Occupational gradients in smoking behavior and exposure to workplace environmental tobacco smoke: the multi-ethnic study of atherosclerosis.
Fujishiro K; Stukovsky KDH; Diez Roux A; Landsbergis P; Burchfiel C
J Occup Environ Med 2012 Feb; 54(2):136-145
OBJECTIVE: This study examines associations of occupation with smoking status, amount smoked among current and former smokers (number of cigarettes per day and lifetime cigarette consumption (pack-years)), and workplace exposure to environmental tobacco smoke (ETS) independent from income and education. METHODS: This is a cross-sectional analysis of data from a community sample (n = 6355, age range: 45-84) using logistic and multinomial regression. All analyses were stratified by sex and adjusted for socio-demographic variables. RESULTS: Male blue-collar and sales/office workers had higher odds of having consumed more than 20 pack-years of cigarettes than managers/professionals. For both male and female current or former smokers, exposure to workplace ETS was consistently and strongly associated with heavy smoking and greater pack-years. CONCLUSIONS: Blue-collar workplaces are associated with intense smoking and ETS exposure. Smoking must be addressed at both the individual and workplace levels especially in blue-collar workplaces.
Smoking; Smoke-inhalation; Cigarette-smoking; Tobacco; Tobacco-smoke; Mathematical-models; Demographic-characteristics; Statistical-analysis; Employee-exposure; Employee-health; Behavior; Attitude; Cardiovascular-disease; Cardiovascular-function; Cardiovascular-system; Office-workers; Professional-workers; Management-personnel; Workplace-studies
Kaori Fujishiro, PhD, Division of Surveillance, Hazard Evaluation, and Field Studies, National Institute for Occupational Safety and Health, 4676 Columbia Pkwy (R-15), Cincinnati, OH 45226
Journal of Occupational and Environmental Medicine