The prevalence of hazardous and harmful drinking in the UK Police Service, and their co-occurrence with job strain and mental health problems.
The prevalence of hazardous and harmful drinking in the UK Police Service, and their co-occurrence with job strain and mental health problems.
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DOI：
10.1017/s2045796021000366
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发表时间：
2021-06-21
影响因子：
8.1
通讯作者：
Goodwin L
中科院分区：
文献类型：
--
作者：
Irizar P;Gage SH;Field M;Fallon V;Goodwin L
由于治安工作的压力很大，警察雇员面临着心理健康问题和酗酒的风险。我们的目标是确定英国警察部门危险和有害酒精使用的流行程度，并探讨其与工作压力和心理健康问题的关联。 Airwave 健康监测研究（N = 40 986）的横断面数据包括酒精消耗量（过去一周的总单位）、心理健康（抑郁、焦虑和创伤后应激障碍 [PTSD]）和工作压力。使用多项逻辑回归分析心理健康和工作压力与饮酒之间的关联（即禁欲、低风险[每周<14单位，参考组]、危险[女性>14至35单位、男性>14至50单位]、有害[女性>35单位、男性>50单位]），并调整潜在的混杂因素（即年龄、性别、种族、婚姻状况、18岁以下儿童、收入和吸烟状况）。共有 32.6% 的警察员工报告存在危险饮酒行为，其中 3.0% 的人饮酒达到有害水平。与没有心理健康问题的警察相比，患有抑郁症、焦虑症或创伤后应激障碍 (PTSD) 的警察员工成为有害饮酒者的可能性是前者的两倍，而报告戒酒的可能性也是后者的 1.3 倍。与那些报告高压力的人相比，那些报告低压力的人（参考组）更有可能危险饮酒，而心理健康状况在统计上可以调节高压力。当样本按心理健康状况分层时，低压力（与所有其他类别相比）与危险饮酒之间的关联仅在那些没有心理健康问题的人中才显着。这些调查结果表明，警察雇员可能是面临酒精伤害风险的职业群体，其中三分之一的人存在危险饮酒行为。心理健康和饮酒之间的 J 形关系凸显了为英国警察局量身定制的心理健康和酒精服务整合的必要性。
Due to the stressful nature of policing, police employees are at risk of mental health problems and problematic alcohol use. We aim to determine the prevalence of hazardous and harmful alcohol use in the UK Police Service, and to explore the associations with job strain and mental health problems. Cross-sectional data from the Airwave Health Monitoring Study (N = 40 986) included measures of alcohol consumption (total units in past week), mental health (depression, anxiety and post-traumatic stress disorder [PTSD]) and job strain. The associations between mental health and job strain with alcohol consumption (i.e. abstinence, low-risk [<14 units per week, reference group], hazardous [>14 to 35 units for women, >14 to 50 units for men], harmful [>35 units for women, >50 units for men]), were analysed using multinomial logistic regressions, adjusting for potential confounders (i.e. age, gender, ethnicity, marital status, children under 18, income and smoking status). A total of 32.6% of police employees reported hazardous drinking, with 3.0% drinking at harmful levels. Compared to those without a mental health problem, police employees with depression, anxiety or PTSD were twice as likely to be harmful drinkers and were also 1.3 times more likely to report abstinence. Those reporting low strain (reference group) were more likely to drink hazardously compared to those reporting high strain, which was statistically moderated by mental health. When the sample was stratified by mental health status, the association between low strain (compared to all other categories) and hazardous drinking, was significant only in those without a mental health problem. These findings indicate that police employees may be an occupational group at risk of alcohol harm, with one-third drinking hazardously. The J-shaped relationship between mental health and alcohol use highlights a need for an integration of mental health and alcohol services, tailored for the UK Police Service.