The association between workplace smoking bans and self-perceived, work-related stress among smoking workers.

The association between workplace smoking bans and self-perceived, work-related stress among smoking workers.
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DOI:
10.1186/1471-2458-12-123
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发表时间:
2012-02-13
期刊:
影响因子:
4.5
通讯作者:
Sharaf MF
Sharaf MF
中科院分区:
医学2区
文献类型:
--
作者:
Azagba S;Sharaf MF

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有大量的经验证据表明禁烟的好处;然而,这项禁烟措施的意想不到的后果却很少受到关注。本文研究了工作场所禁烟令是否与吸烟工人更高的自我感知和工作压力有关。使用2000年至2008年加拿大全国人口健康调查的纵向代表性样本3,237人。与工作相关的压力来自一份包含12个项目的工作问卷。在分析中包括了两类WSB,即完全类和部分类,没有禁令作为参考类。分析还控制了个人社会人口特征、健康状况、省和职业的固定影响。我们使用固定效应线性回归来控制个体时不变混杂因素,包括可测量的和不可测量的,这些混杂因素会影响WSB与工作压力之间的关系。为了检验WSB的异质性效应,分析按性别和年龄分层。我们通过添加不同的控制变量和对非吸烟者的单独分析来重新估计基线规格,以检查结果的稳健性。多因素分析显示,与不吸烟的员工相比,吸烟员工的完全WSB (β = 0.75, CI = 0.19-1.32)或部分WSB (β = 0.69, CI = 0.12-1.26)与自我感知的工作压力水平呈正相关且具有统计学意义。我们还发现,这种关联因性别和年龄而异。特别是,只有男性和年轻人(18-40岁)的WSB与更高的工作压力显著相关。在非吸烟员工中,WSB与自我感知的工作压力水平之间没有统计学上的显著关联。本研究的结果并不意味着WSB是吸烟者自我感知工作压力的主要决定因素,但提供了启发性证据,表明两者可能呈正相关。
There is substantial empirical evidence on the benefits of smoking bans; however, the unintended consequences of this anti-smoking measure have received little attention. This paper examines whether workplace smoking bans (WSB's) are associated with higher self-perceived, work-related stress among smoking workers. A longitudinal representative sample of 3,237 individuals from the Canadian National Population Health Survey from 2000 to 2008 is used. Work-related stress is derived from a 12-item job questionnaire. Two categories of WSB's, full and partial, are included in the analysis, with no ban being the reference category. Analysis also controls for individual socio-demographic characteristics, health status, provincial and occupational fixed-effects. We use fixed-effects linear regression to control for individual time-invariant confounders, both measured and unmeasured, which can affect the relationship between WSB's and work-related stress. To examine the heterogeneous effects of WSB's, the analysis is stratified by gender and age. We check the robustness of our results by re-estimating the baseline specification with the addition of different control variables and a separate analysis for non-smokers. Multivariate analysis reveals a positive and statistically significant association between full (β = 0.75, CI = 0.19-1.32) or partial (β = 0.69, CI = 0.12-1.26) WSB's, and the level of self-perceived, work-related stress among smoking workers compared to those with no WSB. We also find that this association varies by gender and age. In particular, WSB's are significantly associated with higher work stress only for males and young adults (aged 18-40). No statistically significant association is found between WSB's and the level of self-perceived work-related stress among non-smoking workers. The results of this study do not imply that WSB's are the main determinant of self-perceived, work-related stress among smokers but provides suggestive evidence that these may be positively related.
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DOI: 10.1016/j.ypmed.2003.09.027
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