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Methods use the register-based Swedish Work, Illness, and Labor-market Participation (SWIP) cohort of 2,822,462 workers born 1945–1975, linking exposure measures from job exposure matrices to multiple alcohol-related morbidity and mortality registers (2006–2020). Cox regression estimates associations, adjusted for background and prior health; social support moderation is assessed using RERI interactions.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/job-strain-social-support-and-alcohol-related-health-problems-a-register-based-cohort-study/455726/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/job-strain-social-support-and-alcohol-related-health-problems-a-register-based-cohort-study/455726.png","ImageObject",300,407,{"name":92,"@type":93},"Valentina","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-08","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the study objective regarding job strain, social support, and alcohol-related outcomes?","Question",{"text":112,"@type":113},"The study examines the association between job strain and alcohol-related health problems in men and women and tests whether workplace social support moderates that association.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were job strain and workplace social support measured in the study?",{"text":117,"@type":113},"Job demands, control, and workplace social support were measured using job exposure matrices (JEM).",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main findings about high-strain jobs and social support?",{"text":121,"@type":113},"High-strain and passive jobs were linked to increased risk of alcohol-related health problems for both men and women. Weak social support showed diverging associations by sex, while strong social support appeared to buffer risk in passive jobs only among women (RERI=0.08).","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},455726,1791227763,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":81,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},13056703020460,"https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923","ScandJ Work Environ Health. 2026;52(1):31–40. doi:10.5271/sjweh.4257  \nJob strain, social support, and alcohol-related health problems: A register-based cohort study  \nbyEmelie Thern, PhD, 1 Erica Jonsson, MSc, 1 DevyL Elling, PhD, 1 Melody Almroth, PhD 1  \nThern E, Jonsson E, Elling DL, Almroth M. Job strain, social support, and alcohol-related health problems: A register-based cohort study. ScandJ Work Environ Health. 2026;52(1):31–40 .  \nObjective This study aimed to examine the association between job strain (combination of job demands and job control) and alcohol-related health problems among men and women and the extent to which workplace social support moderates this association.  \nMethods This study used information from the register-based Swedish Work, Illness, and Labor-market Participation (SWIP) cohort, focusing on working individuals born 1945–1975, who were registered in Sweden in 2005 (N=2 822 462). Job demands, control and workplace social support were measured using job exposure matrices (JEM). Information on alcohol-related health problems (morbidity, mortality, medication prescription, sickness absence and disability pension) was obtained from multiple registers between 2006 and 2020. Cox regression models were employed to estimate associations between job strain and alcohol-related health problems, adjusting for sociodemographic background and previous health. The modifying effect of social support was assessed using relative excess risk due to interactions (RERI) .  \nResults High-strain and passive jobs were related to an increased risk of alcohol-related health problems among both men [hazard ratios (HR) 1.28 and 1.32] and women (HR 1.06 and 1.05), after adjusting for important individual and parental covariates. Weak social support had diverging associations with the outcome for men and women. Strong social support appeared to buffer the risk in passive jobs but only among women (RERI=0.08) .  \nConclusions In Sweden, job strain seems to influence alcohol-related health problems, particularly among men.  \nWomen, however, appear to experience the protective effects of strong work-related social support measured atthe occupational level.  \nKey terms job demand; job control; Sweden; work environment.  \nAlcohol consumption can have detrimental consequences in multiple domains of everyday life. One such domain is the workplace through productivity loss due to sickness absence, sickness presenteeism, poor performance, and occupational injuries (1, 2) . A significant share of Swedish workers (around 20%) report hazardous alcohol use (3), which is a pattern of drinking that can put individuals at risk for adverse health consequences (4) . Occupational differences in the prevalence of hazardous alcohol consumption and alcohol-related health problems have previously been established (5–7), but the role of the workplace in explaining these differences remains unclear.  \nOne perspective is that the workplace influences employees’ alcohol consumption through the alcohol  \nnorms and alcohol availability at work, such that less restrictive drinking norms and alcohol being more easily available increases the consumption of alcohol (6, 8, 9) . Another perspective is that the psychosocial work environment could influence employees’alcohol consumption through tension reduction, such that employees drink alcohol to deal with stress and negative emotions arising from poor psychosocial work environments (10) .  \nA commonly used measure of the psychosocial work environment is the job demand–control–support model (11) . The basis of this model is that high job demands combined with low control are associated with poor health outcomes, especially if workplace social support is also low (11) . Job strain, a measure of work stress,  \n1 Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.  \nCorrespondence to: Emelie Thern, Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institu","cbCaiffLy2IPNX6R","https://ap.wps.com/l/cbCaiffLy2IPNX6R","pdf",449825,"English","# Objective\n# Methods\n# Results\n# Conclusions\n# Background and rationale\n## Job strain and health mechanisms\n## Workplace social support and alcohol outcomes","[{\"question\":\"What is the study objective regarding job strain, social support, and alcohol-related outcomes?\",\"answer\":\"The study examines the association between job strain and alcohol-related health problems in men and women and tests whether workplace social support moderates that association.\"},{\"question\":\"How were job strain and workplace social support measured in the study?\",\"answer\":\"Job demands, control, and workplace social support were measured using job exposure matrices (JEM).\"},{\"question\":\"What were the main findings about high-strain jobs and social support?\",\"answer\":\"High-strain and passive jobs were linked to increased risk of alcohol-related health problems for both men and women. Weak social support showed diverging associations by sex, while strong social support appeared to buffer risk in passive jobs only among women (RERI=0.08).\"}]","Job strain, social support, and alcohol-related health problems - A register-based cohort study | PDF",1790743997,25]