Downsizing and purchases of psychotropic drugs: A longitudinal study of stayers, changers and unemployed.

Autor: Blomqvist S; Stress Research Institute, Stockholm University, Stockholm, Sweden., Alexanderson K; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden., Vahtera J; Department of Public Health, University of Turku, Turku, Finland., Westerlund H; Stress Research Institute, Stockholm University, Stockholm, Sweden.; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden., Magnusson Hanson LL; Stress Research Institute, Stockholm University, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Dec 08; Vol. 18 (12), pp. e0295383. Date of Electronic Publication: 2023 Dec 08 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0295383
Abstrakt: Background: The evidence is insufficient regarding the association between organizational downsizing and employee mental health. Our aim was to analyze trajectories of prescribed sedatives and anxiolytics with a sufficiently long follow-up time to capture anticipation, implementation and adaption to a downsizing event among stayers, changers and those who become unemployed compared to unexposed employees.
Method: Residents in Sweden aged 20-54 years in 2007, with stable employment between 2004 and 2007, were followed between 2005 and 2013 (n = 2,305,795). Employment at a workplace with staff reductions ≥18% between two subsequent years in 2007-2011 (n = 915,461) indicated exposure to, and timing of, downsizing. The unexposed (n = 1,390,334) were randomized into four corresponding sub-cohorts. With generalized estimating equations, we calculated the odds ratios (OR) of purchasing prescribed anxiolytics or sedatives within nine 12-month periods, from four years before to four years after downsizing. In order to investigate whether the groups changed their probability of purchases over time, odds ratios (OR) and their 95% confidence intervals (95% CI) were calculated contrasting the prevalence of purchases during the first and the last 12-month period within four time periods for each exposure group.
Results: The odds of purchasing psychotropic drugs increased more for changers (sedatives OR 1.08, 95% CI 1.05-1.11) and unemployed (anxiolytics OR 1.08, 95% CI 1.03-1.14), compared to unexposed before downsizing, while for stayers purchases increased more than for unexposed during and after downsizing. Among those without previous sickness absence, stayers increased their purchases of psychotropic drugs from the year before the event up to four years after the event.
Conclusion: This study indicates that being exposed to downsizing is associated with increased use of sedatives and anxiolytics, before the event among those who leave, but especially thereafter for employees who stay in the organization.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Blomqvist et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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