Substance Abuse Treatment Counselors and Tobacco Use: A Comparison of Comprehensive and Indoor-Only Workplace Smoking Bans
Substance Abuse Treatment Counselors and Tobacco Use: A Comparison of Comprehensive and Indoor-Only Workplace Smoking Bans
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DOI：
10.1093/ntr/ntq145
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发表时间：
2010-11-01
影响因子：
4.7
通讯作者：
Studts, Jamie L.
中科院分区：
文献类型：
--
作者：
Knudsen, Hannah K.;Boyd, Sara E.;Studts, Jamie L.
导言：虽然室内禁烟减少了员工的烟草使用，但人们对全面禁烟（禁止在室内和室外吸烟）是否与仅限室内禁烟的烟草使用率较低有关知之甚少。方法：本研究通过对1910名药物滥用治疗咨询师的邮寄调查和对417名药物滥用治疗机构管理人员的电话访谈收集数据。在控制辅导员的专业和人口统计学特征的情况下，使用多项逻辑回归来估计辅导员自我报告的烟草使用情况与管理人员关于组织禁烟的报告之间的关联。结果：在这个样本中，20.3%的咨询师是目前的烟草使用者，47.7%被确定为曾经的吸烟者，32.0%的人报告从未使用烟草制品。只有19.5%的咨询师在全面禁烟的治疗机构工作。即使在控制了专业和人口特征之后，在全面禁止吸烟的组织中，与曾经吸烟或不吸烟的辅导员相比，目前成为烟草使用者的可能性也显著降低。结论：尽管在全面禁烟的治疗机构工作的药物滥用顾问相对较少，但这种禁令可能代表了烟草控制的一个有希望的方向。鉴于最近的研究记录了烟草使用如何与卫生保健工作者提供的戒烟服务负相关，需要对综合性烟草环境政策的影响进行进一步研究。
Introduction: While indoor smoking bans reduce employee tobacco use, less is known about whether comprehensive bans, which prohibit smoking in both indoor and outdoor areas, are associated with lower rates of tobacco use than indoor-only bans.Methods: This study integrated data collected via mailed surveys from 1,910 substance abuse treatment counselors and telephone interviews with 417 administrators of substance abuse treatment organizations. Multinomial logistic regression was used to estimate the associations between counselors' self-reported tobacco use and administrators' reports about organizational smoking bans while controlling for counselors' professional and demographic characteristics.Results: In this sample, 20.3% of counselors were current tobacco users, 47.7% identified as former users, and 32.0% reported never using tobacco products. Only 19.5% of counselors worked in a treatment organization that had a comprehensive smoking ban. The likelihood of being a current tobacco user, compared with being a former user or nonuser, was significantly lower for counselors in organizations with comprehensive bans even after controlling for professional and demographic characteristics.Conclusions: Although relatively few substance abuse counselors worked in treatment organizations with comprehensive bans, such bans may represent a promising direction for tobacco control. Given recent research documenting how tobacco use is negatively associated with the delivery of smoking cessation services by health care workers, additional research on the impact of comprehensive environmental tobacco policies is needed.