Occupation and workplace policies predict smoking behaviors: analysis of national data from the current population survey.

OBJECTIVE Describe differences in smoking behaviors associated with occupation, workplace rules against smoking, and workplace smoking cessation programs. METHODS We analyzed data from the Current Population Survey-Tobacco Use Supplement surveys from 1992 through 2007. RESULTS After adjusting for demographic factors, blue-collar workers were at higher risk than white-collar workers for ever smoking, current smoking, and persistent smoking (current smoking among ever smokers). Construction workers were more likely to be current daily smokers than other blue-collar workers. Among ever smokers, current daily smoking was more common in the absence of both workplace rules against smoking and workplace smoking cessation programs. CONCLUSIONS Social or cultural effects related to occupation are important determinants of smoking. More aggressive promotion of smoking cessation programs and workplace rules prohibiting smoking could have a significant public health impact.