Attitudes and experiences with secondhand smoke and smoke-free policies among subsidised and market-rate multiunit housing residents living in six diverse communities in the USA.
Attitudes and experiences with secondhand smoke and smoke-free policies among subsidised and market-rate multiunit housing residents living in six diverse communities in the USA.
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DOI：
10.1136/tobaccocontrol-2016-053374
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发表时间：
2018-03
期刊：
影响因子：
5.2
通讯作者：
Travers MJ
中科院分区：
文献类型：
--
作者：
Gentzke AS;Hyland A;Kiviniemi M;Travers MJ
鉴于较高的吸烟率持续存在于较低的社会经济群体中，多单元住房（MUH）环境可能导致补贴MUH居民的二手烟（SHS）暴露较高。这项横断面评估比较了生活在6个美国社区的补贴和市场价格MUH居民的SHS和无烟政策的经验。MUH居民（n=1,565）进行了调查，关于他们的无烟规则（家庭，建筑物），SHS暴露，以及对无烟政策的偏好。二元逻辑回归确定了每个结果的预测因素，重点是补贴住房状况（补贴与市场利率）的差异。在执行无烟家庭规则的居民中（76%，总体而言），50%的人报告SHS入侵他们的单位。只有23%的人报告生活在无烟建筑中; 56%的人生活在允许吸烟的建筑中，他们对无烟建筑政策表示偏好。在市场利率的住房居民，无烟家庭（OR=4.18）和建筑（OR=2.26）的规则显着较高时，儿童在场。无烟建筑规则降低了市场利率住房居民（OR=0.50）的SHS入侵的几率，但没有观察到补贴住房居民之间的关联。不吸烟的补贴住房居民表现出更强的偏好无烟政策相比，那些在市场价格的住房。无烟家庭规则不能保护MUH居民免受SHS暴露，特别是在补贴MUH。虽然对无烟政策的强烈偏好是目前的整体，补贴MUH居民可能有较少的替代无烟住房选择。因此，所有公共资助的住房都应该无烟，以保护这些弱势群体。然而，继续努力鼓励私营MUH运营商采取无烟政策也是必要的。
Given that higher smoking rates persist among lower socioeconomic populations, multiunit housing (MUH) environments may result in higher secondhand smoke (SHS) exposures among subsidized MUH residents. This cross-sectional assessment compares experiences with SHS and smoke-free policies among subsidized and market-rate MUH residents living in 6 U.S. communities. MUH residents (n=1,565) were surveyed regarding their smoke-free rules (home, building), SHS exposures, and preferences toward smoke-free policies. Binary logistic regression identified predictors of each outcome, focusing on differences by subsidized housing status (subsidized vs. market-rate). Among residents enforcing smoke-free home rules (76%, overall), 50% reported SHS incursions into their unit. Only 23% reported living in a smoke-free building; 56% living in smoking-allowable buildings reported preferences toward smoke-free building policies. Among market-rate housing residents, smoke-free home (OR=4.18) and building (OR=2.26) rules were significantly higher when children were present. Smoke-free building rules reduced the odds of SHS incursions among market-rate housing residents (OR=0.50), but no association was observed among subsidized housing residents. Non-smoking subsidized housing residents exhibited stronger preferences for smoke-free policies compared to those in market-rate housing. Smoke-free home rules do not protect MUH residents from SHS exposures, particularly in subsidized MUH. Although strong preferences toward smoke-free policies were present overall, subsidized MUH residents may have fewer alternative smoke-free housing options available. Therefore, all publicly funded housing should be smoke-free to protect these vulnerable populations. However, continued efforts to encourage privately owned MUH operators to adopt smoke-free policies are also necessary.
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影响因子：
4.7
作者：
Hewett, Martha J.;Sandell, Sandra D.;Niebuhr, Marsha
通讯作者：
Niebuhr, Marsha
影响因子：
10.4
作者：
Matt GE;Quintana PJ;Destaillats H;Gundel LA;Sleiman M;Singer BC;Jacob P;Benowitz N;Winickoff JP;Rehan V;Talbot P;Schick S;Samet J;Wang Y;Hang B;Martins-Green M;Pankow JF;Hovell MF
通讯作者：
Hovell MF
影响因子：
5.8
作者：
Bohac, D. L.;Hewett, M. J.;Grimsrud, D. T.
通讯作者：
Grimsrud, D. T.
影响因子：
5.9
作者：
Ballor, Douglas L.;Henson, Heidi;MacGuire, Kathleen
通讯作者：
MacGuire, Kathleen
影响因子：
4.7
作者：
Russo, Elizabeth T.;Hulse, Thomas E.;Shah, Snehal N.
通讯作者：
Shah, Snehal N.