Depression and Alcohol Abuse Among Firefighters Associated With Job Stress and Effort Reward Imbalance

Guo, Yecai; Lin, Yuh-Te; Tsai, Michelle; Yang, Yan; Chen, W J.; Shiao, Judith Shu-Chu

doi:10.1097/00001648-200611001-00439

Cited by 4 publications

(5 citation statements)

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“…Our findings support this for all aspects of the model, although reward was not significantly associated alcohol-related problems after adjusting for age, gender and education. This is in contrast with some previous findings (Kouvonen et al, 2005; Guo et al, 2006), but consistent with one study employing a compound measure of alcohol-related problems (Head et al, 2004).…”

Section: Discussionsupporting

confidence: 87%

“…Although most studies with a focus on alcohol-related factors and stressful working environment have used alcohol consumption per se as outcome measure, a few have included compound measures of both consumption and potential negative consequences of the consumption (Head et al, 2004; Guo et al, 2006; Fear et al, 2009). But even in studies which use the same alcohol measure as us (AUDIT), the findings are mixed (Guo et al, 2006; Fear et al, 2009). The discrepancy between our study and previous findings may be due to differences in sample size, measurement instruments, statistical modeling, response rates – but might also reflect true differences in the association between stressful working environment and alcohol-related problems in different populations.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, work-related stress has been shown to inflict substantial financial cost to society (Hassard et al, 2018). In an effort to understand the underpinnings of the observed associations, some studies have focused on the relationship between the psychosocial working environment, its interaction with the employees, and specific health-related behaviors, (Stansfeld and Candy, 2006; Heikkila et al, 2013; Kivimaki et al, 2015; Kivimäki and Kawachi, 2015; Sara et al, 2018) such as alcohol consumption, heavy drinking, and alcohol misuse (Puls et al, 1998; Head et al, 2004; Kouvonen et al, 2005; Guo et al, 2006; Marchand, 2008; Fear et al, 2009; Azagba and Sharaf, 2011; Marchand et al, 2011; Barnes and Zimmerman, 2013; Van Rafelghem et al, 2018; Medisauskaite and Kamau, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…In line with the ERI model, we would expect alcohol-related problems to be associated with high efforts, low rewards, a mismatch between efforts and rewards (effort-reward imbalance), and higher levels of work overcommitment. Only a few, mostly cross-sectional studies have examined the association of effort-reward imbalance with alcohol consumption (Puls et al, 1998; Head et al, 2004; Kouvonen et al, 2005; Guo et al, 2006; Jachens et al, 2016), and the results are mixed. For example, a large-scale study of over 40,000 public sector employees found no consistent association between ERI and heavy drinking (i.e., weekly consumption of 190 g or more absolute alcohol for women and more than 275 g for men) (Kouvonen et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Effort-Reward Imbalance Is Associated With Alcohol-Related Problems. WIRUS-Screening Study

et al. 2019

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There is ample evidence of associations between a perceived stressful working environment and several health-related outcomes. To better understand potential mechanisms behind these observations some studies have focused on the relationship between effort-reward imbalance at work and alcohol consumption. So far, the findings have been inconsistent. One reason for this inconsistency might come from the focus on alcohol consumption per se, while disregarding other aspects such as adverse consequences related to the consumption of alcohol. The aim of the present study was to explore associations between perceived effort and reward, effort-reward imbalance and overcommitment, and alcohol-related problems. Using data from the alcohol screening component in the Norwegian WIRUS-project (N = 5,080), we ascertained the perceived effort, reward, effort-reward imbalance (ERI) and overcommitment using the effort-reward imbalance questionnaire. Alcohol-related problems was determined using a cut-off ≥8 on the Alcohol Use Disorder Identification Test (AUDIT). Associations were estimated using crude and adjusted logistic regression models. Covariates were age, gender and education. We found associations between different aspects of ERI and overcommitment, and alcohol-related problems. Specifically, the main analysis indicated that there was an increased odds for alcohol-related problems among those who reported high levels of ERI in conjunction with high overcommitment [adjusted OR: 1.40 (CI 95% 1.10–1.78)] compared to those with low levels of ERI and low overcommitment. Our findings suggest that ERI and overcommitment is associated with increased likelihood of alcohol-related problems. These findings indicate that individual and work-related factors should be taken into account collectively when aiming to determine the impact of psychosocial work environment on alcohol-related problems. Due to the cross-sectional nature of the present study, we are not able to determine the direction of the associations, and future studies should aim to investigate this.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effort-Reward Imbalance Is Associated With Alcohol-Related Problems. WIRUS-Screening Study

et al. 2019

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“…This result may be a conservative estimate because the CAGE questionnaire may be less sensitive in women compared to men (Dhalla & Kopec, 2007). Problem drinking was significantly associated with common mental health issues in the Fire Service, such as depression, anxiety, and symptoms of PTSD (Carey et al, 2011; Fullerton, Ursano, & Wang, 2004; Guo et al, 2006; Jahnke et al, 2014; Jahnke et al, 2016). A large national formative study on alcohol use among firefighters found a strong perception that occupational stress and repeated exposure to trauma lead to excessive alcohol use as a method of coping.…”

Section: Discussionmentioning

confidence: 99%

Alcohol Use and Problem Drinking among Women Firefighters

Haddock

Poston

Jahnke

et al. 2017

Women's Health Issues

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Objectives Given high levels of occupational stress and toxic exposures, firefighters have a relatively high prevalence of occupationally-related medical and mental health disorders compared to the general public. Previous research found high rates of heavy and binge drinking among male firefighters. This study is the first to examine alcohol use among women firefighters. Methods Data were collected as part of a national online survey of women, career firefighters. Results A total of 1,913 women firefighters completed questions regarding alcohol use. Nearly 40% reported binge drinking in the previous month and 4.3% reported driving while intoxicated. Among those who drank, 16.5% screened positive for problem drinking. Problem drinkers were more than 2.5 times as likely to have been diagnosed with depression or have symptoms of post-traumatic stress disorder (PTSD), and were approximately 40% more likely to have been injured on the job in the previous year, when compared to other women firefighters. Those who screened positive for problem drinking also were significantly less likely to say that they would recommend a fire service career to other women. Conclusions As with male firefighters, heavy and problem drinking are prevalent among women firefighters and are associated with negative occupational outcomes.

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Work Stress and Adverse Health Behaviors

Heikkilä¹

2020

Handbook of Socioeconomic Determinants of Occupational Health

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Depression and Alcohol Abuse Among Firefighters Associated With Job Stress and Effort Reward Imbalance

Cited by 4 publications

References 0 publications

Effort-Reward Imbalance Is Associated With Alcohol-Related Problems. WIRUS-Screening Study

Effort-Reward Imbalance Is Associated With Alcohol-Related Problems. WIRUS-Screening Study

Alcohol Use and Problem Drinking among Women Firefighters

Work Stress and Adverse Health Behaviors

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