title: Alcohol-related morbidity and mortality following involuntary job loss: evidence from Swedish register data.
abstract: OBJECTIVE
  The purpose of this study was to assess the association between involuntary job loss and alcohol-attributable morbidity and mortality.
  
  
  METHODS
  Swedish linked employee-employer data were used to identify all establishment closures during 1990-1999, as well as the employees who were laid off and a comparison group. These data were merged with information on alcohol-attributable deaths and hospital admissions from the Causes of Death Register and the National Patient Register. The associations between job loss and alcohol-attributable morbidity and mortality during a follow-up period of 12 years were estimated by propensity score weighting methods.
  
  
  RESULTS
  An excess risk of both alcohol-related hospitalization and mortality was found among both displaced men and women. For women, the wholly alcohol-attributable health problems were mainly limited to alcohol use disorders, whereas men also had an increased risk of hospitalization from poisoning and alcohol-induced liver disease and pancreatitis.
  
  
  CONCLUSIONS
  The findings support previous evidence of increased risks of alcohol-related morbidity/mortality following involuntary job loss, although the estimates presented herein are more conservative. In addition, the findings suggest that alcohol-related problems manifest somewhat differently in men and women.
authors.affiliation: Institute for Evaluation of Labour Market and Education Policy (IFAU), Uppsala, Sweden.
authors.forename: Marcus
authors.initials: M
authors.lastname: Eliason
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000401:mortality / Q000523:psychology; D019973:Alcohol-Related Disorders / Q000453:epidemiology / Q000401:mortality* / Q000523:psychology*; D015331:Cohort Studies; D016208:Databases, Factual / Q000639:trends*; D005260:Female; D006760:Hospitalization / Q000639:trends; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D012042:Registries; D012307:Risk Factors; D013548:Sweden / Q000453:epidemiology; D014478:Unemployment / Q000523:psychology* / Q000639:trends*; D055815:Young Adult