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Company characteristics and workplace medical testing

L I Boden¹, H Cabral

¹Department of Environmental Health, Boston University School of Public Health, MA 02118, USA.

American Journal of Public Health

|August 1, 1995

Summary

Company economic factors, not workplace hazards, influence medical testing prevalence. This suggests employer testing may not benefit worker health, potentially shifting illness costs.

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Area of Science:

Occupational health
Health economics
Medical surveillance

Background:

Medical testing in the workplace is common.
Understanding factors influencing its prevalence is crucial for public health.
Previous research has not fully elucidated the role of economic versus hazard-related factors.

Purpose of the Study:

To determine the relative impact of company economic characteristics and workplace hazards on medical testing prevalence.
To assess the potential public health implications of these testing patterns.

Main Methods:

Utilized data from the National Occupational Hazards Survey and National Occupational Exposure Survey.
Incorporated industry-specific wage and turnover data.
Employed logistic regression to analyze relationships between economic variables, workplace risks, and medical testing.

Main Results:

Company economic variables showed a relationship with the prevalence of medical testing.
No consistent positive association was found between workplace health hazards and the extent of medical testing.

Conclusions:

Employer decisions on medical testing may not align with worker health benefits.
Testing practices could potentially transfer illness costs to employees or other businesses.
Safer workplaces might over-provide testing, while less safe ones may under-provide it.

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