Suchergebnisse

Purpose. To examine occupational differences in social influences supporting quitting smoking and their relationships to intentions and self-efficacy to quit smoking and to quitting. Design. Data were collected as part of a large worksite cancer prevention intervention trial. Setting. Forty-four worksites. Subjects. Subjects included 2626 smokers from a total baseline survey sample of 11,456 employees (response rate = 63%). Measures. Differences by job category in social support for quitting, pressure to quit smoking, rewards for quitting, and nonacceptability of smoking were measured using mixed model analysis of variance and the Cochran–Mantel–Haenszel test. Their association to self-efficacy, intention to quit, and quitting smoking was assessed using mixed model analysis of variance and linear logistic regression modeling. Results. Compared with other workers, blue-collar workers reported less pressure to quit ( p = .0001), social support for quitting ( p = .0001), and nonacceptability of smoking among their coworkers ( p < .001). Intention to quit was associated with higher levels of social pressure to quit smoking ( p = .0001) and social support for quitting ( p = .002). Self-efficacy was associated with social pressure to quit ( p = .0001), social support for quitting ( p = .004), and perceiving greater rewards for quitting ( p = .0001). Conclusions. Although these results are limited somewhat by response and attrition rates, these results suggest that differing social environments may contribute to the differences by occupational category in smoking prevalence and smoking cessation.

Purpose.To address three specific questions in a sample of craftspersons and laborers: (1) Do craftspersons and laborers exposed to workplace hazards have higher behavioral risks, such as smoking and high-fat diets, than those with few job risks? (2) Compared to workers with few job risks, do workers exposed to risks on the job have higher intentions to reduce their behavioral risks? (3) Does concern about the level of exposure to risks on the job increase workers' intentions to reduce behavioral risks?Design.A cross-sectional self-administered survey was conducted in participating worksites.Setting.Twenty-two predominantly manufacturing worksites in Massachusetts.Subjects.Craftspersons and laborers responding to the survey and employed in these 22 worksites (completion rate = 61%, N = 1841).Measures.By using standardized items, this survey measured self-reported exposure to workplace hazards, concern about job exposures, smoking status, fat and fiber intake, readiness to quit smoking, plans to reduce fat intake, plans to eat more fruits and vegetables, and sociodemographic variables.Results.Workers reporting exposure to chemical hazards on the job were significantly more likely to be smokers than were unexposed workers, even when results were controlled for gender. Compared with unexposed workers, smokers exposed to chemical hazards were significantly more likely to be thinking of quitting or taking action to quit, when results were controlled for gender, race, and education. Among workers exposed to occupational chemical hazards, concern about this exposure was significantly associated with intentions to decrease fat intake and increase fruit and vegetable intake, and, among men, intentions to quit smoking.Conclusions.Efforts aimed at integrating health promotion and health protection are needed to address simultaneously the job risks and personal risks these workers face.