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Current cigarette smoking prevalence among working adults - United States, 2004-2010.

Syamlal-G; Mazurek-JM; Malarcher-AM
JAMA J Am Med Assoc 2011 Nov; 306(19):2086-2091
Cigarette smoking is among the most important modifiable risk factors for adverse health outcomes and a major cause of morbidity and mortality (1). Current cigarette smoking prevalence among all adults aged greater than or equal to18 years has decreased 42.4 percent since 1965, but declines in current smoking prevalence have slowed during the past 5 years (declining from 20.9 percent in 2005 to 19.3 percent in 2010) and did not meet the Healthy People 2010 (HP2010) objective to reduce cigarette smoking among adults to less than or equal to12 percent (1-3). Targeted workplace tobacco control interventions have been effective in reducing smoking prevalence and exposure to secondhand smoke (4,5); therefore, CDC analyzed National Health Interview Survey (NHIS) data for 2004-2010 to describe current cigarette smoking prevalence among currently working U.S. adults by industry and occupation. This report describes the results of that analysis, which found that, overall, age-adjusted cigarette smoking prevalence among working adults was 19.6 percent and was highest among those with less than a high school education (28.4 percent), those with no health insurance (28.6 percent), those living below the federal poverty level (27.7 percent), and those aged 18-24 years (23.8 percent). Substantial differences in smoking prevalence were observed across industry and occupation groups. By industry, age-adjusted cigarette smoking prevalence among working adults ranged from 9.7 percent in education services to 30.0 percent in mining; by occupation group, prevalence ranged from 8.7 percent in education, training, and library to 31.4 percent in construction and extraction. Although some progress has been made in reducing smoking prevalence among working adults, additional effective employer interventions need to be implemented, including health insurance coverage for cessation treatments, easily accessible help for those who want to quit, and smoke-free workplace policies.
Cigarette-smoking; Smoking; Demographic-characteristics; Statistical-analysis; Disease-prevention; Surveillance-programs; Risk-analysis; Risk-factors; Morbidity-rates; Mortality-rates; Age-groups; Tobacco; Tobacco-smoke; Health-surveys; Occupations; Health-programs; Mining-industry; Construction-industry; Food-processing-industry; Food-services; Author Keywords: Cigarette Smoking; Employment; Occupational Health; Public Health; Smoking; Tobacco Smoke Pollution; United States; Workplace
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Journal of the American Medical Association