MMWR Morb Mortal Wkly Rep. 2019 Jul 12;68(27):604-607. doi: 10.15585/mmwr.mm6827a2.
Secondhand tobacco smoke (SHS) exposure contributes to ill health and disease, including heart disease, lung cancer, and stroke (1). Although cigarette smoking has declined among U.S. workers, workplace exposure to SHS remains high, particularly among workers in certain industries, such as construction (2,3). Implementation of smoke-free laws has proven to be beneficial in reducing SHS exposure in general (1). CDC analyzed data from the 2015 National Health Interview Survey (NHIS) Occupational Health Supplement to assess the prevalence of self-reported workplace SHS exposure among nonsmoking workers by smoke-free policy status in the workers' states of residence and in detailed industry categories and subcategories. In 2015, 19.9% of nonsmoking workers reported any exposure to SHS at work during the 12 months preceding the interview, and 10.1% reported frequent exposure (twice a week or more). Nonsmoking workers who resided in states with comprehensive smoke-free laws in all three categories of venues (private worksites, bars, and restaurants) were least likely to report frequent exposure to workplace SHS. Nonsmoking workers employed in the commercial and industrial machinery and equipment repair and maintenance industry reported the highest prevalences of any workplace SHS exposure (65.1%), whereas the construction industry had the highest reported number of exposed workers (2.9 million); these industry categories/subcategories include outdoor workplaces and other settings that are unlikely to be protected by smoke-free laws. Identifying specific at-risk workplaces and implementing targeted intervention strategies could help reduce SHS exposure at work and protect workers' health.
二手烟草烟雾(SHS)暴露会导致健康不良和疾病,包括心脏病、肺癌和中风(1)。尽管美国工人的吸烟率有所下降,但工作场所接触 SHS 的情况仍然很高,尤其是在某些行业的工人中,如建筑行业(2,3)。事实证明,实施无烟法律有助于减少一般 SHS 暴露(1)。疾病预防控制中心分析了 2015 年全国健康访谈调查(NHIS)职业健康补充数据,以评估居住州和详细行业类别和子类别的无烟政策状况下,非吸烟工人自我报告的工作场所 SHS 暴露的流行率。2015 年,19.9%的非吸烟工人报告在接受采访前的 12 个月内,在工作场所曾接触过 SHS,10.1%的工人报告经常接触(每周两次或更多次)。在所有三个场所类别(私人工作场所、酒吧和餐馆)都实施全面无烟法律的州居住的非吸烟工人最不可能报告经常接触工作场所 SHS。从事商业和工业机械和设备修理和维护行业的非吸烟工人报告的任何工作场所 SHS 暴露的比例最高(65.1%),而建筑行业报告的接触工人人数最多(290 万);这些行业类别/子类包括户外工作场所和其他不太可能受到无烟法律保护的场所。确定特定的高风险工作场所,并实施有针对性的干预策略,可以帮助减少工作场所的 SHS 暴露,保护工人的健康。