Di Censo Gianluca, Thompson Kirrilly, Bowden Jacqueline
National Centre for Education and Training on Addiction (NCETA), Flinders University, 4.10 Health Science Building, Bedford Park, South Australia, 5072, Australia.
Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, 5042, Australia.
Health Promot Int. 2025 Mar 5;40(2). doi: 10.1093/heapro/daaf048.
In the Australian population, a substantial number of people consume alcohol, tobacco, and other drugs (ATODs). As most people who use ATOD are employed, the workplace is an environment through which ATOD primary and secondary preventive health interventions can be implemented. However, resource allocation can be informed by research that determines priority industries and occupations, as indicated by the prevalence of ATOD use, numbers of users, and likelihood of use (i.e. adjusted odds ratios). A secondary analysis of the 2022-23 Australian National Drug Strategy Household Survey was conducted to assess risky alcohol consumption, current smoking, and illicit drug use (past 12 months) across different industries and occupations. There were 16,281 participants for industry analyses and 17,247 participants for occupation analyses. Survey-weighted estimations of the number and prevalence of individuals who consumed ATOD were performed, followed by a series of survey-weighted logistic regression analyses to identify industries and occupations associated with increased likelihood of ATOD use. Across all substances, the industries with the highest prevalence of ATOD use were mining, construction, and accommodation and food services, while occupations with the highest estimated prevalence were technicians and trades workers and labourers. Conversely, health care and social support, along with construction, exhibited the highest estimated number of ATOD users. The adjusted regression models revealed substantial variation in the industries and occupation types associated with heightened likelihood of ATOD use. This study provides important evidence for prioritizing industries and occupations most likely to benefit from ATOD interventions.
在澳大利亚人口中，有相当数量的人饮酒、吸烟并使用其他毒品（酒精、烟草和其他毒品，简称ATODs）。由于大多数使用ATODs的人都有工作，工作场所是一个可以实施ATODs一级和二级预防健康干预措施的环境。然而，资源分配可以依据确定优先行业和职业的研究来进行，如ATODs使用的患病率、使用者数量和使用可能性（即调整后的比值比）所示。对2022 - 23年澳大利亚国家毒品战略家庭调查进行了二次分析，以评估不同行业和职业中的危险饮酒、当前吸烟和非法药物使用情况（过去12个月）。行业分析有16281名参与者，职业分析有17247名参与者。对使用ATODs的个人数量和患病率进行了调查加权估计，随后进行了一系列调查加权逻辑回归分析，以确定与ATODs使用可能性增加相关的行业和职业。在所有物质中，ATODs使用患病率最高的行业是采矿业、建筑业以及住宿和食品服务业，而估计患病率最高的职业是技术人员和熟练工人以及体力劳动者。相反，医疗保健和社会支持行业以及建筑业的ATODs使用者估计数量最多。调整后的回归模型显示，与ATODs使用可能性增加相关的行业和职业类型存在很大差异。这项研究为确定最有可能从ATODs干预中受益的行业和职业提供了重要证据。
