The 13th World Conference on Tobacco OR Health

Objective: To examine knowledge, attitudes and experiences of casino workers regarding exposure to second hand smoke in the workplace.

Methods: A postal survey questionnaire of 1568 London casino workers, followed by 14 in-depth interviews.

Results: The postal survey achieved a 36% response rate following two mailings and several reminders. Self-reported exposure to second hand smoke was high, with 71% of workers heavily exposed nearly all of the time at work. The majority wanted smoking to be banned in all working areas (65%), with only 1% favouring the current policy of smoking throughout casinos. Workers expressed concerns about possible health effects, and reported higher levels of sensory and respiratory irritation symptoms than bar workers. A majority of casino workers who smoke at work believe that they would try to quit if casinos went smoke-free. Workers reported having smoke blown in their face by customers when losing. Their employers also now ask them to sign disclaimers that they are willing to work in a smoky environment. The findings strengthen the case for comprehensive smoke-free legislation across all workplaces.