The impact of workplace smoking bans: results from a national survey
Matthew C Farrellya, William N Evansb, Andrew E S Sfekasa
a Center for Economics
Research, Research Triangle Institute, 3040 Cornwallis Rd, Research
Triangle Park, North Carolina, USA, b Department of Economics, University of
Maryland, Project HOPE and NBER
Correspondence to: Dr M C Farrelly. email: mcf{at}rti.org.
Received 1 February
1999;
Accepted 25 March 1999
OBJECTIVE
To estimate
the impact of workplace smoking restrictions on the prevalence and
intensity of smoking among all indoor workers and various demographic
and industry groups.
DESIGN
Detailed cross
sectional data on worker self reported characteristics, smoking
histories, and workplace smoking policies were used in multivariate
statistical models to examine whether workplace smoking policies reduce
cigarette consumption. After analysing the distribution of policies,
four main types of workplace programme were defined: (1) 100%
smoke-free environments, (2) work area bans in which smoking is allowed
in some common areas, (3) bans in some but not all work and common
areas, and (4) minimal or no restrictions.
SETTING
After
environmental tobacco smoke was identified as a health hazard in the
mid-1980s, workplace smoking restrictions became more prevalent. By
1993, nearly 82% of indoor workers faced some restriction on workplace
smoking and 47% worked in 100% smoke-free environments.
PARTICIPANTS
The
database included a nationally representative sample from the tobacco
use supplements to the September 1992, January 1993, and May 1993 Current Population Surveys of 97 882 indoor workers who were not self employed.
MAIN OUTCOME
MEASURES
Prevalence of smoking and number of
cigarettes smoked daily by smokers.
RESULTS
Having a 100%
smoke-free workplace reduced smoking prevalence by 6 percentage points
and average daily consumption among smokers by 14% relative to workers
subject to minimal or no restrictions. The impact of work area bans was
lessened by allowing smoking in some common areas. Smoke-free policies
reduced smoking for all demographic groups and in nearly all industries.
CONCLUSIONS
Requiring
all workplaces to be smoke free would reduce smoking prevalence by
10%. Workplace bans have their greatest impact on groups with the
highest rates of smoking.
Keywords: workplace; smoking ban; smoking restrictions
© 1999 by Tobacco Control
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