Okon Sylvia A, Khan Tourna N, Duffy Nora J, Roan Carson C, Hoopsick Rachel A
Department of Health and Kinesiology, University of Illinois Urbana-Champaign.
Department of Psychology, University of Illinois Urbana-Champaign.
Addict Behav Rep. 2025 Jan 7;21:100584. doi: 10.1016/j.abrep.2025.100584. eCollection 2025 Jun.
Work-related stress has been well-examined among physicians, but little is known about how it might affect drug use or healthcare workers in lower-wage occupations characterized by high job demands and low occupational autonomy (e.g., medical assistants, nursing assistants). We collected data from a diverse sample of healthcare workers ( = 200) and separately examined the cross-sectional relationships between several work-related experiences (i.e., compassion satisfaction, burnout, and secondary traumatic stress) and measures of current drug use (i.e., non-medical use of prescription drugs [NMUPD], cannabis use, and illicit drug use). We then examined for differences in these relationships by occupational level (i.e., prescriber/administrator vs. other healthcare worker). In main effects models, greater burnout and secondary traumatic stress were both associated with higher odds of NMUPD, cannabis use, and illicit drug use ( < 0.01). Greater compassion satisfaction was associated with lower odds of illicit drug use ( < 0.05), but not with NMUPD or cannabis use ( > 0.05). There was a significant interaction between secondary traumatic stress and occupational level on NMUPD ( < 0.05) such that there was no relationship among prescribers/administrators, but the likelihood of NMUPD increased with greater secondary traumatic stress among other healthcare workers. Similar trend-level interactions were observed between secondary traumatic stress and occupational level on cannabis use ( < 0.10) and between burnout and occupational level on NMUPD. Burnout and secondary traumatic stress may contribute to drug use, and lower-wage healthcare workers may be especially vulnerable.
工作压力在医生群体中已得到充分研究，但对于它如何影响药物使用，或对那些工作要求高且职业自主性低的低薪职业的医护人员（如医疗助理、护理助理）的影响却知之甚少。我们从多样化的医护人员样本（n = 200）中收集数据，分别研究了几种与工作相关的经历（即同情满足感、职业倦怠和继发性创伤压力）与当前药物使用指标（即非医疗目的使用处方药[NMUPD]、使用大麻和非法药物使用）之间的横断面关系。然后，我们按职业水平（即开处方者/管理人员与其他医护人员）研究了这些关系的差异。在主效应模型中，更高程度的职业倦怠和继发性创伤压力均与NMUPD、使用大麻和非法药物使用的更高几率相关（p < 0.01）。更高的同情满足感与非法药物使用的更低几率相关（p < 0.05），但与NMUPD或使用大麻无关（p > 0.05）。继发性创伤压力与职业水平在NMUPD方面存在显著交互作用（p < 0.05），即开处方者/管理人员之间不存在这种关系，但在其他医护人员中，随着继发性创伤压力的增加，NMUPD的可能性增大。在使用大麻方面，继发性创伤压力与职业水平之间以及在NMUPD方面职业倦怠与职业水平之间也观察到类似的趋势水平交互作用。职业倦怠和继发性创伤压力可能导致药物使用，低薪医护人员可能尤其易受影响。
