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2025 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]
Background
Association between job demand-control (JDC) trajectories and problem drinking (PD) is still unclear. By utilizing longitudinal data from Swedish Longitudinal Occupational Survey of Health (SLOSH) and multivariate group based trajectory modeling (GBTM), this study aimed to identify JDC trajectories over 12 years in Swedish workforce, investigate their association with PD, and potential role of social support and gender into the association.
Methods
11961 SLOSH participants were selected if, 1) working at least 30% during participation, 2) completed JDC, and alcohol use questionnaires at least three times between 2010-2022. JDC and social support at work were measured by Swedish Demand-Control-Support Questionnaire. PD was measured with CAGE instrument (Cut-down, Annoyed, Guilty, Eye-opener) with a cut-off score ≥2. GBTM was employed to identify JDC trajectories. Generalized Equation Estimating (GEE) models were utilized to investigate longitudinal association between JDC trajectories and PD. Gender-stratified analysis was conducted.
Results
GBTM identified five unique JDC trajectories (Active, Hybrid/mix Strain, High Strain, Passive, Low Strain) among SLOSH participants. “Active” trajectory exhibited 27% [CI: 1.05 – 1.54, p: 0.013] increased odds of PD compared with “Low strain” trajectory. Men showed 33% higher odds of PD in the “Active” trajectory [CI: 1.02 – 1.72, p: 0.035], whereas women in the “High Strain” trajectory [CI: 1.03 – 1.85, p: 0.032] displayed 38% higher odds of PD compared to the reference trajectory. Interaction analysis between JDC trajectories and workplace social support was not significant.
Conclusions
Our study indicates possible association between constant high job demand-control and problem drinking with difference among men and women.
Series
Diversity, Equity, and Inclusion in a Changing Workforce: Workplace Diversity and Health Disparities
Keywords
Job Demand-Control, Problem Drinking, Public Health, Work Life, GBTM, GEE
National Category
Public Health, Global Health and Social Medicine
Research subject
Public Health Sciences; Working Life Studies
Identifiers
urn:nbn:se:mdh:diva-75049 (URN)
Conference
Work, Stress & Health Conference 2025, Seattle, USA, 8-11 July, 2025
2025-12-102025-12-102025-12-17Bibliographically approved