Chronicit茅 de la consommation de m茅dicaments psychotropes dans la main-d鈥櫯搖vre canadienne聽: quelle est la contribution de la profession et des conditions de l鈥檕rganisation du travail聽?

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• 作者：A. Marchand^a ; ^{alain.marchand@umontreal.ca} ; M.-È ; . Blanc^b
• 关键词：Psychotropic drugs ; Demographic factors ; Longitudinal studies ; Multilevel analysis ; Chronic illness ; Mental health ; Occupational health
• 刊名：Revue d'脡pid茅miologie et de Sant茅 Publique
• 出版年：2010
• 期刊代码：pca329_03987620
• 类别：med
• 出版时间：April 2010
• 卷：58
• 期：2
• 页码：89-99
• 文件大小：272 K

摘要

Background

This study aims to better understand the contributions of occupation and work organization conditions to the development of chronic psychotropic drugs use among workers in Canada.

Methods

The study is based on a secondary analysis of the longitudinal data of the National Population Health Survey (NPHS) of Statistics Canada which includes five cycles from 1994鈥?995聽to 2002鈥?003. A panel of 6585聽people from 15聽to 55聽years old and employed at cycle 1聽and nested in 1413聽neighbourhoods was selected. Multilevel models of regression were estimated on three levels: repeated measures (level 1 = 24,785聽observations) were nested in the individuals (level 2 = 6585聽individuals) and the individuals nested in the local communities (level 3 = 1413聽neighborhoods).

Results

The prevalence of multiple episodes (two episodes and more between cycle 1聽and cycle 5) of psychotropic drugs use was 6.7%(95%CI=6.0鈥?.4%). Only occupation and the number of working hours showed a significant contribution. Family and individual variables like marital status and personality traits (locus of control and sense of coherence) had a significant contribution, in addition to time, gender, age, physical health, number of cigarettes and stressful childhood events.

Conclusion

Work contributes weakly to the risk of chronic psychotropic drugs use, whereas individual characteristics make a much more important contribution to the phenomenon.