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SmokeFree Workplace Policies

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Published on December 7, 2007

Author: Kliment

Source: authorstream.com

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Smoke-Free Workplace Policies:  Smoke-Free Workplace Policies Their Role in Reducing Harm Caused by Tobacco Use Janis M. Dauer Chronic Disease Conference Roanoke, VA April 5, 2005 Secondhand Smoke (SHS):  Secondhand Smoke (SHS) 1986 Surgeon General’s Report: SHS identified as a cause of disease in non-smokers 1993 EPA Report: SHS designated as a Class A (known human) carcinogen Contains over 4,000 substances, more than 40 are known carcinogens Secondhand Smoke (SHS):  Secondhand Smoke (SHS) Health effects in nonsmoking adults: lung cancer heart disease Health effects in children: Asthma Ear infections Bronchitis and pneumonia Sudden Infant Death Syndrome (SIDS) Secondhand Smoke (SHS):  Secondhand Smoke (SHS) Latest Cal EPA “causal effects” data: Low birthweight Pre-term delivery Nasal sinus cancer Breast cancer Altered vascular properties California EPA draft report: http://www.arb.ca.gov/toxics/ets/dreport/dreport.htm Workplace Restrictions:  Workplace Restrictions Significant increases since 1985 - Immediate work area bans (allowed in designated common areas indoors): 38% (1985) 67% (1993) Total indoor bans: 3% (1986) 71% (2002)! Even in Virginia… Trends in smoke-free policy protection among indoor workers, Virginia workforce vs U.S. workforce % of workers 15 y.o.a. and older reporting a smoke-free place of employment :  Trends in smoke-free policy protection among indoor workers, Virginia workforce vs U.S. workforce % of workers 15 y.o.a. and older reporting a smoke-free place of employment 43.7 62.2 70.6 71.2 46.2 63.4 69 70.9 0 20 40 60 80 Percent VA workers US workers 1992-93 1995-96 1998-99 2001-02 Smoke-free worksite trends in Virginia by race and ethnicity *:  Smoke-free worksite trends in Virginia by race and ethnicity * 71.7 70.4 66.5 72.7 70.8 72.3 61.4 64.7 61 63.4 65 78 45.6 36.9 49.2 35.9 White Black Hispanic All others 0 20 40 60 80 Percent 1992-93 1995-96 1998-99 2001-02 * Sample size for Hispanic and All other race workers very small (< 100 per year) Smoke-free policy trends among Virginia MALES by age :  Smoke-free policy trends among Virginia MALES by age 38.3 38.3 44.4 38.8 51.9 69.3 67 81.3 15-24 25-39 40-54 55 + 0 20 40 60 80 100 20 40 60 80 100 1992-93 2001-02 Changes in smoke-free workplace policy coverage among Virginia FEMALES by age:  Changes in smoke-free workplace policy coverage among Virginia FEMALES by age 40.5 47.2 51.5 45.2 63.2 75.4 76.8 74.8 15-24 25-39 40-54 55+ 0 20 40 60 80 100 20 40 60 80 100 1992-93 2001-02 Trends in smoke-free policies among Virginia workers by type of worker:  Trends in smoke-free policies among Virginia workers by type of worker 50.5 70.4 77.6 77 33.6 43 57.4 63.8 24.8 40.8 51.6 49.7 0 20 40 60 80 Percent Blue collar Service White collar 1992-93 1995-96 1998-99 2001-02 Trends in smoke-free employment in VA, by gender and major occupational group:  Trends in smoke-free employment in VA, by gender and major occupational group 47.9 67.8 76.5 76 52.4 72.2 78.4 77.6 30.2 46.2 52 53.9 35.9 41.1 61.5 68.2 23.4 36.7 47.1 52.8 27.9 50.8 65.6 39.6 0 20 40 60 80 100 Percent Blue collar Service White collar 92-93 95-96 98-99 01-02 92-93 95-96 98-99 01-02 MEN WOMEN Trends in smoke-free worksite coverage among indoor workers in the U.S. by gender and type of worker:  Trends in smoke-free worksite coverage among indoor workers in the U.S. by gender and type of worker 50.2 68.6 73.7 75 56.5 73.4 77.8 78.8 30 47.4 53.6 56.7 38.1 53 59.3 61.4 27 43 49.8 52.9 32.3 52.6 59.3 61.5 0 20 40 60 80 Percent Blue collar Service White collar 1992-93 1995-96 1998-99 2001-02 1992-93 1995-96 1998-99 2001-02 MEN WOMEN Trends in smoke-free worksite coverage among various Food Service Occupations:  Trends in smoke-free worksite coverage among various Food Service Occupations 72.6 53.2 67.3 67.2 60 29.8 44.1 48.8 17 70.8 50.3 60.1 68.3 57.5 27.7 37.7 45.2 12.9 65.3 42.2 49 53.1 50.3 21 35.6 47.1 6.3 48 27 25.4 34.8 40 7.9 22.6 18.6 4 US workers Cooks Food counter Kitchen Msc. food prep Waiters Waiter Asst Supervisors BARTENDERS 0 20 40 60 Percent 1992-93 1995-96 1998-99 2001-02 State of Virginia employment trends for bar and restaurant workers, 1990-2004 :  State of Virginia employment trends for bar and restaurant workers, 1990-2004 Source: Bureau of Labor Statistics www.bls.gov * Data for 2004 preliminary Non-compliance with smoke-free workplace policies % of VA workers who reported someone smoked in work area in last two weeks:  Non-compliance with smoke-free workplace policies % of VA workers who reported someone smoked in work area in last two weeks 0 1 2 3 4 5 Percent U.S. workers VA workers U.S. workers 5 3.9 3.2 VA workers 4.1 4.3 2.1 1995-96 1998-99 2001-02 Public support for workplace smoking restrictions % VA residents favoring smoking restrictions for indoor work areas:  Public support for workplace smoking restrictions % VA residents favoring smoking restrictions for indoor work areas 1.9 1.8 1.3 0.7 42.7 36.3 31.5 24.4 55.4 61.9 67.1 75 0% 20% 40% 60% 80% 100% 1992-93 1995-96 1998-99 2001-02 Smoke-free Allow only in certain areas Allow everywhere Workplace Policies:  Workplace Policies NO SMOKING No lit cigarettes, cigars or pipes allowed but snuff and chewing tobacco can be used. OUTDOORS ONLY Tobacco use/smoking is prohibited completely indoors but allowed outside the building. SMOKING “ROOM” Tobacco use/smoking is limited to an indoor area that is designated as the “smoking room.” NO TOBACCO USE No smoking of tobacco or use of any smokeless tobacco product allowed. Workplace Policies:  Workplace Policies OUTDOORS, but… Tobacco use/smoking not allowed within a specific distance of entry/exit doors. NOT ON PROPERTY Tobacco use/smoking prohibited anywhere on company property. INSIDE CARS Tobacco use/smoking only allowed on workplace property inside a vehicle. OUTDOOR AREAS Tobacco use/smoking allowed outdoors but only in specific areas/kiosks. Workplace Policies:  Workplace Policies ON COMPANY TIME NONSMOKERS ONLY Only nonsmokers will be allowed to work for the company New hires must be nonsmokers Current employees must quit Employees who start, do not quit, or relapse will be fired. Same as above for smokeless tobacco users. Tobacco use/smoking not allowed on company property or anywhere else while employee is on company time. No evidence of tobacco use/smoking is permitted while on company time, including: Seeing tobacco use, tobacco products or paraphernalia Smelling tobacco smoke or snuff/chewing tobacco. Why Restrict Smoking?:  Why Restrict Smoking? Reduce exposure to SHS (air pollution) Reduce amount smoked Increase quit attempts Support those trying to quit Why Restrict Smoking?:  Why Restrict Smoking? Reduce craving & withdrawal Increase successful quitting Lower healthcare and/or insurance costs Reduce youth initiation Why Restrict Smoking?:  Why Restrict Smoking? Increase community smoking restrictions Promote pro-health message Demonstrate caring/concern, sincere commitment Customers’ (patients’) well-being comes first Staff enjoyment of break areas Why Restrict Smoking?:  Why Restrict Smoking? Eliminate tacit approval/indifference Improve company image Increase productivity Lower clean-up costs Common Issues:  Common Issues PLANNING Essential Top level support Team approach Timeline Written policy Educate Common Issues:  Common Issues ENFORCEMENT Clearly defined consequences Identify responsible person(s) Educate and promote Follow through Common Issues:  Common Issues HELPING USERS Customers/Patients Duration of visit Company mission Employees Duty to assist Cost-effective Visitors/guests Inform Common Issues:  Common Issues HELPING USERS Withdrawal Medications Coping “tips” Cessation Provide service Refer out Support Positive attitude Resources - Worksites:  Resources - Worksites CDC Taking Action Against Secondhand Smoke www.cdc.gov/tobacco/ETS_Toolkit/worksites/intro.htm Americans for Nonsmokers’ Rights www.no-smoke.org/goingsmokefree.php?dp=d12 Secondhand Smoke: Clearing the Air in Enclosed and Public Work Places (ANR) www.ama-assn.org/ama/upload/mm/375/ 2ndhand_smoke_manual.doc Tobacco Technical Assistance Consortium www.ttac.org/products/health_policy/index.html Resources - Worksites:  Resources - Worksites Tobacco Cessation at the Worksite www.coloradohealthonline.com/tobacco/tobacco.htm Secondhand Smoke: What You Can Do About Second-hand Smoke As Parents, Decisionmakers and Building Occupants www.epa.gov/smokefree/pubs/etsbro.html Center for Tobacco Cessation www.ctcinfo.org/resources/toolkits.asp# Guides_&_Toolkits_for_Employers www.ctcinfo.org/resources/toolkits.asp# Resources_on_Smoking_Bans Resources - Hospitals:  Resources - Hospitals The Michigan Smoke-Free Hospitals project Smoke-Free Environment Implementation Plan “How-to” manual on CD for developing and implementing a smoke-free hospital campus Tom Peterson, M.D., Medical Director, MMPC Ph (616) 974-4455, tpeterson@mmpc.com Smoke-Free Baltimore County Smoke-Free Hospital Grounds Smoke-Free Psychiatric Hospital Grounds http://smokefreebc.org/content.php?ci=35 Resources – Healthcare Providers:  Resources – Healthcare Providers Becoming Tobacco-Free, A Guide for Healthcare Organizations www.mainehealth.com/mh_media/Tobacco8-Final.pdf Treating Tobacco Use and Dependence: Practical Strategies to Help Your Patient Quit (with video) and Treating Tobacco Use and Dependence in Hospitalized Smokers Contact Sandy Keller 608-265-4869 slk@ctri.medicine.wisc.edu Download: www.ctri.wisc.edu/main_dept/guide/guide_main.html#GuidelineTraining Resources – Healthcare Providers:  Resources – Healthcare Providers USPHS clinical practice guideline: Treating Tobacco Use and Dependence www.surgeongeneral.gov/tobacco www.ahrq.gov/clinic/tobacco/order.pdf Alliance for the Prevention and Treatment of Nicotine Addiction www.aptna.org/Related_Links.html Online training courses Sources of materials Special populations resources Links to other resources Resources – Cessation: Print:  Resources – Cessation: Print Employers’ Smoking Cessation Guide: Practical Approaches to a Costly Workplace Problem www.endsmoking.org/resources/employersguide/pdf/ employersguide-2nd-edition.pdf Cessation Fact Sheets http://tobaccofreekids.org/research/ factsheets/index.php?CategoryID=25 Free USPHS materials www.surgeongeneral.gov/tobacco www.ahrq.gov/clinic/tobacco/order.pdf Resources – Cessation: Online:  Resources – Cessation: Online ALA’s Freedom From Smoking® Online www.lungusa.org (scroll down to link) Federal online program (NIH/CDC/NCI) www.smokefree.gov Smokeless tobacco resource www.chewfree.com Smoke-Free Virginia website www.smokefreevirginia.org Directory of local programs Links to other resources Resources – Cessation: Phone:  Resources – Cessation: Phone National Toll-Free Phone Assistance National Network of Quitlines 1-800-QUIT NOW NCI Smoking Cessation Quitline 1-877-44U QUIT ALA Call Center 1-800-548-8252 American Cancer Society 1-800-227-2345 Great Start 1-866-66 START (pregnant women) Resources – Cessation: Phone:  Resources – Cessation: Phone Virginia Toll-Free Phone Assistance Coming soon… VIRGINIA QUITLINE (via National Network number 1-800-QUIT NOW) Smoke-Free Virginia Helpline 1-877-856-5177 Recorded message Free Quit Kit mailed American Lung Assoc. 1-800-LUNG USA (local program information provided) ALF Washington DC Quitline 1-800-399-5589 Smoking Policies - Hospitals:  Smoking Policies - Hospitals (National data provided by Tom Peterson, MMPC) By the late 70’s-early 80’s: Sales of tobacco products in hospitals eliminated Smoke-free wards/areas introduced By 1978, only: 42% had any anti-smoking regulations 1.2% had total indoor bans 1988 survey: 90% had some form of internal restrictions 8% were smoke-free indoors 1991: JCAHO standards issued, and… 1993 inspections: 95.6% found compliant Smoke-Free Grounds:  Smoke-Free Grounds Over 80 hospitals in the USA have implemented smoke-free campus policies In Virginia: Major hospital in Southwest Virginia (5/05) Danville Regional Medical Center (7/05) Potomac Hospital UVA Health System Mary Washington Hospital Major private university Major health insurance company Indian Creek Correctional Center St. Bride’s Correctional Center Botetourt Correctional Center Taking Action – At Work:  Taking Action – At Work Program integration – chronic diseases Increase awareness of cessation resources Promote cessation (staff, patients, community) Incorporate brief intervention into system Integrate – continuity of care Other actions Role model Advocate for smoke-free grounds Advocate for reimbursement/coverage Advocate for funding/resources Taking Action – At Home:  Taking Action – At Home Prohibit smoking in your home and vehicle Patronize smokefree establishments Complain about secondhand smoke Participate in advocacy activities Join (or start) a local coalition Support cessation Taking Action - Resources:  Taking Action - Resources Advocacy organizations Virginians For a Healthy Future Americans for Nonsmokers’ Rights SmokeFree Action Network Action alerts, national and for each state E-mail lists with variety of topics (e.g., smokefree hospitals) www.smokefreevirginia.org/Additional-Resources.html Cessation information Association for the Treatment of Tobacco Use and Dependence: www.attud.org Center for Tobacco Cessation e-newsletter: www.ctcinfo.org/enewsletter/default.asp The Tobacco Use Control Puzzle:  The Tobacco Use Control Puzzle Preventing youth initiation Increasing excise taxes Clean indoor air regulations Promoting cessation The Chronic Disease Puzzle:  The Chronic Disease Puzzle TOBACCO USE CONTROL Questions?:  Questions? Janis M. Dauer, MS, CAC Program Manager Alliance for the Prevention and Treatment of Nicotine Addiction 3557 Chesapeake Blvd, #1 Norfolk, VA 23513 (757) 858-9934 jdauer@aptna.org

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