A Longitudinal Assessment of the Impact of Smoke-Free Worksite Policies on Tobacco Use
Joseph E. Bauer, PhD,
Andrew Hyland, PhD,
Qiang Li, MD,
Craig Steger, MA and
K. Michael Cummings, PhD, MPH
The authors are with the Department of Health Behavior, Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, NY.
Correspondence: Requests for reprints should be sent to K. Michael Cummings, PhD, MPH, Department of Health Behavior, Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263 (e-mail: michael.cummings{at}roswellpark.org).
Objectives. In this cohort study, we assessed the impact ofsmoke-free work-site policies on smoking cessation behaviors.
Methods. Smokers were tracked as part of the Community InterventionTrial for Smoking Cessation. Telephone surveys were administeredto 1967 employed smokers in 1993 and 2001. Data were gatheredon personal and demographic characteristics, tobacco use behaviors,and restrictiveness of worksite smoking policies.
Results. People who worked in environments that changed to ormaintained smoke-free policies between 1993 and 2001 were 1.9times more likely (odds ratio [OR] = 1.92; 95% confidence interval[CI] = 1.11, 3.32) than people whose worksites did not do soto have stopped smoking by 2001. Continuing smokers decreasedtheir average daily consumption by 2.57 cigarettes. People workingin environments that had smoke-free policies in place in both1993 and 2001 were 2.3 times more likely (OR=2.29; 95% CI=1.08,4.45) than people not working in such environments to have quitby 2001, and continuing smokers reported a decline in averagedaily consumption of 3.85 cigarettes.
Conclusions. Smoke-free worksite policies help employees reducetheir cigarette consumption and stop smoking.
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