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Characterizing the Interrelationships of Prescription Opioid and Benzodiazepine Drugs With Worker Health and Workplace Hazards.

Kowalski-McGraw, Michele MD, MPH; Green-McKenzie, Judith MD, MPH; Pandalai, Sudha P. MD, PhD; Schulte, Paul A. PhD
Journal of Occupational & Environmental Medicine: Post Author Corrections: September 19, 2017
doi: 10.1097/JOM.0000000000001154
Original Article: PDF Only

Objective: Prescription opioid and benzodiazepine drug use, which has risen significantly, can affect worker health. Exploration of the scientific literature assessed (1) interrelationships of such drug use, occupational risk factors, and illness and injury, and (2) occupational and personal risk factor combinations that can affect their use.

Methods: The scientific literature from 2000 to 2015 was searched to determine any interrelationships.

Results: Evidence for eight conceptual models emerged based on the search yield of 133 articles. These models summarize interrelationships among prescription opioid and benzodiazepine use with occupational injury and illness. Factors associated with the use of these drugs included fatigue, impaired cognition, falls, motor vehicle crashes, and the use of multiple providers.

Conclusion: Prescription opioid and benzodiazepine drugs may be both a personal risk factor for work-related injury and a consequence of workplace exposures.

Copyright (C) 2017 by the American College of Occupational and Environmental Medicine