{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:48:30Z","timestamp":1791870510535,"version":"4.3.4"},"reference-count":35,"publisher":"American Public Health Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Objectives. To examine whether stressful job exposure to the public could be associated with having long-term benzodiazepine use.<\/jats:p><jats:p>Methods. From the participants included between 2012 and 2016 in the French population-based CONSTANCES cohort, 13\u2009934 men and 19\u2009261 women declared a daily job exposure to the public and rated the frequency of stressful exposure. We examined benzodiazepine long-term use by using drug reimbursement administrative registries. Logistic regressions provided odds ratios (ORs) of benzodiazepine long-term use, with stratification for gender and adjustment for age, education, and area deprivation index. Occupational grade, job strain, depression, self-rated health, and alcohol use disorder were additional stratification variables.<\/jats:p><jats:p>Results. Benzodiazepine long-term use was positively associated with stressful exposure to the public (\u201coften or always\u201d vs \u201crarely or never\u201d) in men (OR\u2009=\u20092.2; 95% confidence interval [CI]\u2009=\u20091.8, 2.8) and women (OR\u2009=\u20091.6; 95% CI\u2009=\u20091.4, 1.9), with dose-dependent relationships (P trends\u2009&lt;\u2009.001). Adjustments and analyses in subgroups without other individual or environmental vulnerability factors led to similar results.<\/jats:p><jats:p>Conclusions. Stressful job exposure to the public increases the risk of benzodiazepine long-term use. Prevention programs aiming at reducing the burden of benzodiazepine long-term use would benefit in targeting this specific population.<\/jats:p>","DOI":"10.2105\/ajph.2018.304734","type":"journal-article","created":{"date-parts":[[2018,11,29]],"date-time":"2018-11-29T21:18:45Z","timestamp":1543526325000},"page":"119-125","source":"Crossref","is-referenced-by-count":11,"title":["Work-Related Stressors and Increased Risk of Benzodiazepine Long-Term Use: Findings From the CONSTANCES Population-Based Cohort"],"prefix":"10.2105","volume":"109","author":[{"given":"Guillaume","family":"Airagnes","sequence":"first","affiliation":[{"name":"Guillaume Airagnes is with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. C\u00e9dric Lemogne, Nicolas Hoertel, and Fr\u00e9d\u00e9ric Limosin are with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Universit\u00e9..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9dric","family":"Lemogne","sequence":"additional","affiliation":[{"name":"Guillaume Airagnes is with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. C\u00e9dric Lemogne, Nicolas Hoertel, and Fr\u00e9d\u00e9ric Limosin are with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Universit\u00e9..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Olekhnovitch","sequence":"additional","affiliation":[{"name":"Guillaume Airagnes is with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. C\u00e9dric Lemogne, Nicolas Hoertel, and Fr\u00e9d\u00e9ric Limosin are with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Universit\u00e9..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Roquelaure","sequence":"additional","affiliation":[{"name":"Guillaume Airagnes is with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. C\u00e9dric Lemogne, Nicolas Hoertel, and Fr\u00e9d\u00e9ric Limosin are with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Universit\u00e9..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Hoertel","sequence":"additional","affiliation":[{"name":"Guillaume Airagnes is with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. C\u00e9dric Lemogne, Nicolas Hoertel, and Fr\u00e9d\u00e9ric Limosin are with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Universit\u00e9..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Guillaume Airagnes is with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. C\u00e9dric Lemogne, Nicolas Hoertel, and Fr\u00e9d\u00e9ric Limosin are with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Universit\u00e9..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Limosin","sequence":"additional","affiliation":[{"name":"Guillaume Airagnes is with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. C\u00e9dric Lemogne, Nicolas Hoertel, and Fr\u00e9d\u00e9ric Limosin are with AP-HP, H\u00f4pitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Universit\u00e9 Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. 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