Do workplace policies work? An examination of the relationship between alcohol and other drug policies and workers' substance use
Do workplace policies work? An examination of the relationship between alcohol and other drug policies and workers' substance use
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DOI：
10.1016/j.drugpo.2015.08.017
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发表时间：
2016-02-01
影响因子：
4.4
通讯作者：
Roche, Ann
中科院分区：
文献类型：
--
作者：
Pidd, Ken;Kostadinov, Victoria;Roche, Ann
背景：人们越来越关注工作场所政策作为预防或管理酒精和其他毒品 (AOD) 问题的策略。本研究首次使用具有全国代表性的数据集来探讨 AOD 政策在澳大利亚工作场所的流行程度和影响。方法：对 2010 年国家药物战略家庭调查进行了二次分析（n = 13,590）。描述性分析探讨了 AOD 政策的流行程度。多项式和逻辑回归评估了政策与健康行为之间的关系。结果：工作场所 AOD 政策与员工物质使用减少相关。实施任何 AOD 政策都会显着降低高风险饮酒的几率（OR：0.61）。就具体政策类型而言，“使用”和“使用加援助”政策与高风险饮酒几率显着降低相关（OR：分别为0.64和0.43）。 “全面”政策与吸毒几率显着降低相关（OR：0.72）。 AOD 政策与因使用 AOD、酒后参加工作或通常在工作中消费 AOD 导致的缺勤没有显着相关。结论：这些发现为减少酒精和毒品问题政策的价值和功效提供了实证支持。虽然关于“吸毒”的基本政策与减少高风险饮酒有关，但需要更全面的政策来影响吸毒。值得注意的是，单独的酒精/药物测试似乎与员工物质使用的减少无关。澳大利亚工作场所存在实施有效 AOD 政策的空间。这可能会给个人和工作场所带来巨大的好处。 (C) 2015 Elsevier B.V. 保留所有权利。
Background: There is growing interest in workplace policies as a strategy to prevent or manage alcohol and other drug (AOD) problems. This study is the first to explore the prevalence and impact of AOD policies in Australian workplaces using a nationally representative dataset.Methods: A secondary analysis of the 2010 National Drug Strategy Household Survey was conducted (n = 13,590). Descriptive analyses explored the prevalence of AOD policies. Multinomial and logistic regression assessed the relationship between policies and health behaviours.Results: Workplace AOD policies were associated with reduced employee substance use. Having any AOD policy in place was associated with significantly decreased odds of high risk drinking (OR: 0.61). In terms of specific policy types, policies on 'use' and 'use plus assistance' were associated with significantly decreased odds of high risk drinking (OR: 0.64 and 0.43, respectively). 'Comprehensive' policies were associated with significantly decreased odds of drug use (OR: 0.72). AOD policies were not significantly related to absence due to AOD use, attending work under the influence, or usually consuming AOD at work.Conclusion: These findings provide empirical support for the value and efficacy of policies to reduce alcohol and drug problems. While basic policies on 'use' were associated with a reduction in high risk drinking, more comprehensive policies were required to impact drug use. Notably, alcohol/drug testing in isolation does not appear to be related to reduced employee substance use. Scope exists for Australian workplaces to implement effective AOD policies. This could result in considerable benefits for both individuals and workplaces. (C) 2015 Elsevier B.V. All rights reserved.