工作场所变量对工人滥用处方类阿片意图的影响。
Effects of Workplace Variables on Workers Intentions to Misuse Prescription Opioids.
机构信息
From the Department of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina (G.W., S.R., Q.M.T., J.M., D.W.); and Prevention Strategies, Greensboro, North Carolina (W.B.H., S.H., D.W.).
出版信息
J Occup Environ Med. 2023 Nov 1;65(11):e717-e721. doi: 10.1097/JOM.0000000000002956. Epub 2023 Aug 26.
OBJECTIVE
Workers in industries with high rates of opioid dispensing as well as those with high rates of non-fatal work-related injuries are at greater risk for opioid misuse, which can lead to addiction, overdose, or death.
METHODS
Using secondary cross-sectional data collected from 856 healthcare workers, this pilot study examines a conceptual model for workers' intentions to seek out prescription opioids and intentions to use opioids at higher doses over longer periods.
RESULTS
Results showed significant protective effects of beliefs, injunctive and subjective norms, and behavioral control on intentions to seek out opioids. On intentions to use higher doses over a longer time, knowledge, beliefs, behavioral control, patient-provider communication, workplace safety, and workplace autonomy had significant protective effects.
CONCLUSIONS
Findings from this study could be used to inform future multilevel interventions to prevent opioid misuse among employee populations.
目的
在阿片类药物配给率较高的行业工作的工人和非致命性与工作相关的伤害率较高的工人，更有可能出现阿片类药物滥用的风险，这可能导致成瘾、过量用药或死亡。
方法
本研究使用从 856 名医护人员中收集的二级横截面数据，检验了一个关于工人寻求处方阿片类药物的意向和在更长时间内更高剂量使用阿片类药物的意向的概念模型。
结果
结果表明，信念、规范和主观规范以及行为控制对寻求阿片类药物的意向有显著的保护作用。对于更长时间内更高剂量使用的意向，知识、信念、行为控制、医患沟通、工作场所安全和工作场所自主性有显著的保护作用。
结论
本研究的结果可用于为未来预防员工群体中阿片类药物滥用的多层次干预措施提供信息。
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