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The Relationship between Organizational Characteristics and the Adoption of Workplace Smoking Policies

Dana-Farber Cancer Institute and Harvard School of Public Health, Bostonkaren_emmons{at}dfci.harvard.edu

Beti Thompson, PhD

Dale McLerran

Fred Hutchinson Cancer Research Center, Seattle, Washington

Glorian Sorensen, PhD

Dana-Farber Cancer Institute and Harvard School of Public Health, Boston

Laura Linnan, MSEd

The Miriam Hospital, Providence, Rhode Island

Karen Basen-Engquist, PhD, MPH

University of Texas M.D. Ander son Cancer Center, Houston, Texas

Lois Biener

Center for Survey Research, University of Massachusetts, Boston

Organizational-level variables that are hypothesized to influence the level of smoking pol icy restrictions and the prevalence of smoking control activities were tested in a sample of 114 worksites that participated in the Working Well Trial, a national trial of worksite health promotion. Predictors related to more restrictive policies included smaller size, larger percentage of white-collar workers, larger number of complaints about environmental tobacco smoke, less complexity, more formalization, and having a CEO who valued health and employees’ well-being. The number of smoking control activities offered in a worksite was predicted by having a larger blue-collar workforce, a higher percentage of female employees, higher levels of workforce stability, and a CEO who valued health and employees’ well-being. Efforts to identify predictors of companies’ adoption and implementation of workplace-based policies and interventions are an important part of tobacco control efforts and will enhance future intervention and research efforts.

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