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Abstract：
Purpose of the study: Work addiction risk is a growing public health concern with potential deleterious health-related outcomes. Perception of work (job demands and job control) may play a major role in provoking the risk of work addiction in employees. We aimed to explore the link between work addiction risk and health-related outcomes using the framework of job-demand-control model. Methods: Data were collected from 187 out of 1580 (11.8%) French workers who agreed to participate in a cross-sectional study using the WittyFit software online platform. The self-administered questionnaires were the Job Content Questionnaire by Karasek, the Work Addiction Risk Test, the Hospital Anxiety and Depression scale and socio-demographics. Data Analysis: Statistical analyses were performed using the Stata software (version 13). Results: There were five times more workers with a high risk of work addiction among those with strong job demands than in those with low job demands (29.8% vs. 6.8%, p = 0.002). Addiction to work was not linked to job control (p = 0.77), nor with social support (p = 0.22). We demonstrated a high risk of work addiction in 2.6% of low-strain workers, in 15.0% of passive workers, in 28.9% of active workers, and in 33.3% of high-strain workers (p = 0.010). There were twice as many workers with a HAD-Depression score ≥11 compared with workers at low risk (41.5% vs. 17.7%, p = 0.009). Sleep quality was lower in workers with a high risk of work addiction compared with workers with a low risk of work addiction (44.0 ± 27.3 vs. 64.4 ± 26.8, p < 0.001). Workers with a high risk of work addiction exhibited greater stress at work (68.4 ± 23.2 vs. 47.5 ± 25.1) and lower well-being (69.7 ± 18.3 vs. 49.3 ± 23.0) compared with workers at low risk (p < 0.001). Conclusions: High job demands are strongly associated with the risk of work addiction. Work addiction risk is associated with greater depression and poor quality of sleep. Preventive strategies should benefit from identifying more vulnerable workers to work addiction risk.
摘要：
研究目的：工作成瘾风险是一个日益增长的公共卫生问题，具有潜在的有害健康相关结果。对工作的感知（工作需求和工作控制）可能在引发员工工作成瘾的风险中起主要作用。我们旨在使用工作需求控制模型框架来探索工作成瘾风险与健康相关结果之间的联系。方法：从同意使用WittyFit软件在线平台参加横断面研究的1580名法国工人中的187名（11.8％）收集数据。自我管理的问卷是Karasek的工作内容问卷，工作成瘾风险测试，医院焦虑和抑郁量表和社会人口统计学。数据分析:使用Stata软件(版本13)进行统计分析。结果：工作需求强的工人中工作成瘾风险高的工人比工作需求低的工人多五倍（29.8％vs.6.8%,p=0.002)。工作成瘾与工作控制无关(p=0.77)，也没有社会支持(p=0.22)。我们证明了2.6％的低应变工人的工作成瘾风险很高，在15.0%的被动工作者中，在28.9%的在职工人中，和33.3%的高应变工人(p=0.010)。与低风险工人相比，HAD抑郁评分≥11的工人是低风险工人的两倍(41.5%vs.17.7%,p=0.009)。与工作成瘾风险较低的工人相比，工作成瘾风险较高的工人的睡眠质量较低（44.0±27.3vs.64.4±26.8，p<0.001）。工作成瘾风险高的工人在工作中表现出更大的压力（68.4±23.2与47.5±25.1）和较低的幸福感（69.7±18.3vs.49.3±23.0）与低风险工人相比（p<0.001）。结论：高工作要求与工作成瘾的风险密切相关。工作成瘾风险与更大的抑郁和睡眠质量差有关。预防策略应受益于识别更脆弱的工人工作成瘾风险。
