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Environmental Health and Preventive Medicine
Published in: Environmental Health and Preventive Medicine 2/2013

01-03-2013 | Regular Article

Tobacco use and impact of tobacco-free policy on university employees in an environment of high tobacco use and production

Authors: Sreenivas P. Veeranki, Hadii M. Mamudu, Yi He

Published in: Environmental Health and Preventive Medicine | Issue 2/2013

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Abstract

Objective

To assess occupational tobacco use and the impact of a tobacco-free policy in the Central Appalachia, an environment characterized by high tobacco use and production.

Methods

This study was an Internet-based survey conducted on 2,318 university employees. Descriptive, chi-square, and logistic regression statistics were performed. Unadjusted and adjusted odds ratios (AOR) with respective 95 % confidence intervals (CI) were reported.

Results

The survey response rate was 50.8 %; of the respondents, 9.0 % were current smokers. Smoking prevalence among faculty, administrators/professionals, and clerical/support staff was 6.1, 8.1, and 13.1 %, respectively. While those respondents aged 30–39 years showed a significantly increased likelihood of being a current smoker (AOR 5.64, 95 % CI 1.31–9.26), knowledge that secondhand smoke is harmful (AOR 0.22, 95 % CI 0.07–0.70) and support for tobacco-free policy (AOR 0.11, 95 % CI 0.04–0.27) decreased the likelihood.

Conclusion

Low tobacco use among faculty and administrators confirmed the relationship between tobacco use and socio-economic status, even in a tobacco-producing environment. Disaggregation of tobacco use data assists the public health community in the efficient allocation of efforts and resources for cessation programs to reduce tobacco use in such environments.
Appendix
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Literature
1.
King B, Dube S, Kaufmann R. Vital signs: current cigarette smoking among adults aged ≥18 years—United States, 2005–2010. MMWR. 2011;60(35):1207–12.
2.
U.S. Department of Health and Human Services. The biology and behavioral basis for smoking-attributable disease: a report of the surgeon general. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.
3.
World Health Organization (WHO). WHO report about global tobacco epidemic, warning about dangers of tobacco. Geneva: WHO; 2011. p. 2011.
4.
5.
6.
Gorini G. Individual, community, regulatory, and systemic approaches to tobacco control interventions. Epidemiol Prev. 2011;35(3-4 Suppl 1):33–49.PubMed
7.
Jefferis B, Graham H, Manor O, Power C. Cigarette consumption and socio-economic circumstances in adolescence as predictors of adult smoking. Addiction. 2003;98(12):1765–72.PubMedCrossRef
8.
Barbeau E, Krieger N, Soobader MJ. Working class matters: socioeconomic disadvantage, race/ethnicity, gender, and smoking in NHIS 2000. Am J Public Health. 2004;94:269–78.PubMedCrossRef
9.
Paavola M, Vartiainen E, Haukkala A. Smoking from adolescence to adulthood: the effects of parental and own socioeconomic status. Eur J Publ Health. 2004;14:417–21.CrossRef
10.
Siahpush M, McNeill A, Borland R, Fong GT. Socioeconomic variations in nicotine dependence, self-efficacy, and intention to quit across four countries: findings from the International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006;15[Suppl 3]:iii71–5.PubMedCrossRef
11.
Laaksonen M, Rahkonen O, Karvonen S, Lahlma E. Socioeconomic status and smoking: analysing inequalities with multiple indicators. Eur J Pub Health. 2005;15(3):262–9.CrossRef
12.
13.
Hiscock R, Bauld L, Amos A, Fidler JA, Munafo M. Socioeconomic status and smoking: a review. Ann N Y Acad Sci. 2012;1248:107–23.
14.
Winkleby MA, Jatulis DE, Frank E, Fortmann SP. Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health. 1992;82(6):816–20.PubMedCrossRef
15.
16.
17.
Hahn EJ, Rayens MK, Ridner SL, Butler KM, Zhang M, Staten RR. Smoke-free laws and smoking and drinking among college students. J Community Health 2010;35(5):503–11.
18.
Hahn EJ, Rayens MK, Rasnake R, York N, Okoli CTC, Riker CA. School tobacco policies in a tobacco-growing state. J Sch Health. 2005;75(6):219–25.PubMed
19.
Mamudu HM, Veeranki SP, He Y, Dadkar S, Boone E. University personnel’s attitudes and behaviors toward the first tobacco-free campus policy in Tennessee. J Community Health 2012;37(4):855–64.
20.
Dillman DA. Mail and internet surveys: the tailored design method—2007 update with new internet, visual, and mixed-mode guide. New Jersey: Wiley; 2007.
21.
Warren CW, Jones NR, Peruga A, Chauvin J, Baptiste JP, Costa de Silva V, et al. Global youth tobacco surveillance, 2000–2007. MMWR Surveill Summ. 2008;57(1):1–28.PubMed
22.
Warren CW, Asma S, Lee J, Veronica L, Mackay J. The global tobacco surveillance system: the GTSS atlas. Atlanta: CDC Foundation and World Lung Foundation; 2009.
23.
GTSS Collaborative Group. The global school personnel survey: a cross-country overview. Tob Control. 2006;15[Suppl 2]:ii20–30.CrossRef
24.
Mendez D, Warner KE. Adult cigarette smoking prevalence: declining as expected (not as desired). Am J Public Health. 2004;94(2):251–2.PubMedCrossRef
25.
Substance Abuse and Mental Health Services Administration. Results from the 2005 National Survey on Drug Use and Health: National Findings. Rockville: Office of Applied Studies, NSDUH Series H-30, DHHS Publication No. SMA 06-4194; 2006.
26.
Jha P, Chaloupka F, editors. Curbing the epidemic: government and the economics of tobacco control. Washington, D.C.: World Bank; 1999.
27.
Centers for Disease Control (CDC). Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. MMWR. 2008;57(45):1226–8.
28.
Centers for Disease Control (CDC). Health people 2020. Atlanta: CDC; 2010.
29.
Flint AJ, Novotny TE. Poverty status and cigarette smoking prevalence and cessation in the United States, 1983–1993: the independent risk of being poor. Tob Control. 1997;6(1):14–8.PubMedCrossRef
30.
Commission on Social Determinants of Health. Closing the gap in a generation. Geneva: WHO; 2008.
31.
Pickett KE, Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health. 2001;55(2):111–22.PubMedCrossRef
32.
Weyers S, Dragano N, Mobus S, Siegrist J. Poor social relations and adverse health behaviour: stronger associations in low socioeconomic groups? Int J Publ Health. 2010;55(1):17–23.CrossRef
33.
Weyers S, Dragano N, Richter M, Bosma H. How does socio economic position link to health behaviour? Sociological pathways and perspectives for health promotion. Global Health Promotion. 2010;17(2):25–33.PubMedCrossRef
34.
Cahill K, Moher M, Lancaster T. Workplace interventions for smoking cessation. Cochrane Database Syst Rev. 2008;4:CD003440.
35.
Backlund E, Sorlie PD, Johnson NJ. A comparison of the relationships of education and income with mortality: the National Longitudinal Mortality Study. Soc Sci Med. 1999;49(10):1373–84.PubMedCrossRef
36.
Curry SJ, Grothaus L, McBride C. Reasons for quitting: intrinsic and extrinsic motivation for smoking cessation in a population-based sample of smokers. Addict Behav. 1997;22:727–39.PubMedCrossRef
37.
Ulbricht S, Baumeister SE, Meyer C, Schmidt CO, Schumann A, Rumpf HJ, et al. Does the smoking status of general practitioners affect the efficacy of smoking cessation counselling? Patient Educ Couns. 2009;74(1):23–8.PubMedCrossRef
38.
Nathanson CA. Social movements as catalysts for policy change: the case of smoking and guns. J Health Polit Policy Law. 1999;24:421–88.PubMed
39.
World Health Organization (WHO). WHO report on the global tobacco epidemic, implementing smoke-free environments. Geneva: WHO; 2009. p. 2009.
40.
Centers for Disease Control and Prevention. Best practices for comprehensive tobacco control programs—2007. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2007.
Metadata
Title
Tobacco use and impact of tobacco-free policy on university employees in an environment of high tobacco use and production
Authors
Sreenivas P. Veeranki
Hadii M. Mamudu
Yi He
Publication date
01-03-2013
Publisher
Springer Japan
Published in
Environmental Health and Preventive Medicine / Issue 2/2013
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1007/s12199-012-0297-3

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