title: Influence of a tobacco-free hospital campus policy on smoking status of hospital employees.
abstract: OBJECTIVE
  To examine the influence of a tobacco-free hospital campus (TFHC) policy on employee smoking behavior.
  
  
  METHODS
  Questionnaires immediately prior to, 6 months after, and 1 year after implementation of a TFHC policy.
  
  
  METHODS
  University-affiliated hospital system.
  
  
  METHODS
  A cohort of smokers and recent quitters.
  
  
  METHODS
  Smoking status, quit attempts, influence of TFHC policy.
  
  
  METHODS
  Descriptive.
  
  
  RESULTS
  From 2024 employees who responded to an initial online survey prior to implementation of a TFHC policy, 307 respondents reported either current smoking or quitting smoking within the past 6 months. Of these, 210 (68%) agreed to follow-up surveys at 6 and 12 months post-policy implementation. At each of the three times, between 15% and 18.5% of the cohort reported not smoking, with at least 48% of those not smoking reporting 6 to 12 months continuous abstinence. Sixty percent or more of those who reported quit attempts or not smoking indicated that the TFHC policy was influential in their efforts.
  
  
  CONCLUSIONS
  A TFHC policy may lead to increased employee smoking quit attempts and successful cessation. Health care facilities should broaden smoking restrictions to include the entire workplace campus, not only to reduce exposure to environmental tobacco smoke, but also to increase tobacco cessation.
authors.affiliation: University of North Carolina at Chapel Hill, 27599-7595, USA.
authors.forename: Carol
authors.initials: C
authors.lastname: Ripley-Moffitt
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Viera
authors.forename: Adam O
authors.initials: AO
authors.lastname: Goldstein
authors.forename: Julea B
authors.initials: JB
authors.lastname: Steiner
authors.forename: Kathryn D
authors.initials: KD
authors.lastname: Kramer
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D008297:Male; D016272:Occupational Health; D016134:Organizational Policy; D010564:Personnel, Hospital; D012309:Risk-Taking; D016540:Smoking Cessation / Q000379:methods*; D040241:Social Marketing; D011795:Surveys and Questionnaires; D014481:United States; D017132:Workplace; D014026:Nicotiana