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. 2019 Jul 16;9(7):e029184.
doi: 10.1136/bmjopen-2019-029184.

Association between alcohol consumption and impaired work performance (presenteeism): a systematic review

Mikkel Magnus Thørrisen  1 , Tore Bonsaksen  1   2 , Neda Hashemi  3 , Ingvild Kjeken  1   4 , Willem van Mechelen  5   6   7   8   9 , Randi Wågø Aas  1   3   10
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Association between alcohol consumption and impaired work performance (presenteeism): a systematic review

Mikkel Magnus Thørrisen et al. BMJ Open. .

Abstract

Objectives: The aim of this review was to explore the notion of alcohol-related presenteeism; that is, whether evidence in the research literature supports an association between employee alcohol consumption and impaired work performance.

Design: Systematic review of observational studies.

Data sources: MEDLINE, Web of Science, PsycINFO, CINAHL, AMED, Embase and Swemed+ were searched through October 2018. Reference lists in included studies were hand searched for potential relevant studies.

Eligibility criteria: We included observational studies, published 1990 or later as full-text empirical articles in peer-reviewed journals in English or a Scandinavian language, containing one or more statistical tests regarding a relationship between a measure of alcohol consumption and a measure of work performance.

Data extraction and synthesis: Two independent reviewers extracted data. Tested associations between alcohol consumption and work performance within the included studies were quality assessed and analysed with frequency tables, cross-tabulations and χ2 tests of independence.

Results: Twenty-six studies were included, containing 132 tested associations. The vast majority of associations (77%) indicated that higher levels of alcohol consumption were associated with higher levels of impaired work performance, and these positive associations were considerably more likely than negative associations to be statistically significant (OR=14.00, phi=0.37, p<0.001). Alcohol exposure measured by hangover episodes and composite instruments were over-represented among significant positive associations of moderate and high quality (15 of 17 associations). Overall, 61% of the associations were characterised by low quality.

Conclusions: Evidence does provide some support for the notion of alcohol-related presenteeism. However, due to low research quality and lack of longitudinal designs, evidence should be characterised as somewhat inconclusive. More robust and less heterogeneous research is warranted. This review, however, does provide support for targeting alcohol consumption within the frame of workplace interventions aimed at improving employee health and productivity.

Prospero registration number: CRD42017059620.

Keywords: alcohol consumption; employees; presenteeism; sick leave; work performance; workplace health promotion; workplace interventions.

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Conflict of interest statement

Competing interests: For the avoidance of doubt, WVM wishes to declare that he is director-shareholder of Vrije University Medical Center (VUmc) spin-off company Evalua Nederland B.V. and non-executive board member of Arbo Unie B.V. Both companies operate in the Dutch occupational healthcare market.

Figures

Figure 1
Figure 1
PRISMA flow chart of the study selection process. PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
See this image and copyright information in PMC

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References

    1. Lim SS, Vos T, Flaxman AD, et al. . A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2224–60. 10.1016/S0140-6736(12)61766-8 - DOI - PMC - PubMed
    1. Wood AM, Kaptoge S, Butterworth AS, et al. . Risk thresholds for alcohol consumption: combined analysis of individual-participant data for 599912 current drinkers in 83 prospective studies. Lancet 2018;391:1513–23. 10.1016/S0140-6736(18)30134-X - DOI - PMC - PubMed
    1. World Health Organization. Global status report on alcohol and health 2018. Geneva, Switzerland: World Health Organization, 2018.
    1. Griswold MG, Fullman N, Hawley C, et al. . Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2018;392:1015–35. 10.1016/S0140-6736(18)31310-2 - DOI - PMC - PubMed
    1. Frone MR. Alcohol and illicit drug use in the workforce and workplace. Washington, DC: American Psychological Association, 2013.

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