ArticleInternational archives of occupational and environmental health2020
Opioid use disorder, job strain, and high physical job demands in US workers.
Article in International archives of occupational and environmental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 36 citations in OpenAlex.
- Straining Under Contradiction? Contradictory Class Locations and Job Strain in the United States.International journal of social determinants of health and health services · 2026Article
- Self-Management Strategies for Low Back Pain Among Horticulture Workers: Protocol for a Type II Hybrid Effectiveness-Implementation Study.JMIR research protocols · 2025Article
- Risk of opioid-related harms by occupation within a large cohort of formerly injured workers in Ontario, Canada: findings from the Occupational Disease Surveillance System.Occupational and environmental medicine · 2024Article
- Painkiller intake and problematic health literacy in sport and music students - A cross-sectional study.Scientific reports · 2024Article
- An Artificial Intelligence-Based Smartphone App for Assessing the Risk of Opioid Misuse in Working Populations Using Synthetic Data: Pilot Development Study.JMIR formative research · 2023Article
- Response to NIOSH Request for Information on Interventions to Prevent Work-Related Stress and Support Health Worker Mental Health.New solutions : a journal of environmental and occupational health policy : NS · 2022Article
- Predictors of Workplace Substance Reuse among Patients with Alcohol or Illegal Substance Use Disorder in the Workplace.International journal of environmental research and public health · 2022Article
- Effort-Reward Imbalance at Work and Prescription Drug Misuse-Prospective Evidence from Germany.International journal of environmental research and public health · 2022Article
- The Effects of the Opioid Crisis on Agricultural Industries.International journal of environmental research and public health · 2022Article
- Effort-Reward Imbalance at Work and Drug Misuse: Evidence from a National Survey in the U.S.International journal of environmental research and public health · 2021Article
- NIOSH Responds to the U.S. Drug Overdose Epidemic.New solutions : a journal of environmental and occupational health policy : NS · 2021Article
- Work Environment Factors and Prevention of Opioid-Related Deaths.American journal of public health · 2020Article
- Effects of Unemployment on Opioid Use Treatment Trajectories: Impact of the COVID-19 Pandemic.Journal of addictions nursingArticle
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLittle is known about the work environmental risk factors for opioid use disorder (OUD) in working populations. The purpose of this study is to examine whether adverse physical and psychosocial working conditions are associated with OUD in a working population of the United States (US).
methodsAmong the participants of the National Survey of Midlife Development in the United States (MIDUS) II Study (2004-2006), 2134 workers (1059 men and 1075 women; mean age, 51 years) were chosen for this study. OUD was measured with self-administered questions in line with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSD-5). Physical demands (physical efforts, heavy lifting, and crouching/stooping/kneeling) and psychosocial work stressors (skill discretion, decision authority, job control, psychological job demands, supervisor and coworker support at work, job insecurity, and work hours) were measured with a standard questionnaire.
resultsThe prevalence of OUD was 3.8%. In multivariate analyses, low skill discretion, high psychological job demands, job strain (a combination of low control and high demands), and high physical job demands were significantly associated with OUD. The multivariate prevalence ratios for OUD by job strain and frequent heavy lifting were 1.98 (1.27-3.10) and 2.23 (1.22-4.10), respectively. Job strain was more strongly associated with OUD in men, while high physical job demands were more strongly associated with OUD in women.
conclusionThis study implies that adverse physical and psychosocial working conditions may be important risk factors for OUD in US working populations. Future longitudinal and mechanistic studies are urgently warranted.
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