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Atypical working hours are associated with substance use, especially in women: longitudinal analyses from the CONSTANCES cohort

Published online by Cambridge University Press:  01 September 2022

N. Hamieh ,
G. Airagnes ,
A. Descatha ,
M. Goldberg ,
F. Limosin ,
Y. Roquelaure ,
C. Lemogne ,
M. Zins  and
J. Matta
N. Hamieh*
Affiliation:
INSERM UMS 011, Population-based Epidemiological Cohorts Unit, Villejuif, France
G. Airagnes
Affiliation:
INSERM UMS 011, Population-based Epidemiological Cohorts Unit, Villejuif, France Université de Paris, School of Medicine, Faculty Of Health, Paris, France AP-HP.Centre-Université de Paris, Dmu Psychiatrie Et Addictologie, Paris, France
A. Descatha
Affiliation:
Academic Hospital CHU Angers, Poison Control Center, Angers, France
M. Goldberg
Affiliation:
INSERM UMS 011, Population-based Epidemiological Cohorts Unit, Villejuif, France
F. Limosin
Affiliation:
Université de Paris, AP-HP, Hôpital Corentin-Celton, Dmu Psychiatrie Et Addictologie, ISSY LES MOULINEAUX, France
Y. Roquelaure
Affiliation:
Academic Hospital CHU Angers, Poison Control Center, Angers, France University of Angers, Centre Hospitalier Universitaire d’Angers, Université de Rennes, Centre De Consultations De Pathologie Professionnelle Et Santé Au Travail, Angers, France
C. Lemogne
Affiliation:
AP-HP, Assistance Publique - Hôpitaux de Paris, Adult Psychiatry, Paris, France
M. Zins
Affiliation:
INSERM UMS 011, Population-based Epidemiological Cohorts Unit, Villejuif, France Université de Paris, School of Medicine, Faculty Of Health, Paris, France
J. Matta
Affiliation:
INSERM UMS 011, Population-based Epidemiological Cohorts Unit, Villejuif, France
*
*Corresponding author.

Abstract

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Introduction

Difficult working conditions could be associated with addictive behaviors.

Objectives

To examine the prospective associations between atypical working hours and substance use, including sugar and fat consumption.

Methods

In the CONSTANCES cohort, a total of 47,288 men and 53,324 women currently employed were included from 2012-2017 for tobacco and cannabis outcomes, and 35,647 and 39,767, respectively from 2012-2016 for alcohol and sugar and fat outcomes, and they were then followed up annually. Atypical working hours were self-reported at baseline and considered three different indicators: night shifts, weekend work and non-fixed working hours. Generalized linear models computed odds of substance use and sugar and fat consumption at follow-up according to baseline atypical working hours while adjusting for sociodemographic factors, baseline depression and baseline level of consumption.

Results

Night shifts increased significantly the odds of using tobacco in women (Odds ratios, ORs varying from 1.55 to 1.62) and cannabis in men (ORs varying from 1.80 to 1.95). Weekend work increased the odds of using tobacco (ORs varying from 1.51 to 1.67) and alcohol (OR of 1.16) in women. Non-fixed working hours increased the odds of using tobacco and alcohol in men and women (ORs varying from 1.15 to 1.19 and 1.12 to 1.14, respectively). Dose-dependent relationships were found for tobacco use in women (P for trends<0.0001). No significant associations were found for sugar and fat consumption.

Conclusions

The role of atypical working hours on substance use should be taken into account by public health policy makers and clinicians for information and prevention strategies, especially among women.

Disclosure

Nadine Hamieh was supported by a grant from “Direction de la recherche, des études, de l’évaluation et des statistiques”, DREES, Ministry of Labour, France.

Keywords

Atypical working hourssubstance useEpidemiologySugar and fat
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S79
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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