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Healthcare provider smoking cessation advice among US worker groups.

Authors
Lee-DJ; Fleming-LE; McCollister-KE; Caban-AJ; Arheart-KL; LeBlanc-WG; Chung-Bridges-K; Christ-SL; Dietz-N; Clark-JD III
Source
Tob Control 2007 Oct; 16(5):325-328
NIOSHTIC No.
20032661
Abstract
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.
Keywords
Epidemiology; Statistical-analysis; Demographic-characteristics; Worker-health; Workplace-studies; Smoking; Lung-disease; Lung-irritants; Lung-disorders; Farmers; Agricultural-workers; Construction-workers; Mine-workers; Machine-shop-workers; Health-programs; Health-services; Analytical-processes; Analytical-methods; Occupational-exposure; Tobacco-smoke
Contact
David J Lee PhD University of Miami School of Medicine, Department of Epidemiology and Public Health, PO Box 016069 (R-669), Miami, FL 33101
Publication Date
20071001
Document Type
Journal Article
Email Address
dlee@med.miami.edu
Funding Type
Grant
Fiscal Year
2008
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003915
Issue of Publication
5
ISSN
0964-4563
Source Name
Tobacco Control
State
FL; NC
Performing Organization
University of Miami School of Medicine, Miami, Florida
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