54Accesses
10Citations
Abstract
This study describes the smoking patterns of 3528 construction workers as reported at occupational health examinations, in four occupational health centres located in the South of Germany, conducted between August 1986 and December 1988. Subjects were aged 20 to 59 years and were working as plumbers, carpenters, painters or varnishers, plasterers, bricklayers, unskilled workers or white collar employees. Overall smoking prevalence was 53.5%. It was considerably higher than in a representative population sample of the same age groups. Active follow up was carried out to ascertain vital status between October 1992 and July 1994. The effect of smoking on all cause mortality was assessed using the cox proportional hazard model. The relative risk of current smoking was 2.5 (95% CI 1.4–4.4) after adjustment for age, profession, self reported alcohol consumption, body mass index, nationality, and company size. 60% of the deaths among smokers and 34% of deaths in the whole cohort were attributable to smoking. These findings underline the need for comprehensive efforts to reduce smoking and its negative consequences in this occupational group.
This is a preview of subscription content,log in via an institution to check access.
Access this article
Subscribe and save
- Starting from 10 chapters or articles per month
- Access and download chapters and articles from more than 300k books and 2,500 journals
- Cancel anytime
Buy Now
Price includes VAT (Japan)
Instant access to the full article PDF.
Similar content being viewed by others
Explore related subjects
Discover the latest articles, books and news in related subjects, suggested using machine learning.References
Doll R, Hill AB. Study of the aetiology of carcinoma of the lung. Br Med J 1952; ii: 1271–1286.
Surgeon General of the United States. The health consequences of smoking: Cancer. US Department of Health and Human Services 1982.
Doll R, Hill AB. Mortality in relation to smoking: Ten-year observation of British doctors. Br Med J 1964; i: 1399–1410, 1460–1467.
Doll R, Hill AB. Lung cancer and other causes of death in relation to smoking: Second report on mortality of British doctors. Br Med J 1965; ii: 1071–1081.
Doll R, Peto R. Mortality in relation to smoking: 20 years' observation on male British doctors. Br Med J 1976; ii: 1525–1536.
McBride PE. The health consequences of smoking. Cardiovascular diseases. Med Clin North America 1992; 76: 333–353.
Assmann G, Schulte H. Ergebnisse und Folgerungen aus der Prospektiven Cardiovaskulären Münster (PROCAM)-Studie. In: Assmann G (ed), Fettstoffwechselstörungen und koronare Herzkrankheit. München: 1988, 97–131.
West RR. Smoking: Its influence on survival and causes of death. J R Coll Physicians Lond 1992; 26(4): 357–366.
Daten des Gesundheitswesens (Ed): Der Bundesminister für Gesundheit. Baden-Baden: Nomos Verl.-Ges., 1993.
Dong W, Vaughan P, Sullivan K, Fletcher T. Mortality study of construction workers in the UK. Int J Epidemiol 1995; 24: 750–757.
Cox DR. Regression models and life tables. J Roy Statist Soc B 1972; 34: 187–220.
SAS Institute Inc., Cary, NC. USA Release 6.07, 1991.
Härtel U, Stieber J, Keil U. Social relations and smoking behavior: Results from the first MONICA survey Augsburg. Soz Präventivmed 1988; 33: 7–31.
Helmert U, Shea S, Maschewsky-Schneider U. Social class and cardiovascular disease risk factor changes in West Germany 1984–1991. Eur J Pub Health 1995; 5: 103–108.
Arbeitsgemeinschaft der Bau-Berufsgenossenschaften (ed). Ergebnis einer Befragung von Beschäftigten der Bauwirtschaft. Pilotstudie 1, Frankfurt 1979.
Hammond EC, Horn D. Smoking and death rates-report on forty-four months of follow-up of 187,783 men. JAMA 1958; 166(10): 1159–1172.
Carstensen JM, Pershagen G, Eklund G. Mortality in relation to cigarette and pipe smoking: 16 years' observation of 25,000 Swedish men. J Epidemiol Community Health 1987; 41: 166–172.
Office of Population Censuses and Surveys. Occupational mortality 1970–72 England and Wales. Her Majesty's Stationary Office, London 1978.
Mielck A. Worksite smoking cessation programs: Need in West Germany and recommendations for evaluation. Soz Präventivmed 1990; 35: 125–128.
Russell MAH, Wilson C, Taylor C, Baker CD. Effect of general practitioners' advice against smoking. Br Med J 1979; 2: 231–235.
Brenner H, Mielck A. Einschränkungen des Rauchens am Arbeitsplatz und Rauchgewohnheiten: Ein Literaturreview. Soz Präventivmed 1992; 37: 162–167.
Brenner H, Fleischle B. Smoking regulations at the workplace and smoking behavior: A study from Southern Germany. Prev Med 1994; 23: 230–234.
Brenner H, Fleischle B. Social acceptance of smoking regulations in the workplace. Eur J Pub Health 1994; 4(1): 17–21.
Author information
Authors and Affiliations
Department of Epidemiology, University of Ulm, Boeblingen, Germany
D. Rothenbacher & H. Brenner
Institute of Occupational and Social Medicine, University of Ulm, Ulm, Germany
V. Arndt, E. Fraisse & T. M. Fliedner
Occupational Health Service of the Workmen's Board for Construction Workers Wuerttemberg, Boeblingen, Germany
B. Zschenderlein
- D. Rothenbacher
Search author on:PubMed Google Scholar
- H. Brenner
Search author on:PubMed Google Scholar
- V. Arndt
Search author on:PubMed Google Scholar
- E. Fraisse
Search author on:PubMed Google Scholar
- B. Zschenderlein
Search author on:PubMed Google Scholar
- T. M. Fliedner
Search author on:PubMed Google Scholar
Corresponding author
Correspondence toD. Rothenbacher.
Rights and permissions
About this article
Cite this article
Rothenbacher, D., Brenner, H., Arndt, V.et al. Smoking patterns and mortality attributable to smoking in a cohort of 3528 construction workers.Eur J Epidemiol12, 335–340 (1996). https://doi.org/10.1007/BF00145295
Accepted:
Issue date:
Share this article
Anyone you share the following link with will be able to read this content:
Sorry, a shareable link is not currently available for this article.
Provided by the Springer Nature SharedIt content-sharing initiative


