Abstract
All employees hired over a six-month period at a large hospital underwent pre-employment urinary toxicology screening. Results of the screening were kept confidential. After a year of employment, the personnel folders of all employees studied were reviewed. Twenty-two of 180 employees (12%) had tested positive for drug use. Employees in clerical/aide positions were significantly more likely to test positive than were employees in professional positions (17% vs. 6%). Drug-positive employees were also more likely to be young and male. Comparison of job performance variables, job retention, supervisor evaluations, and reasons for termination showed no difference between drug-positive and drug-negative employees. Eleven drug-negative employees were fired during the study; no drug-positive employee was fired. There was a strongly significant difference between clerical and professional employees on each of these variables. This study did not find a relation between drug use and job performance. The widespread use of drug screening prior to employment makes further studies of this issue important.
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References
Stille A. Drug testing. Nat Law J 1986;8:29:1,22–4.
Rosenstock L, Cullen MR. Routine urine testing for evidence of drug abuse in workers: the scientific, ethical, and legal reasons not to do it. J Gen Intern Med 1987;2:135–7.
Lundberg GD, Mandatory unindicated urine drug screening: still chemical McCarthyism. JAMA 1986;256:3003–5.
Sutherimer CA, Yarborough R, Hepler BR, Sunshine I. Detection and confirmation of urinary cannabinoids. J Analyt Toxicol 1985;9:156–60.
Jones DW, Adams D, Martel PA, Rousseau RJ. Drug population in one thousand geographically distributed urine specimens. J Analyt Toxicol 1985;9:125–9.
SAS user’s guide. Version 5, edition period. SAS Institute, Inc., Carey, NC, 1985.
Raveis VH, Kandel DB. Changes in drug behavior from the middle to late twenties. Initiation, persistence and cessation of use. Am J Public Health 1987;77:607–11.
Miller JD, ed. National survey on drug abuse: main findings 1982. Rockville, MD, National Institute on Drug Abuse, 1983.
Hoyt DW, Finnigan RE, Nee T, Shults TF, Butler TJ. Drug testing in the workplace—are methods legally defensible. JAMA 1987;258:504–9.
Lewy R. Pre-employment qualitative urine toxicology screening. J Occup Med 1983;25:8:579–80.
Hilker RRH, Asma FE, Daghestani AN, Ross RL. A drug abuse rehabilitation program. J Occup Med 1975;17:351–4.
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Parish, D.C. Relation of the pre-employment drug testing result to employment status. J Gen Intern Med 4, 44–47 (1989). https://doi.org/10.1007/BF02596490
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DOI: https://doi.org/10.1007/BF02596490