Healthcare Provider Smoking Cessation Advice Among US Worker Groups

Details

• Personal Author:
  Arheart KL ; Caban AJ ; Christ SL ; Chung-Bridges K ; Clark JD III ; Dietz N ; Fleming, Lora E. ; LeBlanc WG ; Lee DJ ; McCollister KE
• Description:
  OBJECTIVE: Among workers in dusty occupations, tobacco use is particularly detrimental to health because of the potential synergistic effects of occupational exposures (for example, asbestos) in causing disease. This study explored the prevalence of smoking and the reported smoking cessation discussion with a primary healthcare provider (HCP) among a representative sample of currently employed US worker groups. METHODS: Pooled data from the 1997-2003 National Health Interview Survey (NHIS) were used to estimate occupation specific smoking rates (n = 135,412). The 2000 NHIS Cancer Control Module was used to determine (among employed smokers with HCP visits) the prevalence of being advised to quit smoking by occupation (n = 3454). RESULTS: The average annual prevalence of current smoking was 25% in all workers. In 2000, 84% of smokers reported visiting an HCP during the past 12 months; 53% reported being advised by their physician to quit smoking (range 42%-66% among 30 occupations). However, an estimated 10.5 million smokers were not advised to quit smoking by their HCP. Workers with potentially increased occupational exposure to dusty work environments (including asbestos, silica, particulates, etc), at high risk for occupational lung disease and with high smoking prevalence, had relatively low reported discussions with an HCP about smoking cessation, including farm workers (30% overall smoking prevalence; 42% told to quit), construction and extractive trades (39%; 46%), and machine operators/tenderers (34%; 44%). CONCLUSION: The relatively low reported prevalence of HCP initiated smoking cessation discussion, particularly among currently employed workers with potentially synergistic occupational exposures and high current smoking prevalence, needs to be addressed through educational campaigns targeting physicians and other HCPs. [Description provided by NIOSH]
• Subjects:
  Agriculture Construction Industry Demography Epidemiology Farmers Health Care Facilities Workforce And Services Health Promotion Lung Lung Diseases Manufacturing And Industrial Facilities Mining Occupational Exposure Occupational Health Respiratory System Respiratory Tract Diseases Safety Smoke Smokers Tobacco Products Workplace

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• Keywords:
  Agricultural-workers Analytical-methods Analytical-processes Construction-workers Demographic-characteristics Health-programs Health-services Lung-disease Lung-disorders Lung-irritants Machine-shop-workers Mine-workers Occupational-exposure Smoking Statistical-analysis Tobacco-smoke Worker-health Workplace-studies

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• ISSN:
  0964-4563
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; North Carolina ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  325-328
• Volume:
  16
• Issue:
  5
• NIOSHTIC Number:
  nn:20032661
• Citation:
  Tob Control 2007 Oct; 16(5):325-328
• Contact Point Address:
  David J Lee PhD University of Miami School of Medicine, Department of Epidemiology and Public Health, PO Box 016069 (R-669), Miami, FL 33101
• Email:
  dlee@med.miami.edu
• Federal Fiscal Year:
  2008
• Performing Organization:
  University of Miami School of Medicine, Miami, Florida
• Peer Reviewed:
  True
• Start Date:
  20020901
• Source Full Name:
  Tobacco Control
• End Date:
  20120831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:dcba5d96c06cf3496bad9c34b0588ea06ee43c93b1dee3123e3bf104f9314acdc45ce9d99a48548301880b5503e21e8193764aaef36cd15982ce5eb1505d643b
• Download URL:
  https://stacks.cdc.gov/view/cdc/186551/cdc_186551_DS1.pdf
• File Type:
  [PDF - 133.04 KB ]