RT Journal Article SR Electronic T1 Second-hand smoke exposure and mitigation strategies among home visitation workers JF Tobacco Control JO Tob Control FD BMJ Publishing Group Ltd SP 250 OP 254 DO 10.1136/tobaccocontrol-2011-050133 VO 22 IS 4 A1 Keske, Robyn R A1 Rees, Vaughan W A1 Behm, Ilan A1 Wadler, Brianna M A1 Geller, Alan C YR 2013 UL http://tobaccocontrol.bmj.com/content/22/4/250.abstract AB Objectives Protection of workers from second-hand smoke (SHS) in occupational settings is an important policy priority, yet little attention has been given to SHS protection for home visitation health workers, who number almost 2 million in the USA. Self-reported SHS exposure, SHS mitigation strategies and suggestions for further SHS exposure reduction approaches were obtained from home visitation health workers in Massachusetts. Methods A cross-sectional survey was conducted among Massachusetts Early Intervention workers (N=316) at their state-wide conference in April 2010. Results Eighty-three per cent of respondents reported at least 1 hour per month of SHS exposure, and 16% reported at least 11 hours per month. Nevertheless, only 22% of workers counselled clients on maintaining a smoke-free home. Fewer than 30% of workers had ever voiced concerns to their employing agency, and just 12% had raised their concerns directly with clients. Only 14% stated that their agency had rules designed to protect workers from SHS. Conclusions SHS exposure occurs frequently among home visitation health workers. The data point to a substantial population who are not protected from SHS exposure by formal policies.