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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Trends of cigarette smoking and smokeless tobacco use among US firefighters and law enforcement personnel, 1992-2019
American journal of industrial medicine, v 65(1), pp 72-77
Jan 2022
PMID: 34766643
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Previous studies indicate tobacco use was more prevalent among firefighters and law enforcement personnel than in the US adult population. Trends of smoking and smokeless tobacco (SLT) use among these first responders are unknown. We examined trends in current smoking and SLT use among US firefighters and law enforcement personnel and compared smoking and SLT use prevalence in firefighters and law enforcement personnel to US adults in non-first-responder occupations.
Trends of smoking and SLT use prevalence among firefighters, law enforcement personnel, and adults in other occupations were assessed by fitting joinpoint regression models using the 1992-2019 Tobacco Use Supplement to the Current Population Survey (TUS-CPS). We used multivariable logistic regression models adjusted for demographics to examine associations between occupation and smoking and SLT use status using the 2018-2019 TUS-CPS data. Analyses were conducted in 2021.
From 1992 to 2019, the smoking prevalence declined overall (all p's < 0.01). Though SLT use prevalence among adults in non-first-responder occupations declined (annual percentage change [APC] = -1.2%; 95% confidence interval [CI] = -1.7% to -0.7%), no changes were shown among firefighters and law enforcement personnel which suggests SLT use may be increasing among firefighters over time. In 2018-2019, firefighters (adjusted odds ratio [AOR] = 3.4; 95% CI = 1.7 to 6.8) and law enforcement personnel (AOR = 3.2; 95% CI = 2.1 to 4.7) were more likely than adults in non-first-responder occupations to use SLT.
While smoking prevalence declined overall, SLT use is higher among firefighters and law enforcement personnel and may be increasing over time among firefighters. Research should examine reasons for SLT use by first responders. Comprehensive tobacco policies and SLT-specific cessation programs are needed for first responders.
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Details
- Title
- Trends of cigarette smoking and smokeless tobacco use among US firefighters and law enforcement personnel, 1992-2019
- Creators
- Lilianna Phan - National Institute on Minority Health and Health DisparitiesTimothy S McNeel - Information Management ServicesBambi Jewett - National Institute on Minority Health and Health DisparitiesKatherine Moose - California Health CollaborativeKelvin Choi - National Institute on Minority Health and Health Disparities
- Publication Details
- American journal of industrial medicine, v 65(1), pp 72-77
- Publisher
- Wiley
- Grant note
- ZIA MD000006 / Intramural NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000717551400001
- Scopus ID
- 2-s2.0-85118934070
- Other Identifier
- 991021894524104721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health