Researching and preventing alcohol problems at work: toward an integrative model.
PURPOSE OF PROPOSAL. A consolidated framework is proposed to highlight modifiable factors in work organizations that may contribute to alcohol-related problems.  This research model serves to organize existing knowledge, highlight pathways for new research initiatives, and offer insights into the design of primary and secondary preventive strategies. CONTRIBUTING INFLUENCES. Current research on problem drinking in the workplace either locates problems in individual drinkers or looks to the social environment to understand how drinking problems unfold. There is a clear need for a more complete theoretical model which incorporates social, cultural, organizational, and personal factors. PROPOSAL SUMMARY. This article elaborates on a model for examining problem drinking at work which integrates policy, normative, and psychosocial influences.  It emphasizes the structures within which health-related decisions and actions are contained and constrained. The focus here on the connections between alcohol use and work builds on the premise that health is socially produced.
Walsh
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Department of Health and Social Behavior, Harvard School of Public Health, Boston, Massachusetts.
Rudd
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Biener
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Mangione
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D000437:Alcoholism / Q000517:prevention & control*; D006291:Health Policy; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D017146:Models, Organizational; D009784:Occupational Diseases / Q000517:prevention & control; D016272:Occupational Health; D009786:Occupational Health Services / Q000379:methods* / Q000458:organization & administration