Roelofs Cora, Sugerman-Brozan Jodi, Kurowski Alicia, Russell Leslie, Punnett Laura
CR Research/Consulting, Roxbury, MA, USA.
Massachusetts Coalition for Occupational Safety and Health, Boston, MA, USA.
New Solut. 2021 Nov;31(3):286-297. doi: 10.1177/1048291120982597. Epub 2021 Jan 10.
Work factors, including physical job demands, appear to be risk factors for opioid overdoses. We collaborated with unions representing workers in high-risk occupations and offered resources to develop tailored educational interventions for their members. An ironworkers' local, a statewide nurses' union, and a Teamsters local union participated, at levels higher than we had anticipated. The three unions trained 285 workers, including apprentices, stewards, and those nearing retirement. Short surveys assessed pre- and post-training knowledge, attitudes, confidence in helping others, and related domains. Seventy percent of respondents reported heavy or very heavy physical demands at work, and one-half had experienced work-related pain. After training, participants reported more knowledge about opioids, less concern about stigma related to help-seeking, and more ability to provide help to a co-worker struggling with opioids. Peers with recovery experience provided a unique contribution to training. Tailored job-specific and peer-delivered educational interventions may be able to reduce the potential impact of opioids on working people.
工作因素，包括体力工作要求，似乎是阿片类药物过量服用的风险因素。我们与代表高危职业工人的工会合作，并提供资源，为其成员制定量身定制的教育干预措施。一个钢铁工人地方工会、一个全州护士工会和一个卡车司机地方工会参与其中，参与程度高于我们的预期。这三个工会培训了285名工人，包括学徒、管事和即将退休的工人。简短的调查评估了培训前后的知识、态度、帮助他人的信心以及相关领域。70%的受访者表示工作中的体力要求很高或非常高，一半的人经历过与工作相关的疼痛。培训后，参与者报告说对阿片类药物有了更多了解，对寻求帮助的耻辱感减少了，并且更有能力帮助正在与阿片类药物作斗争的同事。有康复经验的同龄人对培训做出了独特贡献。量身定制的针对特定工作且由同龄人提供的教育干预措施或许能够减少阿片类药物对在职人员的潜在影响。
