Paper
Friday, July 23, 2004
This presentation is part of : Nursing Advocacy
Secondhand Tobacco Smoke Exposure Among Restaurant and Bar Workers
Ellen J. Hahn, DNS, RN, Mary Kay Rayens, PhD, and Chizimuzo Okoli, MSN, RN. College of Nursing, University of Kentucky, Lexington, KY, USA
Learning Objective #1: Examine factors associated with secondhand smoke exposure among restaurant and bar workers
Learning Objective #2: Evaluate the use of hair as a biomarker for secondhand smoke exposure

Objective: To assess the level of secondhand smoke (SHS) exposure among restaurant and bar workers from three communities with different policy environments.

Design: Cross-sectional, nonexperimental. Sample/Setting/Years: 106 restaurant and bar workers from three communities, February-May, 2003.

Study Variables: Hair nicotine, work establishment characteristics, SHS exposure at work and home.

Methods: Quota sampling using smoking prevalence and type of establishment, hair samples at local health departments, self-report questionnaires.

Findings: Almost all (92%) worked in a place that allowed smoking. Nonsmokers working in places that allowed smoking had higher hair nicotine levels than nonsmokers from smoke-free establishments. Smokers were more likely to be satisfied or very satisfied with their work smoking policy than nonsmokers. Those working in smoke-free establishments were more likely to be satified with their policies than those working in places that allowed smoking.

Conclusions: Nonsmokers who work in places that allow smoking are at risk for smoking-attributable diseases. Nonsmoking servers exposed to SHS at work were less satisfied with their policies than those who work in smoke-free places. Servers in communities that ban smoking may be more satisfied with the rules than those in communities that allow smoking.

Implications: Promoting smoke-free laws and private sector policies is important to protect worker health and reduce morbidity and mortality from SHS exposure.

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