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Examining Workplace Policies and Practices: Opportunities for Intervention

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Examining Workplace Policies and Practices: Opportunities for Intervention Kristin Olsen Minot, M.S., Philadelphia Health Management Corp. Howard Chip Baker ... – PowerPoint PPT presentation

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Title: Examining Workplace Policies and Practices: Opportunities for Intervention


1
Examining Workplace Policies and Practices
Opportunities for Intervention
  • Kristin Olsen Minot, M.S., Philadelphia Health
    Management Corp.
  • Howard Chip Baker, LSW,CAC,CEAP and Jim Wall,
    MS
  • Bucks County Council on Alcoholism and Drug
    Dependence

This project is supported by the Pennsylvania
Department of Health
2
Background
  • Tobacco Free Worksite/ Workforce Initiative
  • Component of Bucks County Tobacco Control Project
    located in Southeastern Region of Pennsylvania
  • Part of statewide comprehensive tobacco use
    prevention and cessation program consistent with
    CDC Best Practices
  • Funds from PA Tobacco Master Settlement Agreement

3
Goal of Worksite Initiative
  • Increase the number of tobacco free worksites and
    workforces in Bucks County

4
Purpose of the Survey
  • The Survey was Designed to
  • Assess the current state of worksite smoking
    policies and practices as a baseline measure for
    initiative
  • Introduce the Tobacco-Free Worksite Initiative to
    business and industry in the county and
  • Provide employers with an easy way to contact the
    program for information and assistance

5
Survey Methodology
  • Survey was conducted by Philadelphia Health
    Management Corporation (PHMC) which is the local
    evaluator for the Bucks County Tobacco Control
    Project (BCTCP)
  • Mail survey of a random sample (n 2000) of Bucks
    County businesses in June 2003.
  • Response rate 20 (n394)
  • Survey topics and questions based on a review of
    the literature.
  • Many questions taken or modified, with
    permission, from previously tested and
    administered worksite smoking surveys

6
Methodology
  • The sample was stratified into five strata based
    on workforce size a random sample was selected
    from each stratum. Worksites with 20 or more
    employees were oversampled to assure an adequate
    sample for analysis.
  • Worksites with fewer than five employees were
    excluded as were restaurants and bars
  • Initial surveys were followed by a follow-up
    postcard three weeks later.
  • Cover letter and survey mailed to a random sample
    of 500 businesses that had not yet returned a
    completed survey.
  • .

7
Description of the Sample
8
Do Employers have Policies about Smoking?
  • The majority of businesses in Bucks County have
    an official smoking policy
  • About one out of ten businesses has no policy
    regarding smoking
  • Large and mid-sized businesses are more likely to
    have an official policy compared to small
    businesses (lt 20 employees)
  • Two out of three businesses are smoke-free

9
Type of Smoking Policy by Workforce Size
10
Smokefree Workplaces by Industry Type
A smokefree workplace is one in which smoking is
prohibited in all indoor areas (public, work, or
non-work) or in company vehicles.
11
Why do Employers Restrict Smoking?
  • Most Common Reasons
  • Health Concerns
  • Cleanliness
  • Fire or Safety Reasons
  • Employee Preference
  • Least Common Reasons
  • Reduce Risk of Legal Action
  • Reduce health insurance and other insurance costs
  • Regulatory or licensing reasons
  • Collective Bargaining Unit

12
Reasons that Employers Restrict Smoking
Reasons Number Percent
Health Concerns 264 75.6
Cleanliness 258 73.8
Fire or Safety Reasons 188 53.9
Employee Preference 173 50.5
Owner sets policy 70 19.9
Increase work productivity 67 19.1
Customer demand 50 14.2
Reduce risk of legal action 37 10.6
Reduce health insurance or other insurance costs 31 8.9
Regulatory of licensing reasons 23 6.6
Collective bargaining unit 6 1.8
Other reasons 35 10.0
Smoking is not restricted at all 2 0.6
Respondents were asked to check ALL reasons
percentages, therefore, total to more than 100.
13
Reasons that Employers Restrict Smoking by
Workforce Size
Respondents were asked to check ALL reasons
percentages, therefore, total to more than 100.
14
Do Employers Help Their Employees to Quit Smoking?
  • The majority of employers have not taken steps to
    encourage their employees to quit smoking
  • Fewer than one out of seven employers (13.1)
    provide health insurance which includes coverage
    for smoking cessation
  • Only 7.0 of employers have distributed smoking
    cessation materials
  • Fewer than 5 of employers have sponsored a
    smoking cessation program within the company or
  • Allowed their employees to attend a program
    during working hours

15
Employers Efforts to Encourage Employee Smoking
Cessation by Workforce Size
Respondents were asked to check ALL efforts to
encourage their employees to stop smoking
percentages, therefore, total to more than 100.
16
Recommendations
  • Work with businesses to further restrict indoor
    smoking, limit outdoor smoking and smoking in
    company vehicles.
  • Educate employers about productivity,health and
    legal consequences of allowing smoking in the
    workplace.
  • Help employers in providing their employees with
    information about the dangers of tobacco use and
    resources to stop smoking.
  • Tailor all worksite-related activities to meet
    the expressed needs of business.

17
Next Steps
  • Initiative developed worksite partners from
    survey respondents, Chambers of Commerce,
    Professional Organizations
  • Established 3-Tier system to recognize and award
    companies for advancing tobacco free worksites
    and workforces
  • Used partners own circle of influence to expand
    program reach
  • Provided training and motivational presentations
    to employers re internal and external factors
    related to creating and maintaining tobacco free
    worksites/workforces
  • Plan to expand tobacco free living options
    coaching through small group presentations onsite
    at area workplaces

18
Lessons Learned
  • Dont try to tell employers what to do
  • Employers participate when they see that their
    interests are being achieved
  • Company leadership needs information and
    direction on ways to restrict/prohibit smoking
  • Employees who are contemplating or planning to
    quit need coaching on options for quitting
  • A successful tobacco free worksite initiative
    takes planning, effort and TIME

19
For Additional Information
  • For additional information about the Bucks County
    Worksite Tobacco Survey or the Tobacco Free
    Worksite Initiative, contact
  • Kristin Minot, M.S.
  • Philadelphia Health Management Corporation
  • 215-985-2519 or kristin_at_PHMC.org

20
Notes on Methodology
  • Many questions on the survey were taken or
    modified, with permission from previous surveys
    developed and administered by The Clearwater
    Research Group, The University of Wisconsin and
    the University of Arizona
  • The sample was stratified into five strata based
    on workforce size businesses with 1) 5-19
    employees 2) 20-99 employees 3) 100-499
    employees 4) 500 employees and 5) unknown.A
    weight was applied to the data to adjust for the
    oversampling of larger businesses.
  • The three categories of business/industry type
    (production, service, sales) were based on
    Standard Industrial Classification (SIC) Codes.

21
Notes
  • Restaurants and bars were surveyed separately
    through a special tobacco smoke pollution
    initiative of the Bucks County Tobacco Control
    project.
  • Worksites with fewer than five employees were not
    included in the sample, as most of the questions
    regarding policy issues were inappropriate for
    these businesses
  • The initial survey was mailed in June 2003, a
    follow-up postcard was sent three weeks later.
    Three weeks following this, the cover letter and
    survey were mailed a second time to a random
    sample of 500 businesses that had not yet
    returned a completed survey.
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