Center for Fire Rescue and EMS Health Research, Institute for Biobehavioral Health Research, National Development and Research Institutes, 1920 West 143rd Street, Leawood, KS 66224, USA.
J Environ Public Health. 2013;2013:675426. doi: 10.1155/2013/675426. Epub 2013 Mar 6.
Little is known about smokeless tobacco (SLT) use in the fire service, whose personnel need to maintain high levels of health and fitness given the rigorous physical and mental job requirements. We examined the relationships among variables associated with SLT use and dual tobacco use (SLT and smoking) among 353 male career firefighters. Around 13% of male career firefighters reported being current exclusive SLT users, and 2.6% used both cigarettes and SLT. Age-adjusted models revealed that race, binge drinking, and dietary fat consumption were positively associated with exclusive SLT use when compared to nontobacco users. SLT users were much more likely to binge drink (OR = 3.98, P < .01) and consume high fat foods (OR = 1.94, P < .05). Only high dietary fat consumption was a strong correlate (OR = 8.41, P < .05) of dual use when compared to nontobacco users. SLT and dual tobacco use are associated with significant health risks. Detailed information on the predictors of SLT use among firefighters will aid in developing more effective tobacco prevention and cessation intervention in fire service.
关于消防员中无烟烟草（SLT）的使用情况知之甚少，鉴于其严格的身心工作要求，消防员需要保持高水平的健康和体能。我们调查了与 SLT 使用相关的变量与双烟草使用（SLT 和吸烟）之间的关系，其中包括 353 名男性职业消防员。约 13%的男性职业消防员报告称他们是目前的 SLT 使用者，而 2.6%的人同时使用香烟和 SLT。与非吸烟者相比，经年龄调整后的模型显示，种族、狂饮和脂肪摄入量与 SLT 的使用呈正相关。SLT 用户更有可能狂饮（OR = 3.98，P <.01）和食用高脂肪食物（OR = 1.94，P <.05）。与非吸烟者相比，只有高膳食脂肪摄入量与双重使用有很强的相关性（OR = 8.41，P <.05）。SLT 和双重烟草使用与重大健康风险相关。有关消防员中 SLT 使用的预测因素的详细信息将有助于在消防部门制定更有效的烟草预防和戒烟干预措施。
