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Elizabeth M. Barbeau, ScD, MPH, Yi Li, PhD, Glorian Sorensen, PhD, MPH, Kathleen M. Conlan, MS, Richard Youngstrom, MS, CIH, CSP and Karen Emmons, PhD

Elizabeth M. Barbeau, Glorian Sorensen, and Karen Emmons are with the Department of Adult Oncology, Dana–Farber Cancer Institute, and the Department of Health and Social Behavior, Harvard School of Public Health, Boston, Mass. Yi Li is with the Department of Biostatistical Sciences, Dana–Farber Cancer Institute, and the Department of Biostatistics, Harvard School of Public Health, Boston, Mass. Kathleen M. Conlan is with the Laborers' Health and Safety Fund of North America, Washington, DC. Richard Youngstrom is with the Department of Adult Oncology, Dana–Farber Cancer Institute, Boston, Mass.

Correspondence: Requests for reprints should be sent to Elizabeth M. Barbeau, ScD, MPH, Population Sciences, Dana-Farber Cancer Institute, 44 Binney St, Boston, MA 02115 (e-mail: elizabeth_barbeau{at}dfci.harvard.edu).

Objectives. This study determined the level of insurance coverage for smoking cessation treatment and factors associated with coverage among health and welfare funds affiliated with a large labor union.

Methods. A self-administered written survey was mailed to fund and union officials. Analyses were conducted by ² tests.

Results. Twenty-nine percent of funds provided coverage for some type of smoking cessation treatment, with the odds of coverage significantly increased among funds whose administrators reported having received members' requests for smoking cessation treatment in the past year (odds ratio = 4.9, P = .05).

Conclusions. Coverage for smoking cessation services is low, comparable to coverage offered by other health insurers. Interventions with union members and fund officials are needed to provide union members with access to affordable and effective smoking cessation treatments.

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