Urban Cooper, Yang Kevin H, Palamar Joseph J
NYU Grossman School of Medicine, 550 1st Avenue, New York, NY 10016, USA.
University of California San Diego School of Medicine, Department of Psychiatry, 9500 Gilman Ave, San Diego, CA 92104, USA.
Addict Behav. 2025 Aug;167:108362. doi: 10.1016/j.addbeh.2025.108362. Epub 2025 Apr 19.
Vaping of nicotine and cannabis has increased substantially among US adults, but its impact on workplace productivity remains poorly understood. This study examines the associations between nicotine and cannabis vaping patterns and workplace absenteeism.
Cross-sectional data from a US nationally representative sample of noninstitutionalized part-time and full-time employed adults aged ≥ 18 from the 2022 National Survey on Drug Use and Health (N = 30,591) were analyzed. The associations between nicotine vaping (recency and frequency), cannabis vaping (recency), and workplace absenteeism (measured by self-reported number of missed days due to illness/injury and skipped work in the past month) were evaluated using negative binomial regression adjusting for sociodemographic characteristics and other past-month drug use.
An estimated 10.4 % of full-time workers vaped nicotine in the past month and 6.4 % vaped cannabis. Compared to never-vapers of nicotine, those with any history of vaping had higher estimated incidence of absences with past-month vaping associated with increased incidence of missed work due to illness/injury (aIRR = 1.34, 95 % CI: 1.14-1.59) and skipping work (aIRR = 1.65, 95 % CI: 1.24-2.21). Past-month cannabis vaping was associated with increased estimated incidence of missed work due to illness/injury (aIRR = 1.35, 95 % CI: 1.06-1.72) and skipping work (aIRR = 1.70, 95 % CI: 1.32-2.18), although these rates did not differ significantly from those associated with non-vaped cannabis use. Associations were generally stronger among full-time workers compared to part-time workers.
Both nicotine and cannabis vaping are associated with increased workplace absenteeism. Results support the development and implementation of workplace policies to address vaping-related productivity losses.
美国成年人中吸食尼古丁和大麻的现象大幅增加,但其对工作场所生产力的影响仍知之甚少。本研究探讨了尼古丁和大麻吸食模式与工作场所旷工之间的关联。
分析了来自2022年全国药物使用和健康调查的具有全国代表性的非机构化兼职和全职成年就业者样本(年龄≥18岁,N = 30,591)的横断面数据。使用负二项回归评估尼古丁吸食(近期性和频率)、大麻吸食(近期性)与工作场所旷工(通过自我报告的因疾病/受伤而错过的天数以及过去一个月旷工情况来衡量)之间的关联,并对社会人口学特征和过去一个月的其他药物使用情况进行了调整。
估计过去一个月中有10.4%的全职员工吸食尼古丁,6.4%的人吸食大麻。与从未吸食过尼古丁的人相比,有任何吸食史的人估计旷工发生率更高,过去一个月吸食与因疾病/受伤而错过工作的发生率增加相关(调整后的发病率比[aIRR]=1.34,95%置信区间[CI]:1.14 - 1.59)以及旷工(aIRR = 1.65,95% CI:1.24 - 2.21)。过去一个月吸食大麻与因疾病/受伤而错过工作的估计发生率增加相关(aIRR = 1.35,95% CI:1.06 - 1.72)以及旷工(aIRR = 1.70,95% CI:1.32 - 2.18),尽管这些比率与未吸食大麻者使用大麻的比率没有显著差异。与兼职员工相比,全职员工中的关联通常更强。
尼古丁和大麻吸食均与工作场所旷工增加有关。研究结果支持制定和实施工作场所政策以解决与吸食相关的生产力损失问题。