Employment trajectories among those treated for alcohol use disorder : A register‐based cohort study

Abstract Background and Aims Employment during and following treatment for alcohol use disorder (AUD) is important for the individual's health and well‐being and for reducing the societal costs associated with benefit payments. Nonetheless, this is an under‐researched topic. This study aimed to identify trajectories of labour force participation among people enrolled in AUD treatment and describe the characteristics of those following contrasting pathways. Design Using trajectory analysis, we modelled employment trajectory groups among AUD patients during the year of treatment entry and the 4 subsequent years, applying Norwegian longitudinal register data. Setting Norway. Participants Patients who entered treatment with AUD as the primary diagnosis during 2009 and 2010 (9000 patients, age 20–61 years). Measurements The outcome variable ‘labour force attachment’ was measured as being in full‐time employment, partly employed, on temporary welfare benefits or on permanent disability pension. Predictors were age, gender, education and comorbid mental health and drug use disorders. Findings We distinguished six employment trajectories among AUD patients: 15.8% were on permanent disability pension throughout, 8.7% exited the labour force on permanent disability pension during the observation period, 32.1% had a medium attachment throughout follow‐up, and 9.2% had a decreasing attachment; 23.3% had a high labour force attachment throughout, and 10.9% experienced increasing attachment. High attachment throughout was negatively associated with being female ( P < 0.001), having lower educational attainment ( P < 0.001), and having comorbid mental health ( P < 0.001) and drug use disorders ( P < 0.001). Conclusions Norwegian patients treated for alcohol use disorder in 2009 and 2010 followed six employment trajectories during the 5 years following treatment entry and had lower labour force participation than the general population. Nearly a quarter had a high labour force attachment throughout treatment, which was positively associated with being male, having higher educational attainment and having fewer comorbid mental health and drug use disorders..

Medienart:	E-Artikel

Erscheinungsjahr:	2022
Erschienen:	2022

Enthalten in:	Zur Gesamtaufnahme - volume:117
Enthalten in:	Addiction - 117(2022), 4, Seite 913-924

Beteiligte Personen:	Christiansen, Solveig Glestad [VerfasserIn] Moan, Inger Synnøve [VerfasserIn]

BKL:	44.91

Anmerkungen:	© 2022 Society for the Study of Addiction

Umfang:	12

doi:	10.1111/add.15726

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	WLY000143189