Construction trade and extraction workers: A population at high risk for drug use in the United States, 2005-2014.
Cocaine
Construction workers
Drug use
Extraction workers
Marijuana
Nonmedical prescription opioid use
Journal
Drug and alcohol dependence
ISSN: 1879-0046
Titre abrégé: Drug Alcohol Depend
Pays: Ireland
ID NLM: 7513587
Informations de publication
Date de publication:
01 12 2019
01 12 2019
Historique:
received:
16
03
2019
revised:
31
07
2019
accepted:
01
08
2019
pubmed:
7
11
2019
medline:
1
7
2020
entrez:
6
11
2019
Statut:
ppublish
Résumé
To estimate prevalence of past-month marijuana, cocaine, and nonmedical prescription opioid (NPO) use and determine employment-related correlates of drug use among construction trade/extraction workers (CTEW). We analyzed ten years of data (2005-2014) from 293,492 adults (age≥18) in the National Survey on Drug Use and Health, comparing CTEW and non-CTEW. CTEW were 5.6% (n = 16,610) of the sample. Compared to non-CTEW, CTEW were significantly more likely to report past-month marijuana (12.3% vs. 7.5%), cocaine (1.8% vs. 0.8%), and/or NPO use (3.4% vs. 2.0%; Ps<.001). Among CTEW, past-week unemployment and working for >3 employers was associated with increased odds of marijuana and NPO use. Missing 1-2 days in the past month because the participant did not want to go into work was associated with increased odds for use of marijuana, cocaine, and NPO use. Missing 3-5 days of work in the past month because sick or injured was associated with double the odds (aOR = 2.00 [95% CI: 1.33-3.02]) of using NPO. Having written drug policies was associated with reduced odds for cocaine use, and workplace tests for drug use during hiring and random drug testing were also associated with lower odds of marijuana use. CTEW are a high-risk population for drug use. Precarious employment is associated with higher prevalence of drug use while some workplace drug policies were associated with lower prevalence. Coupled with reports of high overdose mortality among CTEW, these findings suggest that prevention and harm reduction programming is needed to prevent drug-related morbidity and mortality among CTEW.
Identifiants
pubmed: 31685308
pii: S0376-8716(19)30417-X
doi: 10.1016/j.drugalcdep.2019.107640
pmc: PMC6910220
mid: NIHMS1542116
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
107640Subventions
Organisme : NIDA NIH HHS
ID : K01 DA038800
Pays : United States
Organisme : NIDA NIH HHS
ID : P30 DA011041
Pays : United States
Organisme : NIDA NIH HHS
ID : R01 DA044207
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.
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