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dc.contributor.authorKaspersen, Silje Lill
dc.contributor.authorPape, Kristine
dc.contributor.authorCarlsen, Fredrik
dc.contributor.authorOse, Solveig Osborg
dc.contributor.authorBjørngaard, Johan Håkon
dc.date.accessioned2019-02-28T10:47:19Z
dc.date.available2019-02-28T10:47:19Z
dc.date.created2017-09-27T10:12:57Z
dc.date.issued2017
dc.identifier.citationScandinavian Journal of Work, Environment and Health. 2017, 43 (4), 307-315.nb_NO
dc.identifier.issn0355-3140
dc.identifier.urihttp://hdl.handle.net/11250/2588009
dc.description.abstractObjectives This study investigated the association between organizational downsizing and purchases of prescribed drugs by private sector employees in Norway. Methods A natural experiment was constructed using individual-level employer and employee data linked to the national prescription database for the period 2004–2012. The study population comprised 144 089 employees who had been exposed to major downsizing in the same period. Random effects logistic regression models were used to investigate relative changes in drug purchases (antidepressants, hypnotics/sedatives, anxiolytics, and anti-psychotics, as well as anti-obesity, anti-diabetic, cardiovascular, and thyroid drugs, anti-inflammatory drugs, opioids, and analgesics/antipyretics) in the five-year-period before and after exposure to downsizing. Results Compared with the situation three years before exposure, the odds ratios (OR) of purchasing psychotropic drugs one year after exposure increased for antidepressants (OR 1.44, 95% CI 1.34–1.55), hypnotics/sedatives (OR 1.39, 95% CI 1.29–1.49), anxiolytics (OR 1.32, 95% CI 1.22–1.43), and antipsychotics (OR 1.34, 95% CI 1.19–1.52). Similar associations were found for cardiovascular, anti-diabetic, and thyroid drugs. Stratified analyses showed that the odds of purchasing psychotropic, anti-diabetic, and cardiovascular drugs in the years around downsizing was more pronounced in men compared with women. Elevated odds were also found for employees in the oldest age group and those with less than tertiary education. Conclusions Exposure to organizational downsizing increased the odds of purchasing prescribed psychotropic, cardiovascular, anti-diabetic, and thyroid drugs. The clinical implications of these results might be systematic involvement from medical personnel and occupational health services in workforce reduction processes.nb_NO
dc.language.isoengnb_NO
dc.titleEmployees' drug purchases before and after organizational downsizing: a natural experiment on the Norwegian working population (2004-2012)nb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionacceptedVersionnb_NO
dc.source.pagenumber307-315nb_NO
dc.source.volume43nb_NO
dc.source.journalScandinavian Journal of Work, Environment and Healthnb_NO
dc.source.issue4nb_NO
dc.identifier.doi10.5271/sjweh.3637
dc.identifier.cristin1498753
cristin.unitcode7401,60,25,0
cristin.unitnameHelse
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode1


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