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Erschienen in: International Archives of Occupational and Environmental Health 5/2020

09.01.2020 | Original Article

Opioid use disorder, job strain, and high physical job demands in US workers

verfasst von: BongKyoo Choi

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 5/2020

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Abstract

Purpose

Little is known about the work environmental risk factors for opioid use disorder (OUD) in working populations. The purpose of this study is to examine whether adverse physical and psychosocial working conditions are associated with OUD in a working population of the United States (US).

Methods

Among the participants of the National Survey of Midlife Development in the United States (MIDUS) II Study (2004–2006), 2134 workers (1059 men and 1075 women; mean age, 51 years) were chosen for this study. OUD was measured with self-administered questions in line with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSD-5). Physical demands (physical efforts, heavy lifting, and crouching/stooping/kneeling) and psychosocial work stressors (skill discretion, decision authority, job control, psychological job demands, supervisor and coworker support at work, job insecurity, and work hours) were measured with a standard questionnaire.

Results

The prevalence of OUD was 3.8%. In multivariate analyses, low skill discretion, high psychological job demands, job strain (a combination of low control and high demands), and high physical job demands were significantly associated with OUD. The multivariate prevalence ratios for OUD by job strain and frequent heavy lifting were 1.98 (1.27–3.10) and 2.23 (1.22–4.10), respectively. Job strain was more strongly associated with OUD in men, while high physical job demands were more strongly associated with OUD in women.

Conclusion

This study implies that adverse physical and psychosocial working conditions may be important risk factors for OUD in US working populations. Future longitudinal and mechanistic studies are urgently warranted.
Literatur
Zurück zum Zitat American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Arlington, VACrossRef American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Arlington, VACrossRef
Zurück zum Zitat Asfaw A, Quay B, Bushnell T et al (2018) The impact of occupational injuries on the incidence and costs of opioids. In: Presented at the 2nd International Symposium on Total Worker Health, May 10, 2018, Bethesda Asfaw A, Quay B, Bushnell T et al (2018) The impact of occupational injuries on the incidence and costs of opioids. In: Presented at the 2nd International Symposium on Total Worker Health, May 10, 2018, Bethesda
Zurück zum Zitat Karasek RA, Gordon G, Pietrokovsky C et al (1985) Job content questionnaire and user’s guide. University of Southern Cali-fornia/University of Massachusetts, Los Angeles Karasek RA, Gordon G, Pietrokovsky C et al (1985) Job content questionnaire and user’s guide. University of Southern Cali-fornia/University of Massachusetts, Los Angeles
Zurück zum Zitat Martins SS, Fenton MC, Keyes KM et al (2012) Mood and anxiety disorders and their association with non-medical prescription opioid use and prescription opioid-use disorder: longitudinal evidence from the National Epidemiologic Study on Alcohol and Related Conditions. Psychol Med 42:1261–1272. https://doi.org/10.1017/S0033291711002145 CrossRef Martins SS, Fenton MC, Keyes KM et al (2012) Mood and anxiety disorders and their association with non-medical prescription opioid use and prescription opioid-use disorder: longitudinal evidence from the National Epidemiologic Study on Alcohol and Related Conditions. Psychol Med 42:1261–1272. https://​doi.​org/​10.​1017/​S003329171100214​5 CrossRef
Zurück zum Zitat McHugh RK, Devito EE, Dodd D et al (2013) Gender differences in a clinical trial for prescription opioid dependence. J Subst Abuse Treat. 45(1):38–43CrossRef McHugh RK, Devito EE, Dodd D et al (2013) Gender differences in a clinical trial for prescription opioid dependence. J Subst Abuse Treat. 45(1):38–43CrossRef
Metadaten
Titel
Opioid use disorder, job strain, and high physical job demands in US workers
verfasst von
BongKyoo Choi
Publikationsdatum
09.01.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
International Archives of Occupational and Environmental Health / Ausgabe 5/2020
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-019-01514-4

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