AIMS The objective of this paper was to examine 20-year trends of the socioeconomic status (SES) measures income and employment and their association with current alcohol use behaviors in Danish adults aged 60-70. METHODS Data from The Danish National Health Survey 2013 and the baseline assessment of the Elderly Study (2013-2016) were combined to form four groups from the general population with various drinking patterns, but with no recent treatment for alcohol use disorder (AUD), and one group seeking treatment: Abstinent (n = 691), low- (n = 1978), moderate- (n = 602), and high-risk (HR) drinkers (n = 467), and DSM-5 AUD seeking treatment (n = 262). For all groups, Danish national register data were linked at the individual level obtain find annual information on income and employment during the 20 years prior to interview. Mixed effects models were utilized to model trajectories of income and employment for the five groups. RESULTS Lower income and employment status was observed from middle-aged adulthood when comparing 12-month abstinence or AUD to individuals with low or moderate alcohol consumption. At the end of the study period, moderate-risk drinkers experienced an increase, and HR drinkers a decrease, in income and rate of employment relative to the low-risk drinkers. CONCLUSIONS Alcohol use behaviors observed in older adults are related to distinct long-term trajectories regarding income and employment status, which are observable already in middle-aged adulthood.

中文翻译：

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二十年来不同酒精使用量成年人的社会经济轨迹：基于登记的队列研究。

目的本文的目的是研究60-70岁丹麦成年人的20年社会经济地位（SES）趋势，收入和就业及其与当前饮酒行为的关系。方法将2013年丹麦国家健康调查的数据和老年人研究的基线评估（2013-2016年）合并为来自普通人群的四组，这些人群具有不同的饮酒方式，但近期未治疗酒精滥用障碍（AUD），一组寻求治疗：戒酒（n = 691），低（n = 1978），中度（n = 602）和高危（HR）饮酒者（n = 467），以及DSM-5 AUD寻求治疗（n = 262）。对于所有群体，都在个人层面上链接了丹麦国家注册数据，以获取有关采访前20年内有关收入和就业的年度信息。混合效应模型被用来为五组的收入和就业轨迹建模。结果当与戒酒或中度饮酒的人比较12个月的禁欲或AUD时，观察到成年后的收入和就业状况较低。在研究期结束时，相对于低风险饮酒者，中度饮酒者的收入和就业率有所增加，而HR饮酒者则有所减少。结论在老年人中观察到的饮酒行为与关于收入和就业状况的不同的长期轨迹有关，这在中年成年人中已经可以观察到。结果当与戒酒量或中度饮酒的人比较12个月的禁欲或AUD时，发现中年成年后收入和就业状况较低。在研究期结束时，相对于低风险饮酒者，中度饮酒者的收入和就业率有所增加，而HR饮酒者则有所减少。结论在老年人中观察到的饮酒行为与关于收入和就业状况的不同的长期轨迹有关，这在中年成年人中已经可以观察到。结果当与戒酒或中度饮酒的人比较12个月的禁欲或AUD时，观察到成年后的收入和就业状况较低。在研究期结束时，相对于低风险饮酒者，中度饮酒者的收入和就业率有所增加，而HR饮酒者则有所减少。结论在老年人中观察到的饮酒行为与关于收入和就业状况的不同的长期轨迹有关，这在中年成年人中已经可以观察到。