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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e318244501e
Original Articles

Occupational Gradients in Smoking Behavior and Exposure to Workplace Environmental Tobacco Smoke: The Multi-Ethnic Study of Atherosclerosis

Fujishiro, Kaori PhD; Stukovsky, Karen D. Hinckley MS; Roux, Ana Diez PhD, MD; Landsbergis, Paul PhD; Burchfiel, Cecil PhD

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Abstract

Objective: This study examines associations of occupation with smoking status, amount smoked among current and former smokers (number of cigarettes per day and lifetime cigarette consumption (pack-years)), and workplace exposure to environmental tobacco smoke (ETS) independent from income and education.

Methods: This is a cross-sectional analysis of data from a community sample (n = 6355, age range: 45–84) using logistic and multinomial regression. All analyses were stratified by sex and adjusted for socio-demographic variables.

Results: Male blue-collar and sales/office workers had higher odds of having consumed more than 20 pack-years of cigarettes than managers/professionals. For both male and female current or former smokers, exposure to workplace ETS was consistently and strongly associated with heavy smoking and greater pack-years.

Conclusions: Blue-collar workplaces are associated with intense smoking and ETS exposure. Smoking must be addressed at both the individual and workplace levels especially in blue-collar workplaces.

©2012The American College of Occupational and Environmental Medicine

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