Background: Traditionally, men have been heavier drinkers of alcohol and at greater risk of health problems than women. As men are often reluctant to recognize or seek help for risky drinking, the workplace provides an ideal opportunity to implement and target interventions around risky alcohol use. Methods: A systematic literature review was undertaken to identify studies that examined interventions for risky alcohol consumption among workers within male-dominated industries. Searches were undertaken of major electronic databases (Cumulative Index to Nursing and Allied Health Literature, The Cochrane Library, Informit, PsycINFO, PubMed, and Scopus), the gray literature, and reference lists of retrieved articles for English-language studies published between January 1990 and June 2012 were also included. Articles were systematically assessed for quality and outcomes. Results: Eight studies met the inclusion criteria. Although the number of studies was small and the nature of implementation research tends to produce less clear outcomes than highly controlled studies, results did show some positive outcomes, including alcohol screening, alcohol testing, brief interventions, peer care or peerbased support interventions, and enhanced employee well-being interventions. Workplace alcohol and drug testing did not appear to be useful. Conclusion: Although the evidence on specific interventions for alcohol use problems in male-dominated industries was limited, the review showed that interventions are feasible in the workplace, even within a culture that is typically ambivalent about addressing risky drinking. Alcohol screening, secondary prevention, and lowintensity intervention activities may be effective for those identified as risky drinkers. Health and well-being promotion activities and alcohol testing, which were examined in a number of studies, did not appear to have an impact on drinking rates. Further research to identify specific and effective interventions to address alcohol use in the workplace, both at the individual and at the workplace level, is needed.
- Male-dominated industry
- Systematic review