An Integrated Work Safety - Smoking Cessation Program for Small Worksites

描述(申请人提供)：尽管所有职业群体的吸烟率都有所下降，但蓝领工人的吸烟率仍然很高。蓝领工人也可能在他们面临职业危害的行业工作，许多人在资源有限的小企业工作，这些企业要么提供健康促进，要么提供职业健康和安全计划。这个拟议的项目检验了县公共卫生部门为接触到因吸烟和职业暴露而处于双重危险的蓝领工人而采取的举措的有效性：它测试了一项针对小型制造工作场所(即雇用20-100名工人的场所)的综合职业健康与安全(OHS)和戒烟(SC)计划。该计划的设计是可行的：它利用县公共卫生部门和县内企业之间已经建立的沟通渠道和关系来招聘工作场所，利用现有的安全和戒烟资源，并寻求在小企业中建设促进安全和健康的能力。干预的一个核心要素是将工作场所安全委员会转变为安全和健康委员会，该委员会既负责工作场所安全，又负责促进健康。与行为改变的社会背景模型一致，综合工作场所OHS-SC计划针对多个层面的影响：管理层和工作场所安全委员会在组织层面的影响，以及工人在人际和个人层面的影响。强化干预的目标是改善参与工作场所的安全氛围，提高对促进戒烟的商业案例和参与工作场所吸烟情况的认识，增加获得戒烟资源的机会，增加同事和管理人员对戒烟努力的支持，并减少工作场所吸烟的机会。该计划将使用各种媒体，包括小组培训、工地活动、工具包、时事通讯、健康风险评估、网站和技术援助电话。参与现场(n=)随机分为强化干预组和最低干预组，按县(n=3)分层。干预措施的有效性将通过在基线和12个月的后续行动中对所有公司人员进行调查来评估。还将评估该项目的外部有效性，包括符合条件的企业采用该项目以及该项目达到预期目标的程度。 与公共健康相关：蓝领工人因吸烟率高和暴露在工作危险中而处于双重危险之中。这项拟议的项目评估了由县公共卫生部门赞助的小型制造工作场所综合工作安全和戒烟计划的覆盖范围和有效性。

DESCRIPTION (provided by applicant): Although the prevalence of smoking has declined in all occupation groups, it remains high in blue-collar workers. Blue-collar workers are also likely to work in industries where they are exposed to occupational hazards and many work in small businesses that have limited resources for providing either health promotion or occupational health and safety programs. The proposed project examines the effectiveness of a county public health department-based initiative to reach blue-collar workers who are at double jeopardy for smoking and occupational exposures: it tests an integrated occupational health and safety (OHS) and smoking cessation (SC) program for small manufacturing worksites (i.e., those that employ 20-100 workers). The program is designed to be feasible: it uses communication channels and relationships already in place between county public health departments and businesses in the county to recruit workplaces, capitalizes on resources for both safety and smoking cessation that are already available, and seeks to build capacity for safety and health promotion in small businesses. A central element of the intervention is the conversion of the worksite safety committee into a safety and wellness committee whose charge is both workplace safety and health promotion. Consistent with the social contextual model of behavior change, the integrated workplace OHS-SC program targets multiple levels of influence: management and the worksite safety committee at the organizational level of influence, and workers at the interpersonal and individual levels of influence. The goals of the intensive intervention are to improve the safety climate at participating worksites, increase awareness of the business case for promoting smoking cessation and the prevalence of smoking at participating worksites, increase access to smoking cessation resources, increase support from co-workers and management for smoking cessation efforts, and decrease opportunities at the worksite to smoke. The program will use a variety of media, including group trainings, worksite events, toolkits, newsletters, health risk assessments, a website, and technical assistance phone calls. Participating worksites (n=64) will be randomly assigned to intensive and minimal intervention groups, stratified by county (n=3). The effectiveness of the intervention will be assessed by surveys of all company personnel completed at baseline and 12-month follow-up. The external validity of the project will also be evaluated, including its adoption by eligible businesses and the extent to which it reaches its intended target. PUBLIC HEALTH RELEVANCE: Blue-collar workers are at double jeopardy for high smoking rates and exposure to work hazards. The proposed project assesses the reach and effectiveness of an integrated work safety and smoking cessation program for small manufacturing worksites that is sponsored by a county public health department.