The Association of Workplace Hazards and Smoking in a US Multiethnic Working-Class Population
The Association of Workplace Hazards and Smoking in a US Multiethnic Working-Class Population
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DOI：
10.1177/003335491012500211
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发表时间：
2010-03-01
影响因子：
3.3
通讯作者：
Barbeau, Elizabeth M.
中科院分区：
文献类型：
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作者：
Okechukwu, Cassandra A.;Krieger, Nancy;Barbeau, Elizabeth M.
目标。我们调查了吸烟状况与职业性(如粉尘、化学品、噪音和人体工程学压力)和社会(如虐待、性骚扰和种族歧视)工作场所危害的暴露程度，在美国多种族工人阶级成年人中进行了抽样。团结起来争取健康是一项横断面研究，旨在调查职业和社会工作场所危害与种族/族裔、性别和工资有关的综合负担，并评估工人阶级人口中相关的健康影响。使用经过验证的测量方法，我们使用音频计算机辅助访谈从1,282名多民族工人阶级参与者那里收集了数据。对于缺失的数据，我们采用了多种方法进行数据填补。对原始和调整后的Logistic优势比(OR)进行建模，以估计OR和95%可信区间(CI)。吸烟率在非西班牙裔白人工人中最高(38.3%)，在外国出生的工人中最低(13.1%)。我们发现种族歧视与吸烟之间存在关联(OR=1.12，95%CI 1.01，1.25)。黑人女性吸烟与性骚扰的关系虽不显著，但差异有统计学意义(OR=1.79，95%CI 0.99，3.22)。我们没有发现任何与工作场所虐待或任何职业危险有关的联系。这些结果表明，种族歧视可能与工人阶级人口中的吸烟有关，应该在针对这一高危人群的烟草控制努力中加以考虑。
Objective. We investigated the extent to which smoking status was associated with exposure to occupational (e.g., dust, chemicals, noise, and ergonomic strain) and social (e.g., abuse, sexual harassment, and racial discrimination) workplace hazards in a sample of U.S. multiethnic working-class adults.Methods. United for Health is a cross-sectional study designed to investigate the combined burden of occupational and social workplace hazards in relation to race/ethnicity, gender, and wage and to evaluate related health effects in a working-class population. Using validated measures, we collected data from 1,282 multiethnic working-class participants using audio computer-assisted interviews. We used multiple imputation methods to impute data for those missing data. Crude and adjusted logistic odds ratios (ORs) were modeled to estimate ORs and 95% confidence intervals (CIs).Results. The prevalence of smoking was highest among non-Hispanic white workers (38.3%) and lowest for foreign-born workers (13.1%). We found an association between racial discrimination and smoking (OR=1.12, 95% Cl 1.01, 1.25). The relationship between smoking and sexual harassment, although not significant, was different for black women compared with men (OR=1.79, 95% Cl 0.99, 3.22). We did not find any associations by workplace abuse or by any of the occupational hazards.Conclusion. These results indicate that racial discrimination might be related to smoking in working-class populations and should be considered in tobacco-control efforts that target this high-risk population.