Implementation of the Department of Housing and Urban Development's Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions.
Implementation of the Department of Housing and Urban Development's Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions.
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DOI：
10.3390/ijerph18178908
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发表时间：
2021-08-24
影响因子：
--
通讯作者：
Bernat D
中科院分区：
文献类型：
--
作者：
Horn K;Johnson SB;Patiño SR;Krost K;Gray T;Dearfield C;Du C;Bernat D
2018年7月，美国住房和城市发展部（HUD）在公共住房中实施了强制性无烟规定。本研究评估了管理员和居民的看法，规则的实施在其最初的一年在哥伦比亚特区住房管理局（DCHA）。评估包括9个重点小组（n = 69）与居民和深入访谈管理人员（n = 7）和居民（n = 26）从14 DCHA社区（家庭= 7和老年人/残疾人= 7）。半结构化的讨论指南的基础上，多层次的社会生态框架捕获的对话记录，逐字转录，并归纳编码。每个社会生态框架层面的新出现的主要主题包括：（1）个人：由于感知到的健康益处，该规则得到了支持，非吸烟者的支持更强;（2）人际关系：限制二手烟暴露被视为对弱势居民的积极影响;（3）组织：沟通，标志和戒烟支持被视为一种需要;（4）社区：居民认为流动性，残疾，天气和安全相关的问题作为障碍;（5）公共政策：租赁修订被视为规则执行的推动因素，但对违规和执法表示困惑。大多数行政人员和居民报告了强制性HUD规则的有利影响。然而，社会生态框架的新应用发现了实施上的细微差别，需要在多个层面上加以改进，包括更多的标志、戒烟支持、澄清执法作用和解决安全问题。
In July 2018, the United States Department of Housing and Urban Development (HUD) implemented a mandatory smoke-free rule in public housing. This study assessed administrator and resident perceptions of rule implementation during its initial year in the District of Columbia Housing Authority (DCHA). Assessment included nine focus groups (n = 69) with residents and in-depth interviews with administrators (n = 7) and residents (n = 26) from 14 DCHA communities (family = 7 and senior/disabled = 7). Semi-structured discussion guides based on the multi-level socio-ecological framework captured dialogue that was recorded, transcribed verbatim, and coded inductively. Emerging major themes for each socio-ecological framework level included: (1) Individual: the rule was supported due to perceived health benefits, with stronger support among non-smokers; (2) Interpersonal: limiting secondhand smoke exposure was perceived as a positive for vulnerable residents; (3) Organizational: communication, signage, and cessation support was perceived as a need; (4) Community: residents perceived mobility, disability, weather, and safety-related issues as barriers; and (5) Public Policy: lease amendments were perceived as enablers of rule implementation but expressed confusion about violations and enforcement. A majority of administrators and residents reported favorable implications of the mandated HUD rule. The novel application of a socio-ecological framework, however, detected implementation nuances that required improvements on multiple levels, including more signage, cessation support, clarification of enforcement roles, and addressing safety concerns.
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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
影响因子：
5.9
作者：
Kennedy, Ryan David;Ellens-Clark, Stephanie;Kaufman, Pamela
通讯作者：
Kaufman, Pamela
影响因子：
3.1
作者：
Lindsay, Anne C.;Hubley, Anita M.
通讯作者：
Hubley, Anita M.
影响因子：
5.1
作者：
Mead EL;Cruz-Cano R;Bernat D;Whitsel L;Huang J;Sherwin C;Robertson RM
通讯作者：
Robertson RM
影响因子：
2
作者：
Cook, Nicole J;Hollar, Lucas;Chavez, Summer;Quinn, David L;Phillips, Teina;DeLucca, Michael;Corrales, Lindsay
通讯作者：
Corrales, Lindsay