Assessment of Residents' Attitudes and Satisfaction Before and After Implementation of a Smoke-Free Policy in Boston Multiunit Housing
Assessment of Residents' Attitudes and Satisfaction Before and After Implementation of a Smoke-Free Policy in Boston Multiunit Housing
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DOI：
10.1093/ntr/ntv239
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发表时间：
2016-05-01
影响因子：
4.7
通讯作者：
Levy, Douglas E.
中科院分区：
文献类型：
--
作者：
Rokicki, Slawa;Adamkiewicz, Gary;Levy, Douglas E.
简介：2012年，马萨诸塞州波士顿住房管理局(BHA)实施了一项无烟政策，禁止在其住宅内吸烟。我们试图描述无烟政策实施前后BHA居民的经历，并将其与附近没有无烟政策的剑桥住房委员会居民的经验进行比较。方法：我们从BHA和剑桥住房委员会招募了一个方便的非吸烟居民样本。我们测量了居民在BHA政策实施前和9-12个月后对当地吸烟政策的知晓和支持程度，以及BHA受访者对无烟政策的态度。我们通过唾液可替宁、空气传播的公寓尼古丁和自我报告的在家中闻到烟味的天数来评估烟草烟雾暴露。结果：在随访中，91%的BHA受访者知道公寓内不允许吸烟，82%的受访者支持在他们的大楼内吸烟。BHA居民认为无烟政策的执行率很低。51%的BHA受访者表示，其他居民“从未”或“很少”遵守新的无烟规定，41%的受访者对政策执行情况不满意。对执法的不满意是总体住房满意度的最强预测因素，而客观和自我报告的烟草烟雾暴露措施不能预测满意度。在跟踪调查中，24%的BHA参与者向负责人投诉过政策违规。结论：居民对无烟政策的支持率很高。然而，不执行无烟政策可能会在居民中造成沮丧和怨恨，潜在地导致住房满意度下降。影响：无烟住房法律越来越普遍，但人们对政策实施后的满意度和遵从性知之甚少。在BHA实施全面无烟政策一年后，我们评估了不吸烟居民对无烟法规的态度以及他们对执法的满意度。我们发现，虽然居民支持这项政策，但他们认为执法力度较低，这种看法与住房满意度下降有关。我们的调查结果显示，公屋居民对无烟房屋的渴望，以及建立制度和指引以协助业主有效监察和执行这些政策的重要性。
Introduction: In 2012, the Boston Housing Authority (BHA) in Massachusetts implemented a smoke-free policy prohibiting smoking within its residences. We sought to characterize BHA resident experiences before and after the smoke-free policy implementation, and compare them to that of nearby residents of the Cambridge Housing Authority, which had no such policy.Methods: We recruited a convenience sample of nonsmoking residents from the BHA and Cambridge Housing Authority. We measured residents' awareness and support of their local smoking policies before and 9-12 months after the BHA's policy implementation, as well as BHA respondents' attitudes towards the smoke-free policy. We assessed tobacco smoke exposure via saliva cotinine, airborne apartment nicotine, and self-reported number of days smelling smoke in the home. We evaluated predictors of general satisfaction at follow-up using linear regression.Results: At follow-up, 91% of BHA respondents knew that smoking was not allowed in apartments and 82% were supportive of such a policy in their building. BHA residents believed enforcement of the smoke-free policy was low. Fifty-one percent of BHA respondents indicated that other residents "never" or "rarely" followed the new smoke-free rule and 41% of respondents were dissatisfied with policy enforcement. Dissatisfaction with enforcement was the strongest predictor of general housing satisfaction, while objective and self-reported measures of tobacco smoke exposure were not predictive of satisfaction. At follow-up, 24% of BHA participants had complained to someone in charge about policy violations.Conclusions: Resident support for smoke-free policies is high. However, lack of enforcement of smoke-free policies may cause frustration and resentment among residents, potentially leading to a decrease in housing satisfaction.Implications: Smoke-free housing laws are becoming increasingly prevalent, yet little is known about satisfaction and compliance with such policies post-implementation. We evaluated nonsmoking residents' attitudes about smoke-free rules and their satisfaction with enforcement 1 year after the BHA implemented its comprehensive smoke-free policy. We found that while residents were supportive of the policy, they believed enforcement was low, a perception that was associated with a drop in housing satisfaction. Our findings point to a desire for smoke-free housing among public housing residents, and the importance of establishing systems and guidelines to help landlords monitor and enforce these policies effectively.