{"title":"不稳定就业类型和精神药物的使用和滥用。","authors":"Seong-Uk Baek MD , Jin-Ha Yoon MD, PhD","doi":"10.1016/j.amepre.2025.108064","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Precarious employment has emerged as a significant social determinant of worker health. This cross-sectional study examined the association between precarious employment and psychotropic medication use and misuse using a typological approach.</div></div><div><h3>Methods</h3><div>A nationally representative sample of 8,993 young workers in Korea was analyzed. Data collection was conducted in 2022, and the analyses for this study were performed in 2025. Eight precarious employment indicators related to employment security, income adequacy, worker rights, and protection were included. Latent class analysis was employed to classify employment typologies. The associations between employment typologies, psychotropic medication use, and misuse were determined using ORs and 95% CIs.</div></div><div><h3>Results</h3><div>Three latent employment typologies were identified: standard employment relationship–like type (n=4,864; 59.7%), instrumental type (<em>n</em>=1,973; 20.3%), and precarious type (<em>n</em>=2,156; 19.9%). Psychotropic medication use was reported by 2.6%, 4.7%, and 6.5% of individuals in the standard employment relationship–like, instrumental, and precarious types, respectively. Psychotropic medication misuse was reported by 0.4%, 1.1%, and 1.4% of individuals in the standard employment relationship–like, instrumental, and precarious types, respectively. After adjusting for the sociodemographic factors, individuals in the precarious type had 6.16 times higher odds of psychotropic medication use (95% CI=3.10, 12.25) and 10.34 times higher odds of psychotropic medication misuse (95% CI=1.64, 65.39) than those in the standard employment relationship–like type.</div></div><div><h3>Conclusions</h3><div>Precarious employment experience is closely linked with psychotropic medication use and misuse among young Korean wage workers. Policy interventions are required to improve the employment quality and ensure appropriate psychotropic medication use in this population.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 6","pages":"Article 108064"},"PeriodicalIF":4.5000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Precarious Employment Typologies and Psychotropic Medication Use and Misuse\",\"authors\":\"Seong-Uk Baek MD , Jin-Ha Yoon MD, PhD\",\"doi\":\"10.1016/j.amepre.2025.108064\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Precarious employment has emerged as a significant social determinant of worker health. This cross-sectional study examined the association between precarious employment and psychotropic medication use and misuse using a typological approach.</div></div><div><h3>Methods</h3><div>A nationally representative sample of 8,993 young workers in Korea was analyzed. Data collection was conducted in 2022, and the analyses for this study were performed in 2025. Eight precarious employment indicators related to employment security, income adequacy, worker rights, and protection were included. Latent class analysis was employed to classify employment typologies. The associations between employment typologies, psychotropic medication use, and misuse were determined using ORs and 95% CIs.</div></div><div><h3>Results</h3><div>Three latent employment typologies were identified: standard employment relationship–like type (n=4,864; 59.7%), instrumental type (<em>n</em>=1,973; 20.3%), and precarious type (<em>n</em>=2,156; 19.9%). Psychotropic medication use was reported by 2.6%, 4.7%, and 6.5% of individuals in the standard employment relationship–like, instrumental, and precarious types, respectively. Psychotropic medication misuse was reported by 0.4%, 1.1%, and 1.4% of individuals in the standard employment relationship–like, instrumental, and precarious types, respectively. After adjusting for the sociodemographic factors, individuals in the precarious type had 6.16 times higher odds of psychotropic medication use (95% CI=3.10, 12.25) and 10.34 times higher odds of psychotropic medication misuse (95% CI=1.64, 65.39) than those in the standard employment relationship–like type.</div></div><div><h3>Conclusions</h3><div>Precarious employment experience is closely linked with psychotropic medication use and misuse among young Korean wage workers. Policy interventions are required to improve the employment quality and ensure appropriate psychotropic medication use in this population.</div></div>\",\"PeriodicalId\":50805,\"journal\":{\"name\":\"American Journal of Preventive Medicine\",\"volume\":\"69 6\",\"pages\":\"Article 108064\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-08-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Preventive Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S074937972500532X\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Preventive Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S074937972500532X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Precarious Employment Typologies and Psychotropic Medication Use and Misuse
Introduction
Precarious employment has emerged as a significant social determinant of worker health. This cross-sectional study examined the association between precarious employment and psychotropic medication use and misuse using a typological approach.
Methods
A nationally representative sample of 8,993 young workers in Korea was analyzed. Data collection was conducted in 2022, and the analyses for this study were performed in 2025. Eight precarious employment indicators related to employment security, income adequacy, worker rights, and protection were included. Latent class analysis was employed to classify employment typologies. The associations between employment typologies, psychotropic medication use, and misuse were determined using ORs and 95% CIs.
Results
Three latent employment typologies were identified: standard employment relationship–like type (n=4,864; 59.7%), instrumental type (n=1,973; 20.3%), and precarious type (n=2,156; 19.9%). Psychotropic medication use was reported by 2.6%, 4.7%, and 6.5% of individuals in the standard employment relationship–like, instrumental, and precarious types, respectively. Psychotropic medication misuse was reported by 0.4%, 1.1%, and 1.4% of individuals in the standard employment relationship–like, instrumental, and precarious types, respectively. After adjusting for the sociodemographic factors, individuals in the precarious type had 6.16 times higher odds of psychotropic medication use (95% CI=3.10, 12.25) and 10.34 times higher odds of psychotropic medication misuse (95% CI=1.64, 65.39) than those in the standard employment relationship–like type.
Conclusions
Precarious employment experience is closely linked with psychotropic medication use and misuse among young Korean wage workers. Policy interventions are required to improve the employment quality and ensure appropriate psychotropic medication use in this population.
期刊介绍:
The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health.
Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.