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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

SO354

Psychosocial work exposures and healthcare utilization: a prospective study in France

PSYCHOSOCIAL WORK EXPOSURES AND HEALTH CARE USE: A PROSPECTIVE STUDY IN FRANCE

Seven of ten psychosocial work exposures predicted the number of general practitioner consultations over the following two years, and consultation counts increased with the number of exposures in a dose–response relationship.

Since 70% of patients with depression in France are seen by general practitioners (GPs), GP consultations were considered a proxy indicator for common mental disorders, and the study examined the prospective association between psychosocial work exposures and GP consultations. Data from the 2010, 2012, and 2014 waves of the French national ESPS survey were linked to medical administrative data from the national health insurance system, providing an objective source for consultation counts. The study included 8,771 workers aged 18 to 65 years (4,506 men and 4,265 women). Associations between ten psychosocial work exposures measured at each wave and the number of GP consultations over the subsequent two-year period were analyzed using mixed-effects negative binomial models adjusted for covariates (sex, age, marital status, employee/self-employed status, public/private sector, occupation, and full-time/part-time work) and chronic illness. Almost all workers (91%) consulted a GP at least once during the two-year follow-up; women had an average of 4.6 consultations per year, compared with 3.1 among men (p<0.01). Seven of the ten exposures predicted consultation counts, with incidence rate ratios (IRRs) in the adjusted models ranging from 1.05 to 1.12: limited opportunities to learn new things, 1.12 (95% CI 1.07 to 1.16; p<0.001); low coworker support, 1.11 (1.07 to 1.16; p<0.001); low recognition, 1.10 (1.06 to 1.14; p<0.001); dissatisfaction with pay, 1.10 (1.06 to 1.14; p<0.001); job insecurity, 1.09 (1.03 to 1.16; p=0.005); low job autonomy, 1.06 (1.01 to 1.12; p=0.014); and tensions with the public, 1.05 (1.00 to 1.10; p=0.029). A dose–response relationship was found between the number of exposures and the number of consultations, with an IRR of 1.28 (95% CI 1.17 to 1.40) among workers with three or more exposures. The only interaction with sex was that low coworker support was a stronger predictor among men (IRR=1.18; 95% CI 1.11 to 1.25) than among women (IRR=1.08; 95% CI 1.03 to 1.13). The authors conclude that preventive interventions targeting the psychosocial work environment could improve the mental health of the working population.

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