Impact of workplace injury on opioid dependence, abuse, illicit use and overdose: a 36-month retrospective study of insurance claims.
Impact of workplace injury on opioid dependence, abuse, illicit use and overdose: a 36-month retrospective study of insurance claims.
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DOI：
10.1136/oemed-2020-106535
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发表时间：
2020-09
影响因子：
4.9
通讯作者：
Boden LI
中科院分区：
文献类型：
--
作者：
Asfaw A;Boden LI
研究工作场所伤害对阿片类药物依赖、滥用和过量（阿片类药物相关发病率）的影响，以及伤害的严重程度是否会增加这些健康影响的危险。我们使用MarketScan数据库来跟踪受伤和倾向评分匹配的非受伤工人，两者都没有先前的阿片类药物相关诊断。使用考克斯比例风险模型，我们研究了工作场所伤害对阿片类药物相关发病率的影响。阿片类药物相关的发病率的危险性受伤的工人是1.79倍，匹配的非受伤工人（95%CI 1.89至3.60）。单纯医疗和误工工伤者分别是非工伤者的1.54倍（95%CI 1.02 ~ 2.32）和2.91倍（95%CI 1.75 ~ 4.84）。减少工作场所伤害或工作场所伤害的严重程度，以及努力确保为受伤工人提供适当的阿片类药物处方，可能有助于降低阿片类药物使用的社会成本。
To examine the impact of workplace injury on opioid dependence, abuse and overdose (opioid-related morbidity) and if severity of injury increases the hazard of these health effects. We used MarketScan databases to follow injured and propensity score matched non-injured workers, both without prior opioid-related diagnoses. Using a Cox proportional hazard model, we examined the impact of workplace injury on opioid-related morbidity. The hazard of opioid-related morbidity for injured workers was 1.79 times than that of matched non-injured workers (95% CI 1.89 to 3.60). For medical-only and lost-time injured workers, it was respectively 1.54 (95% CI 1.02 to 2.32) and 2.91 (95% CI 1.75 to 4.84) times that of non-injured workers. Reducing workplace injury or severity of workplace injury, as well as efforts to ensure appropriate opioid prescribing for injured workers, may help to reduce the societal costs of opioid use.
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DOI：
10.1097/jom.0b013e3182636e29
发表时间：
2012-09-01
影响因子：
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