Mental ill-health among health and social care professionals: an analysis using administrative data

OBJECTIVE: Health and Social Care (HSC) workers are at high risk of job-related stress, burnout and mental ill-health. This study examines differences in self-reported mental health and psychotropic medication uptake across HSC occupational groups. METHOD: Northern Ireland (NI) data linkage study of people working in the Health and Care sector, aged between twenty and sixty-four years, enumerated at the 2011 Northern Ireland Census and living in private households, and their uptake of prescribed psychotropic medications during 2011-2012 (using data derived from routine electronically captured information on prescriptions issued within the NHS and linked at an individual level using a NI-specific Health and Care key identifier). Comparing HSC workers with all those professionals not involved in HSC occupations, we used multinomial logistic regression to examine (a) self-reported chronic mental illness and (b) uptake of psychotropic medication by occupational groups adjusting for age, sex and socio-demographic circumstance. RESULTS: When compared against other professionals highest risks for mental health problems (associated with psychotropic prescription uptake) were associated with nursing/midwifery (OR = 1.25: 95%CI = 1.17–1.33; OR = 1.84: 1.58–2.15 for females and males respectively), welfare (OR = 1.34: 1.21–1.48; OR = 1.71: 1.44–2.03) and formal caregiving roles (OR = 1.42: 1.31–1.53; OR = 1.70: 1.50–1.91), again for females/males respectively). These higher risk professions record notable increases in psychotropic medication use. CONCLUSION: Working in the Health and Social Care sector, irrespective of gender, may be more stressful than other jobs. Additionally, self-reported mental ill-health and psychotropic medication treatment both appear to be associated with social class inequity.