Harmful drinking after job loss: a stronger association during the post-2008 economic crisis?

Int J Public Health. 2017 Jun;62(5):563-572. doi: 10.1007/s00038-016-0936-3. Epub 2017 Feb 22.

Abstract

Objectives: This study investigated, among the Dutch working population, whether job loss during the post-2008 economic crisis is associated with harmful drinking and whether this association is stronger than before the crisis.

Methods: Repeated cross-sectional data from the Dutch Health Interview Survey 2004-2013 were used to define episodic drinking (≥6 glasses on 1 day ≥1/week) and chronic drinking (≥14 glasses/week for women and ≥21 for men). These data were linked to longitudinal data from tax registries, to measure the experience and duration of job loss during a 5-year working history.

Results: Before the crisis, job loss experience and duration were not associated with harmful drinking. During the crisis, job loss for more than 6 months was associated with episodic drinking [OR 1.40 (95% CI 1.01; 1.94)], while current job loss was associated with chronic drinking [OR 1.43 (95% CI 1.03; 1.98)]. These associations were most clear in men and different between the pre-crisis and crisis period (p interaction = 0.023 and 0.035, respectively).

Conclusions: The results suggest that economic crises strengthen the potential impact of job loss on harmful drinking, predominately among men.

Keywords: Alcohol; Drinking; Economic crisis; Job loss; Sex.

MeSH terms

  • Adult
  • Alcohol Drinking / epidemiology*
  • Alcoholism / epidemiology*
  • Cross-Sectional Studies
  • Economic Recession*
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Sex Factors
  • Time Factors
  • Unemployment / psychology*