Canadian journal of public health = Revue canadienne de sante publique · 2010
[The contribution of work and other social determinants to the onset of psychotropic drug use among workers in Canada].
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Blanc Marie-Eve, Marchand Alain
Аннотация
OBJECTIVES: This study aims to examine the contribution of work and other social determinants to the onset of psychotropic drug use among workers over an 8-year period.
METHODS: The study is based on a secondary analysis of the longitudinal data of the National Population Health Survey (NPHS) of Statistics Canada carried out between 1994-1995 and 2002-2003. A panel of 7,338 people aged 15 to 55 and employed at cycle 1 was selected. To establish the incidence rate, we included those participants identified at cycle 1 as not using psychotropic drugs. Overall, 7,020 people in 1,347 local communities did not use psychotropic drugs at cycle 1 and constituted the group at risk in the study. Discrete time survival multilevel regression models were used.
RESULTS: The onset of psychotropic drug use was estimated at 3.5% over the 8-year period studied. With the exception of the number of hours worked, occupations and other work characteristics measured in the NPHS do not show a significant contribution. Being a woman, age, physical health, smoking and stressful childhood events support an increased risk of psychotropic drug use, whereas certain personality traits decreased the risk of psychotropic drug use.
CONCLUSIONS: The work factors measured in the NPHS seem to play a limited role in the incidence of psychotropic drug use. More research is needed to better capture patterns of workers' psychotropic drug use over time.
METHODS: The study is based on a secondary analysis of the longitudinal data of the National Population Health Survey (NPHS) of Statistics Canada carried out between 1994-1995 and 2002-2003. A panel of 7,338 people aged 15 to 55 and employed at cycle 1 was selected. To establish the incidence rate, we included those participants identified at cycle 1 as not using psychotropic drugs. Overall, 7,020 people in 1,347 local communities did not use psychotropic drugs at cycle 1 and constituted the group at risk in the study. Discrete time survival multilevel regression models were used.
RESULTS: The onset of psychotropic drug use was estimated at 3.5% over the 8-year period studied. With the exception of the number of hours worked, occupations and other work characteristics measured in the NPHS do not show a significant contribution. Being a woman, age, physical health, smoking and stressful childhood events support an increased risk of psychotropic drug use, whereas certain personality traits decreased the risk of psychotropic drug use.
CONCLUSIONS: The work factors measured in the NPHS seem to play a limited role in the incidence of psychotropic drug use. More research is needed to better capture patterns of workers' psychotropic drug use over time.