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Reducing Social Disparities in Tobacco Use: A Social-Contextual Model for Reducing Tobacco Use among Blue-Collar Workers

Author

Listed:
  • Sorensen, G.
  • Barbeau, E.
  • Hunt, M.K.
  • Emmons, K.

Abstract

In the United States in 1997, the smoking prevalence among blue-collar workers was nearly double that among white-collar workers, underscoring the need for new approaches to reduce social disparities in tobacco use. These inequalities reflect larger structural forces that shape the social context of workers' lives. Drawing from a range of social and behavioral theories and lessons from social epidemiology, we articulate a social-contextual model for understanding ways in which socioeconomic position, particularly occupation, influences smoking patterns. We present applications of this model to worksite-based smoking cessation interventions among blue-collar workers and provide empirical support for this model. We also propose avenues for future research guided by this model.

Suggested Citation

  • Sorensen, G. & Barbeau, E. & Hunt, M.K. & Emmons, K., 2004. "Reducing Social Disparities in Tobacco Use: A Social-Contextual Model for Reducing Tobacco Use among Blue-Collar Workers," American Journal of Public Health, American Public Health Association, vol. 94(2), pages 230-239.
    • Handle: RePEc:aph:ajpbhl:2004:94:2:230-239_5
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    Cited by:

    1. Weden, Margaret M & Astone, Nan M & Bishai, David, 2006. "Racial, ethnic, and gender differences in smoking cessation associated with employment and joblessness through young adulthood in the US," Social Science & Medicine, Elsevier, vol. 62(2), pages 303-316, January.
    2. David C. Wheeler & Elizabeth K. Do & Rashelle B. Hayes & Kendall Fugate-Laus & Westley L. Fallavollita & Colleen Hughes & Bernard F. Fuemmeler, 2020. "Neighborhood Disadvantage and Tobacco Retail Outlet and Vape Shop Outlet Rates," IJERPH, MDPI, vol. 17(8), pages 1-12, April.
    3. Monica Galizzi & Tommaso Tempesti, 2015. "Workers’ Risk Tolerance and Occupational Injuries," Risk Analysis, John Wiley & Sons, vol. 35(10), pages 1858-1875, October.
    4. Jamie E. Collins & Leslie I. Boden & Daniel A. Gundersen & Jeffrey N. Katz & Gregory R. Wagner & Glorian Sorensen & Jessica A. R. Williams, 2021. "Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    5. Jason Boardman & Casey Blalock & Fred Pampel & Peter Hatemi & Andrew Heath & Lindon Eaves, 2011. "Population Composition, Public Policy, and the Genetics of Smoking," Demography, Springer;Population Association of America (PAA), vol. 48(4), pages 1517-1533, November.
    6. Nihaya Daoud & Ye Eun Jung & Ahmad Sheikh Muhammad & Ruth Weinstein & Amir Qaadny & Faten Ghattas & Mohammad Khatib & Itamar Grotto, 2018. "Facilitators and barriers to smoking cessation among minority men using the behavioral-ecological model and Behavior Change Wheel: A concept mapping study," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-26, October.
    7. Eve M. Nagler & Elisabeth A. Stelson & Melissa Karapanos & Lisa Burke & Lorraine M. Wallace & Susan E. Peters & Karina Nielsen & Glorian Sorensen, 2021. "Using Total Worker Health ® Implementation Guidelines to Design an Organizational Intervention for Low-Wage Food Service Workers: The Workplace Organizational Health Study," IJERPH, MDPI, vol. 18(17), pages 1-18, September.
    8. Cinzi Di Novi & Rowena Jacobs & Matteo Migheli, 2018. "Smoking Inequality across Genders and Socio-economic Classes. Evidence from Longitudinal Italian Data," DEM Working Papers Series 152, University of Pavia, Department of Economics and Management.
    9. Heather L. White & Patricia O'Campo & Rahim Moineddin & Flora I. Matheson, 2013. "Modeling the Cumulative Effects of Social Exposures on Health: Moving beyond Disease-Specific Models," IJERPH, MDPI, vol. 10(4), pages 1-16, March.
    10. Neneh Rowa-Dewar & Amanda Amos, 2016. "Disadvantaged Parents’ Engagement with a National Secondhand Smoke in the Home Mass Media Campaign: A Qualitative Study," IJERPH, MDPI, vol. 13(9), pages 1-11, September.
    11. Factor, Roni & Kawachi, Ichiro & Williams, David R., 2011. "Understanding high-risk behavior among non-dominant minorities: A social resistance framework," Social Science & Medicine, Elsevier, vol. 73(9), pages 1292-1301.
    12. Nykiforuk, Candace & Campbell, Sharon & Cameron, Roy & Brown, Stephen & Eyles, John, 2007. "Relationships between community characteristics and municipal smoke-free bylaw status and strength," Health Policy, Elsevier, vol. 80(2), pages 358-368, February.
    13. Glorian Sorensen & Susan Peters & Karina Nielsen & Eve Nagler & Melissa Karapanos & Lorraine Wallace & Lisa Burke & Jack T. Dennerlein & Gregory R. Wagner, 2019. "Improving Working Conditions to Promote Worker Safety, Health, and Wellbeing for Low-Wage Workers: The Workplace Organizational Health Study," IJERPH, MDPI, vol. 16(8), pages 1-16, April.
    14. Cinzia Novi & Rowena Jacobs & Matteo Migheli, 2020. "Smoking inequality across genders and socio-economic positions. Evidence from Italian data," Journal of Bioeconomics, Springer, vol. 22(3), pages 177-203, October.
    15. Thirlway, Frances, 2016. "Everyday tactics in local moral worlds: E-cigarette practices in a working-class area of the UK," Social Science & Medicine, Elsevier, vol. 170(C), pages 106-113.
    16. Corinne Reczek & Hui Liu & Dustin Brown, 2014. "Cigarette Smoking in Same-Sex and Different-Sex Unions: The Role of Socioeconomic and Psychological Factors," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(4), pages 527-551, August.
    17. Niederdeppe, Jeff & Kuang, Xiaodong & Crock, Brittney & Skelton, Ashley, 2008. "Media campaigns to promote smoking cessation among socioeconomically disadvantaged populations: What do we know, what do we need to learn, and what should we do now?," Social Science & Medicine, Elsevier, vol. 67(9), pages 1343-1355, November.

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