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Developing a Worksite-based Culturally Adapted Smoking Cessation Intervention for Male Hispanic/Latino Construction Workers

  • Noella A. Dietz (a1) (a2), Taghrid Asfar (a2), Alberto J. Caban-Martinez (a2) (a3), Kenneth D. Ward (a4), Katerina Santiago (a2), Estefania C. Ruano-Herreria (a2), Laura A. McClure (a3) and David J. Lee (a2) (a3)...

Abstract

Introduction: Over 2.6 million Hispanic/Latino construction workers (CWs) live in the US; 91% of South Florida CWs are Hispanic/Latino. CWs have higher smoking and lower cessation rates than other workers. Limited access to cessation services, worksite turnover, and lack of interventions tailored to culture/occupation hinder cessation. Partnering with worksite food trucks to deliver unique cessation interventions may improve these efforts.

Aims: To explore a novel cessation approach, assess worker/worksite acceptability, and seek input into intervention development.

Methods: In 2016, we conducted five semi-structured focus groups with 37 smoking Hispanic/Latino CWs. Constant comparative analysis was used to examine a priori themes regarding smoking behaviours, cessation treatments, intervention delivery, cultural adaptation, and quit interest.

Results: CWs reported tremendous job stress. Most smoking occurred during the workday and most CWs did not use nicotine replacement therapy with past quit attempts. Most CWs were open to a worksite face-to-face group cessation intervention before work (many underutilize breaks and feel pressure to keep working). CWs felt it unnecessary to tailor the intervention to Hispanics/Latinos indicating smokers are the same regardless of race/ethnicity.

Conclusions: Findings demonstrate the need to consider work environments, job demands/stress, and worker preferences when developing accessible and acceptable cessation interventions.

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Copyright

Corresponding author

Address for correspondence: Noella A. Dietz, PhD, Corporate Director of Research, Broward Health, Voluntary Associate Professor, UM Miller School of Medicine, 1600 S Andrews Avenue, Fort Lauderdale, FL, 33316. Email: Ndietz@browardhealth.org

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