Centre for Workplace Health, Health and Safety Laboratory, Harpur Hill, Buxton, Derbyshire SK17 9JN, UK.
Occup Med (Lond). 2013 Dec;63(8):526-36. doi: 10.1093/occmed/kqt107.
The workplace is an important setting for reaching potentially large numbers of smokers.
To review the evidence about smoking cessation in the workplace.
Literature review including a synthesis of findings from recent systematic reviews and meta-analyses of workplace smoking cessation programmes, a separate review of the qualitative evidence, case studies and an expert panel assessment.
We found advantages, identified or confirmed from the mixed methods used in this work to holding smoking cessation programmes in the workplace. These included: (i) easy access to large numbers of worker populations for large workplaces, (ii) the potential improved recruitment to such programmes given this, (iii) the opportunity to access young men, traditionally difficult to achieve, (iv) access to occupational health and other staff who can assist with support and delivery and (v) ability for workers to attend relatively easily. Evidence on the importance of developing peer support at work was mixed. The simple provision or availability of programmes and interventions was unlikely to provide any beneficial behaviour change. Interventions should target workers that actively want to stop smoking, use elements that workers have identified as useful or focus on altering beliefs about smoking and the need to stop.
Smoking cessation programmes at work can provide useful support for workers wishing to stop smoking. They are only likely to be effective if participants have moved beyond the contemplation stage regarding smoking cessation, so that stopping smoking is a personal priority.
工作场所是接触大量吸烟者的重要场所。
综述工作场所戒烟的证据。
文献回顾,包括对近期工作场所戒烟计划系统评价和荟萃分析结果的综合,对定性证据、案例研究和专家小组评估的单独审查。
我们发现了在工作场所开展戒烟计划的优势,这些优势是通过使用混合方法识别或确认的。这些优势包括:(i)为大型工作场所的大量工人提供了便捷的途径,(ii)由于这一点,提高了对这些计划的招募,(iii)为接触传统上难以实现的年轻男性提供了机会,(iv)为接触职业健康和其他可以协助提供支持和服务的员工提供了机会,(v)工人相对容易参加。关于在工作中发展同伴支持的重要性的证据是混杂的。简单地提供或提供方案和干预措施不太可能带来任何有益的行为改变。干预措施应针对那些积极希望戒烟的工人,利用工人认为有用的元素,或侧重于改变对吸烟和戒烟必要性的信念。
工作场所的戒烟计划可以为希望戒烟的工人提供有用的支持。只有当参与者已经超越了对戒烟的思考阶段,即戒烟是个人的首要任务时,它们才可能有效。