Joseph E. Bauer ¹, Andrew Hyland ², Qiang Li ¹, Craig Steger ¹, K. Michael Cummings ^1*

¹ Roswell Park Cancer Institute
² Roswel Park Cancer Institute

^* To whom correspondence should be addressed. E-mail: michael.cummings{at}roswellpark.org.

	Abstract

Objective: Prospectively assess the impact of smoke-free worksite policies on smoking cessation behaviors. Methods: Cohort study of smokers tracked as part of the Community Intervention Trial for Smoking Cessation (COMMIT). Telephone surveys were administered to 1,967 employed smokers in 1993 and 2001. Questions included personal and demographic characteristics, tobacco use behaviors, and the degree of restrictiveness of their worksite smoking policies. Results: People who worked in environments that changed to or maintained smoke-free policies between 1993 and 2001 were 1.9 times more likely (odds ratio = 1.92, 95% CI = 1.11, 3.32) to have stopped smoking by 2001. Continuing smokers decreased their average daily consumption by 2.57 cigarettes. People working in an environment that maintained smoke-free policies in both 1993 and 2001 were 2.3 times more likely (odds ratio = 2.29, 95% CI = 1.08, 4.45) to have quit by 2001. Continuing smokers reported a decline in average daily consumption of 3.85 cigarettes. Conclusions: Smoke-free worksite policies help employees reduce their cigarette consumption and stop smoking.

Key Words: Epidemiology, Health Policy, Occupational Health, Public Health Practice, Smoking Cessation, Tobacco

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