Racial/Ethnic Differences in Report of Drug Testing Practices at the Workplace Level in the US
Racial/Ethnic Differences in Report of Drug Testing Practices at the Workplace Level in the US
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DOI：
10.1111/j.1521-0391.2013.12109.x
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发表时间：
2014-07-01
影响因子：
3.7
通讯作者：
Fiellin, David A.
中科院分区：
文献类型：
--
作者：
Becker, William C.;Meghani, Salimah;Fiellin, David A.
背景和目标：目前尚不清楚在不同职业之间进行分析时，工作场所药物检测报告中的种族/民族差异是否持续存在。我们试图研究工人的人口统计学，工作场所的特点，并在工作场所，执行drug testing.Methods的就业报告之间的关联：我们进行了一项横断面研究的2008-2010年全国调查药物使用和健康检查种族/民族和工作场所的药物测试报告之间的关系，就业，白色，黑人，或西班牙裔受访者>= 18岁。在Logistic回归分析中，我们调整了人口统计学，职业和其他相关变量，并进行了三个具体occupations.Results分层分析：在69,163名受访者中，48.2%的报告就业的工作场所，进行药物检测。多变量分析显示，年龄较小、男性、黑人、年收入超过20，000美元、高中毕业和非城市居住与全样本中工作场所的药物检测报告相关，非白领职业、在中型或大型工作场所工作以及没有其他药物滥用/依赖。在分层分析中，黑人种族与报告的工作场所水平的药物检测之间的行政/行政/管理/金融工作者和技术人员/相关的支持职业;西班牙裔与技术人员/相关的支持occupations.Conclusions的结果：种族/种族差异报告的工作场所药物检测存在内部和跨各种职业。这些差异具有重要的公共卫生意义，值得进一步研究。科学意义：在少数种族/族裔工作的地方进行药物检测的报告增加，突出表明，如果药物检测政策没有普遍执行，可能会产生偏见。
Background and Objectives: It is unknown whether racial/ethnic differences in report of workplace drug testing persist when analyzed within and across various occupations. We sought to examine the association between worker demographics, workplace characteristics, and report of employment in a workplace that performs drug testing.Methods: We performed a cross-sectional study of the 2008-2010 National Survey on Drug Use and Health examining the relationship between race/ethnicity and report of workplace drug testing among employed, white, black, or Hispanic respondents >= 18 years old. In logistic regression analysis, we adjusted for demographic, occupational, and other relevant variables and performed stratified analyses among three specific occupations.Results: Among 69,163 respondents, 48.2% reported employment in a workplace that performs drug testing. On multivariable analysis, younger age, male sex, black race, income greater than $20,000, completion of high school and non-urban residence were associated with report of drug testing at one's workplace among the full sample as were non-white collar occupation, work in medium or large workplace, and absence of other substance abuse/dependence. In stratified analyses, black race was associated with report of workplace level drug testing among executive/administrative/managerial/financial workers and technicians/related support occupations; Hispanic ethnicity was associated with the outcome among technicians/related support occupations.Conclusions: Racial/ethnic differences in report of workplace drug testing exist within and across various occupations. These differences have important public health implications deserving further study. ScientificSignificance: Increased report of drug testing where racial/ethnic minorities work highlights the potential bias that can be introduced when drug testing policies are not implemented in a universal fashion.