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A Systematic Effort to Reduce Smoking at the Worksite

Department of Kinesiology and Health Education, The University of Texas at Austin, Center for Health Promotion Research and Development, School of Public Health, University of Texas Health Science Center at Houston

Alicia Nelson, RN, MEd

Department of Kinesiology and Health Education, The University of Texas at Austin

Smoking control is a key element of worksite health promotion. This three-stage study in a large state human services agency included a baseline survey, an assessment of the effects of competition on recruitment to a self-help cessation program, and examination of the outcome of the cessation program. In stage 1, scales for measuring smoking-related attitudes and the social environment were developed and used to study norms for smoking. Regression analysis was used to ascertain correlates of smokers' intentions to quit and to join a self-help program and non-smoker assertiveness. In stage 2, an evaluation using a quasi-experimental design indicated that competition was moderately effective in in creasing the recruitment of all employees to the Great American Smoke-Out (70 vs. 17%) and of smokers to a self-help cessation program (28 vs. 6%). In stage 3, the self- reported quit rate at the end of the program was 28% and the biochemically-verified six months' cessation rate was 7%. Efforts are needed to strengthen, using ethical means, the norms for not smoking at the worksite and to increase both the recruitment to and the effectiveness of smoking cessation programs.

Health Education & Behavior, Vol. 17, No. 1, 99-118 (1990)
DOI: 10.1177/109019819001700110


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