DOUBLE JEOPARDY - WORKPLACE HAZARDS AND BEHAVIORAL RISKS FOR CRAFTSPERSONS AND LABORERS

Purpose. To address three specific questions in a sample of craftspers ons and laborers: (1) Do craftspersons and laborers exposed to workpla ce hazards have higher behavioral risks, such as smoking and high-fat diets, than those with few job risks? (2) Compared to workers with few job risks, do workers exposed to risks on the job have higher intenti ons to reduce their behavioral risks? (3) Does concern about the level of exposure to risks on the job increase workers' intentions to reduc e behavioral risks? Design. A cross-sectional self-administered survey was conducted in participating worksites. Setting. Twenty-two predomi nantly manufacturing worksites in Massachusetts. Subjects. Craftsperso ns and laborers responding to the survey and employed in these 22 work sites (completion rate = 61%, N = 1841). Measures. By using standardiz ed items, this survey measured self-reported exposure to workplace haz ards, concern about job exposures, smoking status, fat and fiber intak e, readiness to quit smoking, plans to reduce fat intake, plans to eat more fruits and vegetables, and sociodemographic variables. Results. Workers reporting exposure to chemical hazards on the job were signifi cantly more likely to be smokers than were unexposed workers, even whe n results were controlled for gender. Compared with unexposed workers, smokers exposed to chemical hazards were significantly more likely to be thinking of quitting or taking action to quit, when results were c ontrolled for gender, race, and education. Among workers exposed to oc cupational chemical hazards, concern about this exposure was significa ntly associated with intentions to decrease fat intake and increase fr uit and vegetable intake, and, among men, intentions to quit smoking. Conclusions. Efforts aimed at integrating health promotion and health protection are needed to address simultaneously the job risks and pers onal risks these workers face.