title: Worksite safety climate, smoking, and the use of protective equipment by blue-collar building workers enrolled in the MassBUILT smoking cessation trial.
abstract: OBJECTIVE
  To assess potential contributors to high injury rates and smoking prevalence among construction workers, we investigated the association of safety climate with personal protective equipment use, and smoking behaviors.
  
  
  METHODS
  Logistic regression models estimated risk ratios for personal protective equipment use and smoking using data from participants in MassBUILT smoking cessation intervention (n = 1725).
  
  
  RESULTS
  Contractor safety climate was negatively associated with the use of dust masks (rate ratio [RR], 0.88; 95% confidence interval [CI], 0.83 to 0.94), respirators (RR, 0.82; 95% CI, 0.75 to 0.89), general equipment (RR, 0.98; 95% CI, 0.95 to 1.00), and fall protection (RR, 0.94; 95% CI, 0.91 to 0.98) and positively associated with current smoking (RR, 1.12; 95% CI, 1.01 to 1.25) but not smoking cessation. Coworker safety climate was negatively associated with the use of dust masks (RR, 0.87; 95% CI, 0.82 to 0.92), respirators (RR, 0.80; 95% CI, 0.74 to 0.87), general equipment (RR, 0.96; 95% CI, 0.94 to 0.98), fall (RR, 0.92; 95% CI, 0.89 to 0.96), and hearing protection (RR, 0.88; 95% CI, 0.83 to 0.93) but not smoking.
  
  
  CONCLUSIONS
  Worksite safety climate may be important for personal protective equipment use and smoking, but further research is needed.
authors.affiliation: From the Center for Tobacco Research and Education (Dr Dutra), University of California San Francisco; Department of Epidemiology (Dr Kim), Korea University, Seoul, South Korea; and Department of Social and Behavioral Sciences (Drs Williams, Kawachi, and Okechukwu), Harvard School of Public Health, Boston, Mass.
authors.forename: Lauren M
authors.initials: LM
authors.lastname: Dutra
authors.forename: Seung-Sup
authors.initials: SS
authors.lastname: Kim
authors.forename: David R
authors.initials: DR
authors.lastname: Williams
authors.forename: Ichiro
authors.initials: I
authors.lastname: Kawachi
authors.forename: Cassandra A
authors.initials: CA
authors.lastname: Okechukwu
mesh_terms: D000062:Accidents, Occupational / Q000517:prevention & control* / Q000706:statistics & numerical data*; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D016272:Occupational Health; D015279:Organizational Culture; D015995:Prevalence; D011482:Protective Devices / Q000706:statistics & numerical data*; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation; D011795:Surveys and Questionnaires