A Qualitative Study of Unfairness and Distrust in Smoke-free Housing.

A Qualitative Study of Unfairness and Distrust in Smoke-free Housing.
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DOI:
10.5993/ajhb.45.5.1
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发表时间:
2021-09-30
影响因子:
2.3
通讯作者:
Plunk AD
Plunk AD
中科院分区:
医学4区
文献类型:
--
作者:
Wray JA;Sheehan BE;Rees VW;Cooper D;Morgan E;Plunk AD

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虽然无烟住宅(SFH)有可能保护居民免受烟草烟雾的影响,但有证据表明,SFH可能会导致室内吸烟增加。在这项研究中,我们研究了对住宅禁烟的看法如何与不遵守规定有关。我们对居住在弗吉尼亚州诺福克的低收入住房居民(N=53)进行了8次焦点小组访谈。访谈是半结构化的,基于与SFH合规相关的指导性问题清单,该清单是与由低收入住房居民组成的常设社区咨询委员会合作制定的。出现了几个主题,包括普遍的不遵守、被认为不公平和羞耻、遵守的障碍以及对住房委员会的不信任。吸烟者报告的行为主要是出于逃避惩罚,而不是出于任何遵守禁令的义务。结果使我们将程序正义理论视为一个概念框架,在该框架中,遵从性与对规则或权威的合法性的看法直接相关。当由于缺乏正当性而导致依从性较低时,应调整SFH以促进吸烟行为的改变。我们为SFH提供具体的理论支持的适应,重点是建立信任和改善感知的公平性。
While smoke free housing (SFH) has the potential to protect residents from tobacco smoke, evidence suggests that SFH could lead to increased indoor smoking. In this study, we examine how perceptions of a residential smoking ban could be related to non-compliance. We conducted 8 focus group interviews of low-income housing residents living in Norfolk, Virginia (N = 53). Interviews were semi-structured and based on a list of guided questions related to SFH compliance, developed in partnership with a standing community advisory board comprised of low-income housing residents. Several themes emerged, including pervasive non-compliance, perceived unfairness and shame, barriers to compliance, and distrust of the housing authority. Smokers reported behavior primarily motivated by punishment avoidance, rather than out of any perceived obligation to comply with the ban. Results led us to consider Procedural Justice Theory as a conceptual framework, in which compliance is directly related to perceptions about the legitimacy of a rule or authority. When compliance is low due to a lack of perceived legitimacy, SFH should be adapted to promote changes in smoking behavior. We offer specific theory-supported adaptations to SFH focused on trust-building and improving perceived fairness.