Smoker-free workplace policies: developing a model of public health consequences of workplace policies barring employment to smokers.

Smoker-free workplace policies: developing a model of public health consequences of workplace policies barring employment to smokers.
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DOI:
10.1136/tc.2008.026229
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发表时间:
2009-02
期刊:
影响因子:
5.2
通讯作者:
Siegel M
Siegel M
中科院分区:
医学2区
文献类型:
--
作者:
Houle B;Siegel M

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与烟草有关的工作场所健康促进干预措施的一个显著转变是采取禁止吸烟者就业的政策。我们讨论了这些政策对受影响者-吸烟者,他们的家庭,周围社区和整个社会的潜在公共卫生后果。我们发现缺乏公开的证据来评估这些政策的有效性和后果。通过开发政策效应模型,我们概述了可能出现的意想不到的后果。在证据基础和潜在有害后果方面存在如此大的差距,我们主张增加关于使用无烟就业政策作为公共卫生干预措施的讨论,并增加公共卫生界雇主在工作场所健康促进方面的参与。
A marked shift in tobacco-related workplace health promotion intervention involves the adoption of policies barring employment to smokers. We discuss the potential public health consequences of these policies on those affected – smokers, their families, the surrounding community, and society at large. We find a lack of published evidence evaluating the effectiveness and consequences of these policies. By developing a model of policy effects, we outline possible unintended consequences. With such large gaps in the evidence base and the potential for deleterious consequences, we argue for increased discussion about the use of smoker-free employment policies as a public health intervention and for increased engagement of employers by the public health community in worksite health promotion.
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