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PUBLIC HEALTH MATTERS |
The authors are with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Mass. Glorian Sorensen, Elizabeth Barbeau, and Karen Emmons are also with the Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Mass.
Correspondence: Requests for reprints should be sent to Glorian Sorensen, PhD, MPH, Dana-Farber Cancer Institute, 44 Binney St, Room SM258, Boston MA 02115 (e-mail: glorian_sorensen{at}dfci.harvard.edu).
In the United States in 1997, the smoking prevalence among blue-collar workers was nearly double that among white-collar workers, underscoring the need for new approaches to reduce social disparities in tobacco use. These inequalities reflect larger structural forces that shape the social context of workers’ lives.
Drawing from a range of social and behavioral theories and lessons from social epidemiology, we articulate a social-contextual model for understanding ways in which socioeconomic position, particularly occupation, influences smoking patterns. We present applications of this model to worksite-based smoking cessation interventions among blue-collar workers and provide empirical support for this model. We also propose avenues for future research guided by this model.
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