Smoke-Free Multi-unit Housing Policies Show Promise in Reducing Secondhand Smoke Exposure Among Racially and Ethnically Diverse, Low-Income Seniors
Smoke-Free Multi-unit Housing Policies Show Promise in Reducing Secondhand Smoke Exposure Among Racially and Ethnically Diverse, Low-Income Seniors
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DOI：
10.1007/s10903-016-0430-2
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发表时间：
2017-12-01
影响因子：
1.9
通讯作者：
DeLucca, Michael
中科院分区：
文献类型：
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作者：
Hollar, T. Lucas;Cook, Nicole;DeLucca, Michael
暴露于二手烟(SHS)是多单元住宅(MUH)居民的公共健康问题。我们评估了无烟政策的实施对居住在低收入家庭的不同种族、不同种族的老年人中报告的SHS暴露的影响。2013年春季和2014年夏季，我们对佛罗里达州布罗沃德县和迈阿密-戴德县的15处MUH房产的居民(n=960)进行了调查。报告在公寓内或大楼周围其他地方接触SHS的居民比例从政策实施前的31.1%下降到后续行动的23.6%(p=0.02)。在政策实施后对不吸烟居民进行的多因素分析中，报告有一种或多种合并症的居民报告SHS暴露的可能性是对照组的两倍(AOR 2.23，95%CI 1.12-4.40)。考虑到低收入老年人对SHS暴露的脆弱性，我们的发现与居民、物业所有者/经理和公共卫生专业人员就老年人居住的MUH物业的无烟政策做出决策有关。
Secondhand smoke (SHS) exposure is a public health issue for residents of multi-unit housing (MUH) properties. We evaluated the impact of smoke-free policy implementation on reported SHS exposure among racially, ethnically diverse seniors living in low-income MUH properties. In Spring 2013 and Summer 2014, we surveyed residents (n = 960) at 15 MUH properties in Broward and Miami-Dade Counties, Florida. The percentage of residents reporting SHS exposure within their apartments from elsewhere in or around their building decreased from 31.1 %, before policy implementation, to 23.6 % at follow-up (p = 0.02). In multivariate analysis of non-smoking residents after policy implementation, residents who reported having one or more comorbidities were two times more likely to report SHS exposure (aOR 2.23, 95 % CI 1.12-4.40). Considering the vulnerability of low-income seniors to SHS exposure, our findings are relevant to residents, property owners/managers, and public health professionals making decisions about smoke-free policies for MUH properties in which seniors reside.