Effects of chronic workplace harassment on mental health and alcohol misuse: a long-term follow-up.

BACKGROUND: Research on the impacts of exposure to workplace harassment (WH) is largely cross-sectional, and existing prospective studies generally are between two and five years of follow-up, with the longest US study being 10 years. However, the effects of exposure to WH may persist longer, particularly if exposure has been chronic. This study fills this gap by examining effects of prior exposure to chronic sexual and generalized WH on psychological distress and alcohol misuse over an approximately 25 year study period. METHODS: Individuals originally recruited from a university-employed sample in the United States were surveyed at 8 time points from 1996-2007 and again in 2020-2021. A series of hybrid path analyses were tested on a sample of 2352 individuals, regressing recent outcomes on latent classes of harassment derived from earlier survey waves, controlling baseline outcomes and demographics. Model fit was assessed using a variety of fit statistics, and standardized regression coefficients were used to assess significance of individual pathways. RESULTS: Prior exposure to chronic sexual harassment had significant direct associations with psychological distress, alcohol misuse, and recent stressors at follow-up. Prior exposure to chronic generalized harassment had significant direct associations with lower income and alcohol misuse. Both forms of WH were significantly indirectly associated with psychological distress through recent stressors at follow-up. CONCLUSIONS: Exposure to chronic WH is associated with long-term effects on psychological distress and alcohol misuse in a sample representing a wide variety of job types and racial/ethnic identities. Enforcement of anti-sexual harassment law and policies and enactment of policies and laws to prevent generalized harassment/workplace bullying are imperative for the protection of worker health.

The relationship between terrorism and distress and drinking: two years after September 11, 2001.

This study examined: 1) the prevalence of negative beliefs related to terrorism and 2) whether these beliefs were related to distress and drinking. Respondents (N = 1453) in a five-wave longitudinal cohort study sampled from a United States university workplace were surveyed by mail between 1996 and 2003. Instruments assessed were: negative beliefs related to 9/11/01, distress (depression, anxiety, somatization, PTSD [post-traumatic stress disorder]), and drinking (frequency, quantity, escapist motives, binge drinking, drinking to intoxication, and problem-related drinking). Regression analyses examined relationships between beliefs and mental health. A sizable percentage of respondents experienced terrorism-related negative beliefs. Higher negative belief scores were related to greater distress and problematic drinking in 2003, controlling for sociodemographic variables and (in most cases) pre-9/11 distress and drinking. Study limitations were noted and future research was recommended.

Prevalence and mental health correlates of harassment and discrimination in the workplace: results from a national study.

This study describes past-year prevalence and effects on mental health and drinking outcomes for harassment and discrimination in the workplace (HDW) in a nationally representative random digit dial phone survey conducted in 2003-2004 (n = 2,151). HDW measures included experiences and perceptions of sexual harassment (SH) and generalized workplace harassment (GWH), and perceived harassment or discrimination because of race or ethnicity. Prevalence was examined by sex, race, age, occupation, marital status, and education. Effects of HDW were assessed controlling for demo-graphics and job and life stressors. Experiencing multiple types of HDW was common. SH was more prevalent among women, and Blacks and those of other or mixed race or ethnicity experienced the highest levels of HDW overall. HDW variables explained additional variance in problem drinking and mental health beyond life and job stressors, particularly for women. This study demonstrates that HDW is a prevalent problem associated with poor mental health and problem drinking in the U.S. workforce.

Workplace harassment, stress, and drinking behavior over time: gender differences in a national sample.

Research suggests that workplace harassment (WH) significantly predicts alcohol use and problem drinking behavior, but has generally failed to consider concurrent effects of other sources of stress. This two-wave study (n=1418) is the first to explore whether sexual harassment (SH) and generalized workplace harassment (GWH) predict increased drinking independently of the effects of job and life stress, and whether effects differ by gender, in a nationally representative sample. SH and GWH predicted increases in problem drinking one year later for men but not women, while life stress was associated with increased problem drinking for women but not men. This study confirms the importance of examining the associations between different types of stressors and drinking-related outcomes in gendered contexts.

Workplace harassment patterning, gender, and utilization of professional services: findings from a US national study.

This study constitutes the first national longitudinal survey to address the relationship between workplace harassment and service utilization. We examine how patterns of sexual harassment and generalized workplace harassment are linked to utilization of mental health, health, legal, spiritual, and work-related services, and whether and how gender influences these relationships. Data derive from a random digit dial telephone survey with a continental US sample of employed adults. Eligibility criteria were being 18 years of age or over, and being employed at least 20 h per week at some time in the 12 months prior to the wave 1 survey. Out of 4116 households with eligible individuals, 2151 agreed to participate at wave 1. At wave 2, 1418 participated, thus, the overall response rate was 34.5%. We show that the patterning of workplace harassment over two time points (chronic, remission, onset, never harassed) is associated with the use of different types of services. Gender partially moderated the relationship between workplace harassment and services.

Patterns of workplace harassment, gender, and use of services: an update.

Using three waves of data from an ongoing study of current and former university employees (N = 1,656), the authors reexamined the roles of sexual (SH) and generalized (GWH) workplace harassment and gender in predicting use of professional services by focusing on patterning (chronic, remission, onset, intermittent, and never harassed). The authors also reexamined whether services moderated relationships between SH and GWH patterns and drinking and mental health outcomes. All patterns of SH, but only chronic GWH, predicted increased odds of services use. Services use did not moderate relationship between SH patterns and outcomes, but was associated with lower alcohol consumption for men with GWH remission or chronicity, reduced escape drinking for those with GWH remission, and reduced hostility for those with intermittent GWH.

Race, racial discrimination, and the risk of work-related illness, injury, or assault: findings from a national study.

OBJECTIVE: This study examines whether workplace racial harassment or discrimination mediates the relationship between race or ethnicity and work-related illness, injury, or assault across time. METHODS: A national random digit dial phone survey was conducted at two points in time (W1: 2003-2004; W2: 2004-2005) among a sample of Black, Hispanic and non-Hispanic white workers. As part of the survey, respondents indicated their experiences with racial harassment or discrimination, and occupational illness, injury, or assault in the past 12 months. RESULTS: Hispanic respondents were more likely than whites to experience work-related illness, injury or assault, and these associations were mediated by experiences of racial harassment or discrimination. CONCLUSIONS: Interventions to reduce workplace harassment and discrimination may help decrease risk for work-related illness, injury, or assault among Hispanic workers.