Document Detail


Workplace drug testing and worker drug use.
MedLine Citation:
PMID:  17362218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the nature and extent of the association between workplace drug testing and worker drug use. DATA SOURCES: Repeated cross-sections from the 2000 to 2001 National Household Surveys on Drug Abuse (NHSDA) and the 2002 National Survey on Drug Use and Health (NSDUH). STUDY DESIGN: Multivariate logistic regression models of the likelihood of marijuana use are estimated as a function of several different workplace drug policies, including drug testing. Specific questions about penalty severity and the likelihood of detection are used to further evaluate the nature of the association. PRINCIPAL FINDINGS: Individuals whose employers perform drug tests are significantly less likely to report past month marijuana use, even after controlling for a wide array of worker and job characteristics. However, large negative associations are also found for variables indicating whether a firm has drug education, an employee assistance program, or a simple written policy about substance use. Accounting for these other workplace characteristics reduces-but does not eliminate-the testing differential. Frequent testing and severe penalties reduce the likelihood that workers use marijuana. CONCLUSIONS: Previous studies have interpreted the large negative correlation between workplace drug testing and employee substance use as representing a causal deterrent effect of drug testing. Our results using more comprehensive data suggest that these estimates have been slightly overstated due to omitted variables bias. The overall pattern of results remains largely consistent with the hypothesis that workplace drug testing deters worker drug use.
Authors:
Christopher S Carpenter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health services research     Volume:  42     ISSN:  0017-9124     ISO Abbreviation:  Health Serv Res     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-16     Completed Date:  2007-05-11     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0053006     Medline TA:  Health Serv Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  795-810     Citation Subset:  IM    
Affiliation:
The Paul Merage School of Business at UC Irvine, 443 SB, Irvine, CA 92697-3125, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cross-Sectional Studies
Female
Humans
Likelihood Functions
Male
Marijuana Abuse / epidemiology*
Multivariate Analysis
Occupational Health Services / organization & administration
Organizational Policy
Socioeconomic Factors
Substance Abuse Detection / statistics & numerical data*
Workplace / organization & administration*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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