Background
Research gaps
Methods
Participants and recruitment
Data collection and measurement
Data analysis
Results
Sample characteristics
Characteristic | All workplaces (N = 32) | Small workplaces (n = 15) | Very small workplaces (n = 17) |
---|---|---|---|
n (%) | |||
Gender | |||
Male | 12 (36%) | 5 (33%) | 7 (41%) |
Female | 20 (63%) | 10 (67%) | 10 (59%) |
Job Titlea | |||
Human Resources | 3 (9%) | 3 (20%) | 0 (0%) |
President, Owner, or Chief Officer | 11 (34%) | 2 (13%) | 9 (53%) |
Vice President | 3 (9%) | 2 (13%) | 1 (6%) |
Executive Director | 5 (16%) | 3 (20%) | 2 (12%) |
Administrator | 4 (13%) | 2 (13%) | 2 (12%) |
Prevention specialist | 3 (9%) | 2 (13%) | 1 (6%) |
Other | 4 (13%) | 1 (7%) | 3 (18%) |
Industry | |||
Banking | 3 (9%) | 3 (20%) | 0 (0%) |
Construction | 1 (3%) | 1 (7%) | 0 (0%) |
County services | 3 (9%) | 2 (13%) | 1 (6%) |
Health services | 10 (31%) | 6 (40%) | 4 (24%) |
Economic or resource development | 3 (9%) | 0 (0%) | 3 (18%) |
Manufacturing | 2 (6%) | 1 (7%) | 1 (6%) |
Professional association | 2 (6%) | 1 (7%) | 1 (6%) |
Consumer goods | 4 (13%) | 0 (0%) | 4 (24%) |
Other | 4 (13%) | 1 (7%) | 3 (18%) |
Full-time employees | |||
50% or less full-time | 9 (28%) | 3 (20%) | 6 (35%) |
51% or more full-time | 23 (72%) | 12 (80%) | 11 (65%) |
Health insurance | |||
Yes | 23 (72%) | 15 (100%) | 8 (47%) |
No | 9 (28%) | 0 (0%) | 9 (53%) |
Estimated number of current smokers (mean) | 3.48 | 6.30 | 1.00 |
Description of anti-smoking initiatives
Smoking policies
Smoking cessation activities
Reasons for adoption or non-adoption
Smoking policies
…my doctor came in, and said he was at one of the other places in town, one of the competitors. And the salesman blew smoke in his face, and he turned around and walked out, and left and came out to us. He told me that story, and I had the no smoking signs ordered the next day...I put ‘em on my main doors, and I just told my help and everyone that, there were no longer any smoking in our business.
Smoking cessation activities
They’re old enough and they know better, and you know what? If they wanna smoke at home, there’s nothin’ I can, I mean, to try to do about it... I’m not gonna waste my time. ‘Cuz they, they’ve both smoked so long, it’s on their own. Like I said, once again, they’re big boys, so, they can do what they want to…You only can beat the horse about so much and that’s it, so.
Challenges or barriers
Smoking policies
And one is definitely, you know, how do we enforce this? You know, I don’t wanna have to fire or discipline anybody because they’re smokin’ in their car on their lunch break. Nobody wants to do that…But definitely we gotta be able to follow through…I think that’s one of the biggest barriers is people being concerned about how those discipline issues are, or [how] the enforcement part is gonna be taken care of.
Smoking cessation activities
I think the ones that wants to, that does smoke, they’re gonna wanna smoke so they don’t want stop. Even though I made comments to some of ‘em but. Yeah. I don’t think they’re wantin’ to quit. So. It would be very difficult to get some of ‘em to go through the program.
I honestly think if four people came and said, I wanna do this program, that [the manager] probably would say, ok, everybody that smokes, we got four interested people wantin’ to take this program…But it’s been so varied when people try. Somebody wants to try gum, somebody wants to try a patch, somebody wants to go to this or that…It’s never been where a group has come in and said, this is what we wanna do.
Facilitators or support needed
Smoking policies
Smoking cessation activities
Small vs. very small workplaces
Smoking policies
Small workplaces (n = 15) | Very small workplaces (n = 17) | |
---|---|---|
Has smoking policy | 15 | 16 |
Has written smoking policy | 13 | 10 |
Indoor smoking prohibited | 15 | 16 |
Outdoor smoking restrictions | 12 | 10 |
Smoking restricted in specific contexts | 4 | 4 |
Other forms of tobacco restricted | 7 | 4 |
Policy in place prior to Iowa Smokefree Air Act | 8 | 6 |
Had issues with employee adherence to policy | 4 | 2 |
Reasons for having a smoking policy | ||
■ External smoking laws | 7 | 5 |
■ Healthy employees and workplace | 5 | 1 |
■ Reduced organizational costs | 2 | 1 |
■ Smoking is inappropriate, workplace image | 3 | 3 |
■ Specific experience or incident | 2 | 1 |
Challenges to adoption and implementation | ||
■ No challenges | 9 | 6 |
■ Issues with adherence | 3 | 4 |
■ How to enforce policy | 1 | 1 |
Facilitators to adoption and implementation | ||
■ No issues with compliance | 5 | 6 |
■ External smoking laws | 3 | 5 |
■ Support from others (health agencies) | 2 | 1 |
Smoking cessation activities
Small workplaces (n = 15) | Very small workplaces (n = 17) | |
---|---|---|
Offers smoking cessation activities | 14 | 7 |
Types of activity offered | ||
■ Information and referral to other services | 7 | 5 |
■ Insurance coverage for cessation medication | 6 | 2 |
■ Tobacco services through EAP or contracted vendor | 6 | 1 |
■ Smoking cessation materials (e.g., magnets) | 2 | 1 |
■ Smoking cessation classes | 2 | 1 |
■ Insurance discount for non-smokers | 1 | 0 |
Activities offered for at least 5 years | 8 | 7 |
Current employee participation in cessation activities | 0 | 0 |
Reasons for offering activities | ||
■ Healthy employees | 4 | 3 |
■ Organizational benefits | 4 | 2 |
■ Desire to help employees quit smoking | 1 | 2 |
Challenges to adoption and implementation | ||
■ No challenges | 5 | 4 |
■ Cost, lack of resources | 4 | 1 |
■ Lack of employee interest in activities | 2 | 2 |
Facilitators to adoption and implementation | ||
■ No specific facilitators described | 4 | 1 |
■ Support from others (e.g., management) | 4 | 1 |
■ Easy access to materials (health agencies) | 1 | 2 |