Integrating Worksite Smoking Cessation Services Into the Construction Sector: Opportunities and Challenges

Taghrid Asfar, Laura A. McClure, Kristopher L. Arheart, Estefania C. Ruano-Herreria, Clark G. Gilford, Kevin Moore, Noella A. Dietz, Kenneth D. Ward, David J Lee, Alberto J Caban-Martinez

Research output: Contribution to journalArticle

Abstract

Background. Smoking prevalence among Hispanic/Latino construction workers in the United States is very high (31%). Aims. To investigate tobacco use profiles in these minority workers and explore their management’s views about implementing sustainable worksite smoking cessation services. Methods. Analysis of baseline data from a smoking cessation trial among Hispanic/Latino construction workers (n = 134; adult men ≥18 years), and semistructured, 45-minute interviews with 24 key personnel at six construction companies in south Florida were conducted. Interviews were recorded, transcribed, and analyzed thematically. Results. Overall, 43.3% of workers were Cuban, and 81.3% had low acculturation level. Nicotine dependence levels were “high” in 61.8% of workers. Half of the workers had a successful quit attempt but only 9.9% received advice from a physician to quit smoking, 16.7% used medication to quit, and 79.2% did not receive assistance. Participants in the interviews stated that nothing was provided to help smokers quit smoking and considered distributing self-help materials with free medications as the most appropriate service. Challenges to integrating the service were time restriction and cost. Recommendations for implementing the service were local/state government mandate. Discussion. Tailoring tobacco treatment to Hispanic/Latino construction workers’ job circumstances and culture is essential to support their cessation efforts. Integrating worksite tobacco treatment services into other available health promotion programs (e.g., safety) and enforcing smoke-free legislation in the construction sector can facilitate its adoption. Conclusion. Involving key stakeholders and mandating the service by the State and local government are necessary to integrate sustainable worksite smoking cessation services in the construction sector.

Original languageEnglish (US)
JournalHealth Education and Behavior
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Smoking Cessation
Hispanic Americans
Workplace
State Government
Local Government
Smoking
Interviews
Tobacco
Acculturation
Tobacco Use Disorder
Tobacco Use
Health Promotion
Legislation
Smoke
Workers
Physicians
Safety
Costs and Cost Analysis
Therapeutics
Latinos

Keywords

  • acculturation
  • formative evaluation
  • Latino/Latina/Latinx or Hispanic
  • mixed methods
  • population groups
  • qualitative methods
  • quantitative methods
  • smoking and tobacco use
  • substance use
  • tobacco control and policy

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

Integrating Worksite Smoking Cessation Services Into the Construction Sector : Opportunities and Challenges. / Asfar, Taghrid; McClure, Laura A.; Arheart, Kristopher L.; Ruano-Herreria, Estefania C.; Gilford, Clark G.; Moore, Kevin; Dietz, Noella A.; Ward, Kenneth D.; Lee, David J; Caban-Martinez, Alberto J.

In: Health Education and Behavior, 01.01.2019.

Research output: Contribution to journalArticle

Asfar, Taghrid ; McClure, Laura A. ; Arheart, Kristopher L. ; Ruano-Herreria, Estefania C. ; Gilford, Clark G. ; Moore, Kevin ; Dietz, Noella A. ; Ward, Kenneth D. ; Lee, David J ; Caban-Martinez, Alberto J. / Integrating Worksite Smoking Cessation Services Into the Construction Sector : Opportunities and Challenges. In: Health Education and Behavior. 2019.
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abstract = "Background. Smoking prevalence among Hispanic/Latino construction workers in the United States is very high (31{\%}). Aims. To investigate tobacco use profiles in these minority workers and explore their management’s views about implementing sustainable worksite smoking cessation services. Methods. Analysis of baseline data from a smoking cessation trial among Hispanic/Latino construction workers (n = 134; adult men ≥18 years), and semistructured, 45-minute interviews with 24 key personnel at six construction companies in south Florida were conducted. Interviews were recorded, transcribed, and analyzed thematically. Results. Overall, 43.3{\%} of workers were Cuban, and 81.3{\%} had low acculturation level. Nicotine dependence levels were “high” in 61.8{\%} of workers. Half of the workers had a successful quit attempt but only 9.9{\%} received advice from a physician to quit smoking, 16.7{\%} used medication to quit, and 79.2{\%} did not receive assistance. Participants in the interviews stated that nothing was provided to help smokers quit smoking and considered distributing self-help materials with free medications as the most appropriate service. Challenges to integrating the service were time restriction and cost. Recommendations for implementing the service were local/state government mandate. Discussion. Tailoring tobacco treatment to Hispanic/Latino construction workers’ job circumstances and culture is essential to support their cessation efforts. Integrating worksite tobacco treatment services into other available health promotion programs (e.g., safety) and enforcing smoke-free legislation in the construction sector can facilitate its adoption. Conclusion. Involving key stakeholders and mandating the service by the State and local government are necessary to integrate sustainable worksite smoking cessation services in the construction sector.",
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