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

作者：Halonen Jaana I^*; Stenholm Sari; Pulakka Anna; Kawachi Ichiro; Aalto Ville; Pentti Jaana; Lallukka Tea; Virtanen Marianna; Vahtera Jussi; Kivimaki Mika

来源：Addiction, 2017, 112(7): 1163-1170.

DOI：10.1111/add.13811

• Ageing
• alcohol
• cohort
• retirement
• risky drinking
• trajectory

Background and AimsLife 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.
DesignA cohort study assessing trajectories and predictors of risky drinking among employees entering statutory retirement between 2000 and 2011.
Setting and ParticipantsA 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.
MeasurementsWe 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.
FindingsThree 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.
ConclusionsIn 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.

• 出版日期2017-7