Lee Doohee, Ross Michael W
Department of Management, Marketing , MIS, Graduate School of Management, Lewis College of Business, Marshall University, USA.
J Health Hum Serv Adm. 2011 Fall;34(2):182-205.
Nonmedical use of prescription drugs is increasingly prevalent in the United States, but limited research is available on prescription drugs misuse in the workforce. We investigated whether absenteeism and turnover are associated with having problems linked to prescription drug misuse among employees. We also further explored the moderating effects of employee drug policy and testing on the relation between having problems linked to misuse of prescription pain relievers (PPRs) and absenteeism and turnover. This is a cross-sectional study (n = 2,249) using the 2007 U.S. national survey data ("National Survey on Drug Use and Health"). The multivariate logistic analysis results illustrate, after controlling confounding factors (gender, age, tobacco use, and heroin use), absenteeism and turnover linked to having problems of PPRs misuse. Our findings suggest the moderating effects of employee drug policy on the association between absenteeism and turnover and having problems linked to misuse of PPRs. Also, drug testing was found to moderate the link between having negative outcomes of misuse of PPRs and absenteeism. Having problems associated with misuse of PPRs is linked to absenteeism and turnover. A drug policy program including drug testing may play a significant role in reducing absenteeism and turnover in relation to having problems linked to misuse of PPRs.
在美国，处方药的非医疗用途日益普遍，但关于劳动力中处方药滥用的研究却很有限。我们调查了旷工和离职是否与员工中与处方药滥用相关的问题有关。我们还进一步探讨了员工毒品政策和检测对与处方止痛药（PPR）滥用相关问题与旷工和离职之间关系的调节作用。这是一项横断面研究（n = 2249），使用了2007年美国全国调查数据（“全国药物使用和健康调查”）。多变量逻辑分析结果表明，在控制了混杂因素（性别、年龄、烟草使用和海洛因使用）后，旷工和离职与PPR滥用问题有关。我们的研究结果表明员工毒品政策对旷工和离职与PPR滥用相关问题之间的关联具有调节作用。此外，发现药物检测可调节PPR滥用负面结果与旷工之间的联系。与PPR滥用相关的问题与旷工和离职有关。包括药物检测在内的毒品政策计划可能在减少与PPR滥用相关问题导致的旷工和离职方面发挥重要作用。
