Skeer Margie, Cheng Debbie M, Rigotti Nancy A, Siegel Michael
Social and Behavioral Sciences Department, Boston University School of Public Health, Boston, Massachusetts 02118, USA.
Am J Prev Med. 2005 May;28(4):331-7. doi: 10.1016/j.amepre.2005.01.007.
Currently, there is little understanding of the relationship between the strength of workplace smoking policies and the likelihood and duration, not just the likelihood, of exposure to secondhand smoke at work.
This study assessed self-reported exposure to secondhand smoke at work in hours per week among a cross-sectional sample of 3650 Massachusetts adults who were employed primarily at a single worksite outside the home that was not mainly outdoors. The sample data were from a larger longitudinal study designed to examine the effect of community-based tobacco control interventions on adult and youth smoking behavior. Participants were identified through a random-digit-dialing telephone survey. Multiple logistic regression and zero-inflated negative binomial regression models were used to estimate the independent effect of workplace smoking policies on the likelihood and duration of exposure to secondhand smoke.
Compared to employees whose workplace banned smoking completely, those whose workplace provided designated smoking areas had 2.9 times the odds of being exposed to secondhand smoke and 1.74 times the duration of exposure, while those with no restrictions had 10.27 times the odds of being exposed and 6.34 times the duration of exposure.
Workplace smoking policies substantially reduce the likelihood of self-reported secondhand smoke exposure among employees in the workplace and also greatly affect the duration of exposure.
目前,人们对工作场所吸烟政策的力度与工作时接触二手烟的可能性和时长(而非仅仅是可能性)之间的关系了解甚少。
本研究评估了3650名马萨诸塞州成年人横断面样本中每周工作时自我报告的二手烟接触时长,这些成年人主要受雇于家庭以外单一的非主要为户外的工作场所。样本数据来自一项更大规模的纵向研究,该研究旨在考察基于社区的烟草控制干预措施对成人和青少年吸烟行为的影响。参与者通过随机数字拨号电话调查确定。使用多元逻辑回归和零膨胀负二项回归模型来估计工作场所吸烟政策对二手烟接触可能性和时长的独立影响。
与工作场所完全禁烟的员工相比,工作场所设有指定吸烟区的员工接触二手烟的几率是其2.9倍,接触时长是其1.74倍,而没有限制措施的员工接触二手烟的几率是其10.27倍,接触时长是其6.34倍。
工作场所吸烟政策大幅降低了工作场所员工自我报告的二手烟接触可能性,也极大地影响了接触时长。