{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T05:30:39Z","timestamp":1787635839431,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2015,4,30]],"date-time":"2015-04-30T00:00:00Z","timestamp":1430352000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:p>Aims: The aim of the study was to reveal potential gaps and inconsistencies in the identification of alcohol abuse in health care and in employment services and to analyse the granting of disability pensions with respect to the alcohol abuse identification pattern. Methods: The material consisted of documentary information on 505 long-term unemployed subjects with low employability sent to the development project entitled \u2018Eligibility for a Disability Pension\u2019 in 2001\u20132006 in Finland. The dichotomous variables \u2018Alcohol abuse identified in employment services\u2019 and \u2018Alcohol abuse identified in health care\u2019 were cross-tabulated to obtain a four-class variable \u2018Alcohol abuse identification pattern\u2019. Logistic regression analyses were conducted to ascertain the association of alcohol abuse identification pattern with the granting of disability pensions. Results: Alcohol abuse was detected by both health care and employment services in 47% of those identified as abusers (41% of examinees). Each service systems also identified cases that the other did not. When alcohol abuse was identified in health care only, the OR for a disability pension being granted was 2.8 (95% CI 1.5\u20135.2) compared with applicants without identified alcohol abuse. The result remained the same and statistically significant after adjusting for confounders. Conclusions: Alcohol abuse identified in health care was positively associated with the granting of a disability pension. Closer co-operation between employment services and health care could help to identify those long-term unemployed individuals with impaired work ability in need of thorough medical examination.<\/jats:p>","DOI":"10.1177\/1403494815580149","type":"journal-article","created":{"date-parts":[[2015,4,30]],"date-time":"2015-04-30T21:12:05Z","timestamp":1430428325000},"page":"518-524","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Identification of alcohol abuse and transition from long-term unemployment to disability pension"],"prefix":"10.1177","volume":"43","author":[{"given":"Kirsti","family":"Nurmela","sequence":"first","affiliation":[{"name":"School of Health Sciences, University of Tampere, Tampere, Finland"},{"name":"Department of Adult Psychiatry, Tampere University Hospital, Tampere, Finland"},{"name":"Non-Institutional Mental Health Services, City of Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virpi","family":"Heikkinen","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Tampere, Tampere, Finland"},{"name":"Department of Neurosciences and Rehabilitation, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Risto","family":"Hokkanen","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarne","family":"Ylinen","sequence":"additional","affiliation":[{"name":"Clinical Neurosciences, Neurology, University of Helsinki and Helsinki University Hospital, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jukka","family":"Uitti","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Tampere, Tampere, Finland"},{"name":"Clinic of Occupational Medicine, Tampere University Hospital, Tampere, Finland"},{"name":"Finnish Institute of Occupational Health, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aino","family":"Mattila","sequence":"additional","affiliation":[{"name":"Department of Adult Psychiatry, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matti","family":"Joukamaa","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pekka","family":"Virtanen","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Tampere, Tampere, Finland"},{"name":"Institute of advanced social research, University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,4,30]]},"reference":[{"key":"bibr1-1403494815580149","doi-asserted-by":"publisher","DOI":"10.1136\/jech.48.4.333"},{"key":"bibr2-1403494815580149","doi-asserted-by":"publisher","DOI":"10.2174\/1874473711104010004"},{"key":"bibr3-1403494815580149","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.1999.94113310.x"},{"key":"bibr4-1403494815580149","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2012.10.016"},{"key":"bibr5-1403494815580149","unstructured":"Pensola T, J\u00e4rvikoski A, J\u00e4rvisalo J. 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Vaasa: Finnish Centre for Pensions (ETK), Finland www.etk.fi; The Social Insurance Institution (Kela), Finland www.kela.fi; National Public Health Institute (KTL). 2008, pp. 123\u201330."},{"key":"bibr6-1403494815580149","doi-asserted-by":"publisher","DOI":"10.1007\/s10389-012-0505-z"},{"key":"bibr7-1403494815580149","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqp169"},{"key":"bibr8-1403494815580149","first-page":"825","volume":"13","author":"Garsten C","year":"2013","journal-title":"Ephemera"},{"key":"bibr9-1403494815580149","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.091199"},{"key":"bibr10-1403494815580149","doi-asserted-by":"publisher","DOI":"10.1086\/501491"},{"key":"bibr11-1403494815580149","doi-asserted-by":"publisher","DOI":"10.1177\/1403494811435497"},{"key":"bibr12-1403494815580149","doi-asserted-by":"publisher","DOI":"10.1080\/09638280410001704368"},{"key":"bibr13-1403494815580149","author":"Ty\u00f6ministeri\u00f6","year":"2004","journal-title":"Ohje O\/2\/2004 TM"},{"key":"bibr14-1403494815580149","unstructured":"American Psychological Association (ed.) 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