Department of Occupational and Environmental Medicine, Yale School of Medicine, New Haven, Connecticut.
J Occup Environ Med. 2018 May;60(5):457-461. doi: 10.1097/JOM.0000000000001231.
To appreciate the impact of the opioid epidemic in workers, we described opioid prescription patterns in a US industrial cohort over a 10-year period and assessed predictors of chronic prescription.
A multiyear (2003 to 2013) cross-sectional analysis of employer-sponsored health care claims for enrolled workers (N: 21,357 to 44,769) was performed.
The proportion of workers prescribed opioids nearly doubled in the 10-year period. The strongest predictor of chronic opioid prescribing was year, with an increase in prescriptions each year from 2003 to 2013 (odds ratio = 2.90, 95% confidence interval: 2.41 to 3.48). Additional predictors included older age, white race, hourly wage, low back pain, and osteoarthritis.
Opioid prescribing for industrial workers substantially increased from 2003 to 2013. Occupational health professionals should be aware of the potential for chronic opioid use among workers to assess job safety and appropriate treatment of work-related injuries.
为了了解阿片类药物流行对工人的影响，我们描述了美国产业队列中 10 年来阿片类药物处方模式，并评估了慢性处方的预测因素。
对参加雇主赞助的医疗保险的工人（N：21357 至 44769）进行了多年（2003 年至 2013 年）的横断面分析。
在 10 年期间，开处阿片类药物的工人比例几乎翻了一番。慢性阿片类药物处方的最强预测因素是年份，从 2003 年到 2013 年，每年的处方量都在增加（优势比=2.90，95%置信区间：2.41 至 3.48）。其他预测因素包括年龄较大、白种人、小时工资、下背痛和骨关节炎。
从 2003 年到 2013 年，工业工人的阿片类药物处方大量增加。职业健康专业人员应该意识到工人中慢性阿片类药物使用的潜在风险，以评估工作场所的安全和对与工作相关的伤害的适当治疗。
