Effort-Reward Imbalance at Work and Drug Misuse: Evidence from a National Survey in the U.S

Details

• Personal Author:
  Chen L ; Leineweber C ; Li J ; Matthews TA ; Seamans M ; Siegrist J
• Description:
  With the rise of drug misuse among workers in recent years, preliminary research on potential risk factors in the workplace of single-type of drug misuse has been reported. This is the first study to examine cross-sectional associations of work stress, in terms of effort-reward imbalance, with multiple drug misuse (including any drug misuse, opioid misuse, sedatives misuse, cannabis misuse, and other drug misuse) during the past 12 months in a national sample of U.S. workers. Data of 2211 workers were derived from the nationally representative and population-based Midlife in the United States (MIDUS) study. Internal consistency reliability and factorial validity of a 17-item effort-reward imbalance measure were robust and satisfactory. After adjustment for relevant covariates, logistic regression analyses showed that workers experiencing effort-reward imbalance at work had significantly higher odds of any drug misuse (OR and 95% CI = 1.18 (1.03, 1.37)), especially opioid misuse (OR and 95% CI = 1.35 (1.07, 1.69)) and other drug misuse (OR and 95% CI = 1.36 (1.01, 1.83)). The findings suggest that a stressful work environment may act as a determinant of drug misuse, and further prospective evidence is needed. [Description provided by NIOSH]
• Subjects:
  Cannabis Epidemiology Mental Health Nervous System Occupational Health Safety Stress, Psychological Substance-Related Disorders Workplace
• Keywords:
  Author Keywords: Effort-reward Imbalance Coping Behavior Drug Abuse Drug Misuse Drugs Job Stress Mental Health Opioid Population Based Studies Work Environment Workers Work Stress

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• ISSN:
  1660-4601
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  18
• Issue:
  24
• NIOSHTIC Number:
  nn:20068215
• Citation:
  Int J Environ Res Public Health 2021 Dec; 18(24):13334
• Contact Point Address:
  Jian Li, Department of Environmental Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA 90095, USA
• Email:
  jianli2019@ucla.edu
• Federal Fiscal Year:
  2022
• Performing Organization:
  University of California Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  International Journal of Environmental Research and Public Health
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7eb856856df0a6f53b7f5edd071a035504995d21ca514a891f6f920f7b8e5729b574561730a7d49633befcd0c3c38791f21107f0ff9af54f84c541acab06abe8
• Download URL:
  https://stacks.cdc.gov/view/cdc/230419/cdc_230419_DS1.pdf
• File Type:
  [PDF - 876.21 KB ]