The relationship between workers' self-reported changes in health and their attitudes towards a workplace intervention: lessons from smoke-free legislation across the UK hospitality industry

Laura MacCalman, Sean Semple, Karen S Galea, Martie Van Tongeren, Scott Dempsey, Shona Hilton, Ivan Gee, Jon G Ayres

Research output: Contribution to journalArticle

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Abstract

Background
The evaluation of smoke-free legislation (SFL) in the UK examined the impacts on exposure to second-hand smoke, workers’ attitudes and changes in respiratory health. Studies that investigate changes in the health of groups of people often use self-reported symptoms. Due to the subjective nature it is of interest to determine whether workers’ attitudes towards the change in their working conditions may be linked to the change in health they report.

Methods
Bar workers were recruited before the introduction of the SFL in Scotland and England with the aim of investigating their changes to health, attitudes and exposure as a result of the SFL. They were asked about their attitudes towards SFL and the presence of respiratory and sensory symptoms both before SFL and one year later. Here we examine the possibility of a relationship between initial attitudes and changes in reported symptoms, through the use of regression analyses.

Results
There was no difference in the initial attitudes towards SFL between those working in Scotland and England. Bar workers who were educated to a higher level tended to be more positive towards SFL. Attitude towards SFL was not found to be related to change in reported symptoms for bar workers in England (Respiratory, p = 0.755; Sensory, p = 0.910). In Scotland there was suggestion of a relationship with reporting of respiratory symptoms (p = 0.042), where those who were initially more negative to SFL experienced a greater improvement in self-reported health.

Conclusions
There was no evidence that workers who were more positive towards SFL reported greater improvements in respiratory and sensory symptoms. This may not be the case in all interventions and we recommend examining subjects’ attitudes towards the proposed intervention when evaluating possible health benefits using self-reported methods.
Original languageEnglish
Article number324
Number of pages11
JournalBMC Public Health
Volume12
DOIs
Publication statusPublished - 2 May 2012

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Attitude to Health
Legislation
Smoke
Workplace
Industry
Scotland
England
Health
Tobacco Smoke Pollution
Insurance Benefits
Regression Analysis

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The relationship between workers' self-reported changes in health and their attitudes towards a workplace intervention : lessons from smoke-free legislation across the UK hospitality industry. / MacCalman, Laura; Semple, Sean; Galea, Karen S; Van Tongeren, Martie; Dempsey, Scott; Hilton, Shona; Gee, Ivan; Ayres, Jon G.

In: BMC Public Health, Vol. 12, 324, 02.05.2012.

Research output: Contribution to journalArticle

MacCalman, Laura ; Semple, Sean ; Galea, Karen S ; Van Tongeren, Martie ; Dempsey, Scott ; Hilton, Shona ; Gee, Ivan ; Ayres, Jon G. / The relationship between workers' self-reported changes in health and their attitudes towards a workplace intervention : lessons from smoke-free legislation across the UK hospitality industry. In: BMC Public Health. 2012 ; Vol. 12.
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abstract = "BackgroundThe evaluation of smoke-free legislation (SFL) in the UK examined the impacts on exposure to second-hand smoke, workers’ attitudes and changes in respiratory health. Studies that investigate changes in the health of groups of people often use self-reported symptoms. Due to the subjective nature it is of interest to determine whether workers’ attitudes towards the change in their working conditions may be linked to the change in health they report.MethodsBar workers were recruited before the introduction of the SFL in Scotland and England with the aim of investigating their changes to health, attitudes and exposure as a result of the SFL. They were asked about their attitudes towards SFL and the presence of respiratory and sensory symptoms both before SFL and one year later. Here we examine the possibility of a relationship between initial attitudes and changes in reported symptoms, through the use of regression analyses.ResultsThere was no difference in the initial attitudes towards SFL between those working in Scotland and England. Bar workers who were educated to a higher level tended to be more positive towards SFL. Attitude towards SFL was not found to be related to change in reported symptoms for bar workers in England (Respiratory, p = 0.755; Sensory, p = 0.910). In Scotland there was suggestion of a relationship with reporting of respiratory symptoms (p = 0.042), where those who were initially more negative to SFL experienced a greater improvement in self-reported health.ConclusionsThere was no evidence that workers who were more positive towards SFL reported greater improvements in respiratory and sensory symptoms. This may not be the case in all interventions and we recommend examining subjects’ attitudes towards the proposed intervention when evaluating possible health benefits using self-reported methods.",
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