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Occupational differences in the association between job demands, job control, and hazardous drinking: results from the Stockholm Public Health cohort
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). Stockholm University, Faculty of Social Sciences, Department of Sociology.ORCID iD: 0000-0001-6114-4436
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Number of Authors: 62026 (English)In: European Journal of Work and Organizational Psychology, ISSN 1359-432X, E-ISSN 1464-0643, Vol. 35, no 3, p. 342-354Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2026. Vol. 35, no 3, p. 342-354
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Public Health, Global Health and Social Medicine
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URN: urn:nbn:se:su:diva-249727DOI: 10.1080/1359432X.2025.2579121ISI: 001603448200001Scopus ID: 2-s2.0-105020932437OAI: oai:DiVA.org:su-249727DiVA, id: diva2:2014523
Available from: 2025-11-18 Created: 2025-11-18 Last updated: 2026-06-12Bibliographically approved

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