Home > Job exposure to the public in relation with alcohol, tobacco and cannabis use: Findings from the CONSTANCES cohort study.

Airagnes, Guillaume and Lemogne, Cedric and Goldberg, Marcel and Hoertel, Nicolas and Roquelaure, Yves and Limosin, Frédéric and Zins, Marie [PLOS One] . (2018) Job exposure to the public in relation with alcohol, tobacco and cannabis use: Findings from the CONSTANCES cohort study. Public Library of Science. PLoS ONE, 13 (5) https://doi.org/10.1371/journal.pone.0196330

URL: http://journals.plos.org/plosone/article?id=10.137...

Objectives: To examine the associations between job exposure to the public (e.g., customers, guests, users of a public service, patients) and alcohol, tobacco and cannabis use.


Methods: From the French population-based CONSTANCES cohort, 16,566 men and 17,426 women currently working were included between 2012 and 2016. They reported their exposure to the public (daily versus no daily), and among the daily exposed participants (10,323 men and 13,318 women), the frequency of stressful exposure (often versus rarely). Dependent variables were: chronic alcohol consumption (<1(1), 1-27(1–13), 28-42(14–28), >42(28) drinks per week in men(women)), heavy episodic drinking (never, at most once a month, more than once a month), alcohol use risk with Alcohol Use Disorders Identification Test (mild, dangerous, problematic or dependence), tobacco use (non-smoker, former smoker, 1–9, 10–19, >19 cigarettes per day) and cannabis use (never, not in past year, less than once a month, once a month or more). Logistic regressions provided odds ratios of substance use, stratifying for gender and adjusting for sociodemographic confounders, depression, effort-reward imbalance and perceived health status.


Results: Exposed men had higher risks of alcohol (chronic alcohol consumption, heavy episodic drinking and alcohol use risk), tobacco and cannabis use. Exposed women had higher risks of tobacco and cannabis use. In men, stressful exposure was associated with increased risks of heavy episodic drinking, tobacco and cannabis use. In women, stressful exposure was associated with increased risks of chronic alcohol consumption, alcohol use risk, tobacco and cannabis use. All these findings remained significant in multivariable analyses, taking into account sociodemographic variables, depressive symptoms, perceived health status and effort-reward imbalance.


Conclusions: Interventions to reduce emotional job demand should systematically integrate assessment and prevention measures of addictive behaviors. Vulnerable workers may be offered more specific interventions to reduce the impact of exposure to the public on their substance use.

Item Type:Evidence resource
Drug Type:Alcohol, Cannabis, Tobacco
Intervention Type:AOD disorder, AOD disorder harm reduction
Source:PLOS One
Date:May 2018
Publisher:Public Library of Science
Subjects:A Substance use, abuse, and dependence > Prevalence > Problem substance use
B Substances > Alcohol
B Substances > Tobacco (cigarette smoking)
F Concepts in psychology > Motivation
J Health care, prevention and rehabilitation > Risk and protective factors > Risk factors
L Social psychology and related concepts > Social context > Workplace context
MP-MR Policy, planning, economics, work and social services > Labour and work > Work-related substance issue
VA Geographic area > Europe > France

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