Occupational patterns of opioid-related harms comparing a cohort of formerly injured workers to the general population in Ontario, Canada.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2024-04-24 DOI:10.17269/s41997-024-00882-w

Nancy Carnide, Gregory Feng, Chaojie Song, Paul A Demers, Jill S MacLeod, Jeavana Sritharan

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Abstract

Objectives: The role of work-related injuries as a risk factor for opioid-related harms has been hypothesized, but little data exist to support this relationship. The objective was to compare the incidence of opioid-related harms among a cohort of formerly injured workers to the general population in Ontario, Canada.

Methods: Workers' compensation claimants (1983-2019) were linked to emergency department (ED) and hospitalization records (2006-2020). Incident rates of opioid-related poisonings and mental and behavioural disorders were estimated among 1.7 million workers and in the general population. Standardized incidence ratios (SIRs) and 95% confidence intervals (CI) were calculated, adjusting for age, sex, year, and region.

Results: Compared to the general population, opioid-related poisonings among this group of formerly injured workers were elevated in both ED (SIR = 2.41, 95% CI = 2.37-2.45) and hospitalization records (SIR = 1.54, 95% CI = 1.50-1.59). Opioid-related mental and behavioural disorders were also elevated compared to the general population (ED visits: SIR = 1.86, 95% CI = 1.83-1.89; hospitalizations: SIR = 1.42, 95% CI = 1.38-1.47). Most occupations and industries had higher risks of harm compared to the general population, particularly construction, materials handling, processing (mineral, metal, chemical), and machining and related occupations. Teaching occupations displayed decreased risks of harm.

Conclusion: Findings support the hypothesis that work-related injuries have a role as a preventable risk factor for opioid-related harms. Strategies aimed at primary prevention of occupational injuries and secondary prevention of work disability and long-term opioid use are warranted.

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阿片类药物相关伤害的职业模式，将加拿大安大略省曾受过伤害的工人群组与普通人群进行比较。

目的：有人假设工伤是造成阿片类药物相关伤害的风险因素，但支持这种关系的数据却很少。该研究旨在比较加拿大安大略省曾受过工伤的工人群体与普通人群中阿片类药物相关伤害的发生率：方法：将工伤索赔者（1983-2019 年）与急诊科 (ED) 和住院记录（2006-2020 年）联系起来。估算了 170 万工人和普通人群中阿片类药物相关中毒以及精神和行为障碍的发病率。计算了标准化发病率（SIR）和95%置信区间（CI），并对年龄、性别、年份和地区进行了调整：结果：与普通人群相比，在急诊室（SIR = 2.41，95% CI = 2.37-2.45）和住院记录（SIR = 1.54，95% CI = 1.50-1.59）中，这部分曾经受伤的工人与阿片类药物有关的中毒事件均有所上升。与普通人群相比，与阿片类药物相关的精神和行为障碍也有所上升（急诊室就诊：SIR=1.86，95% CI=1.83-1.89；住院：SIR=1.42，95% CI=1.38-1.47）。与普通人群相比，大多数职业和行业的伤害风险较高，尤其是建筑、材料处理、加工（矿物、金属、化学）和机械加工及相关职业。教师职业的伤害风险较低：研究结果支持这一假设，即工伤是阿片类药物相关伤害的一个可预防风险因素。有必要制定旨在初级预防工伤和二级预防工作致残及长期使用阿片类药物的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.