Occupation and workplace policies predict smoking behaviors: Analysis of national data from the current population survey

Washington University School of Medicine, St Louis, MO, USA.
Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine (Impact Factor: 1.63). 11/2011; 53(11):1337-45. DOI: 10.1097/JOM.0b013e3182337778
Source: PubMed


Describe differences in smoking behaviors associated with occupation, workplace rules against smoking, and workplace smoking cessation programs.
We analyzed data from the Current Population Survey-Tobacco Use Supplement surveys from 1992 through 2007.
After adjusting for demographic factors, blue-collar workers were at higher risk than white-collar workers for ever smoking, current smoking, and persistent smoking (current smoking among ever smokers). Construction workers were more likely to be current daily smokers than other blue-collar workers. Among ever smokers, current daily smoking was more common in the absence of both workplace rules against smoking and workplace smoking cessation programs.
Social or cultural effects related to occupation are important determinants of smoking. More aggressive promotion of smoking cessation programs and workplace rules prohibiting smoking could have a significant public health impact.


Available from: Douglas A Luke, Sep 03, 2014
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    • "Furthermore, participants who worked in the service industry had higher rates of exposure (74%) in our study compared to a previous study (50%, Wakefield, Cameron, Inglis, Letcher, & Durkin, 2005). Previous research has found those employments with fewer smoking restrictions or formal policies also have the highest rates of ETS exposure and the fewest resources for offering cessation assistance for employees (Ham et al., 2011; Uslan, Forster, & Chen, 2007). ETS exposure and smoking policies are also relevant at SUD treatment programs. "
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    ABSTRACT: Introduction: Environmental Tobacco Smoke (ETS) has been linked to numerous health problems. While research has demonstrated high prevalence of tobacco use among individuals receiving treatment for substance use disorders (SUDs), no studies have examined ETS among individuals receiving treatment for SUDs, paying specific attention to non-smokers who may be at risk for high exposure to ETS. Methods: Participants (N=261) enrolled in outpatient substance abuse treatment completed a survey, in which 14 items were used to quantify ETS exposure and smoking policies across several environments. Results: Among smokers, 85% reported that their significant others also smoked as compared to 15% among non-smokers (χ(2)=6.624, p<.05). A logistic regression examined the characteristics that predicted smoking in the home. The overall model was significant, (χ(2)=36.046, p<.0005) with variables that independently predicted smoking in the home included having less than a high school diploma, being female, and living with a smoker. Income, age, and living with children were not found to be significant. Overall, 42% white collar workers 26% of service workers and 30% of blue collar workers reported no exposure to ETS. Sixty-seven percent of smokers strongly agreed or agreed that the hazards of secondhand smoke have been clearly demonstrated versus 58% of non-smokers. Conclusions: Smokers and non-smokers enrolled in outpatient substance abuse treatment are frequently exposed to ETS at home, work, and in social settings. The dangers of ETS should be addressed among this population through education, smoke-free policies, and cessation resources, with help from their treatment facility.
    Addictive Behaviors 07/2014; 39(12):1718-1722. DOI:10.1016/j.addbeh.2014.07.016 · 2.76 Impact Factor
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    American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California; 05/2012
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    ABSTRACT: Objectives: This study aimed to investigate changes in the smoking rate among Korean adults from 1998-2009 by gender and occupational groups. Methods: Using the data from the first (1998), second (2001), third (2005) and fourth (2009) waves of the Korean National Health and Nutrition Examination Survey (KNHANES), we examined men and women between 25-64 years old. Occupational groups were classified into 3 groups of non-manual workers, 5 groups of manual workers and other workers groups. The other group included the unemployed, students and housewives. Age-adjusted prevalence rates of cigarette smoking were calculated for 10-year age groups in each wave of the KNHANES. Trends in the smoking rate according to occupational groups were estimated. Results: Among male workers, decreasing trends in smoking rates were observed in non-manual workers, manual workers, and other workers. The odds ratios and prevalence ratios for the smoking rates of the manual workers comparing the non-manual workers increased from 1998 to 2005, whereas decreased to 1.38 and 1.12, respectively, in 2009. Differences in smoking rates between manual and non-manual workers increased from 1998 to 2005 but decreased from 2005 to 2009. Among female workers, the smoking rates decreased between 1998 and 2001 and increased beginning in 2001. Conclusions: The smoking rate of the manual workers group was still higher than that of the non-manual workers group. Anti-smoking programs specific to each occupational group are needed.
    Journal of Occupational Health 10/2012; 54(6). DOI:10.1539/joh.12-0148-OA · 1.11 Impact Factor
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