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Jocelyn Pan, ScD, MPH, Elizabeth M. Barbeau, ScD, MPH, Charles Levenstein, PhD, MSOH and Edith D. Balbach, PhD

Jocelyn Pan and Edith D. Balbach are with the Community Health Program, Tufts University, Medford, Mass. Elizabeth M. Barbeau is with the Center for Community-Based Research, Dana-Farber Cancer Institute, and the Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Mass. Charles Levenstein is with the Department of Work Environment, University of Massachusetts, Lowell, Mass.

Correspondence: Requests for reprints should be sent to Jocelyn Pan, ScD, Community Health Program, Tufts University, 112 Packard Avenue, Medford, MA 02155 (e-mail: jocelyn.pan{at}tufts.edu).

Labor unions play an important role in debates about smoke-free worksites. We investigated the role of flight attendants and their unions in creating smoke-free air travel.

We used case study methodology to search tobacco industry documents and labor union periodicals and to interview key informants (i.e., people identified as having first-hand information and experience in the campaign to make airlines smoke free). We then compared findings across these data sources.

Tobacco industry strategies against the establishment of smoke-free worksites failed in the case of airlines, largely because of the efforts of flight attendants and their unions. Other factors contributed to the failure but likely would have been insufficient to derail industry efforts without strong stands by the flight attendants. This case illustrates the potential for successful partnerships between unions and tobacco control policy advocates when developing smoke-free worksite policies.

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