HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (73) Citing Articles via Google Scholar Google Scholar Articles by Sorensen, G. Articles by Emmons, K. Search for Related Content PubMed PubMed Citation Articles by Sorensen, G. Articles by Emmons, K. Related Collections Occupational Health Prevention Socioeconomic Factors Smoking Cessation Cancer Tobacco Control

Glorian Sorensen, PhD, MPH, Elizabeth Barbeau, ScD, MPH, Mary Kay Hunt, RD, MPH and Karen Emmons, PhD

The authors are with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Mass. Glorian Sorensen, Elizabeth Barbeau, and Karen Emmons are also with the Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Mass.

Correspondence: Requests for reprints should be sent to Glorian Sorensen, PhD, MPH, Dana-Farber Cancer Institute, 44 Binney St, Room SM258, Boston MA 02115 (e-mail: glorian_sorensen{at}dfci.harvard.edu).

In the United States in 1997, the smoking prevalence among blue-collar workers was nearly double that among white-collar workers, underscoring the need for new approaches to reduce social disparities in tobacco use. These inequalities reflect larger structural forces that shape the social context of workers’ lives.

Drawing from a range of social and behavioral theories and lessons from social epidemiology, we articulate a social-contextual model for understanding ways in which socioeconomic position, particularly occupation, influences smoking patterns. We present applications of this model to worksite-based smoking cessation interventions among blue-collar workers and provide empirical support for this model. We also propose avenues for future research guided by this model.

This article has been cited by other articles:

				V. Cokkinides, P. Bandi, C. McMahon, A. Jemal, T. Glynn, and E. Ward Tobacco Control in the United States--Recent Progress And Opportunities CA Cancer J Clin, November 1, 2009; 59(6): 352 - 365. [Abstract] [Full Text] [PDF]

				D. J. Burgess, S. S. Fu, S. Noorbaloochi, B. A. Clothier, J. Ricards, R. Widome, and M. van Ryn Employment, gender, and smoking cessation outcomes in low-income smokers using nicotine replacement therapy Nicotine Tob Res, October 29, 2009; (2009) ntp158v1. [Abstract] [Full Text] [PDF]

				F de Vocht, H Kromhout, G Ferro, P Boffetta, and I Burstyn Bayesian modelling of lung cancer risk and bitumen fume exposure adjusted for unmeasured confounding by smoking Occup. Environ. Med., August 1, 2009; 66(8): 502 - 508. [Abstract] [Full Text] [PDF]

				B. J. Weiner, M. A. Lewis, and L. A. Linnan Using organization theory to understand the determinants of effective implementation of worksite health promotion programs Health Educ. Res., April 1, 2009; 24(2): 292 - 305. [Abstract] [Full Text] [PDF]

				W. C. Livingood, L. D. Woodhouse, and P. Wludyka Implementation of Possession Laws and the Social Ecology of Tobacco Control Health Educ Behav, April 1, 2009; 36(2): 214 - 229. [Abstract] [PDF]

				R. E. Goldman, E. Barbeau, M. K. Hunt, D. Acevedo-Garcia, K. M. Emmons, J. Gagne, and G. Sorensen Perceptions of Health Promotion and Cancer Prevention Among Adults in Working-Class Occupations and Neighborhoods Health Educ Behav, December 1, 2008; 35(6): 777 - 790. [Abstract] [PDF]

				D. J Lee, L. E Fleming, K. E McCollister, A. J Caban, K. L Arheart, W. G LeBlanc, K. Chung-Bridges, S. L Christ, N. Dietz, and J. D Clark III Healthcare provider smoking cessation advice among US worker groups Tob. Control, October 1, 2007; 16(5): 325 - 328. [Abstract] [Full Text] [PDF]

				T. Barrientos-Gutierrez, D. Gimeno, T. W Mangione, R. B Harrist, and B. C Amick Drinking social norms and drinking behaviours: a multilevel analysis of 137 workgroups in 16 worksites Occup. Environ. Med., September 1, 2007; 64(9): 602 - 608. [Abstract] [Full Text] [PDF]

				D. Shelley, M. J. Cantrell, J. Moon-Howard, D. Q. Ramjohn, and N. VanDevanter The $5 Man: The Underground Economic Response to a Large Cigarette Tax Increase in New York City Am J Public Health, August 1, 2007; 97(8): 1483 - 1488. [Abstract] [Full Text] [PDF]

				F. A. Stillman, L. Bone, E. Avila-Tang, K. Smith, N. Yancey, C. Street, and K. Owings Barriers to Smoking Cessation in Inner-City African American Young Adults Am J Public Health, August 1, 2007; 97(8): 1405 - 1408. [Abstract] [Full Text] [PDF]

				G. Sorensen, A. M. Stoddard, T. Dubowitz, E. M. Barbeau, J. Bigby, K. M. Emmons, L. F. Berkman, and K. E. Peterson The Influence of Social Context on Changes in Fruit and Vegetable Consumption: Results of the Healthy Directions Studies Am J Public Health, July 1, 2007; 97(7): 1216 - 1227. [Abstract] [Full Text] [PDF]

				M. Siahpush, M. Wakefield, M. Spittal, and S. Durkin Antismoking television advertising and socioeconomic variations in calls to Quitline J Epidemiol Community Health, April 1, 2007; 61(4): 298 - 301. [Abstract] [Full Text] [PDF]

				M. K. Hunt, E. M. Barbeau, R. Lederman, A. M. Stoddard, C. Chetkovich, R. Goldman, L. Wallace, and G. Sorensen Process Evaluation Results From the Healthy Directions-Small Business Study Health Educ Behav, February 1, 2007; 34(1): 90 - 107. [Abstract] [PDF]

				S. Kanjilal, E. W. Gregg, Y. J. Cheng, P. Zhang, D. E. Nelson, G. Mensah, and G. L. A. Beckles Socioeconomic Status and Trends in Disparities in 4 Major Risk Factors for Cardiovascular Disease Among US Adults, 1971-2002 Arch Intern Med, November 27, 2006; 166(21): 2348 - 2355. [Abstract] [Full Text] [PDF]

				S. Gallagher and R. Povey Determinants of older adults' intentions to vaccinate against influenza: a theoretical application J. Public Health Med., June 1, 2006; 28(2): 139 - 144. [Abstract] [Full Text] [PDF]

				G. Sorensen, E. Barbeau, A. M. Stoddard, M. K. Hunt, K. Kaphingst, and L. Wallace Promoting Behavior Change Among Working-Class, Multiethnic Workers: Results of the Healthy Directions--Small Business Study Am J Public Health, August 1, 2005; 95(8): 1389 - 1395. [Abstract] [Full Text] [PDF]

				S. Emery, M. A. Wakefield, Y. Terry-McElrath, H. Saffer, G. Szczypka, P. M. O'Malley, L. D. Johnston, F. J. Chaloupka, and B. Flay Televised State-Sponsored Antitobacco Advertising and Youth Smoking Beliefs and Behavior in the United States, 1999-2000 Arch Pediatr Adolesc Med, July 1, 2005; 159(7): 639 - 645. [Abstract] [Full Text] [PDF]

				M. K. Hunt, R. Lederman, A. M. Stoddard, A. D. LaMontagne, D. McLellan, C. Combe, E. Barbeau, and G. Sorensen Process Evaluation of an Integrated Health Promotion/Occupational Health Model in WellWorks-2 Health Educ Behav, February 1, 2005; 32(1): 10 - 26. [Abstract] [PDF]

				B. W. Stewart and A. S. Coates Cancer Prevention: A Global Perspective J. Clin. Oncol., January 10, 2005; 23(2): 392 - 403. [Abstract] [Full Text] [PDF]

				Cigarette Smoking Among Adults--United States, 2002 J Am Osteopath Assoc, August 1, 2004; 104(8): 324 - 327. [Full Text] [PDF]

				E M Barbeau, A Leavy-Sperounis, and E D Balbach Smoking, social class, and gender: what can public health learn from the tobacco industry about disparities in smoking? Tob. Control, June 1, 2004; 13(2): 115 - 120. [Abstract] [Full Text] [PDF]