*° | 75 4 | | 70 4 i | 65 = i | 3 1 | 0. I 55 4 | 50 = _ | — | ‘ i 1941-1950 ! 45 4 1991-1940 gpa 1941-1950 ge : po 3 1951-1960 § 40+ | 5 7 “Y= 1931-1940 I a 35 + 1921-1930 0 4 ! 254 | + 1911-1920 20 ] 951-1960 15+ 10 54 «4 1901-1910 0 +e ' : | 1900 1910 1920 1930 1940 1960 1960 1970 = 1980 Year FIGURE 11.—Changes in the prevalence of cigarette smoking among successive birth cohorts of U.S. women employed in blue-collar occupations, 1900-1978 SOURCE: Data from National Center for Health Statistics, National Health Interview Surveys, 1978-1980 (combined). and for men and women. Among white women and biack men, blue- collar workers are somewhat more likely than others to be heavy smokers. The consumption differences between white workers and black workers are even more pronounced when the percentage of smokers smoking 40 or more cigarettes daily is examined. White men are about four times more likely than black men to smoke 40 or more cigarettes daily, regardless of occupation. Similarly, white women are about three times more likely than black women to smoke more than 40 cigarettes daily, regardless of occupational group. 51 ~ at 1941-1950 iz 1951-1960 Percentage ‘= 1921-1930 ~ 1911-1920 rs “ue 1901-1910 ji) 1951-1960 ji U4 4 | 1900 1910 1920 1930 1940 1950 1960 1970 1980 FIGURE 12.—Changes in the prevalence of cigarette smoking among successive birth cohorts of U.S. women employed in service occupations, 1900-1978 SOURCE: Data from National Center for Health Statistics, National Health Interview Surveys, 1978-1980 (combined). Among women, there are minimal racial or occupational differ- ences in the proportion of current smokers who have attempted to quit smoking. However, blue-collar, service, and not employed black men are somewhat less likely than all other groups to have attempted to quit. Among those who have ever smoked, white-collar male workers are the most likely to have quit smoking. Blue-collar and service workers generally have lower quit rates than white- collar workers, and this pattern holds true for white men and black men and white women. Black women have low quit rates regardless of occupational category. Additionally, black male blue-collar work- 52 TABLE 16.—Estimates of occupational distribution by sex and race, aged 20 to 64 years, United States, 1978-1980 Men (percentage) Women (percentage) Classification White Black White Black White-collar 40.8 23.0 41.8 31.1 Blue-collar 40.6 45.2 9.0 11.0 Service 5.5 11.6 9.4 22.8 Homemaking _ — 42.6 34.7 Not employed 10.0 18.8 _— _— SOURCE: National Center for Health Statistics, National Health Interview Surveys, 1970 and 1978-1980 (combined). (See Technical Addendum.) ers have a considerably lower quit rate (24.9 percent) than white male blue-collar workers (36.0 percent). In summary, black workers are more likely than white workers to be cigarette smokers, with black male blue-collar workers having the highest smoking rate. In contrast, white workers are much more likely than black workers to be heavy smokers, regardless of occupational category. White workers are more likely to have quit smoking, with the exception of white female blue-collar workers. Black male blue-collar workers and all black female workers have low quit rates. Among black men and white men and white women, white-collar workers have both lower rates of current smoking and higher proportions of former smokers than blue-collar or service workers. The one group that deviates from this pattern is black women; white-collar workers have a higher rate of current smoking and a somewhat lower proportion of former smokers than blue-collar or service workers, and homemakers have a relatively high rate of current smoking. Summary and Conclusions 1. Among men, a substantially higher percentage of blue-collar workers than white-collar workers currently smoke cigarettes. Operatives and kindred workers have the highest rate of current smoking (approaching 50 percent), with professional, technical, and kindred workers having the lowest rates of current smoking (approximately 26 percent). 2. Among women, blue-collar versus white-collar differences are less pronounced, but still show a higher percentage of current smokers among blue-collar workers. Occupational categories 53 TABLE 17.—Estimates (percentages) of smoking prevalence, heavy smoking, and quitting behavior by race, sex, and occupation, aged 20 to 64 years, United States 1978-1980 White Black Occupation Men Women Men Women Current smokers Total 40.1 33.3 47.7 34.6 White-collar 32.8 32.0 38.4 35.2 Blue-oilar 46.5 39.6 52.1 33.4 Service 47.0 38.7 48.8 33.5 Homemaking _ 32.9 - 37.1 Not employed 43.6 — 476 — Smoke > 20 daily Total 745 62.8 43.7 27.6 White-collar 749 62.5 40.0 29.5 Blue-collar 75.4 66.0 45.9 31.8* Service 72.1 60.9 42.5* 31.4 Homemaking _ 63.2 -— 23.5 Not employed 73.4 - 42.1 - Smoke > 40 daily Total 20.7 12.4 5.4 4.0 White-collar 22.5 12.6 3.3 4.2 Blue-collar 20.0 12.0 6.0 5.2° Service 19.0 13.9 2.3° 3.5 Homemaking _ 12.2 — 40 Not employed 19.9 _ 8.4 - Current smokers who have made a serious attempt to quit Total 61.2 59.4 53.6 60.0 White-collar 63.6 59.7 62.1 60.0 Blue-collar 59.1 58.6 53.3 59.9° Service 57.2 57.5 50.0* 58.1 Homemaking _ 60.5 - 64.2 Not employed 64.6 _ 49.5 = Ever smoked who are former smokers Total 41.4 33.1 28.6 24.6 White-ollar 48.8 34.6 34.4 23.6 Blue-ollar 36.0 24.6 24.9 24.8 Service 32.6 26.6 30.8 25.3 Homemaking _— 34.3 _ 24.4 Not employed 35.2 _ 29.7 - * <100 cases in the denominator (unweighted sample). SOURCE: National Center for Health Statistics, National Health Interview Surveys, 1978-1980 (combined). (See Technica] Addendum.) with the highest rates of current smoking include craftsmen and kindred workers (approximately 45 percent current smok- ers) and managers and administrators (38 percent), with the 54 lowest rate of current smoking occurring among women employed in professional, technical, and kindred occupations (26 percent). 3. Occupational differences in daily cigarette consumption are generally modest. For both men and women, the highest daily consumption of cigarettes occurs among managers and admin- istrators and craftsmen and kindred workers. 4. Blue-collar workers (both men and women) report an earlier onset of smoking than white-collar workers. A substantial fraction of smokers report initiation of smoking at ages coincident with their entry into the workforce. 5. Blue-collar occupations have a lower percentage of former smokers than white-collar occupations; this difference is most pronounced among men. Among women, the pattern for homemakers closely parallels that of white-collar women. 6. Black workers have higher smoking rates than white workers, with black male blue-collar workers exhibiting the highest smoking rate. Black workers also have lower quit rates than white workers. In contrast, white workers of both sexes are more likely to be heavy smokers regardless of occupational category. 55 Technical Addendum: National Health Interview Survey Estimates Estimates of current smoking reported in this chapter were obtained from the 1978, 1979, and 1980 National Health Interview Surveys (NHIS). A special data tape was prepared by the National Center for Health Statistics to allow linkages across surveys, thereby permitting analyses of the combined 1978-1980 NHIS. This increase in sample size provides greater statistical reliability in the estimates of population subgroups of interest to this Report. The smoking items were completed by 12,105 respondents in 1978, 24,727 in 1979, and 10,649 in 1980, resulting in a combined sample of 47,481. Standard NHIS protocols were followed in each survey, including a random probability sample design of the noninstitution- alized adult U.S. population, and face-to-face interviews using US. Bureau of the Census interviewers. Response rates routinely exceed- ed 95 percent. Given the large samples and exceptionally high response rates, the NHIS estimates are generally regarded as the best available estimates of national smoking patterns. Because the focus of this Report is on occupational differences in smoking, analysis of the 1978-1980 NHIS was restricted to respondents 20 to 64 years of age (n= 36,745). The definition of a current smoker was obtained from the following question asked in the surveys: “Do you smoke cigarettes now?” This includes both regular and occasional smokers who are currently smoking. For estimates of average age of initiation and quitting behavior, the denominator includes both current and former smokers who describe themselves as having ever smoked “fairly regularly.” The 1978-1980 National Health Interview Surveys utilized the occupational coding scheme used in the 1970 U.S. Census. The occupational subgroups examined in this Report, along with their respective code numbers, are listed in Table 18. Accompanying each NHIS public use data tape is an algorithm that weights the sample to the 1970 U:S. population. All estimates of smoking behavior reported here use this algorithm. Data from the 1970 NHIS (reported in Tables 1, 11-15) were obtained from the 1970 NHIS public use tape, which contains data from 76,239 respondents who completed questions on their smoking behavior. Of these, 59,557 respondents were between the ages of 20 and 64. Because the occupational classifications were revised be- tween the 1970 and the 1978-1980 NHIS, changes in smoking behavior could be reported only for the specific occupations whose classification did not change. As a preliminary step in the analysis of the 1978-1980 NHIS, the equivalency of the three NHIS samples within occupational groups 56 TABLE 18.—Occupational codes and categories used in the 1978-1980 National Health Interview Surveys Occupation category Occupations included U.S. Census Bureau occupation codes! Professional, technical, and kindred Managers, admin., except farm Sales workers Clerical and kindred workers Craftsmen and kindred workers Operatives and kindred workers Laborers, except farm Service workers Farm Engineers and architects Scientists Health workers Teachers, including college Engineering, science technicians All other professional, technical, kindred workers Bookkeepers Office machine operators Mail handlers, postal clerks, telegraph messengers Secretaries, stenographers, typists, receptionists All other clerical workers Carpenters Other construction craftsmen Mechanics and repairmen Metal craftsmen, except mechanics All other craftsmen Operatives, except transport Transport equipment operatives Cleaning service Food service Health and personal service Protective service Private household workers Farmers and farm managers Farm laborers and foremen 002, 006-023 034-054, 091-096 061-085 102-145 150-162 001, 003-005, 024-033, 055-060, 086— 090, 097-101, 146-149, 163-199 201-245 260-280 305 341-855 331, 332, 361, 383 364-372, 276, 391 301-304, 306-330, 333-340, 356-360, 362, 363, 373-375, 377-382, 384-390, 392-399 415-416 410-412, 421, 430, 431, 436, 440, 510-512, 520-523, 534, 550, 560 470-495 403, 404, 442, 446, 454, 461, 462, 502-504, 514, 533, 535-540, 561, 562 401-402, 405-409, 413, 414, 417-421, 422-429, 432-435, 437-439, 441, 443- 445, 447-453, 455-460, 463-469, 496- 501, 505-509, 513, 515-519, 524-532, 541-549, 551-559, 563-580 601-695 701-715 740-785 901-903 910-916 921-954 960-965 980-984 801, 802 821-824 1 Whitecollar occupations are designated by code values 001-399; blue-collar occupations are designated by code values 400-785. was examined in regard to smoking prevalence and heavy smoking. These results showed a high degree of statistical equivalency across 57 TABLE 19.—Estimates of the percentage of current smokers by sex, occupation, and NHIS sample (1978, 1979, 1980), aged 20 to 64 years Men Women P P Occupation 1978 1979 1980 value 1978 1979 1980 value White-collar total 32.5 33.4 33.1 Ns' 32.9 32.4 30.8 NS Professional, technical and kindred workers 28.1 24.6 24.3 NS 26.3 26.8 26.6 NS Managers and administrators, except farm 36.1 37.9 34.6 NS 44.8 36.3 34.1 .03 Sales workers 36.8 39.0 45.9 NS 35.1 34.4 31.2 NS Clerical and kindred workers 37.6 38.5 37.4 NS 33.1 34.3 32.3 NS Blue-collar total 46.8 46.8 47.6 NS 419 36.2 36.2 NS Craftsmen and kindred workers 45.7 45.3 47.2 NS 49.2 39.0 45.6 NS Operatives and kindred workers 48.6 48.8 48.6 NS 41.1 35.5 33.9 NS Laborers, except farm 46.4 47.0 46.4 NS 36.0 39.4 33.3 NS Service 45.1 419 54.8 005 39.9 36.0 36.2 NS Farm 33.1 32.0 28.7 NS “2 . ’ . Usual activity, homemaking — _ — —_ 33.9 33.4 316 NS Not statistically significant (p > 0.05). 2 Not enough cases for valid chi-square test (the expected cell frequency for one or more cells was less than five). samples. As is reported in Table 19, among men one difference was detected for smoking prevalence, but this difference showed an inconsistent pattern across samples. Among women employed as managers or administrators, there was a remarkable 10.7 percentage point decline in smoking prevalence between 1978 and 1980, which is over twice as large as the 10-year net decline between 1970 and 1980 (see Table 11). One possible explanation for this large 3-year decline in smoking prevalence is random fluctuation in the survey estimate. However, if this short-term time trend for female managers and administrators is valid, it would be of considerable interest. Given that the 1970— 1978 comparisons already show female managers and administrators to be quitting at a relatively high rate (when compared with other 58 TABLE 20.—Estimates of the percentage of current smokers who smoke 40 or more cigarettes daily by sex, occupation, and NHIS sample (1978, 1979, 1980), aged 20 to 64 years Men Women P P Occupation 1978 1979 1980 value 1978 1979 1980 value White-ollar total 23.6 21.0 19.3 NS’ 10.1 11.4 14.0 NS Professional, technical and kindred workers 20.9 17.0 14.2 NS 9.0 8.6 14.1 NS Managers and administrators, except farm 25.8 23.9 24.6 NS 15.7 16.0 15.2 NS Sales workers 31.0 21.2 20.5 NS 3.4 9.4 17.3 05 Clerical and kindred workers 16.0 20.5 15.4 NS 9.8 11.8 13.1 NS Blue-collar total 19.4 17.4 18.7 NS 11.3 117 10.5 NS Craftsmen and kindred workers 22.7 19.1 22.2 NS 16.1 13.0 22.9 NS Operatives and kindred workers 16.9 16.6 13.8 NS 11.0 111 71 NS Laborers, except farm 13.9 13.6 18.9 NS “7 . . . Service 13.4 15.9 18.9 NS 11.1 10.5 11.4 NS Farm 20.5 11.5 17.2 NS . . ’ . Usual activity, homemaking _— _ _ — 10.4 10.6 12.9 NS ' Not statistically significant (p > 0.05). 2? Not enough cases for valid chi-square test (the expected cell frequency for one or more cells was less than five}. female occupational groups), it would seem prudent to closely monitor the smoking patterns of this occupational cohort of women. In regard to heavy smoking (see Table 20), no sample differences were found for men. Among female salesworkers, there was a striking 500 percent proportionate increase between 1978 and 1980 in the percentage of smokers of 40-plus cigarettes a day, which again must be interpreted with caution. Overall, 50 separate chi-square tests were examined, and 3 were statistically significant at p < 0.05— which would be expected solely on the basis of chance. Detailed presentations of NHIS estimates of smoking prevalence are provided in Table 21 (1978-1980) and Table 22 (1970-1980 net change) for all occupational codes with 100 or more cases in the 59 combined 1978-1980 NHIS (unweighted sample). In Table 23 are provided a comprehensive list of all occupational codes with 100 or more cases in the 1978-1980 NHIS and the estimated percentage of men and women, aged 20 to 64 years, who are employed in each occupation. Figures 13 through 18 depict results from birth cohort analyses that were briefly summarized in the text, including male professional, technical, and kindred workers (Figure 13), managers and administrators (Figure 14), craftsman and kindred workers (Figure 15), and operatives and kindred workers (Figure 16), and female professional, technical, and kindred workers (Figure 17), and clerical and kindred workers (Figure 18). 60 TABLE 21.—Estimates of the percentage of current smokers by selected occupations, aged 20 to 64 years, United States, 1978-1980 Occupation Men Women Total WHITE-COLLAR Professional, technical, and kindred workers Accountants (001) 26.8 30.4 28.2 Electrical and electronic engineers (012) 16.2 33.0! 16.4 Lawyers (031) 219 21.4! 218 Personnel and labor relations workers (056) 30.9! 37.9 34.1 Physicians, medical and osteopathic (065) 18.1! 18.2? 18.1 Registered nurses (075) 46.4' 27.2 28.0 Social workers (100) 42.6' 37.3? 39.0 Elementary school teachers (142) 18.8? 19.8 19.6 Secondary school teachers (144) 24.9 24.8 24.9 Managers and administrators, except farm Bank officers and financial managers (202) 35.9 28.1! 32.9 Office managers n.e.c.? (220) 43.9? 25.4! 45.0 Officials and administrators, public administrators n.e.c.* (222) 22,2) 20.3! 21.6 Restaurant, cafeteria, and bar managers (230) 53.91 52,4! 53.3 Sales managers and department heads, retail trade (231) 28.7' 33.8? 30.5 Managers and administrators n.e.c. (245) 36.2 38.0 36.6 Sales workers Insurance agents, brokers, and underwriters (265) 41.1° 41,0! 41.1 Real estate agents and brokers (270) 27.8 48.1! 36.4 Sales representatives, manufacturing industries (281) 43.2 32.9! 41.2 Sales representatives, wholesale trade (282) 48.1 45.8' 479 Sales clerks, retail trade (283) 39.6 30.5 33.7 Salesmen, retail trade (284) 42.8! 39.3 42.4 Clerical and kindred workers Bank tellers (301) 0.0' 25.7 24.7 Bookkeepers (305) 42.9' 36.5 87.1 Cashiers (310) 43.4 44.2 44.1 Estimators and investigators n.e.c. (321) 28.4! 35.9! 33.1 Expediters and production controllers (323) 44.9 43.17 44.3 Computer and peripheral equipment operators (343) 31.3! 44.7? 38.5 Postal clerks (361) 38.2! 249° 33.9 Receptionists (364) 56.5° 31.0 31.8 Secretaries n.e.c. (372) 61.7! 30.9 31.2 Stock clerks and storekeepers (381) 38.1 31.2! 35.3 Typists (391) 10.3* 33.0 31.7 Clerical workers, miscellaneous (394) 34.9! 33.3 33.6 Clerical workers, not specified (395) 33.5+ 28.4! 29.1 61 TABLE 21.—Continued Occupation Men Women Total BLUE-COLLAR Craftsmen and kindred workers Carpenters (415) 50.8 70.4} 50.9 Electricians (430) 48.3 100.07 48.5 Foremen n.e.c. (441) 42.7 44.2 Machinists (461) 43.4 53.07 43.7 Automobile mechanics (473) 50.5 54.7" 50.5 Heavy equipment mechanics, incl. diesel (481) 474 49.5 47.7 Painters, construction and maintenance (510) 55.1 61.4' 54.0 Plumbers and pipe fitters (522) 47.1 39,1! 47.1 Operatives, except transport Assemblers (602) 48.7 42.9 45.3 Checkers, examiners, and inspectors, manufacturing (610) 45.8 39.3 42.3 Packers and wrappers, except meat and produce (643) 47.2% 40.0 42.3 Sewers and stitchers (663) 26.9' 25.8 25.9 Welders and flame-cutters (680) 478 28.9) 46.8 Machine operatives, miscellaneous, specified (690) 43.7 41.0 42.7 Machine operatives, not specified (692) 42.9! 50.3? 44.7 Miscellaneous operatives (694) 43.3 40.1? 42.4 Transport operatives Bus drivers (703) 50.3! 35.27 42.7 Deliverymen and routemen (705) 42.4 46.1" 42.7 Fork lift and tow motor operatives (706) 49.3? 35.4* 48.7 Truck drivers (715) 53.6 62.7! 53.7 Workers, except farm Construction laborers, except carpenters’ helpers (751) 53.0 52.8! 53.0 Freight and material handlers (753) 42.5 34.6" 416 Gardeners and groundskeepers, except farra (755) 46.1 43.7 45.9 Stock handlers (762) 37.4! 34.5° 36.6 Laborers, not specified (785) 38.0 46.37 39.0 Farm workers Farmers (801) 28.1 29.9° 28.3 Farm laborers, wage workers (822) 39.0 25.6? 34.9 62 TABLE 21.—Continued Occupation Men Women Total Service workers Cleaners and charwomen (902) 49.8' 30.5 38.0 Janitors and sextons (903) 49.8 39.0' 47.1 Cooks, except private household (912) 45.0° 31.1 35.9 Waiters (915) 447° 51.1 50.4 Food service workers n.e.c.*, except private household (916) 42.1! 24.6 27.0 Nursing aides, orderlies, and attendants (925) 48.2? 41.0 42.0 Practical nurses (926) 55.3! 40.3 41.2 Child care workers, except private household (942) 0.0" 28.9 28.4 Hairdressers and cosmetologists (944) 63.2! 37.5 39.0 Guards and watchmen (962) 50.5 35.7? 47.3 Policemen and detectives (964) 44.5 51.5+ 45.1 Maids and servants, private household (984) 55.07 32.1 33.1 1 ¢ 100 cases in the denominator (unweighted sample). " Not elsewhere classified. SOURCE: National Center for Health Statistics Health Interview Surveys, 1978-1980 (combined). 63 TABLE 22.—Estimates of the net change in smoking prevalence by sex and selected occupations, age 20 to 64 years, United States, 1970-1980 Occupation Men Women Total WHITE-COLLAR Professional, technical, and kindred workers Accountants (001)/(000) 48 04 4.6 Electrical and electronic engineers (012)/(083) 4.0 -18.0' 41 Personnel and labor relations workers (056)/(154) -8.9 8.2 -2.0 Physicians, medical and osteopathic (065)/(153,162) 8.5 -29.3* ~10.0 Registered nurses (075)/(150) +10.2* -12.3 -11.4 Social workers (100)/(171) +387 +11.0' +17 Elementary school teachers (142)/(182) -10.5' -12 -2.6 Secondary school] teachers (144)/(183) 3.5 -1.3 -2.4 Managers and administrators, except farm Officials and administrators, public administrators n.e.c.* (222)/(270) 16.3" 73° -15.4 Managers and administrators n.e.c. (245)/(290) 8.1 42 -73 Sales workers Insurance agents, brokers, and underwriters (265)/(385) -9.8' -22.6' -11.3 Real estate agents and brokers (270)/(393) 146 +3.8' 6.8 Clerical and kindred workers Bank tellers (301)/(305) 45,7" -9.0 -11.3 Bookkeepers (305)/(310) -1.3! 4.2 3.9 Cashiers (310)/(312) +2.6* +37 +35 Postal clerks (361)/(340) -1.0' -15.7° 5.7 Receptionists (364)/(341) _ ~10.6 -9.8 Secretaries n.e.c. (372)/(342) -0.8? 8.1 -8.0 Stock clerks and storekeepers (381)/(350) -12.0 8.2! ~12.2 Typists (391)/(360) -52.8* 49 -T1 BLUE-COLLAR Craftsmen and kindred workers Carpenters (415)/(411) Al +50.31 ~3.7 Electricians (430)/(421) +39 +83.4" -3.9 Foremen ne.c. (441)/(430) 89 _ 8.9 Machinists (461)/(465) 8.7 -7.3! -8.5 Automobile mechanics (473)/(472) 4.5 +22.3* ~4.3 Painters, construction and maintenance (510)/(495) -171 +17.7! -17.3 Plumbers and pipe fitters (522)/(510) 41 _ 41 TABLE 22.—Continued Occupation Men Women Total Operatives, except transport Assemblers (602)/(631) -7.0 ~2.0 46 Checkers, examiners, and inspectors, manufacturing (610)/(643) 8.7 0.3 ~4.4 Packers and wrappers, except meat and produce (643)/(693) -8.0' +26 07 Sewers and stitchers (663)/(705) -18.8' ~0.5 0.8 Welders and flame-cutters (680)/(721) 3.5 -12,.7' 3.9 Transport operatives Bus drivers (703)/(641) +66? +11.2) +40 Deliverymen and routemen (705)/(650) 11.6 +10.0' -10.9 Farm workers Farmers (801)/(200) 44 +93! ~3.4 Farm laborers, wage workers (822)/(902) 14.5 6.2! -14.8 Service workers Cleaners and charwomen (902)/(824) -14.3! -2.3 -16 Cooks, except private household (912)/(825) ~19.2! 6.5 -9.4 Janitors and sextons (903)/(834) -19 +104! 0.4 Waiters (915)/(875) -2.9 ? -9.0 8.7 Practical nurses (926)/(842) 31.1! +43 +37 Hairdressers and coemetologists (944)/(843) 6.4! -74 -8.0 Guards and watchmen (962)/(851) 6.5 +17.6' -6.9 Policemen and detectives (964)/(853) ~3.2 +2444 -2.0 1 < 100 cases in the denominator (unweighted sample). * Not elsewhere classified. SOURCE: National Center for Health Statistics Health Interview Surveys, 1978-1980 (combined). 65 TABLE 23.—Estimates of percentage of U.S. population, aged 20 to 64 years, in selected occupations, 1978-1980 Occupation Men Women Total Professional, technical, and kindred workers Accountants (001) 1.2 0.7 1.0 Electrical and electronic engineers (012) 0.6 0.0 0.3 Lawyers (031) 0.7 0.1 0.4 Personne! and labor relations workers (056) 05 0.4 0.4 Physicians, medical and osteopathic (065) 0.5 0.1 0.3 Registered nurses (075) 0.1 2.0 11 Social workers (100) 0.2 0.4 0.3 Elementary school teachers (142) 0.6 2.1 13 Secondary school teachers (144) 10 10 10 Managers and administrators, except farm Bank officers and financial managers (202) 0.7 0.4 0.5 Office managers n.e.c.’ (220) 0.1 0.3 0.2 Officials and administrators; public administrators n.e.c. (222) 04 0.2 0.3 Restaurant, cafeteria, and bar managers (230) 05 0.3 04 Sales managers and department heads, retail trade (231) 0.4 0.2 0.3 Managers and administrators n.e.c. (245) 9.4 2.4 58 Sales workers Insurance agents, brokers, and underwriters (265) 06 0.2 0.4 Real estate agents and brokers (270) 06 04 0.5 Sales representatives, manufacturing industries (281) 0.9 0.2 05 Sales representatives, wholesale trade (282) 0.9 0.1 0.5 Sales clerks, retail trade (283) 0.5 10 16 Salesmen, retail trade (284) 05 0.1 0.3 Clerical and kindred workers Bank tellers (301) 0.0 0.6 0.3 Bookkeepers (305) 0.3 2.7 15 Cashiers (310) 0.2 15 0.9 Estimators and investigators n.e.c. (321) 0.3 0.4 0.4 Expediters and production controllers (323) 0.4 0.2 0.3 Computer and peripheral equipment operators (343) 0.4 0.4 0.4 Postal clerka (361) 0.4 0.2 0.3 Receptionists (364) 0.0 0.6 0.3 Secretaries n.e.c. (372) 01 5.5 29 Stock clerks and storekeepers (381) 0.6 0.4 0.5 Typista (391) 0.1 11 0.6 Clerical workers, miscellaneous (394) 0.3 11 0.7 Clerical workers, not specified (395) 01 0.7 08 TABLE 23.—Continued Occupation Men Women Total BLUE-COLLAR Craftsmen and kindred workers Carpenters (415) 24 0.0 12 Electricians (430) 1.0 0.0 0.5 Foremen n.e.c. (441) 3.0 0.4 17 Machinists (461) 1.1 0.0 0.5 Automobile mechanics (473) 17 0.0 08 Heavy equipment mechanics, incl. diesel (481) 12 0.0 0.6 Painters, construction and maintenance (510) 0.7 0.1 0.4 Plumbers and pipe fitters (522) 0.8 0.0 0.4 Operatives, except transport Assemblers (602) 08 Li 09 Checkers, examiners, and inspectors, manufacturing (610) 0.7 0.7 0.7 Packers and wrappers, except meat and produce (643) 0.3 0.6 05 Sewers and stitchers (663) 0.1 1.3 0.7 Welders and flame-cutters (680) 1.0 0.1 05 Machine operatives, miscellaneous, specified (690) 17 09 13 Machine operatives, not specified (692) 0.4 0.1 0.2 Miscellaneous operatives (694) 0.7 0.3 0.5 Transport operatives Bus drivers (703) 0.3 03 0.3 Deliverymen and routemen (705) 0.7 01 0.4 Fork lift and tow motor operatives (706) 0.6 0.0 0.3 Truck drivers (715) 3.0 0.0 15 Workers, except farm Construction laborers, except carpenters’ helpers (751) 12 0.0 0.6 Freight and material handlers (753) 0.8 0.1 0.4 Gardeners and groundskeepers, except farm (755) 0.7 0.0 0.4 Stock handlers (762) 0.5 0.2 0.3 Not specified laborers (785) 0.7 0.1 0.4 Farm workers Farmers (801) 2.0 0.2 11 Farm laborers, wage workers (822) 0.7 0.3 0.5 67 TABLE 23.—Continued Occupation Men Women Total Service workers Cleaners and charwomen (902) 05 0.7 0.6 Janitors and sextons (903) 13 0.4 08 Cooks, except private household (912) 0.6 10 08 Waiters (915) 0.2 14 0.8 Food service workers n.e.c., except private household (916) 0.1 06 0.4 Nursing aides, orderlies, and attendants (925) 0.2 13 0.8 Practical nurses (926) 0.1 0.7 0.4 Child care workers, except private household (942) 0.0 0.6 0.3 Hairdressers and cosmetologists (944) 0.1 08 0.4 Guards and watchmen (962) 0.7 0.2 0.5 Policemen and detectives (964) 09 0.1 0.4 Maids and servants, private household (984) 0.0 0.7 04 All other occupations 30.2 15.9 22.7 Not in labor force 10.9 38.6 25.3 NOTE: Includes all occupational codes with at least 100 cases (aged 20 to 64) in the 1978-1980 HIS (unweighted sample). 1 Not elsewhere classified. SOURCE: National Center for Health Statistica Health Interview Surveys, 1978-1980 (combined). 68 ~ oa a wn “N a f+ ated cua toriiaa “f | \ ' 1921-1930 80 pep a eS —_— ~ 55 1911-1920 1931-1940 §0 4--—-- ee ee a a - 45 = & 1941-1950 S 40 } . 5 _ 5 & 35 4 1901-1910 —, 1 : So 1921-1930 30 4-4 hen fee wf ber Wit 1941-1950 | ; \ 1931-1940 | i = 1911-1920 25 1 i / 1961-1960 | ‘ 5 / a i 20 3 cee Me - | | , [ 1951-1960 18 = é i 10 —— +- /- . } i / + 1901-1910 5 4 i / j i uf 4 0 i: + Heme T v 1900 1910 1960 1970 1980 FIGURE 13.—Changes in the prevalence of cigarette smoking among successive birth cohorts of U.S. men employed in professional, technical, and kindred occupations, 1900-1978 SOURCE: Data from National Center for Health Statistics, National Health Interview Surveys, 1978-1980 (combined). 69 | 70 => | 65 | | | | \ 1911-1920 —, 1931-1940 60 ene ees wN ee pot 55 _ 1941-1950 J fo 50 TY - a & as! 1901-1910 A | | fi a+ 1941-1950 t 40 1 p 1921-1930 Percentage =~ 1951-1960 ~~ 1931-1940 25 | 20 {ot se 1901-1910 | 15 = { ; + 1951-1960 4 | 7 , 10 > | 3 * a o-4 —+ a ot oe 4900 1910 1920 1930 1940 1950 1960 1970 1980 Year FIGURE 14.—Changes in the prevalence of cigarette smoking among successive birth cohorts U.S. men employed as managers and administrators, 1900-1978 SOURCE: Data from National Center for Health Statistics, National Health Interview Surveys, (combined). 70 of 1978-1980 4 i 1 4 | | 75 2 | 1 | 1921-1990 704 - : 1911-1920 1931-1940 i 65 + ! 11941-1950 60 4 : ‘ 1 | 55 / [: 2 1941-1950 50 4 / a ae 4931-1940 q 1901-1910 _ : \ i ! | | ™ 1951-1960 2 454 i Ny | \ ke 1921-1930 4 i; 2 40 i st ; _\e t911-1020 S 4 i i \ i g q | IN i a 3554 | | ' j \ | 4 I q i i 1 } i poy OK a: 8 I I 25 4 2 | | S 0: | 7 ya 1901-1910 154 . - ; ] 1 [+ 1951-1960 10 + {nef enn 5 | ! T i , i ! 1900 1910 1920 1930 1940 1950 1960 1970 1980 Year FIGURE 15.—Changes in the prevalence of cigarette smoking among successive birth cohorts of U.S. men employed as craftsmen or in kindred occupations, 1900-1978 SOURCE: Data from National Center for Health Statistics, National Health Interview Surveys, 1978-1980 (combined). 71 754 | | 1921-1930 | | \ | 1931-1940 ee | 1941-1950 + | bo 4931-1940 60 | pee _- | a+ 1951-1960 j - ! 1921-1930 | 1911-1920 Percentage 8 & i | 8 ~. o 20 ; : - _ 7 is p = se 1901-1910 10 +—--— chee eh { ; p4951-1960 5 1 oA d 0 _—__ = — ~ r - me od 1900 1910 1920 1930 1940 1950 1960 1970 1980 FIGURE 16.—Changes in the prevalence of cigarette smoking among successive birth cohorts of U.S. men employed as operatives or in kindred occupations, 1900-1978 SOURCE: Data from National Center for Health Statistics, National Health Interview Surveys, 1978-1980 (combined). 72 1 : | : 1921-1930 193171040 \. 1941-1950 + 7 | | 35 | 1911-1920 —+, - 1931-1940 304 4+ ofp oS 4% 1921-1930 “veto poy” te 1941-1950 0 j 1901-1910 981-1960 | | r 1911-1920 | [ 20 4 |_—_.---#-—f | ' ee a oy «+ 1901-1910 | / ej} ee 1 J em 1951-1960 ee ee ee see ee ? 1900 1910 1920 1930 1940 1950 1960 1970 4980 Year FIGURE 17.—Changes in the prevalence of cigarette smoking among successive birth cohorts of U.S. women employed in professional, technical, or kindred occupations, 1900-1978 SOURCE: Data from National Center for Health Statistics, National Health Interview Surveys, 1978-1980 (combined). 157-964 0 - 86 - 4 73 80 4 | —___—_4 }—-__-—} 75 4 70 4 . 65 | 60 4 = pe ] | 554 50 q T ] 1931-1940 45 4 \ 1941-1950 { § 40 4 aL 8 Neal 1931-1940 & 35-4 ae 1941-1950 1921-1930 4p 1951-1960 30 |. _—+ “*=" 4911-1920 25 4 | 20 +—___+-_-—_"J - 15 4 . \ 10 4 Ht - / \= 1901-1910 / /4951- 54 /| 1951-1960 ; fl 0 gb - wl 1900 1910 1920 1930 1940 1950 1960 1970 1980 FIGURE 18.—Changes in the prevalence of cigarette smoking among successive birth cohorts of U.S. women employed in clerical or kindred occupations, 1900-1978 SOURCE: Data from National Center for Health Statistics, National Health Interview Surveys, 1978-1980 (combined). 74 References U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE. Smoking and Health: A Report of the Surgeon General. US. Department of Health, Education, and Welfare, Public Health Service, Office of the Assistant Secretary for Health, Office on Smoking and Health. DHEW Pub. No. (PHS)79-50066, 1979. U.S. PUBLIC HEALTH SERVICE. Adult Use of Tobacco, 1970. U.S. Department of Health, Education, and Welfare, Public Health Service, Centers for Disease Control, National Clearinghouse for Smoking and Health, DHEW Pub. No. (HSM)73-8727, June 1973. U.S. PUBLIC HEALTH SERVICE. Adult Use of Tobacco, 1975. U.S. Department of Health, Education, and Welfare, Public Health Service, Centers for Disease Control, National Clearinghouse for Smoking and Health, June 1976. 75