Implementing the Federal Smoke-Free Public Housing Policy in New York City: Understanding Challenges and Opportunities for Improving Policy Impact.
Implementing the Federal Smoke-Free Public Housing Policy in New York City: Understanding Challenges and Opportunities for Improving Policy Impact.
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DOI：
10.3390/ijerph182312565
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发表时间：
2021-11-29
影响因子：
--
通讯作者：
Shelley D
中科院分区：
文献类型：
--
作者：
Jiang N;Gill E;Thorpe LE;Rogers ES;de Leon C;Anastasiou E;Kaplan SA;Shelley D
2018年，美国住房和城市发展部要求公共住房当局实施无烟住房（SFH）政策，包括个人公寓。我们分析了纽约市公共住房管理局（NYCHA）的政策执行过程。从2019年6月至11月，我们对64名NYCHA居民（吸烟者和不吸烟者）进行了9个焦点小组，对NYCHA工作人员和居民协会领导人进行了8次关键线人采访，并对130个非吸烟家庭进行了重复调查政策前和政策后12个月。政策实施一年后，参与者报告了广泛的吸烟违规行为和阻碍政策实施的多层次因素。其中包括居民和工作人员的共同信念，即该政策“告诉人们在自己的公寓里做什么”。这妨碍了遵守和执行工作。对非法使用大麻的执法不一致，工作人员吸烟违规，以及对其他紧迫的住房问题缺乏问责，造成了吸烟者被不公平地针对的感觉，戒烟资源的缺乏也是如此。居民对政策的支持保持不变，但对执行的满意度下降（60.1%对48.8%，p = 0.047）。我们确定了影响SFH政策实施的多层次背景因素。调查结果可以为优化政策执行的战略设计提供信息。
In 2018, the U.S. Department of Housing and Urban Development required public housing authorities to implement a smoke-free housing (SFH) policy that included individual apartments. We analyzed the policy implementation process in the New York City Public Housing Authority (NYCHA). From June–November 2019, we conducted 9 focus groups with 64 NYCHA residents (smokers and nonsmokers), 8 key informant interviews with NYCHA staff and resident association leaders, and repeated surveys with a cohort of 130 nonsmoking households pre- and 12-month post policy. One year post policy implementation, participants reported widespread smoking violations and multi-level factors impeding policy implementation. These included the shared belief among residents and staff that the policy overreached by “telling people what to do in their own apartments”. This hindered compliance and enforcement efforts. Inconsistent enforcement of illegal marijuana use, staff smoking violations, and a lack of accountability for other pressing housing issues created the perception that smokers were being unfairly targeted, as did the lack of smoking cessation resources. Resident support for the policy remained unchanged but satisfaction with enforcement declined (60.1% vs. 48.8%, p = 0.047). We identified multilevel contextual factors that are influencing SFH policy implementation. Findings can inform the design of strategies to optimize policy implementation.
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影响因子：
13.8
作者：
Thorpe LE;Anastasiou E;Wyka K;Tovar A;Gill E;Rule A;Elbel B;Kaplan SA;Jiang N;Gordon T;Shelley D
通讯作者：
Shelley D
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
--
作者：
Klassen, Ann C;Lee, Nora L;Mallya, Giridhar
通讯作者：
Mallya, Giridhar
DOI：
10.1186/s13012-015-0242-0
发表时间：
2015-04-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Nilsen P
通讯作者：
Nilsen P
DOI：
10.3390/ijerph15102062
发表时间：
2018-09-20
影响因子：
--
作者：
Jiang N;Thorpe L;Kaplan S;Shelley D
通讯作者：
Shelley D