Department of Health and Nursing Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.
Department of Health, Faculty of Health Studies, VID Specialized University, Stavanger, Norway.
BMC Health Serv Res. 2022 Aug 6;22(1):1004. doi: 10.1186/s12913-022-08400-9.
Use of alcohol is a major public health issue, representing the 7 largest burden of disease in the world. Workplaces offer a unique arena for health initiatives addressing alcohol use, where occupational health services (OHS) personnel play an important role. However, we do not know if the extent of such initiatives may be influenced by personal drinking attitudes among OHS personnel. Thus, the aim of the study was to explore how drinking attitudes among OHS personnel were associated with their frequency of working with alcohol-related cases and with their views on alcohol prevention activities in the OHS.
The WIRUS project included a cross-sectional survey of attitudes and practices among OHS personnel (n = 325) employed by Norwegian OHS services (n = 69), who informed about sociodemographic and professional characteristics, drinking attitudes, frequency of cases with alcohol-related issues, and perceptions toward the role of the OHS in primary, secondary, and tertiary alcohol prevention activities. Measures of associations were examined with linear and logistic regression models.
Drinking attitudes were unrelated to the frequency of working with alcohol-related cases. Physicians, psychologists, and nurses had higher frequency of working with alcohol-related cases, compared to those with other professional backgrounds (β = 0.46, p = 0.01). Drinking attitudes were also unrelated to attitudes towards primary/secondary/tertiary alcohol prevention activities in the OHS, while female OHS personnel were more positive towards increased primary alcohol prevention activities in the OHS (OR: 1.82, p < 0.05). Only marginal portions (1%-3%) of the variance in attitudes towards alcohol prevention activities in the OHS were accounted for by the models.
This study did not find evidence of associations between OHS personnel's drinking attitudes and their practices and attitudes towards alcohol prevention activities. The lack of association between OHS personnel's attitudes towards alcohol use and their attitudes and practices relating to alcohol prevention in the workplace might point towards professionalism, as personal attitudes appear not to interfere with their priorities and professional mission. Given the small amount of outcome variance explained by the tested models, other variables should be used in future studies.
饮酒是一个主要的公共卫生问题，是全球 7 大疾病负担之一。工作场所为解决饮酒问题提供了一个独特的健康干预平台，职业健康服务（Occupational Health Services，OHS）人员在此发挥着重要作用。然而，我们尚不清楚 OHS 人员的个人饮酒态度是否会影响此类干预措施的实施程度。因此，本研究旨在探讨 OHS 人员的饮酒态度与他们处理与酒精相关案例的频率以及对 OHS 中预防酒精活动的看法之间的关系。
WIRUS 项目采用横断面调查方法，对挪威 OHS 服务机构（n=69）的 OHS 人员（n=325）的态度和实践情况进行了调查，调查内容包括社会人口学和职业特征、饮酒态度、与酒精相关问题相关案例的处理频率，以及对 OHS 在初级、二级和三级酒精预防活动中作用的看法。使用线性和逻辑回归模型检验了关联措施。
饮酒态度与处理与酒精相关案例的频率无关。与具有其他专业背景的人员相比，医生、心理学家和护士处理与酒精相关案例的频率更高（β=0.46，p=0.01）。饮酒态度也与对 OHS 中初级/二级/三级酒精预防活动的态度无关，而女性 OHS 人员对增加 OHS 中的初级酒精预防活动更为积极（OR：1.82，p<0.05）。模型仅能解释 OHS 中预防酒精活动态度的 1%-3%的方差。
本研究未发现 OHS 人员的饮酒态度与其预防酒精活动的实践和态度之间存在关联的证据。OHS 人员对酒精使用的态度与其对工作场所预防酒精的态度和实践之间缺乏关联，这可能表明其专业性，因为个人态度似乎不会干扰他们的工作重点和职业使命。鉴于测试模型解释的结果变量差异较小，未来的研究应使用其他变量。
