Correlates of probable alcohol abuse among women working in nursing homes

Abstract

Aims: The purpose of this nationwide study was to assess the prevalence of probable alcohol abuse (PAA) among women working in geriatric care, and to study its demographics, medical and work-related correlates. Methods: The employees of geriatric nursing homes and geriatric hospital wards in Iceland with 10 patients or more were invited to participate in this cross-sectional study. The response rate was 80% (n=1515), with 96% being women (n=1432). Men were consequently omitted from the study. Questions were included on demographics, psychosocial factors, workplace environment, health behavior, and medical history. PAA was defined as (a) having been given such a diagnosis by a physician, (b) having missed work because of drinking, or (c) if alcohol use was considered a problem by the employee herself, her family, friends, or the employer. Results: A total of 4.8% of the employees fulfilled the criteria for PAA. These women were younger (41 vs. 45 years of age), more often single (25% vs. 15%) or divorced (13% vs. 9%), and less satisfied with work than the other women. Odds ratios for asthma, fibromyalgia, chronic fatigue, pain syndromes, mental disorders, and work-related accidents were elevated. Despite this, no differences were found concerning amount of sick leave. Their psychosocial work environment was worse but the physical work environment was the same. Conclusion: Women with probable alcohol abuse working in nursing homes have significant medical problems and psychosocial morbidity that is not reflected in more sick leave.

Keywords

alcohol abuse work geriatric care mental disorder medical comorbidity.

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References

Volpicelli JR Alcohol abuse and alcoholism: an overview. J Clin Psychiatry 2001; 62(Suppl. 20): 4 — 10.

Helgason T. Áfengisneysluvenjur og einkenni um misnotkun 1974 og 1984 (Drinking habits and symptoms of abuse 1974 and 1984). Læknablaðið (Icelandic Medical Journal) 1988; 74: 129 — 36.

Helgason T. Alkoholmisbrugets epidemiology (The epidemiology of alcohol abuse) . Nordisk Medicine (Nordic Medicine) 1984 ; 99: 290 — 5.

Gíslason T. , Tómasson K. , Reynisdóttir H. , Björnsson JK , Kristbjarnarson H. Heilsufarslegir áhættuþættir umferðaslysa. (Health related risk factors in traffic accidents). Læknablaðið (Icelandic Medical Journal) 1994; 80: 193 — 200.

Stefánsson JG , Líndal E. , Björnsson JK , Guðmundsdóttir Á. Period prevalence rates of specific mental disorders in an Icelandic cohort. Soc Psychiatry Psychiatr Epidemiol 1994; 29: 119 — 25.

Penniman LJ , Agnew J. Women, work and alcohol. J Occup Med 1989; 4: 263—73.

Mandell W. , Eaton WW , Anthony JC , Garrison R. Alcoholism and occupations: a review and analysis of 104 occupations . Alcohol: Clin Exp Res 1992; 16: 734—46.

Harford TC , Parker DA , Grant BF , Dawson DA Alcohol use and dependence among employed men and women in the United States in 1988. Alcohol Clin Exp Res 1992; 16: 146 — 8.

Ojesjo L. The relationship to alcoholism of occupation, class and employment . J Occup Med 1980; 22: 657—66.

10.

Olkinuora M. Alcoholism and occupation. Scand J Work, Environ Health 1984; 10(6 Spec No): 511—15.

11.

Wilsnack RW , Wilsnack SC Women, work, and alcohol: failures of simple theories. Alcohol Clin Exp Res 1992; 16: 172 — 9.

12.

Rush BR Use of family medical practices by patients with drinking problems . CMAJ 1989; 140: 35—9.

13.

Tómasson K. , Vaglum P. The two-year course following detoxification treatment of substance abuse: the possible influence of psychiatric comorbidity . Eur Arch Psych Neurol Sci 1997; 247: 321 — 8.

14.

Haver B. , Dahlgren L. , Willander A. A 2-year follow-up of 120 Swedish female alcoholics treated early in their drinking career: prediction of drinking outcome. Alcohol Clin Exp Res 2001; 25: 1586—93.

15.

Aasland OG , Riise G. [Alcohol and work]. Tidsskr Nor Laegeforen 1990; 110: 1697—9.

16.

Moyer A. , Finney JW , Swearingen CE , Vergun P. Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations . Addiction 2002; 97: 279 — 92.

17.

Hagstofan (Statistics Iceland). Fjöldi starfandi eftir ársfjórðungum 1998—2001 (Number employed each quarter from 1998—2000). In: Nr. 37/2002, Hagstofan, 2002.

18.

Kuroninka I. , Jonsson B. , Kilbom A. , Vinterberg H. , Biering-Sorensen F. , Andersson G. , et al. Standardised Nordic questionnaire for the analysis of musculoskeletal symptoms. Appl Erg 1987; 18: 233 — 7.

19.

Lindström K. , Elo A-L. , Skogstad A. , Dallner M. , Gamberale F. , Hottinen V. , et al. General Nordic Questionnaire for Psycholoical and Social Factors at Work. Copenhagen: Nordic Council of Ministers, 2000.

20.

Spss. SPSS Base 7.5 for Windows. User's Guide . In: Base 7.5 for Windows. Chicago: SPSS, 1997.

21.

Kessler RC Epidemiology of Psychiatric Comorbidity. In: Tsuang MT , Tohen M , Zahner GEP , editors. Textbook in Psychiatric Epidemiology. New York: Wiley, 1995 : 179 — 98.

22.

Ross HE DSM-III-R alcohol abuse and dependence and psychiatric comorbidity in Ontario: results from the Mental Health Supplement to the Ontario Health Survey. Drug Alcohol Depend 1995; 39: 111 — 28.

23.

Tómasson K. , Vaglum P. A nation-wide representative sample of treatment-seeking alcoholics: a study of psychiatric comorbidity. Acta Psych Scand 1995; 92: 378 — 85.

24.

Cochrane JJ , Goering P. , Lancee W. Gender differences in the manifestations of problem drinking in a community sample. J Subst Abuse 1992; 4: 247 — 54.

25.

Tómasson K. , Vaglum P. Psychopathology and alcohol consumption among treatment-seeking alcoholics: a prospective study. Addiction 1996; 91: 1019 — 30.

26.

Wilsnack RW , Wilsnack SC , Klassen AD Women's drinking and drinking problems: patterns from a 1981 national survey. Am J Public Health 1984; 74: 1231 — 8.

27.

Hensing G. Sickness absence and psychiatric disorder. epidemiological findings and methodological considerations. Doctoral dissertation. Linköping: Linköping Unversity, 1997.

28.

Kivimaki M. , Vahtera J. , Thomson L. , Griffiths A. , Cox T. , Pentti J. Psychosocial factors predicting employee sickness absence during economic decline. J Appl Psychol 1997; 82: 858 — 72.

29.

Niedhammer I. , Bugel I. , Goldberg M. , Leclerc A. , Gueguen A. Psychosocial factors at work and sickness absence in the Gazel cohort: a prospective study . Occup Environ Med 1998; 55: 735 — 41.

30.

Checkoway H. , Pearce N. , D. J. C-B. Research methods in occupational epidemiology. New York: Oxford University Press, 1989.