Employment trajectories and alcohol use at midlife : A Northern Finland Birth Cohort 1966 study
Danthanarayana, Ashan Nisansala (2025-05-21)
A. N. Danthanarayana
21.05.2025
© 2025, Ashan Nisansala Danthanarayana. Tämä Kohde on tekijänoikeuden ja/tai lähioikeuksien suojaama. Voit käyttää Kohdetta käyttöösi sovellettavan tekijänoikeutta ja lähioikeuksia koskevan lainsäädännön sallimilla tavoilla. Muunlaista käyttöä varten tarvitset oikeudenhaltijoiden luvan.
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202505213779
https://urn.fi/URN:NBN:fi:oulu-202505213779
Tiivistelmä
Background: Employment stability throughout adulthood may influence health behaviors, including alcohol consumption patterns. This study examined the association between long-term employment trajectories and midlife alcohol consumption in a northern Finnish population cohort.
Methods: Data from the Northern Finland Birth Cohort 1966 (NFBC1966) was analyzed, including 5,590 participants with complete employment histories from ages 16 - 45 and alcohol consumption data at age 46. Employment trajectories were categorized into five groups: highly educated employees (reference), traditional employees, self-employed, delayed employees, and floundering employees. Alcohol consumption was classified as abstainer, moderate, or heavy use. Multinomial logistic regression models adjusted for early alcohol exposure, marital status, education, smoking, and current employment were conducted separately by gender.
Results: Among men, delayed employees showed higher odds of heavy drinking compared to highly educated employees in unadjusted models (OR = 2.44, 95% CI: 1.34 - 4.42), but this association weakened after full adjustment. Male floundering employees demonstrated significantly higher odds of abstention (OR = 5.79, 95% CI: 2.49 - 13.40), which remained elevated but non-significant after full adjustment. Among women, floundering employees showed markedly higher odds of abstention compared to highly educated employees, persisting in fully adjusted models (OR = 7.39, 95% CI: 4.45 - 12.26). Self-employed women had higher odds of abstention in several models, but this relationship weakened after full adjustment.
Conclusions: Employment trajectories from young adulthood to midlife showed gender-specific associations with alcohol consumption patterns at age of 46. Unstable employment histories demonstrate particularly strong associations with abstention among men and women. These findings highlight the importance of employment stability as a social determinant that may influence alcohol consumption behaviors.
Methods: Data from the Northern Finland Birth Cohort 1966 (NFBC1966) was analyzed, including 5,590 participants with complete employment histories from ages 16 - 45 and alcohol consumption data at age 46. Employment trajectories were categorized into five groups: highly educated employees (reference), traditional employees, self-employed, delayed employees, and floundering employees. Alcohol consumption was classified as abstainer, moderate, or heavy use. Multinomial logistic regression models adjusted for early alcohol exposure, marital status, education, smoking, and current employment were conducted separately by gender.
Results: Among men, delayed employees showed higher odds of heavy drinking compared to highly educated employees in unadjusted models (OR = 2.44, 95% CI: 1.34 - 4.42), but this association weakened after full adjustment. Male floundering employees demonstrated significantly higher odds of abstention (OR = 5.79, 95% CI: 2.49 - 13.40), which remained elevated but non-significant after full adjustment. Among women, floundering employees showed markedly higher odds of abstention compared to highly educated employees, persisting in fully adjusted models (OR = 7.39, 95% CI: 4.45 - 12.26). Self-employed women had higher odds of abstention in several models, but this relationship weakened after full adjustment.
Conclusions: Employment trajectories from young adulthood to midlife showed gender-specific associations with alcohol consumption patterns at age of 46. Unstable employment histories demonstrate particularly strong associations with abstention among men and women. These findings highlight the importance of employment stability as a social determinant that may influence alcohol consumption behaviors.
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