A cross‐sectional study of alcohol, opioid use, and anxiety in agriculturally based occupations

Author:

Chasek Christine1ORCID,Watanabe‐Galloway Shinobu2ORCID,Rutt Rachel2,Olson Ashley3,Yoder Aaron2

Affiliation:

1. University of Nebraska at Omaha Omaha Nebraska USA

2. University of Nebraska Medical Center Omaha Nebraska USA

3. University of Nebraska at Kearney Kearney Nebraska USA

Abstract

AbstractPurposeAlthough there are many studies that have examined substance use and mental health concerns in rural areas, there is a paucity of research related to the prevalence of substance use and mental well‐being in agriculturally based occupations. This study aimed to determine the prevalence of alcohol and opioid misuse and anxiety among adults in agriculturally based occupations in the rural Midwest and to determine the risk factors for alcohol misuse.MethodsData were collected via mailed surveys with 1,791 surveys returned. Participants completed the Alcohol Use Disorder Identification Test, the Drug Abuse Screening Test‐1, the Generalized Anxiety Disorder Screener, and reported demographic data. Multivariable logistic regression was used to examine factors associated with alcohol misuse.ResultsYounger age, male, not married, agriculturally based workers were significantly associated with alcohol misuse. For opioid use, the highest prevalence rate (10%) was found among direct agricultural workers who were not married and in the age group 19‐39. The highest anxiety prevalence rate was found in participants aged 19‐39 (15.5%) who also scored in the highest level of alcohol misuse with a prevalence rate of 27.9%.ConclusionsFuture research is suggested in the areas of gender identity and anxiety in agricultural populations and agriculturally based occupations as protective factors for opioid misuse.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health

Reference48 articles.

1. National Institute on Drug Abuse. Opioid Overdose Crisis.2020.

2. United States Department of Agricultural. Census of Agriculture.2017.

3. Agency for Healthcare Research and Quality. Opioid‐Related Inpatient Stays and Emergency Department Visits by State 2009–2014. HCUP Statistical Brief #219.2016.

4. Center for Disease Control and Prevention. Drug Overdose Death in the U. S. Up By 30% in 2020.2020.

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