An Integrated Work Safety - Smoking Cessation Program for Small Worksites

描述（由申请人提供）：虽然吸烟的流行率在所有职业群体中都有所下降，但在蓝领工人中仍然很高。蓝领工人也可能在暴露于职业危害的行业工作，许多人在小企业工作，这些企业提供健康促进或职业健康和安全方案的资源有限。拟议的项目审查了一个县公共卫生部门为基础的倡议，以达到蓝领工人谁是在吸烟和职业暴露的双重危险的有效性：它测试了一个综合的职业健康和安全（OHS）和戒烟（SC）计划，为小型制造业工作场所（即，雇用20-100名工人的公司）。该方案旨在切实可行：它利用县公共卫生部门与县内企业之间现有的沟通渠道和关系来招募工作场所，利用现有的安全和戒烟资源，并寻求在小企业中建立促进安全和健康的能力。干预措施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，负责工作场所安全和健康促进。与行为改变的社会背景模型相一致，综合工作场所OHS-SC计划针对多个层次的影响：管理层和工地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环境，提高对促进戒烟的商业案例和参与工作场所吸烟流行率的认识，增加获得戒烟资源的机会，增加同事和管理人员对戒烟工作的支持，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、现场活动、工具包、新闻稿、健康风险评估、网站和技术援助电话。参与的工作场所（n=64）将被随机分配到强化和最小干预组，按县（n=3）分层。干预的有效性将通过在基线和12个月随访时完成的对所有公司人员的调查来评估。还将评估项目的外部有效性，包括合格企业的采用情况以及达到预期目标的程度。 公共卫生相关性：蓝领工人处于高吸烟率和暴露于工作危险的双重危险之中。拟议的项目评估了由县公共卫生部门赞助的小型制造业工作场所的综合工作安全和戒烟计划的范围和有效性。

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.