一项全国性纵向调查中职业轨迹与酒精使用障碍的关联
Association of occupational trajectories with alcohol use disorders in a longitudinal national survey.
作者信息
Meyer John D, Mutambudzi Miriam
机构信息
From the Selikoff Centers for Occupational Medicine, Department of Preventive Medicine (Dr Meyer), Icahn-Mount Sinai School of Medicine, New York, NY; and Johns Hopkins Lupus Center (Dr Mutambudzi), Johns Hopkins School of Medicine, Baltimore, MD.
出版信息
J Occup Environ Med. 2014 Jul;56(7):700-7. doi: 10.1097/JOM.0000000000000184.
OBJECTIVES
We investigated longitudinal associations between occupation and alcohol use disorders (AUDs) across early- to mid-adult life.
METHODS
Longitudinal trajectories of work substantive complexity were constructed by growth mixture modeling of occupational data from the National Longitudinal Survey of Youth 1979 and O*NET work variables. The association between work trajectories and AUDs was modeled adjusting for education.
RESULTS
Lower work trajectories were associated with higher AUD prevalence and incidence. Incident AUDs were associated with a subsequent decline in work trajectory class for both high and low initial classes, more strongly in women despite lower overall AUD incidence.
CONCLUSIONS
Low work trajectory is associated with increased AUD prevalence. Development of an AUD may presage risk of decline in work substantive complexity. These findings suggest reinforcing relations between the development of AUD and occupational course at midlife.
目的
我们研究了成年早期至中期职业与酒精使用障碍（AUDs）之间的纵向关联。
方法
通过对1979年全国青年纵向调查的职业数据和职业信息网络（O*NET）工作变量进行增长混合模型，构建工作实质复杂性的纵向轨迹。对工作轨迹与酒精使用障碍之间的关联进行建模，并对教育因素进行调整。
结果
较低的工作轨迹与较高的酒精使用障碍患病率和发病率相关。无论是高初始类别还是低初始类别，新发酒精使用障碍均与随后工作轨迹类别的下降相关，尽管总体酒精使用障碍发病率较低，但在女性中这种关联更强。
结论
低工作轨迹与酒精使用障碍患病率增加相关。酒精使用障碍的发生可能预示着工作实质复杂性下降的风险。这些发现表明成年中期酒精使用障碍的发展与职业进程之间存在强化关系。
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