Journal of Health and Medical Sciences
Published: 18 October 2019
Alcohol, Smoking, Wellbeing and Health and Safety of Workers
Andrew P Smith
Cardiff University, UK
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Keywords: Smoking, Alcohol, Workers, Health, Safety, Wellbeing
Health effects of smoking and alcohol consumption are well-documented, but further research about associations with the wellbeing of workers is required. The WHO stated that there is more to health than the absence of disease and such an approach leads to an increased emphasis on wellbeing and quality of life. The approach to wellbeing adopted here is to consider it in a holistic way which covers health, functionality and affective states. The present study involved a survey of 1392 public sector workers from South Wales, UK (74.3% female; mean age: 43.3 years, range 17-72 years). 39.3% of the sample were smokers (mean number of cigarettes a day = 11.28, range 1-40). The average weekly alcohol consumption was 9.2 units with a range of 0-100. 32.3 % consumed more than the recommended safe level (> 14 units), and 18.4% were non-consumers. Multi-variate analyses, adjusting for established predictors of the outcomes (demographics, job characteristics and psychosocial factors) showed that smokers reported more job satisfaction, had fewer injuries but had more health problems (mostly respiratory). The interaction between smoking and level of alcohol consumption was not significant. Alcohol consumption showed two different profiles of effects. Higher alcohol intake was associated with more risk-taking and cognitive failures at work. In contrast, consumption of alcohol below the recommended safe threshold (14 units/week) was associated with higher job satisfaction, fewer physical symptoms and reduced fatigue and depression. Further research using longitudinal or intervention designs is now required to elucidate underlying mechanisms and practical implications of smoking and drinking alcohol.
- Annual Population Survey (2012). Analysis of the Annual Population Survey (2011/12) undertaken internally by Cabinet Office.
- Bell, S. & Britton A. (2014). An exploration of the dynamic longitudinal relationship between mental health and alcohol consumption: a prospective cohort study. BMC Medicine, 12(1):9 402.
- Chanfraeu, J., Lloyd, C., Byron, C., Roberts, C., Craig, R., De Feo, D. & McManus, S (2013). Predicting Wellbeing. Prepared by NatCen Social Research for the Department of Health http://www.natcen.ac.uk/media/205352/predictors-of-wellbeing.pdf
- Cohen,S.,Tyrrell,D.A.J., Russell,M., Jarvis,M.J., & Smith,A.P. (1993). Smoking, alcohol consumption and susceptibility to the common cold. American Journal of Public Health, 83, 1277-1283.
- Department of Health (2014). Health Behaviours and Wellbeing.
- Finnigan, F. & Hammersley, R. (1992). Effects of Alcohol on Performance. In AP Smith & DM Jones (eds), Handbook of Human Performance, Vol 2, pp 73-126. London: Academic Press.
- HSCIC (2012). Statistics on Smoking: England, 2012. Available at https://catalogue.ic.nhs.uk/publications/public-health/smoking/smok-eng-2012/smok-eng-2012-rep.pdf
- HSCIC (2013). Statistics on Smoking: England, 2013. Available at https://catalogue.ic.nhs.uk/publications/public-health/smoking/smok-eng-2013/smok-eng-2013-rep.pdf
- Jane-Llopis, E., & Matytsina, I. (2006). Mental health and alcohol, drugs and tobacco: a review of the comorbidity between mental disorders and the use of alcohol, tobacco and illicit drugs. Drugs and Alcohol Review, 25(6), 515-536
- Lang, I., Wallace, R.B., Huppert, F.A., & Melzer, D. (2006). Moderate alcohol consumption in adults is associated with better cognition and wellbeing than abstinence. Age and Ageing, 36(3), 256-261
- Mackay C, Cousins R, Kelly P, Lee S, & McCaig R. (2004). Management Standards and work-related stress in the UK: Policy background and science. Work and Stress, 18(2): 91-112.
- McDermott, M.S., Marteau, T., Hollands, G., Hankins, M., & Aveyard, P. (2013). Change in anxiety following successful and unsuccessful attempts at smoking cessation: cohort study. British Journal of Psychiatry, 202, 62-67.
- McManus, S., Meltzer, H. & Campion, J. (2010). Cigarette smoking and mental health in England: data from the Adult Psychiatric Morbidity Survey 2007. Nat Cen Social Research
- Office for National Statistics (2013). Drinking (General Lifestyle Survey Overview – a report on the 2011 General Lifestyle Survey). Available at http://www.ons.gov.uk/ons/dcp171776_302636.pdf
- Oshio, T. & Kobayashi, M. (2009). The effect of Smoking on Individual Wellbeing. Available at http://www.ier.hit-u.ac.jp/pie/stage2/Japanese/d_p/dp2009/dp453/text.pdf
- Ray, C., Weir, W.R.C., Phillips, S. & Cullen, S. (1992.) Development of a measure of symptoms in chronic fatigue syndrome: The profile of fatigue-related symptoms (pfrs). Psychology & Health, 7:1, 27-43, DOI: 10.1080/08870449208404293
- Rosenquist, J.N., Murabito, J., Fowler, J.H., & Christakis, N.A. (2010). Spread of alcohol use in a large social network. Annals of Internal Medicine, 152(7), 1-36
- Smith, A. P. (2011a). A holistic approach to stress and well-being. Occupational Health (At Work), 7(4), 34-35.
- Smith, A. P. (2011b). A holistic approach to stress and well-being. Part 2: Stress at work: models, practice and policy. Occupational Health (At Work), 8(1), 33-35.
- Smith, A.P. (2016). A UK survey of driving behaviour, fatigue, risk taking and road traffic accidents. BMJ Open 6:e011461. doi:10.1136/bmjopen-2016-011461.
- Smith, A.P. (2019a). Smoking, Wellbeing and Academic Attainment. Journal of Health and Medical Sciences, 2(3), 279-284. ISSN 2622-7258 DOI: 10.31014/aior.1994.02.03.48
- Smith, A.P. (2019b). Smoking, Alcohol, Wellbeing and Academic Attainment. Journal of Health and Medical Sciences, 2(3), 337-343. ISSN 2622-7258 DOI: 10.31014/aior.1994.02.03.5
- Smith A, Johal S S, Wadsworth E, Davey Smith G & Peters T. (2000). The scale of occupational stress: The Bristol stress and health at work study. Sudbury: HSE Research Report 265.
- Smith, A. P., & Wadsworth, E. (2011). A holistic approach to stress and well-being. Part 5: what is a good job? Occupational Health (At Work), 8(4): 25-27.
- Smith, A. P., Wadsworth, E. J. K., Chaplin, K., Allen, P. H. & Mark, G. (2011). The relationship between work/well-being and improved health and well-being. Leicester: IOSH.
- Twigg, L., Moon, G. & Jones, K. (2000). Predicting small-area health-related behaviour: a comparison of smoking and drinking indicators. Social Science and Medicine, 50, 1109-1120.
- Wadsworth EJK, Simpson SA, Moss SC & Smith AP. (2003). The Bristol Stress and Health Study: Accidents, minor injuries and cognitive failures at work. Occupational Medicine, 53, 392-397.
- Wadsworth,EJK, Moss, S.C., Simpson, S.A. & Smith, A.P. (2004). Factors associated with recreational drug use, alcohol consumption and smoking. Journal of Psychopharmacology 1, 238-248.
- Wadsworth, E. J. K., Chaplin, K., Allen, P. H., & Smith, A. P. (2010). What is a Good Job? Current Perspectives on Work and Improved Health and Well-being. The Open Health & Safety Journal, 2, 9-15. https://doi.org/10.2174/1876216601002010009
- Warr P, Cook J & Wall T. (1979). Scales for the measurement of some work attitudes and aspects of psychological well-being. J Occup Psychol., 52(2): 129-48.
- Wesnes, KA. & Parrott, A.C. (1992). Smoking, Nicotine and Human Performance. In AP Smith & DM Jones (eds), Handbook of Human Performance, Vol 2, pp 127-167. London: Academic Press.
- WHO (2012). Alcohol in the European Union. Consumption, Harm and Policy Approaches Copenhagen,: World Health Organisation Regional Office for Europe.
- Williams, G. M., & Smith, A. P. (2012). A holistic approach to stress and well-being. Part 6: The Wellbeing Process Questionnaire (WPQ Short Form). Occupational Health (At Work), 9(1), 29-31.
- Zigmond A S & Snaith R P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavia, 67: 361-370.