Table 3. Associations between alcohol, tobacco and cannabis use and job loss at one-year among 18,879 participants from the CONSTANCES cohort, adjusting for age, gender, self-reported health and depressive symptoms, and while stratifying for sociodemographic and occupational factors.
Type of substance use | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Alcohola | Tobaccob | Cannabisc | ||||||||||
SOCIODEMOGRAPHIC FACTORS | OR | 95%CI | p value | OR | 95%CI | p value | OR | 95%CI | p value | |||
Age (in years) | ||||||||||||
Less than 30 | 1.30 | 0.95 | 1.79 | 0.105 | 1.86 | 1.40 | 2.47 | <0.001 | 1.51 | 1.11 | 2.04 | 0.008 |
Between 30 and 50 | 1.48 | 1.17 | 1.89 | 0.001 | 1.47 | 1.21 | 1.79 | <0.001 | 1.99 | 1.55 | 2.56 | <0.001 |
More than 50 | 1.82 | 1.36 | 2.44 | <0.001 | 1.19 | 0.90 | 1.57 | 0.224 | 2.84 | 1.73 | 4.66 | <0.001 |
Gender | ||||||||||||
Men | 1.55 | 1.26 | 1.91 | <0.001 | 1.71 | 1.39 | 2.10 | <0.001 | 1.96 | 1.52 | 2.53 | <0.001 |
Women | 1.45 | 1.12 | 1.87 | 0.005 | 1.30 | 1.08 | 1.57 | 0.006 | 1.78 | 1.37 | 2.31 | <0.001 |
Education level (2011 ISCED classification) | ||||||||||||
Levels 0 to 4 | 1.45 | 1.12 | 1.87 | 0.004 | 1.51 | 1.22 | 1.88 | <0.001 | 1.82 | 1.33 | 2.50 | <0.001 |
Levels 5 and 6 | 1.44 | 1.09 | 1.91 | 0.011 | 1.33 | 1.06 | 1.68 | 0.015 | 1.94 | 1.44 | 2.62 | <0.001 |
Levels 7 and 8 | 1.64 | 1.20 | 2.24 | 0.002 | 1.41 | 1.05 | 1.90 | 0.023 | 1.79 | 1.27 | 2.53 | 0.001 |
Occupational grade | ||||||||||||
Blue-collar worker, craftsman or employee | 1.37 | 1.07 | 1.76 | 0.013 | 1.52 | 1.25 | 1.86 | <0.001 | 1.78 | 1.35 | 2.36 | <0.001 |
Intermediate worker | 1.43 | 1.02 | 2.00 | 0.040 | 1.45 | 1.09 | 1.92 | 0.010 | 1.50 | 1.01 | 2.24 | 0.045 |
Executive | 1.76 | 1.34 | 2.31 | <0.001 | 1.20 | 0.92 | 1.57 | 0.187 | 2.30 | 1.69 | 3.13 | <0.001 |
Household income(in euros per month) | ||||||||||||
Less than 2800 | 1.18 | 0.94 | 1.49 | 0.164 | 1.54 | 1.27 | 1.85 | <0.001 | 1.63 | 1.28 | 2.07 | <0.001 |
More than 2800 | 1.82 | 1.46 | 2.27 | <0.001 | 1.23 | 0.99 | 1.52 | 0.054 | 1.92 | 1.45 | 2.55 | <0.001 |
OCCUPATIONAL FACTORS | OR | 95%CI | p value | OR | 95%CI | p value | OR | 95%CI | p value | |||
Effort-reward imbalance ratiod | ||||||||||||
First and second tertiles | 1.45 | 1.18 | 1.78 | <0.001 | 1.45 | 1.21 | 1.72 | <0.001 | 1.85 | 1.48 | 2.32 | <0.001 |
Third tertile | 1.61 | 1.24 | 2.09 | <0.001 | 1.50 | 1.20 | 1.88 | <0.001 | 1.87 | 1.37 | 2.55 | <0.001 |
Type of contract | ||||||||||||
Open-ended contract | 1.50 | 1.12 | 1.82 | <0.001 | 1.43 | 1.20 | 1.69 | <0.001 | 1.77 | 1.40 | 2.25 | <0.001 |
Other type of contract | 1.47 | 1.10 | 1.96 | 0.010 | 1.51 | 1.19 | 1.93 | 0.001 | 1.57 | 1.18 | 2.10 | 0.002 |
Type of work time | ||||||||||||
Full-time | 1.56 | 1.30 | 1.87 | <0.001 | 1.47 | 1.25 | 1.72 | <0.001 | 1.82 | 1.47 | 2.24 | <0.001 |
Part-time | 1.34 | 0.94 | 1.91 | 0.105 | 1.50 | 1.16 | 2.01 | 0.002 | 1.71 | 1.18 | 2.49 | 0.005 |
History of unemployment during the last three years | ||||||||||||
No | 1.63 | 1.35 | 1.97 | <0.001 | 1.34 | 1.13 | 1.59 | 0.001 | 1.73 | 1.38 | 2.17 | <0.001 |
Yes | 1.00 | 0.73 | 1.38 | 0.990 | 1.37 | 1.05 | 1.79 | 0.019 | 1.59 | 1.15 | 2.20 | 0.006 |
OR: Odd ratio; 95%CI: Confidence interval at 95%; ISCED: 2011 International Standard Classification of Education
a Categories are defined from Alcohol Use Disorders Identification scores as follows: Mild (0–7), Dangerous, Problematic and Dependence (8–40), with Mild category as reference
b Non-smokers is defined as reference category compared to former and current smokers
c Never used is defined as reference category compared to having already used
d Computed from 7 items regarding rewards and from 3 items regarding efforts and with all the items assessed on a 4-points likert scale. Adjustments variables were as follows: gender, age in three categories (<30; ≥30 and <50 and ≥50), self-reported health was used as a binary variable from an 8-points Likert scale, and depressive state defined as a total score ≥19 at the Center for Epidemiologic Studies Depression (CESD). Significant associations are presented in bold (i.e. p<0.05).