Results of an Opioid Hazard Awareness Training Intervention for Stone, Sand, and Gravel Miners

Minerals & Metallurgical Processing - 2021
Cora Roelofs1
1Department of Biomedical Engineering, Center for the Promotion of Health in the New England Workplace, University of Massachusetts Lowell, Lowell, USA

Tóm tắt

In the USA, miners are at higher risk for work-related disorders that could precipitate an opioid prescription, injury-related opioid prescriptions, and opioid overdose. We aimed to support prevention of these outcomes with an “opioid hazard awareness” miner safety training module. In January and February 2020, the training module was embedded within required mining safety and health training for stone, sand, and gravel miners in Massachusetts (USA). Training impact and reception were assessed with a pre- and post-training survey of trainee characteristics, training content knowledge, and attitudes. Over 800 miners were trained and over 600 responded to surveys. We found statistically significant improvements in opioid risk factor knowledge and knowledge of resources to help a coworker. Nonstigmatizing attitudes were high both at baseline and following the training. The training was perceived as relevant and useful by trainees. Improving opioid hazard awareness in high-risk worker populations has potential to reduce opioid dependence and downstream impacts including overdose death. Employer injury-prevention efforts should be reinforced while worker health and safety training enhances awareness of opioid-related harms and prevention strategies for miners and other high-risk worker populations.

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Tài liệu tham khảo

CDC Injury Center. Opioid data analysis and resources 2021. https://www.cdc.gov/drugoverdose/data/analysis.html (accessed 16 Feb 2021)

Harduar Morano L (2018) Occupational patterns in unintentional and undetermined drug-involved and opioid-involved overdose deaths — United States, 2007–2012. MMWR Morb Mortal Wkly Rep 67. https://doi.org/10.15585/mmwr.mm6733a3.

Thumula V, Liu T-C (2018) Correlates of opioid dispensing. WC-18-48. Workers Compensation Research Institute, Cambridge, MA.

Hawkins D, Roelofs C, Laing J, Davis L (2019) Opioid-related overdose deaths by industry and occupation-Massachusetts, 2011–2015. Am J Ind Med 62:815–825. https://doi.org/10.1002/ajim.23029

Choi B (2020) Opioid use disorder, job strain, and high physical job demands in US workers. Int Arch Occup Environ Health 93:577–588. https://doi.org/10.1007/s00420-019-01514-4

Kowalski-McGraw M, Green-McKenzie J, Pandalai SP, Schulte PA (2017) Characterizing the interrelationships of prescription opioid and benzodiazepine drugs with worker health and workplace hazards. J Occup Environ Med 59:1114–1126

Cheng M, Sauer B, Johnson E, Porucznik C, Hegmann K (2013) Comparison of opioid-related deaths by work-related injury. Am J Ind Med 56:308–316. https://doi.org/10.1002/ajim.22138

Shaw WS, Roelofs C, Punnett L (2020) Work environment factors and prevention of opioid-related deaths. Am J Public Health 110:1235–1241. https://doi.org/10.2105/AJPH.2020.305716

Centers for Disease Control and Prevention (2019) Annual surveillance report of drug-related risks and outcomes — United States Surveillance Special Report. U.S. Department of Health and Human Services. Published November 1, 2019 (accessed 17 Nov 2021 from https://www.cdc.gov/drugoverdose/pdf/pubs/2019-cdc-drug-surveillancereport.pdf)

Kolodny A, Courtwright DT, Hwang CS, Kreiner P, Eadie JL, Clark TW et al (2015) The prescription opioid and heroin crisis: a public health approach to an epidemic of addiction. Annu Rev Public Health 36:559–574. https://doi.org/10.1146/annurev-publhealth-031914-122957

da Costa BR, Vieira ER (2010) Risk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies. Am J Ind Med 53:285–323. https://doi.org/10.1002/ajim.20750

Maher C, Underwood M, Buchbinder R (2017) Non-specific low back pain. Lancet 389:736–747. https://doi.org/10.1016/S0140-6736(16)30970-9

Franklin G, Sabel J, Jones CM, Mai J, Baumgartner C, Banta-Green CJ et al (2015) A comprehensive approach to address the prescription opioid epidemic in Washington state: milestones and lessons learned. Am J Public Health 105:463–469. https://doi.org/10.2105/AJPH.2014.302367

Pensa MA, Galusha DH, Cantley LF (2018) Patterns of opioid prescribing and predictors of chronic opioid use in an industrial cohort, 2003 to 2013. J Occup Environ Med 60:457–61. https://doi.org/10.1097/JOM.0000000000001231

Dembe A, Wickizer T, Sieck C, Partridge J, Balchick R (2012) Opioid use and dosing in the workers’ compensation setting. A comparative review and new data from Ohio. Am J Ind Med 55:313–24. https://doi.org/10.1002/ajim.21021

Carnide N, Hogg-Johnson S, Côté P, Irvin E, Van Eerd D, Koehoorn M et al (2016) Early prescription opioid use for musculoskeletal disorders and work outcomes: a systematic review of the literature. Clin J Pain. https://doi.org/10.1097/AJP.0000000000000452

Franklin GM, Stover BD, Turner JA, Fulton-Kehoe D, Wickizer TM, Disability risk identification Study Cohort (2008) Early opioid prescription and subsequent disability among workers with back injuries: the disability risk identification study cohort. Spine 33:199–204. https://doi.org/10.1097/BRS.0b013e318160455c

Webster BS, Verma SK, Gatchel RJ (2007) Relationship between early opioid prescribing for acute occupational low back pain and disability duration, medical costs, subsequent surgery and late opioid use. Spine 32:2127–2132. https://doi.org/10.1097/BRS.0b013e318145a731

Buttorff C, Trujillo AJ, Castillo R, Vecino-Ortiz AI, Anderson GF (2017) The impact of practice guidelines on opioid utilization for injured workers. Am J Ind Med 60:1023–1030. https://doi.org/10.1002/ajim.22779

Mai J, Franklin G, Tauben D (2015) Guideline for prescribing opioids to treat pain in injured workers. Phys Med Rehabil Clin N Am 26:453–465. https://doi.org/10.1016/j.pmr.2015.04.005

ACOEM Task Force on the Use of Opioids (2016) Principles for ensuring the safe management of pain medication prescriptions by occupational and environmental physicians (accessed 17 Nov 2021 from https://acoem.org/Guidance-and-Position-Statements/Guidance-and-Position-Statements/Principles-for-Ensuring-the-Safe-Management-of-Pain-Medication-Prescriptions-by-Occupational-and-Env)

Thumula V, Liu T-C, Wang D (2020) WCRI FlashReport—interstate variation and trends in workers’ compensation drug payments: 2016Q1 to 2019Q1 FR-20-01

Virginia division of mines. Coal mining - substance abuse n.d. https://www.dmme.virginia.gov/dm/SubstanceAbuse.shtml (accessed 28 Feb 2019)

Sears JM, Haight JR, Fulton‐Kehoe D, Wickizer TM, Mai J, Franklin GM. Changes in early high-risk opioid prescribing practices after policy interventions in Washington State. Health Services Research. https://doi.org/10.1111/1475-6773.13564

MSHA proposes drug, alcohol rule for mines. EHS Today 2008. https://www.ehstoday.com/standards/MSHA/msha_drug_alcohol_mines (accessed 1 Mar 2019)

NIOSH. Mine operator and independent contractor employees by sector, 2019 n.d. https://wwwn.cdc.gov/NIOSH-Mining/MMWC/Employee/Count (accessed 16 Feb 2021)

Wilson N (2020) Drug and Opioid-Involved Overdose Deaths — United States, 2017–2018. MMWR Morb Mortal Wkly Rep 69. https://doi.org/10.15585/mmwr.mm6911a4

CPWR – the Center for Construction Research and Training. Opioid Awareness Training Program n.d. (accessed 17 Nov 2021 from https://www.cpwr.com/research/research-to-practice-r2p/r2p-library/other-resources-for-stakeholders/mental-health-addiction/opioid-resources/opioid-awareness-training-program/)

Roelofs C, Sugerman-Brozan J, Kurowski A, Russell L, Punnett L (2021) Promoting opioid awareness through a union-based peer training model. New Solut. https://doi.org/10.1177/1048291120982597

Yang LH, Grivel MM, Anderson B, Bailey GL, Opler M, Wong LY et al (2019) A new brief opioid stigma scale to assess perceived public attitudes and internalized stigma: evidence for construct validity. J Subst Abuse Treat 99:44–51. https://doi.org/10.1016/j.jsat.2019.01.005

U.S. Bureau of Labor Statistics. Employed persons by detailed occupation and age, 2019 n.d. https://www.bls.gov/cps/aa2019/cpsaat11b.htm (accessed 11 Feb 2021)

Roelofs C, Rodman C, Rinehart R, Cain CT (2021) Preventing opioid-related harms in the construction industry: NEW SOLUTIONS: A Journal of Environmental and Occupational. Health Policy. https://doi.org/10.1177/10482911211008174

Persaud E, Afable A, Geer LA, Landsbergis P (2021) Opioids and the workplace prevention and response awareness training: mixed methods follow-up evaluation. New Solut:10482911211010344. https://doi.org/10.1177/10482911211010343

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