Affinity Occupational Health

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Affinity Occupational Health
Brian D. Harrison MDDirector of Health and
Productivity Management Occupational Medicine
Specialist Sept. 23, 2009
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• What Can Employers Doabout
• Crews that Chew?

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Help the whole population with cultural
strategies of

• Evaluation
• Intervention
• Education
• Prevention
• But not individually

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• Evaluation of the Work Organization
• Statistical
• Health Risk Appraisal
• Other survey tool
• Cultural

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White Collar Low Prevalence of tobacco use,
especially smokeless/spit
Company type Group Size Smokeless Tobacco Users Smoked Tobacco Users Dual Users Population Tobacco Prevalence
Direct Sales 253 1 (0.4) 38 (15) 0 15.4
Direct Sales 437 3 (0.7) 58 (13.2) 0 13.9
Insurance 472 1 (0.2) 33 (7) 0 7.2
Insurance 128 0 (0) 10 (7.8) 0 7.8
All of the above groups are urban, predominantly
female, and centralized
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Blue Collar (manufacturing) Slightly Higher
Prevalence of smokeless/spit tobacco
Company type Group size Smokeless Tobacco Users Smoked Tobacco Users Dual Users Population Tobacco Prevalence
Manufacturing 1272 20 (1.6) 80 (6.3) 6 (0.4) 7.9
Manufacturing 433 11 (2.5) 97 (22) 0 24.5
The above groups are urban/town, male
predominant, and centralized
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Blue Collar (construction) Higher Prevalence
of any tobacco use, especially spit
Company type Group Size Smokeless Tobacco Users Smoked Tobacco Users Dual Users Population Tobacco Prevalence
Construction 282 12 (4.4) 24 (8.5) 3 (1) 12.9
Construction 80 2 (2.5) 21 (26) 0 28.5
Construction 1011 47 (4.6) 97 (9.6) 11 (1) 14.2
The above groups are urban and rural, male
predominant, and decentralized
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Mixed Collar Intermediate Prevalence of any
tobacco, and smokeless/spit tobacco
Company type Group size Smokeless Tobacco Users Smoked Tobacco Users Dual Users Population Tobacco Prevalence
Government 340 5 (1.5) 24 (7) 4 (1.2) 8.5
Passenger Transport 248 4 (1.6) 33 (13) 0 14.6
The above groups are urban/town, gender balanced,
and centralized
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Mixed Collar Intermediate Prevalence
Company type Group Size Smokeless Tobacco Users Smoked Tobacco Users Dual Users Population Tobacco Prevalence
Health Care (Extended) 130 5 (3.8) 22 (17) 0 20.8
Health Care (Extended) 68 3 (4) 10 (14.7) 0 18.7
Health Care (System) 1371 0 (0) 116 (8.5) 0 8.5
Health Care System Spouses 68 0 (0) 3 (4.3) 0 4.3
Above are urban, female predominant, and
centralized
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Evaluation of non-Urban, Male Predominant,
Decentralized, Construction Service Company
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Evaluation of Construction Service Company
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Evaluation of Construction Service Company
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Evaluation of Construction Service Company
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Evaluation of Construction Service Company
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Evaluation of Construction Service Company
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Evaluation of Construction Service Company
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Evaluation of Construction Service Company
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Whats your Companys Tobacco Culture?

• Tobacco use is normal and OK
• Its a personal right, an individual choice
• Its cool and sophisticated and shows independent
  thinking
• All things in moderation. The best of both
  worlds is to use tobacco now and then
• Its a normal part of growing up and is a rite of
  passage

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• Everybody dies anyway, might as well die doing
  something you enjoy
• Enjoy life while you can
• Smokers are more social. Tobacco helps
  socializing, recreation, work breaks, and
  enjoying life in general
• Manly men chew.
• Its American. We smoke in Wisconsin
• Tobacco is part of some peoples identity. Its
  part of who I am!
• Taxes paid by tobacco users support society

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All of these are cultural myths
All of these myths come from Corporate Tobacco

• All are contrary to best interests of you, your
  employees, and your work organization

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Reality-based Corporate Culture

• Every member of this organization is an important
  and valuable human being. There are no
  disposable people
• Ours is a healthy work organization, committed to
  the safety, health, and well being of each of us
  individually and all of us together
• Tobacco use is an unhealthy addiction, promoted
  by those who stand to gain financially from it
• Every tobacco user in our organization is a
  valued and honored member, whom we all support.
  And, we will assist them when and if they choose
  to free themselves from tobacco

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• Every ex-tobacco user in our organization is a
  Tobacco Free Hero, and are essential mentors and
  role models for others.
• Every member of our organization is potentially a
  positive role model at home. No one wants their
  children to become tobacco users. The need to be
  at work, away from home, cannot be allow to
  subtract from that obligation

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Smokeless/Spit Tobacco

• Interventions usual methods dont work well
• On site group
• Telephonic
• Medication
• Hard to implement, even if effective

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• Community Based
• Telephonic
• Electronic
• Group or individual
• Worksite Based
• Combined with Rx
• gt60 have quit smoking at 6 months
• Award Winning!

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Employer-sponsored programs bring joy at least
for cigarette quitters

• Thanks counselors and (employer), could not have
  got this far without you!
• My husband quit too!
• This program was the best thing (employer) has
  ever done for me
• Thank You!!!
• I am now smoke free and the help of (employer)
  did this.
• The most valuable thing is that I am finally
  smoke free. This opportunity came at the perfect
  time for me.
• (Employer) really does care about us.
• I am smoke free!
• I can do this I will do this my life is
  worth more!
• I cant thank (employer) enough for the
  opportunity to go through this progam and change
  my life.
• Thank you for offering this. I feel like I have
  a new lease on life.

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this disgusting and very unhealthy habit. I feel
very lucky that I was able to participate.

• I am very fortunate to work for such a great
  company. I greatly appreciate (employer) for
  giving me this opportunity to finally rid myself
  of

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But rarely true of crews that chew
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• Education
• Less on health effects of smokeless/spit tobacco
  on user
• More on children as targets

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Your Future Employees Targets of Corporate
Tobacco

• 80 of adult smokers start before they enter the
  workforce
• Every day 4,000 children under 18 try their first
  cigarette
• Half will become daily smokers (2,000)
• Half of them wont be able to quit (1,000)
• Half of those will eventually develop a chronic
  smoking related illness (500)
• Employer-purchased health care will pay for most
  of the cost of that illness (64.1, US Census
  2001)

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Q When is Every Employee a Worried Worker?
A At 300 Do you know where your children
are?
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Households in the United States
37 million
28 million
28 million
12 million
Source U.S. Census Bureau, Population Division,
Current Population Survey, 2003 Annual Social and
Economic Supplement http//www.census.gov/populati
on/www/socdemo/hh-fam/cps2003.html
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Labor Status of Parents
66 million
18 million
5 million
9 million
8 million
Source U.S. Census Bureau, Population Division,
Current Population Survey, 2003 Annual Social and
Economic Supplement http//www.census.gov/populati
on/www/socdemo/hh-fam/cps2003.html
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• To transform the culture of tobacco in your
  organization . . .

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First Month Message

• First Months Module KEEP KIDS TOBACCO FREE
• Second Months Module TOBACCO FREE HELPS YOU
  AND ME
• Third Months Module TOBACCO FREE HEROES WORK
  HERE!

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Fact Sheets

• Youth
• Movies and smoking
• The path to smoking addiction
• Tobacco and kids you need to know the truth
• The toll of tobacco in Wisconsin

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Fact Sheets
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Table TentTeens and Tobacco Timeline
Source Wisconsin Department of Public
Instruction "Wisconsin Risk Behavior Survey -
1997" coupled with CDC statistics.
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tobacco use in movies
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Tried Smoking (percent)
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Emails
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Is it coincidence? Or targeted advertising . . .
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KEEPING OUR KIDS SMOKE-FREE A PARENTS GUIDE

• AFFINITY OCCUPATIONAL HEALTH
• Lunch N Learn

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Tobacco Free Hero Wall of Fame
My Tobacco Free Story
My Tobacco Free Story
My Tobacco Free Story
My Tobacco Free Story
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Nancy Macksam
I quit smoking on June 6, 2006, so I could
remember when. I had smoked over 35 yrs since
college. Many of my friends and family had nagged
me for years to quit for my healths sake.
However, I always said I enjoy it, don't have any
problems and don't smoke that much (all the
standard excuses). But when my 3 yr old grandson
asked me one day why I smoke, because of smokers
cough, and then started coughing, I knew it was
time. I threw away my cigarettes and have been
smoke free since. It hasn't been easy especially
at the beginning and even now when I see people
smoking in a bar, etc. But I know its an
addiction and I can't take even one. I feel so
much better and I'm saving my health and money
especially now.
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Lunch Bag Incentive

• Share your smoke free story, inspire others and
  become a Tobacco Free Hero

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SMOKE FREE WORKPLACE LAWTobacco Free Company
Culture

• TFWS

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If Your Company Culture is Ready to Put Flowers
in the Ashcans . . .

• Then put flowers in the spitoons too!

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