Smoking Rate Trends in U.S. Occupational Groups: The 1987 to 2004 National Health Interview Survey

Lee, Dong Hoon; Fleming, Lora E.; Arheart, Kristopher L.; LeBlanc, William G.; Caban, Alberto J.; Chung-Bridges, Katherine; Christ, Sharon L.; McCollister, Kathryn E.; Pitman, Terry

doi:10.1097/jom.0b013e31802ec68c

Cited by 99 publications

(101 citation statements)

References 17 publications

(17 reference statements)

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“…Interestingly, the authors found that among whites, the differences in smoking rates between white to blue collar workers (21% versus 39%) was a little wider than the differences between blacks (19% versus 28%) 75) . The most recent national data on US smoking rates by occupation appears to have been published by Lee and colleagues in 2007 76) . In their analysis of the 1987-94 and 1997-04 National Health Interview Survey data sets, the authors reported two interesting trends.…”

Section: Tobacco Smoking By Occupation In the United Statesmentioning

confidence: 99%

Tobacco Smoking by Occupation in Australia and the United States: A Review of National Surveys Conducted between 1970 and 2005

Smith

2008

Ind Health

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Tobacco use represents a key issue in workplace health, and much can be learned from countries where occupational smoking data has been regularly collected on a national basis. This article reviews national smoking surveys previously conducted in Australia and the United States between 1970 and 2005, and examines their relevance to the field of occupational tobacco control. When the first preliminary research was undertaken over 35 years ago, tobacco smoking was a regular feature in the general population of both countries, albeit with higher rates often documented among blue collar workers. Recent national investigations however, suggest that certain historical differences in smoking prevalence rates by occupation are persisting as we enter the 21st century. Detailed examination also indicates that employee sub-groups, such as cleaners and construction workers, are now bearing much of the occupational smoking burden in Australia and the United States. As such, there is an urgent need for more aggressive and finely targeted tobacco control activities in the workplace, as well as increased cooperation between tobacco control organizations, labor unions and other stakeholders, so that they may more effectively combat this ongoing threat to workers' health.Key words: Smoking, Occupation, Tobacco, Australia, United States, Survey, Epidemiology decrease absenteeism and increase productivity among staff 17) .Even so, one of the major historical conundrums in occupational tobacco control is the fact that smoking rates are not evenly distributed across all job categories 18) . Indeed, during recent years, growing disparities in tobacco consumption have become increasingly apparent across many occupational subgroups 19) . Although community smoking rates are declining in many countries, certain occupational groups, such as blue-collar workers, still continue to use tobacco at high rates when compared to their white collar counterparts 19) . Unfortunately, many of the impressive reductions in community smoking rates achieved last century have largely bypassed the blue collar workforce. Given the fact that the workplace represents an ideal location for anti-smoking programs among staff [15][16][17] , occupational smoking studies have an important role in identifying exactly which workplaces would most benefit from tobacco control interventions. In order to most effectively distribute and target preventive health care efforts at a national level therefore, accurate and upto-date information on national tobacco smoking rates by job category are essential.From an epidemiological perspective, there is also the critical issue of statistical confounding in occupational mortality studies, given the fact that tobacco plays such a major role in the development of many chronic workplace diseases. Smoking and occupation are known to be substantially confounded 20,21) , and a lack of accurate data may lead to biased assessments of the relationship between disease and occupational exposures 22) , particularly when the occupat...

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Section: Tobacco Smoking By Occupation In the United Statesmentioning

confidence: 99%

Tobacco Smoking by Occupation in Australia and the United States: A Review of National Surveys Conducted between 1970 and 2005

Smith

2008

Ind Health

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“…According to that study, the smoking rate in Australia gradually decreased over time but blue collar workers still had a higher smoking rate than white collar workers; for example, the professionals group presented the lowest smoking rate, while the cleaners and construction workers group had the highest rate. In the United States, the smoking rate was also higher in blue collar workers than white collar workers, and this pattern was continuously maintained 20) . These findings suggest that low socioeconomic position (SEP), such as manual workers, may be associated with greater smoking rates than high SEP, such as white collar workers.…”

Section: Discussionmentioning

confidence: 95%

“…In the United States, the smoking rate in agricultural workers was 32.5% in 1987−1994 and 29.6% in 1997−2004, respectively. This occupational group had a higher smoking rate than other occupational groups (in all workers: 27.8% in 1987−1994 and 24.5% in 1997−2004, respectively) 20) . This is consistent with the results of our study.…”

Section: Discussionmentioning

confidence: 99%

“…This study also reported on the smoking rates by occupational groups in several countries of Europe and showed that in men the smoking rate in the professional group was lower while that in the construction and mining group was higher 25) . In the United States, construction workers had the highest smoking rate 20) . In the report presented by Ham et al 26) , blue-collar workers had a higher rate of smoking than white-collar workers, and construction workers showed the highest rate of smoking in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…To date, only two studies have examined smoking rate trends among occupational groups by using a representative sample 19,20) . These studies reported smoking rate trends in certain occupational groups in the United States.…”

mentioning

confidence: 99%

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Smoking Rate Trends in Korean Occupational Groups: Analysis of KNHANES 1998–2009 Data

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Smoking History and Cognitive Function in Middle Age From the Whitehall II Study

Sabia

Marmot²,

Dufouil³

et al. 2008

Arch Intern Med

109

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Background: Studies about the association between smoking and dementia necessarily involve those who have "survived" smoking. We examine the association between smoking history and cognitive function in middle age and estimate the risk of death and of nonparticipation in cognitive tests among smokers. Methods: Data are from the Whitehall II study of 10 308 participants aged 35 to 55 years at baseline (phase 1 [1985-1988]). Smoking history was assessed at phase 1 and at phase 5 (1997-1999). Cognitive data (memory, reasoning, vocabulary, and semantic and phonemic fluency) were available for 5388 participants at phase 5; 4659 of these were retested 5 years later.

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Smoking Rate Trends in U.S. Occupational Groups: The 1987 to 2004 National Health Interview Survey

Abstract: Development of effective smoking prevention strategies specifically targeting blue-collar groups is warranted.

Cited by 99 publications

References 17 publications

Tobacco Smoking by Occupation in Australia and the United States: A Review of National Surveys Conducted between 1970 and 2005

Tobacco Smoking by Occupation in Australia and the United States: A Review of National Surveys Conducted between 1970 and 2005

Smoking Rate Trends in Korean Occupational Groups: Analysis of KNHANES 1998–2009 Data

Smoking History and Cognitive Function in Middle Age From the Whitehall II Study

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