This article was presented as a poster presentation at the 2013 Society for Research of Nicotine and Tobacco Annual Meeting, Boston, MA.
Populations at Risk Across the Lifespan: Population Studies
Factors Associated with Smokeless Tobacco Use and Dual Use among Blue Collar Workers
Article first published online: 25 NOV 2013
© 2013 Wiley Periodicals, Inc.
Public Health Nursing
Volume 31, Issue 1, pages 19–27, January/February 2014
How to Cite
Noonan, D. and Duffy, S. A. (2014), Factors Associated with Smokeless Tobacco Use and Dual Use among Blue Collar Workers. Public Health Nursing, 31: 19–27. doi: 10.1111/phn.12095
- Issue published online: 6 JAN 2014
- Article first published online: 25 NOV 2013
- National Institute of Nursing Research. Grant Number: NINR-5T32NR007073-19
- blue collar workers;
- substance use;
To examine demographic and substance use factors associated with exclusive smokeless tobacco use (SLT) and dual use of both cigarettes and SLT among blue-collar workers.
Design and Sample
This cross-sectional study used data from the United States 2009 National Survey on Drug Use and Health. The sample (n = 5,392) was restricted to respondents who were classified as blue collar workers by self-report primary job title.
Various demographic variables, tobacco use and other substance use variables were examined.
Respondents in this blue collar sample were 87% male and 64% Non-Hispanic White. An estimated 9.5% (SE = 0.6) of respondents were current SLT users; 5.3% (SE = 0.4) were current exclusive SLT users, and 4.2% (SE = 0.4) were current dual users of both SLT and cigarettes. Factors related to exclusive SLT use were gender, marital status, age, race/ethnicity, type of blue-collar occupation, current binge drinking, and current marijuana use. Significant factors related to dual use were gender, marital status, age, race/ethnicity, type of blue-collar occupation, current cigar smoking, current binge drinking, and current illicit drug use.
Rates of SLT use and dual use are high among U.S. blue-collar workers, indicating a need for targeted, workplace cessation interventions. These interventions may also serve as a gateway for addressing other substance use behaviors in this population.