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Factors associated with alcohol abuse and dependence among public transport workers in the metropolitan region of Belo Horizonte

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Abstract

Purpose

Alcohol use may be associated with occupational factors. The objective of this study was to describe the prevalence and identify factors independently associated with alcohol abuse and dependence among urban public workers.

Methods

In this cross-sectional study, a proportional sample of 1607 bus drivers and conductors in three municipalities within the metropolitan region of Belo Horizonte was analyzed (total population: 17,740). Face-to-face interviews were conducted using a digital questionnaire that investigated working conditions and health. Affirmative responses to at least two questions in the CAGE questionnaire were considered to represent situations of abuse and dependence. The magnitude of the associations was estimated by means of logistic regression in univariable and multivariable models.

Results

The prevalence of alcohol abuse and dependence was 13.5 %. Positive associations with the following were identified: lower schooling level (incomplete high school: OR 1.77; 95 % CI 1.14–2.74; and elementary education: OR 1.57; 95 % CI 1.10–2.26); current smoking (OR 2.12; 95 % CI 1.47–3.07); non-participation in social activities (OR 1.74; 95 % CI 1.21–2.48); medical diagnosis of three of more diseases (OR 1.57; 95 % CI 1.01–2.42); aggression at work (OR 1.39; 95 % CI 1.01–1.93); and work-related distress (OR 1.85; 95 % CI 1.27–2.71). Workers who did not have children presented a lower chance of alcohol abuse and dependence than did those with children (OR 0.67; 95 % CI 0.45–0.99).

Conclusions

Results of this study point that the urban public transport workers, users of public transport and also pedestrians could be on increased risk of accidents. So considering the importance of this service for all society and the risk involved in this activity, prospective studies are needed to clarify the relationships observed.

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References

  • Amaral RA, Malbergier A (2004) Evaluation of a screening test for alcohol-related problems (CAGE) among employees of the Campus of the University of São Paulo. Rev Bras Psiquiatr 26(3):156–163

    Article  Google Scholar 

  • Araújo MSC (2008) Saúde mental e trabalho: estratégias dos motoristas de ônibus da cidade de João Pessoa frente à insegurança. Dissertation, Federal University of Paraíba

  • Barnes AJ, Zimmerman FJ (2013) Associations of occupational attributes and excessive drinking. Soc Sci Med 92:35–42

    Article  Google Scholar 

  • Benvegnú LA, Fassa ACG, Facchini LA, Breitenbach F (2008) Hypertension prevalence among bus drivers in Santa Maria, Rio Grande do Sul, Brazil. Rev Bras Saúde Ocup 33(118):32–39

    Article  Google Scholar 

  • Brasil (2012). Lei no. 12.587, de 03 de janeiro de 2012. Institui as diretrizes da Política Nacional de Mobilidade Urbana e dá outras providências. Diário Oficial da União, Poder Executivo, Brasília, DF. http://www.planalto.gov.br/ccivil_03/_Ato2011-2014/2012/Lei/L12587.htm. Accessed 2 Jan 2015

  • Carvalho CHR, Pereira RHM (2012) Gastos das famílias brasileiras com transporte urbano público e privado no Brasil: uma análise da POF 2003 e 2009. Texto para discussão, Instituto de Pesquisa Econômica Aplicada (IPEA). http://repositorio.ipea.gov.br/bitstream/11058/993/1/TD_1803.pdf. Accessed 2 Jan 2015

  • Cooper ML, Russell M, Skinner JB, Windle M (1992) Development and validation of a three-dimensional measure of drinking motives. Psychol Assess 4(2):123–132

    Article  Google Scholar 

  • Cunradi CB, Greiner BA, Ragland DR, Fisher JM (2003) Burnout and alcohol problems among urban transit operators in San Francisco. Addict Behav 28(1):91–109

    Article  Google Scholar 

  • Dahlgren G, Whitehead M (2007) European strategies for tackling social inequities in health: levelling up part 2. World Health Organization Regional Office for Europe, Copenhagen

    Google Scholar 

  • Delcor NS, Araújo TM, Reis EJFB, Porto LA, Carvalho FM, Silva MO, Barbalho L, Andrade JM (2004) Labor and health conditions of private school teachers in Vitória da Conquista, Bahia, Brazil. Cad Saúde Pública 20(1):187–196

    Article  Google Scholar 

  • Dhalla S, Kopec JA (2007) The CAGE questionnaire for alcohol misuse: a review of reliability and validity studies. Clin Invest Med 30(1):33–41

    Google Scholar 

  • Falk DE, Yi H, Hiller-Sturmhofel S (2006) An epidemiologic analysis of co-occurring alcohol and tobacco use and disorders. Alcohol Res Health 29(3):162–171

    Google Scholar 

  • Fernandes JC, Portela LF, Rotenberg L, Griep RH (2013) Working hours and health behaviour among nurses at public hospitals. Rev Latinoam Enferm 21(5):1104–1111

    Article  Google Scholar 

  • Ferreira DKS, Bonfim C, Augusto LGS (2011) Factors associated with the lifestyle of military police officers. Ciênc Saúde Coletiva 16(8):3403–3412

    Article  Google Scholar 

  • Hiro H, Kawakami N, Tanaka K, Nakamura K (2007) Association between job stressors and heavy drinking: age differences in male Japanese workers. Ind Health 45(3):415–425

    Article  Google Scholar 

  • Hodgins DC, Williams R, Munro G (2009) Workplace responsibility, stress, alcohol availability and norms as predictors of alcohol consumption-related problems among employed workers. Subst Use Misuse 44(14):2062–2069

    Article  Google Scholar 

  • Issever H, Onen L, Sabuncu HH, Altunkaynak O (2002) Personality characteristics, psychological symptoms and anxiety levels of drivers in charge of urban transportation in Istanbul. Occup Med 52(6):297–303

    Article  CAS  Google Scholar 

  • Karlamangla A, Zhou K, Reuben D, Greendale G, Moore A (2006) Longitudinal trajectories of heavy drinking in adults in the United States of America. Addiction 101(1):91–99

    Article  Google Scholar 

  • Kelly E, Darke S, Ross J (2004) A review of drug use and driving: epidemiology, impairment, risk factors and risk perceptions. Drug Alcohol Rev 23(3):319–344

    Article  Google Scholar 

  • Ki M, Kelly Y, Sacker A, Nazroo J (2013) Poor health, employment transitions and gender: evidence from the British Household Panel Survey. Int J Public Health 58(4):537–546

    Article  Google Scholar 

  • Krantz G, Berntsson L, Lundberg U (2005) Total workload, work stress and perceived symptoms in Swedish male and female white-collar employees. Eur J Public Health 15(2):209–214

    Article  Google Scholar 

  • Kriegbaum M, Christensen U, Osler M, Lund R (2011) Excessive drinking and history of unemployment and cohabitation in Danish men born in 1953. Eur J Public Health 21(4):444–448

    Article  Google Scholar 

  • Lima EP, Assunção AA, Barreto SM (2013) Smoking and occupational stressors in firefighters, 2011. Rev Saúde Pública 47(5):897–904

    Article  Google Scholar 

  • Litman T (2013) Transportation and public health. Annu Rev Public Health 34:217–233

    Article  Google Scholar 

  • Littleton J, Barron S, Prendergast M, Nixon SJ (2007) Smoking kills (alcoholics)! shouldn’t we do something about it? Alcohol Alcohol 42(3):167–173

    Article  CAS  Google Scholar 

  • Malta DC, Iser BPM, Claro RM, Bernal RTI, Nascimento AF, Silva Júnior JB, Monteiro CA (2013) Prevalence of risk and protective factors for non-communicable chronic diseases among adults: cross-sectional study, Brazil, 2011. Epidemiol Serv Saúde 22(3):423–434

    Article  Google Scholar 

  • Marchand A (2008) Alcohol use and misuse: what are the contributions of occupation and work organization conditions? BMC Public Health 8(1):333. doi:10.1186/1471-2458-8-333

    Article  Google Scholar 

  • Marchand A, Parent-Lamarche A, Blanc ME (2011) Work and high-risk alcohol consumption in the Canadian workforce. Int J Environ Res Public Health 8(7):2692–2705

    Article  Google Scholar 

  • Mir MU, Khan I, Ahmed B, Razzak JA (2012) Alcohol and marijuana use while driving: an unexpected crash risk in Pakistani commercial drivers—a cross-sectional survey. BMC Public Health 12(1):145. doi:10.1186/1471-2458-12-145

    Article  Google Scholar 

  • Monson RR (1986) Observations on the healthy worker effect. J Occup Med 28(6):425–433

    Article  CAS  Google Scholar 

  • Moore S, Sikora P, Grunberg L, Greenberg E (2007) Work stress and alcohol use: examining the tension-reduction model as a function of worker’s parent’s alcohol use. Addict Behav 32(12):3114–3121

    Article  Google Scholar 

  • Morikawa Y, Nakamura K, Sakurai M, Nagasawa S, Ishizaki M, Nakashima M, Kido T, Naruse Y, Nakagawa H (2014) The effect of age on the relationships between work-related factors and heavy drinking. J Occup Health 56(2):141–149

    Article  Google Scholar 

  • Neves BS, Pinheiro TMM (2012) Epidemiological and occupational profile of anesthesiologists practicing in Belo Horizonte, Minas Gerais-Brazil, in 2010. Rev Bras Anestesiol 62(5):612–624

    Article  Google Scholar 

  • Dejours C. Plaisir et souffrance dans le travail (1987) Séminaire Interdisciplinaire de Psychopathologie du Travail. Éditions Centre Nacional de la Recherche Scientifique, Paris

  • Ragland DR, Greiner BA, Krause N, Holman BL, Fisher JM (1995) Occupational and nonoccupational correlates of alcohol consumption in urban transit operators. Prev Med 24(6):634–645

    Article  CAS  Google Scholar 

  • Silveira CM, Siu ER, Anthony JC et al (2014) Drinking patterns and alcohol use disorders in São Paulo, Brazil: the role of neighborhood social deprivation and socioeconomic status. PLoS ONE 9(10):e108355. doi:10.1371/journal.pone.0108355

    Article  Google Scholar 

  • World Health Organization (2014) Global status report on alcohol and health. Genebra

  • Zannin PHT (2006) Occupational noise in urban buses. Int J Ind Ergon 36(10):901–905

    Article  Google Scholar 

Download references

Acknowledgments

This study was supported by Conselho Nacional de Desenvolvimento Tecnológico (CNPq 458922/2014-5). LG is a research fellow of the National Research Council (CNPq, Grant Number 312371/2013-6).

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Correspondence to Najla Ourives Cunha.

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Cunha, N.O., Giatti, L. & Assunção, A.Á. Factors associated with alcohol abuse and dependence among public transport workers in the metropolitan region of Belo Horizonte. Int Arch Occup Environ Health 89, 881–890 (2016). https://doi.org/10.1007/s00420-016-1124-8

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  • DOI: https://doi.org/10.1007/s00420-016-1124-8

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