Working at heights: patterns and predictors of illicit drug use in construction workers
Working at heights: patterns and predictors of illicit drug use in construction workers
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DOI：
10.1080/09687637.2020.1743645
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发表时间：
2020-03-25
影响因子：
1.9
通讯作者：
Pidd, Ken
中科院分区：
文献类型：
--
作者：
Chapman, Janine;Roche, Ann M.;Pidd, Ken
在男性占主导地位的行业，雇员吸毒对健康和安全构成严重风险，但人们对建筑业吸毒的模式和决定因素还不太了解。这项研究评估了澳大利亚建筑工人使用大麻、可卡因和甲基苯丙胺的流行率和预测因素。工人（N = 511）完成了一项调查，评估使用的三种药物类型;酒精使用;一般健康和心理健康;工作压力和工作场所的文化规范，每种药物。分层二元逻辑回归检查预测因素。在过去12个月里，每种药物的使用量都是全国平均水平的2 - 5倍。较高的酒精消费量是所有药物类型的一致预测因素，年龄较小和一般健康状况较差是大麻和可卡因使用的预测因素。更高的心理痛苦只与大麻使用有关。工作场所的可用性，描述性和禁令规范是可卡因使用的重要预测因素。调查结果突出了建筑业吸毒的模式，特别是可卡因的高水平，具有严重的影响。可卡因工作场所的供应和规范的影响突出了工作场所文化的重要性。需要采取涉及文化变革和针对弱势工人的个人应对措施的多组成部分办法，以尽量减少与毒品有关的伤害的风险。
Employee drug use poses a serious risk to health and safety in male-dominated industries yet patterns and determinants of drug use in construction are not well understood. This study assessed prevalence rates and predictors of Australian construction workers' use of cannabis, cocaine and meth/amphetamine. Workers (N = 511) completed a survey that assessed use of the three drug types; alcohol use; general health and mental health; job stress and the workplace cultural norms for each drug. Hierarchical binary logistic regressions examined predictors. Use of each drug over the past 12 months was two-five times higher than the national averages. Higher alcohol consumption was a consistent predictor across drug types and younger age and poorer general health were predictive of cannabis and cocaine use. Higher psychological distress was associated only with cannabis use. Workplace availability, descriptive and injunctive norms were significant predictors of cocaine use. The findings highlight concerning patterns of drug use in construction, particularly high levels of cocaine, with serious implications. The influence of cocaine workplace availability and norms highlight the importance of the workplace culture. Multi-component approaches involving culture change and individual-level responses that target vulnerable workers are required to minimize risk from drug-related harm.