A Tobacco Cessation Intervention with Rural, Medically Underserved, Blue-collar Employees: A Quasiexperimental Study

doi:10.1016/j.shaw.2016.03.001

. 2016 Dec;7(4):293-298.

doi: 10.1016/j.shaw.2016.03.001. Epub 2016 Mar 31.

A Tobacco Cessation Intervention with Rural, Medically Underserved, Blue-collar Employees: A Quasiexperimental Study

Telisa Stewart¹, Margaret K Formica¹, Anna M Adachi-Mejia², Dongliang Wang³, Meg Gerrard⁴

Affiliations

¹ Department of Public Health and Preventive Medicine, Upstate Medical University, Syracuse, NY, USA; Department of Urology, Upstate Medical University, Syracuse, NY, USA; Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, NY, USA.
² Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, NH, USA; Department of Pediatrics, The Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon, NH, USA; Cancer Control Research Program, Dartmouth-Hitchcock Norris Cotton Cancer Center, Lebanon, NH, USA.
³ Department of Public Health and Preventive Medicine, Upstate Medical University, Syracuse, NY, USA.
⁴ Cancer Control Research Program, Dartmouth-Hitchcock Norris Cotton Cancer Center, Lebanon, NH, USA; The Department of Psychology, University of Connecticut, Storrs, CT, USA.

PMID: 27924231
PMCID: PMC5127975
DOI: 10.1016/j.shaw.2016.03.001

A Tobacco Cessation Intervention with Rural, Medically Underserved, Blue-collar Employees: A Quasiexperimental Study

Telisa Stewart et al. Saf Health Work. 2016 Dec.

. 2016 Dec;7(4):293-298.

doi: 10.1016/j.shaw.2016.03.001. Epub 2016 Mar 31.

Authors

Telisa Stewart¹, Margaret K Formica¹, Anna M Adachi-Mejia², Dongliang Wang³, Meg Gerrard⁴

Affiliations

¹ Department of Public Health and Preventive Medicine, Upstate Medical University, Syracuse, NY, USA; Department of Urology, Upstate Medical University, Syracuse, NY, USA; Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, NY, USA.
² Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, NH, USA; Department of Pediatrics, The Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon, NH, USA; Cancer Control Research Program, Dartmouth-Hitchcock Norris Cotton Cancer Center, Lebanon, NH, USA.
³ Department of Public Health and Preventive Medicine, Upstate Medical University, Syracuse, NY, USA.
⁴ Cancer Control Research Program, Dartmouth-Hitchcock Norris Cotton Cancer Center, Lebanon, NH, USA; The Department of Psychology, University of Connecticut, Storrs, CT, USA.

PMID: 27924231
PMCID: PMC5127975
DOI: 10.1016/j.shaw.2016.03.001

Abstract

Background: The aim of this study was to increase knowledge regarding the dangers associated with tobacco use, and decrease secondhand smoke exposure and tobacco use behaviors with an antitobacco messaging campaign among rural, medically underserved, blue-collar workers.

Methods: A quasiexperimental study was conducted with employees at two worksites. One worksite received the intervention, which consisted of nine different antitobacco messages. Baseline and follow-up surveys were conducted at each worksite to assess change in knowledge and behavior; the data were compared across the two worksites.

Results: Two hundred twenty-two and 243 participants completed baseline and follow-up surveys at the intervention and comparison sites, respectively. A statistically significant difference was seen over time between the worksites on knowledge of the dangers of tobacco (p < 0.0001); the mean knowledge score increased at the intervention site, but remained unchanged at the comparison site. In general, nonsmokers at both worksites appeared to try to decrease exposure to secondhand smoke over the follow-up period. Repeated measures analysis indicated that there were no differences in motivation to quit (p = 0.81), interest in quitting (p = 0.40), thinking about quitting (p = 0.53), or several tobacco-use behaviors over time among smokers at the intervention and comparison worksites. There were slight increases over time in the proportion of smokers who do not allow smoking in their homes/vehicles at the intervention worksite, although not statistically significant.

Conclusion: Participants at the intervention worksite increased their knowledge regarding the dangers of tobacco use and secondhand smoke exposure. Among current tobacco users, the intervention appeared to increase family rules regarding secondhand smoke exposure in their homes and vehicles.

Keywords: health disparities; rural blue collar; tobacco cessation; worksite intervention.

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Figures

**Fig. 1**
Mean knowledge scores by worksite at baseline and follow-up. The p value is for worksite by time interaction term in a generalized linear model with repeated measures and adjusted for education and income.

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1. U.S. Department of Health and Human Services . U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; Atlanta, GA: 2010. How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General.
1. Center for Disease Control and Prevention (CDC) Vital signs: current cigarette smoking among adults aged ≥ 18 years—United States, 2009. MMWR. 2010;59:1135–1140. - PubMed
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[1] U.S. Department of Health and Human Services . U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; Atlanta (GA): 2000. Reducing tobacco use: a report of the surgeon general.

[2] U.S. Department of Health and Human Services . U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; Atlanta (GA): 2000. Reducing tobacco use: a report of the surgeon general.

[3] U.S. Department of Health and Human Services . U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; Atlanta, GA: 2010. How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General.

[4] U.S. Department of Health and Human Services . U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; Atlanta, GA: 2010. How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General.

[5] Center for Disease Control and Prevention (CDC) Vital signs: current cigarette smoking among adults aged ≥ 18 years—United States, 2009. MMWR. 2010;59:1135–1140. - PubMed

[6] Center for Disease Control and Prevention (CDC) Vital signs: current cigarette smoking among adults aged ≥ 18 years—United States, 2009. MMWR. 2010;59:1135–1140. - PubMed

[7] Jones C., Parker T., Ahearn M., Mishra A.K., Variyam J. United States Department of Agriculture Economic Research Service; Washington DC (WA): 2009. Health status and health care access of farm and rural populations.

[8] Jones C., Parker T., Ahearn M., Mishra A.K., Variyam J. United States Department of Agriculture Economic Research Service; Washington DC (WA): 2009. Health status and health care access of farm and rural populations.

[9] Doescher M.P., Jackson J.E., Jerant A., Hart L.G. Prevalence and trends in smoking: a national rural study. J Rural Health. 2006;22:112–118. - PubMed

[10] Doescher M.P., Jackson J.E., Jerant A., Hart L.G. Prevalence and trends in smoking: a national rural study. J Rural Health. 2006;22:112–118. - PubMed

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A Tobacco Cessation Intervention with Rural, Medically Underserved, Blue-collar Employees: A Quasiexperimental Study

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A Tobacco Cessation Intervention with Rural, Medically Underserved, Blue-collar Employees: A Quasiexperimental Study

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