Turkish Thoracic Journal
Original Article

The Effect of Working in a Smoke-Free Workplace on use of Smoking and Smokeless Tobacco


Department of Chest Disease, Kahramanmaraş Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey


Department of Family Medicine, Kahramanmaraş Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey


Department of Chest Disease, Ondokuz Mayıs University School of Medicine, Samsun, Turkey

Turk Thorac J 2017; 18: 14-18
DOI: 10.5152/TurkThoracJ.2017.16023
Read: 1037 Downloads: 618 Published: 18 July 2019


OBJECTIVES: The aim of this study was to evaluate whether smokeless tobacco (Maras powder) use increased among smokers working at smoke-free workplaces or not.


MATERIAL AND METHODS: In Kahramanmaraş city, 242 male workers who were current or former smokers, working at strictly smoke-free workplaces were included in this study. A total of 21 questions, including the Fagerstrom Test for Nicotine Dependence, were asked.


RESULTS: All the participants were male with a mean age of 29.33±6.66 years, and the age range was 17-55 years. Current smokers were 90 (37.2%) and former smokers were 152 (62.8%). Former smokers were asked the reason why they quit smoking; the predominant reasons were the health hazards of smoking and the financial burden of cigarettes. The quitting rate was significantly higher among married participants (p=0.023). Maras powder users were 184 (76%), users who never smoked were 54 (22.3%), and former users were 4 (1.7%). We asked the Maras powder users if they had been using it before the smoking bans, and 96 workers (51.1%) answered “no.” The question “Did the use of Maras powder increase with smoking bans”? was asked, and 118 workers (62.8%) answered “yes.” The level of education among Maras powder users was significantly lower than non-users (p=0.001).


CONCLUSION: Working in smoke-free workplaces is associated with increased rates of quitting smoking and also with increased use of Maras powder, a local form of oral smokeless tobacco.

EISSN 2149-2530