Smoking policy change at a homeless shelter: Attitudes and effects
Smoking policy change at a homeless shelter: Attitudes and effects
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DOI：
10.1016/j.addbeh.2014.08.013
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发表时间：
2015-01-01
影响因子：
4.4
通讯作者：
Reitzel, Lorraine R.
中科院分区：
文献类型：
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作者：
Businelle, Michael S.;Poonawalla, Insiya B.;Reitzel, Lorraine R.
与其他社会经济弱势群体相比，无家可归的成年人接触更多的吸烟者，并且因环境烟草暗示而吸烟更多。通过政策举措解决无家可归者收容所的吸烟文化可能会支持戒烟并改善这一弱势且研究不足的人群的健康。这项研究调查了对无家可归者收容所禁烟令的支持以及预期/实际效果。 2013 年夏天，部分户外吸烟禁令实施前两周（第一波）和实施后两个月（第二波）进行了一项包含嵌入队列的两波横断面研究。共有 394 名无家可归的成年人接受了调查（即第一波 [n = 155]；第二波 [n = 150]；另外 89 名参与者完成了两波）。参与者平均年龄为 43 岁，主要是非裔美国人 (63%)、男性 (72%)，并且在过去 12 个月内无家可归（中位数）。大多数参与者是吸烟者 (76%)，平均每天吸 12 支烟。大多数参与者支持在避难所校园内建立一个大型无烟区，但对在避难所范围内禁烟的支持较少。每天平均吸烟量在研究波次之间没有差异。然而，完成两轮研究的参与者在第 2 轮中呼出的一氧化碳有所减少（W1 = 18.2 vs. W2 = 15.8 ppm，p = 0.02）。部分禁令的预期效果与实际效果相似。部分户外吸烟禁令可能会得到无家可归者收容所居民的大力支持，并可能对收容所居民的健康产生积极影响。 (C) 2014 Elsevier Ltd. 保留所有权利。
Homeless adults are exposed to more smokers and smoke in response to environmental tobacco cues more than other socioeconomically disadvantaged groups. Addressing the culture of smoking in homeless shelters through policy initiatives may support cessation and improve health in this vulnerable and understudied population. This study examined support for and expected/actual effects of a smoking ban at a homeless shelter. A 2-wave cross-sectional study with an embedded cohort was conducted in the summer of 2013 two weeks before (wave 1) and two months after (wave 2) a partial outdoor smoking ban was implemented. A total of 394 homeless adults were surveyed (i.e., wave 1 [n = 155]; wave 2 [n = 150]; and 89 additional participants completed both waves). On average, participants were 43 years old, primarily African American (63%), male (72%), and had been homeless for the previous 12 months (median). Most participants were smokers (76%) smoking 12 cigarettes per day on average. Most participants supported the creation of a large smoke-free zone on the shelter campus, but there was less support for a shelter-wide smoking ban. Average cigarettes smoked per day did not differ between study waves. However, participants who completed both study waves experienced a reduction in expired carbon monoxide at wave 2 (W1 = 18.2 vs. W2 = 15.8 parts per million, p =.02). Expected effects of the partial ban were similar to actual effects. Partial outdoor smoking bans may be well supported by homeless shelter residents and may have a positive impact on shelter resident health. (C) 2014 Elsevier Ltd. All rights reserved.