Occupational differences in the association between job demands, job control, and hazardous drinking: results from the Stockholm Public Health cohort
基于斯德哥尔摩公共卫生队列数据，研究发现工作要求与工作控制对危险饮酒的影响因职业而异，高工作要求低控制的工作（高紧张型）普遍增加危险饮酒风险，但不同职业中具体因素（如决策权、矛盾要求）的作用不同。
The relationship between job demand control (JDC) and hazardous drinking has shown inconsistent findings in the literature. This study investigated whether this association varies by occupational group and specific measures of job demands and job control. Baseline data from the Stockholm Public Health Cohort (2006, 2010) included information on sociodemographic factors, health, occupation, and JDC. JDC categories – active, passive, high strain, and low strain (reference) – were defined based on levels of job control (decision authority, skill utilization) and job demands (contradictory demands, time constraints). Hazardous drinking, assessed at a four-year follow-up, included both heavy episodic drinking (≥5 units/month) and hazardous average consumption (men: >14 units/week; women: >9 units/week). Logistic regression analyses, stratified by occupational group, revealed trends across JDC categories. High strain was generally associated with increased odds of hazardous drinking, while passive and active work appeared more protective. However, these associations varied by occupation, with some showing divergent associations. The associations became more occupation-specific when evaluating job demand and job control measures- such as strong associations for managers and educators with low decision authority and healthcare workers with contradictory demands. Further research on occupation-specific stressors could help identify vulnerable groups for targeted interventions to mitigate hazardous drinking risks.