title: Substance abuse treatment counselors and tobacco use: a comparison of comprehensive and indoor-only workplace smoking bans.
abstract: BACKGROUND
  While indoor smoking bans reduce employee tobacco use, less is known about whether comprehensive bans, which prohibit smoking in both indoor and outdoor areas, are associated with lower rates of tobacco use than indoor-only bans.
  
  
  METHODS
  This study integrated data collected via mailed surveys from 1,910 substance abuse treatment counselors and telephone interviews with 417 administrators of substance abuse treatment organizations. Multinomial logistic regression was used to estimate the associations between counselors' self-reported tobacco use and administrators' reports about organizational smoking bans while controlling for counselors' professional and demographic characteristics.
  
  
  RESULTS
  In this sample, 20.3% of counselors were current tobacco users, 47.7% identified as former users, and 32.0% reported never using tobacco products. Only 19.5% of counselors worked in a treatment organization that had a comprehensive smoking ban. The likelihood of being a current tobacco user, compared with being a former user or nonuser, was significantly lower for counselors in organizations with comprehensive bans even after controlling for professional and demographic characteristics.
  
  
  CONCLUSIONS
  Although relatively few substance abuse counselors worked in treatment organizations with comprehensive bans, such bans may represent a promising direction for tobacco control. Given recent research documenting how tobacco use is negatively associated with the delivery of smoking cessation services by health care workers, additional research on the impact of comprehensive environmental tobacco policies is needed.
authors.affiliation: Department of Behavioral Science, University of Kentucky, 109 Medical Behavioral Science Bldg, Lexington, KY 40536-0086, USA. hannah.knudsen@uky.edu
authors.forename: Hannah K
authors.initials: HK
authors.lastname: Knudsen
authors.forename: Sara E
authors.initials: SE
authors.lastname: Boyd
authors.forename: Jamie L
authors.initials: JL
authors.lastname: Studts
mesh_terms: D000328:Adult; D016902:Air Pollution, Indoor / Q000331:legislation & jurisprudence / Q000517:prevention & control*; D001294:Attitude to Health; D003376:Counseling / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012047:Rehabilitation Centers / Q000458:organization & administration; D012907:Smoking / Q000331:legislation & jurisprudence; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D013808:Therapeutic Community; D014028:Tobacco Smoke Pollution / Q000331:legislation & jurisprudence / Q000517:prevention & control*; D014029:Tobacco Use Disorder / Q000534:rehabilitation; D014481:United States; D017132:Workplace / Q000458:organization & administration*
chemical_list: D014028:Tobacco Smoke Pollution
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