Article

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: 1.8). 11/2011; 53(11):1337-45. DOI: 10.1097/JOM.0b013e3182337778
Source: PubMed

ABSTRACT 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.

Full-text

Available from: Douglas A Luke, Sep 03, 2014
0 Followers
 · 
129 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Blue-collar workers, particularly those in the construction trades, are more likely to smoke and have less success in quitting when compared with white-collar workers. Little is known about health communication strategies that might influence this priority population. This article describes our formative work to develop targeted messages to increase participation in an existing smoking cessation program among construction workers. Using an iterative and sequential mixed-methods approach, we explored the culture, health attitudes and smoking behaviors of unionized construction workers. We used focus group and survey data to inform message development, and applied audience segmentation methods to identify potential subgroups. Among 144 current smokers, 65% reported wanting to quit smoking in the next 6 months and only 15% had heard of a union-sponsored smoking cessation program, despite widespread advertising. We tested 12 message concepts and 26 images with the target audience to evaluate perceived relevance and effectiveness. Participants responded most favorably to messages and images that emphasized family and work, although responses varied by audience segments based on age and parental status. This study is an important step towards integrating the culture of a high-risk group into targeted messages to increase participation in smoking cessation activities.
    Health Education Research 09/2014; 30(1). DOI:10.1093/her/cyu050 · 1.66 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background Understanding occupational variations in health risks is necessary to identify high risk groups. We examined the recent prevalence of obesity, heavy alcohol consumption, smoking, and leisure time physical activity (PA) across occupations.Methods Data from the 2010 National Health Interview Survey were used. Analysis was limited to adults, 18 and older who had a job or business the week before the interview (n = 14,754). Adjusted prevalences of outcomes across occupations were calculated using logistic regression.ResultsThe highest prevalence of obesity was within community and social services and morbid obesity was in computer and mathematical occupations. That of smoking was highest in healthcare support, heavy drinking in food preparation and serving related, and non-adherence to PA recommendations in the farming, fishing, and forestry occupations.Conclusion Important health risk factors vary across occupations. Worksite and public health interventions need to be designed and modified to address such occupational health disparities. Am. J. Ind. Med. © 2014 Wiley Periodicals, Inc
    American Journal of Industrial Medicine 01/2015; 58(1). DOI:10.1002/ajim.22405 · 1.59 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    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 (chi(2) = 6.624, p < .05). A logistic regression examined the characteristics that predicted smoking in the home. The overall model was significant, (chi(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 · 2.44 Impact Factor