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Peer-reviewedCC BY-NC 4.0The European Journal of Public Health

Work-related factors and hazardous alcohol use - longitudinal cohort study from Sweden

Abstract

Background: Work-related stress may increase alcohol consumption. This longitudinal study examined associations between long working hours, perceived workload, work-family conflict, and the risk of developing hazardous alcohol use (>108 g/week of alcohol and/or heavy drinking episodes) and alcohol use disorder (AUD).

Methods: The study sample was drawn from the Stockholm Public Health Cohort, a prospective, population-based cohort with survey data linked to health registers. We included individuals from the 2002 (n = 8,063) and 2006 (n = 11,475) sub-cohorts who were aged 22-55 years, in paid work, and were free from hazardous alcohol use and prior AUD. Participants were followed for hazardous alcohol use via surveys and for AUD via registers until 2021. Logistic regression with inverse probability censoring weights and Cox regression were used to estimate associations.

Results: Overall, 18% reported working ≥45 hours/week, 55% wished to work fewer hours, and 18% reported work-family conflict. Long working hours were weakly associated with an increased risk of hazardous alcohol use (OR 1.3, 95% CI 1.2–1.4), and work–family conflict was associated with a higher risk of AUD (OR 2.0, 95% CI 1.2–1.4).

Conclusions: Work-related factors are weakly associated with the subsequent development of hazardous alcohol consumption and higher risk of AUD.

Key messages: • This longitudinal, population-based study combined survey and register-based information to investigate the association between work-related factors and developing hazardous alcohol use.

• Working long hours and work-family conflict were associated with higher risk of developing hazardous alcohol use or alcohol use disorder.

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BibTeX
@article{gemes2026workrelated,
  title = {{Work-related factors and hazardous alcohol use - longitudinal cohort study from Sweden}},
  author = {K Gemes and S Kirchner and A Sidorchuk and J Möller and K Engström and E Mittendorfer-Rutz and B Brynedal},
  journal = {The European Journal of Public Health},
  year = {2026},
  month = oct,
  doi = {10.1093/eurpub/ckag169.589},
  url = {https://doi.org/10.1093/eurpub/ckag169.589},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Work-related factors and hazardous alcohol use - longitudinal cohort study from Sweden
AU  - K Gemes
AU  - S Kirchner
AU  - A Sidorchuk
AU  - J Möller
AU  - K Engström
AU  - E Mittendorfer-Rutz
AU  - B Brynedal
PY  - 2026
DA  - 2026/10/01
JO  - The European Journal of Public Health
DO  - 10.1093/eurpub/ckag169.589
UR  - https://doi.org/10.1093/eurpub/ckag169.589
AB  - Background: Work-related stress may increase alcohol consumption. This longitudinal study examined associations between long working hours, perceived workload, work-family conflict, and the risk of developing hazardous alcohol use (>108 g/week of alcohol and/or heavy drinking episodes) and alcohol use disorder (AUD).  Methods: The study sample was drawn from the Stockholm Public Health Cohort, a prospective, population-based cohort with survey data linked to health registers. We included individuals from the 2002 (n = 8,063) and 2006 (n = 11,475) sub-cohorts who were aged 22-55 years, in paid work, and were free from hazardous alcohol use and prior AUD. Participants were followed for hazardous alcohol use via surveys and for AUD via registers until 2021. Logistic regression with inverse probability censoring weights and Cox regression were used to estimate associations.  Results: Overall, 18% reported working ≥45 hours/week, 55% wished to work fewer hours, and 18% reported work-family conflict. Long working hours were weakly associated with an increased risk of hazardous alcohol use (OR 1.3, 95% CI 1.2–1.4), and work–family conflict was associated with a higher risk of AUD (OR 2.0, 95% CI 1.2–1.4).  Conclusions: Work-related factors are weakly associated with the subsequent development of hazardous alcohol consumption and higher risk of AUD.  Key messages: • This longitudinal, population-based study combined survey and register-based information to investigate the association between work-related factors and developing hazardous alcohol use.  • Working long hours and work-family conflict were associated with higher risk of developing hazardous alcohol use or alcohol use disorder.
SN  - 1101-1262
SN  - 1464-360X
ER  -