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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.

SO508

Psychosocial work exposures and alcohol-related outcomes: a prospective study in France

PSYCHOSOCIAL WORK EXPOSURES AND ALCOHOL-RELATED OUTCOMES: A PROSPECTIVE STUDY IN FRANCE

Psychosocial work exposures related to employment uncertainty, particularly job insecurity, prospectively predict the onset of alcohol-related outcomes.

The study aimed to examine the prospective associations of psychosocial work exposures and changes in these exposures with three alcohol-related outcomes in the working population. Data were drawn from the French national ESPS survey (a survey of health, healthcare, and insurance conducted by IRDES). Workers aged 17 to 65 were assessed in the 2010 (baseline) and 2014 (follow-up) waves, and those without the relevant outcome in 2010 were included in the analysis. Outcomes were defined using the AUDIT-C: moderate or heavy drinking (14 or more drinks per week for men and 7 or more for women), binge drinking (6 or more drinks on a single occasion, at least monthly), and alcohol misuse (an AUDIT-C score of 4 or higher for men and 3 or higher for women); the analytical samples comprised 1,776, 1,735, and 1,107 workers, respectively. Ten psychosocial work exposures (quantitative demands, job autonomy, opportunities to learn new things, coworker support, recognition, satisfaction with pay, job insecurity, tensions with the public, temporary contracts, and planned layoffs) were examined at baseline in 2010 and in terms of changes between 2010 and 2014. Associations were assessed using robust Poisson regression models before and after adjustment for covariates, and interactions with sex were tested. In 2014, binge drinking (9.1% in men and 2.5% in women) and alcohol misuse (19.6% and 11.1%) were significantly more common in men; there was no sex difference in moderate or heavy drinking (4.2% and 5.4%). Job insecurity in 2010 predicted the incidence of binge drinking (covariate-adjusted IRR = 2.18; 95% CI 1.33 to 3.58); planned layoffs were significant in the unadjusted model and borderline significant in the adjusted model (p = 0.054). Low job autonomy predicted alcohol misuse only among women (adjusted IRR = 2.15; 95% CI 1.26 to 3.68; p = 0.005). Persistent tensions with the public in both 2010 and 2014 showed the strongest association with moderate/heavy drinking, while persistent job insecurity showed the strongest association with binge drinking. The authors suggest that persistent exposures in particular may warrant priority in prevention efforts.

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