Tobacco product use among workers in the construction industry, United States, 2014-2016

Background: Although cigarette smoking has declined among U.S. workers, smoking remains high among construction workers. This study assessed tobacco product use among U.S. construction workers. Methods: The 2014-2016 National Health Interview Survey data for U.S. working adults were analyzed. Results: Of the 10.2 (6.3% of working adults) million construction workers, 35.1% used any tobacco product; 24.4% were cigarette smokers, 8.3% were cigar, cigarillo, pipe or hookah smokers, 7.8% were smokeless tobacco users, 4.4% were e-cigarette users, and 7.6% used >= 2 tobacco product users. Tobacco use varied by worker characteristics, with highest tobacco use (>35%) among those reporting 5 years on the job, temporary work status, job insecurity, or an unsafe workplace. Construction workers had higher odds of tobacco product use than non-construction workers. Conclusions: Over one-third of U.S. construction workers use tobacco products and disparities exist across sub-groups. Workplace tobacco control strategies could reduce tobacco use among this population.