Workplace cessation support is associated with more abstinence in a workplace program in Hong Kong: A mixed-methods...

Area of Science:

• Occupational Health
• Public Health
• Behavioral Science

Background:

• Workplace smoking cessation (SC) support from employers, alongside SC interventions, was examined for its association with smoking abstinence.
• Employee smoking remains a significant public health concern, necessitating effective workplace strategies.

Purpose of the Study:

• To investigate the association between the level of employer support for smoking cessation and smoking abstinence among employees.
• To explore employer perspectives on providing workplace SC support and identify barriers.

Main Methods:

• A cohort of 383 smoking employees in Hong Kong participated in a workplace SC program, receiving health talks, booklets, and text messages.
• Workplace SC support was assessed using 14 types of support, and smoking abstinence was measured at 6-month follow-up. Multivariable logistic regression and thematic analysis of employer interviews were employed.

Main Results:

• Higher levels of workplace SC support were significantly associated with increased smoking abstinence (AOR=1.32). Specific support for smoke-free environments (AOR=1.51) and SC attempts (AOR=1.93) showed strong associations.
• The positive association between workplace SC support and abstinence was consistent across various demographic and company subgroups.
• Employer interviews revealed motivations such as company image and cost-benefit analysis, while lack of SC knowledge emerged as a barrier.

Conclusions:

• Increased workplace smoking cessation support from employers is linked to higher rates of smoking abstinence among employees.
• Workplace SC programs should incorporate comprehensive support strategies, addressing both environmental factors and employee actions.
• Understanding employer perspectives and addressing knowledge gaps are crucial for enhancing the effectiveness of workplace SC initiatives.