
occupations were collected from a conscription investigation and from the
Swedish twin registry with data from 1969/70 and 1973 respectively.
RESULTS: Intermediate or higher non-manual employees had lower risk of AD
as well as of liver cirrhosis compared to manual workers for both sexes.
Among males several, mostly blue-collar, occupations had increased relative
risks of AD. A high level of association was found between the relative
risks of AD and liver cirrhosis in socioeconomic groups, and the relative
risk of AD in occupations, and the average alcohol consumption in the same
socioeconomic groups/occupations among males. Such an association was not
evident among women. CONCLUSION: The study shows, contrary to previous
Swedish evidence, that there is a strong relationship between the incidence
of alcoholism in socioeconomic groups and occupations and the average
alcohol consumption in these groups among men.
ARTICLES
Alcoholism in social classes and occupations in Sweden
Department of Occupational Health, NVSO, Karolinska Hospital, Stockholm, Sweden.
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