The worksite environment as a cue to smoking reduction.

With a modified version of the Health Belief Model as the conceptual framework, the hypothesis that exposure to a worksite health-promoting environment acted as a cue to smoking reduction among 310 smokers was tested with a quasi-experimental design. Using path analysis (LISREL), the total effects on posttest smoking were decomposed. Results showed exposure to the health-promoting environment had statistically significant direct and indirect effects on posttest smoking. The indirect effect was through the posttest perceived barriers variable. The LISREL model explained 74% of the variance in smoking reduction and fit the data satisfactorily. The importance of developing the worksite as a health-promoting force is discussed.

[1]  K. Conrad,et al.  Effect of Worksite Health Promotion Programs on Employee Absenteeism , 1990, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[2]  D. J. Jackson,et al.  Factor Analysis and Measurement in Sociological Research. , 1983 .

[3]  B. Loyd,et al.  An investigation of beliefs about smoking among diabetes patients: information for improving cessation efforts. , 1990, Patient education and counseling.

[4]  M. Fiore,et al.  Cigarette smoking prevalence by occupation in the United States. A comparison between 1978 to 1980 and 1987 to 1990. , 1994, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[5]  Education Welfare.,et al.  Smoking and Health. Report of the Advisory Committee to the Surgeon General of the Public Health Service. , 1964 .

[6]  K M Conrad,et al.  Threats to Internal Validity in Worksite Health Promotion Program Research: Common Problems and Possible Solutions , 1991, American journal of health promotion : AJHP.

[7]  J. Hollis,et al.  Results of a year-long incentives-based worksite smoking-cessation program. , 1993, Addictive behaviors.

[8]  J. C. Erfurt,et al.  Worksite Wellness Programs: Incremental Comparison of Screening and Referral Alone, Health Education, Follow-up Counseling, and Plant Organization , 1991, American journal of health promotion : AJHP.

[9]  J. Fielding Smoking: Health Effects and Control , 1985 .

[10]  A. Anastasi Individual differences. , 2020, Annual review of psychology.

[11]  K.,et al.  Work site smoking cessation: a meta-analysis of long-term quit rates from controlled studies. , 1990, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[12]  J. Telepchak,et al.  Self-Help versus Group Approaches to Smoking Cessation in the Workplace: Eighteen-Month Follow-up and Cost Analysis , 1990, American journal of health promotion : AJHP.

[13]  Brian R. Flay,et al.  Levels of analysis , 1989 .

[14]  H. McIlvain,et al.  Application of the MRFIT smoking cessation program to a healthy, mixed-sex sample. , 1992, American journal of preventive medicine.

[15]  D R Jacobs,et al.  The Healthy Worker Project: a work-site intervention for weight control and smoking cessation. , 1993, American journal of public health.

[16]  T. Pechacek,et al.  Promoting smoking cessation at the workplace. Results of a randomized controlled intervention study. , 1993, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[17]  K. Glanz,et al.  Health Behavior and Health Education , 1990 .

[18]  B. Flay,et al.  Why children start smoking cigarettes: predictors of onset. , 1992, British journal of addiction.

[19]  D. Hay,et al.  The relevance of the health belief model to Australian smokers. , 1989, Social science & medicine.

[20]  N. Owen,et al.  Why the Tobacco Industry Fears the Passive Smoking Issue , 1990, International journal of health services : planning, administration, evaluation.

[21]  N. Pender Health Promotion in the Workplace: Suggested Directions for Research , 1988, American journal of health promotion : AJHP.

[22]  P. Bentler,et al.  Significance Tests and Goodness of Fit in the Analysis of Covariance Structures , 1980 .

[23]  B R Flay,et al.  Mass media and smoking cessation: a critical review. , 1987, American journal of public health.

[24]  M. Feuerman,et al.  Long-term smoking intervention at the worksite: effects of quit-smoking groups and an "enriched milieu" on smoking cessation in adult white-collar employees. , 1991, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[25]  R. Shipley,et al.  Effect of the Johnson & Johnson Live for Life program on employee smoking. , 1988, Preventive medicine.

[26]  I. Rosenstock Why people use health services. , 1966, The Milbank Memorial Fund quarterly.

[27]  R. Glasgow,et al.  Worksite smoking control activities: prevalence and related worksite characteristics from the COMMIT Study, 1990. , 1992, Preventive medicine.

[28]  L. Green,et al.  Health Promotion Planning: An Educational and Environmental Approach , 1991 .

[29]  Richard T. Campbell,et al.  Analyzing Panel Data in Studies of Aging , 1982 .

[30]  N. Owen,et al.  Workplace smoking restrictions, occupational status, and reduced cigarette consumption. , 1992, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[31]  I. Rosenstock,et al.  The health belief model: Explaining health behavior through expectancies. , 1990 .

[32]  J. Gruman,et al.  Essential Elements of Self-Help/Minimal Intervention Strategies for Smoking Cessation , 1990, Health education quarterly.

[33]  Diane C. Thompson,et al.  The validity of self-reported smoking: a review and meta-analysis. , 1994, American journal of public health.

[34]  K. Glanz,et al.  An Ecological Perspective on Health Promotion Programs , 1988, Health education quarterly.

[35]  C. Fletcher,et al.  Smoking and health. , 1970, WHO chronicle.

[36]  P. Hajek,et al.  Individual differences in difficulty quitting smoking. , 1991, British journal of addiction.

[37]  R. Glasgow,et al.  Worksite smoking control, discouragement, and cessation. , 1993, The International journal of the addictions.

[38]  D M DeJoy,et al.  An integrative perspective on work-site health promotion. , 1993, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[39]  M. Becker,et al.  Sociobehavioral Determinants of Compliance with Health and Medical Care Recommendations , 1975, Medical care.

[40]  Kenneth C. Land,et al.  Testing the health belief model: LISREL analysis of alternative models of causal relationships between health beliefs and preventive dental behaviour , 1986 .