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Do psychosocial job stressors influence mental health service use? Evidence from an Australian cohort
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posted on 2019-05-01, 00:00 authored by Allison Milner, Dennis Petrie, Tony LaMontagneTony LaMontagne, Peter ButterworthOBJECTIVES: There is strong evidence of a relationship between psychosocial job stressors and mental health at the population level. There has been no longitudinal research on whether the experience of job stressors is also associated with greater mental health service use. We seek to fill this gap. METHODS: The Household Income Labour Dynamics in Australia survey cohort was used to assess the relationship between exposure to self-reported psychosocial job quality and reporting attendance at a mental health professional during the past 12 months. We adjusted for time-varying and time-invariant confounders. The study was conducted in 2009 and 2013. RESULTS: In the random effects logistic regression model, increasing exposure to psychosocial job stressors was associated with an increased odds of mental health service use after adjustment (one stressor: OR 1.26, 95% CI 1.01 to 1.56; two stressors: OR 1.33, 95% CI 1.02 to 1.73; three stressors: OR 1.82, 95% CI 1.28 to 2.57). However, once the between person effects were controlled in a fixed effects model, the within-person association between change in job stressors and change in mental health service use was estimated to be close to zero and not significant. CONCLUSIONS: More work is needed to understand the relationship between job stressors and service use. However, when taken with past findings on job stressors and mental health, these findings highlight the importance of considering policy and clinical practice responses to adverse working contexts.
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Journal
Occupational and environmental medicineVolume
76Issue
5Pagination
295 - 301Publisher
BMJ Publishing GroupLocation
London, Eng.Publisher DOI
eISSN
1470-7926Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2019, Author(s) (or their employer(s))Usage metrics
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