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Exploring Multilevel Workplace Tobacco Control Interventions: A Scoping Review.
Reilly Parkinson1, Geneviève Jessiman-Perreault1, Nicole Frenette1
1Alberta Health Services.
Multilevel workplace interventions can reduce tobacco use and health inequities. Addressing social determinants of health and employee characteristics is key for successful tobacco cessation programs.
Area of Science:
- Public Health
- Health Equity
- Workplace Wellness
Background:
- Workplaces offer unique opportunities for multilevel tobacco use interventions.
- The social ecological model (SEM) provides a framework for understanding these interventions.
- A health equity lens is crucial for designing effective workplace tobacco control programs.
Purpose of the Study:
- To synthesize descriptions of multilevel workplace tobacco control programs.
- To develop a health equity-informed framework for intervention planning.
- To explore the application of the social ecological model in workplace tobacco cessation.
Main Methods:
- A scoping review of multiple databases was conducted for articles published between January 2010 and December 2020.
- Inclusion criteria focused on multilevel tobacco cessation interventions targeting at least two levels of influence, including the workplace.
- The McLeroy et al. social ecological model was used to categorize and describe interventions.
Main Results:
- Nine articles met the inclusion criteria.
- Common intervention levels included individual, interpersonal, and institutional.
- Participation varied by social determinants of health (SDOHs); cost and sustainability were barriers, while leadership and accessibility were facilitators.
Conclusions:
- Multilevel interventions addressing SDOHs can reduce health inequities by influencing individual health behaviors.
- Employee characteristics significantly impact intervention success.
- Further research is needed on workplace-specific barriers and facilitators for tobacco cessation.
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