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An explorative, population-based study of female disability pensioners: the role of childhood conditions and alcohol abuse/dependence

Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Stockholm, Sweden, marianne.upmark{at}smd.sll.se, Stockholm County Centre of Public Health, Centre for Alcohol and Drug Prevention, Stockholm, Sweden

Kajsa-Lena Thundal

Göteborg University, Department of Social Medicine, Göteborg, Sweden

Aims: This study investigates the association in women between conditions during childhood and adolescence and alcohol dependence or abuse in adulthood on the one hand, and disability pensions and long-term sickness absence on the other. Methods: A stratified population-based sample of women in Göteborg was interviewed. For analyses in this study the following variables were selected from the interview protocol: childhood and adolescence, education, employment, social class, self-rated physical health and alcohol dependence or abuse (ADA), with diagnoses assessed according to DSM-III-R. Information on disability pension and sickness absence was obtained from the local Social Insurance Office. Results: Unfavourable conditions during childhood and adolescence and school difficulties as well as early deviant behaviours predicted disability pension and long-term sickness absence in adulthood. For most risk factors ADA could explain only a minor part of the odds ratios found in crude and age-adjusted analyses. Conclusion: It is concluded that conditions early in life are predictors in women of disability pension and long-term incapacity to work. There are similarities in the pattern of early risk factors for later alcohol dependence or abuse and for disability pension/long-term sickness absence.

Key Words: alcohol abuse • alcohol dependence • childhood conditions • deviant behaviour • disability pension • long-term sickness absence • school difficulties.

Scandinavian Journal of Public Health, Vol. 30, No. 3, 191-199 (2002)
DOI: 10.1177/140349480203000305


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