COVID-19 Stay-At-Home Orders and Secondhand Smoke in Public Housing.
COVID-19 Stay-At-Home Orders and Secondhand Smoke in Public Housing.
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DOI：
10.1016/j.amepre.2023.02.024
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发表时间：
2023-09
影响因子：
5.5
通讯作者：
Plunk, Andrew D.
中科院分区：
文献类型：
--
作者：
Gehlert, Sarah;Rees, Vaughan W.;Choi, Kelvin;Jackson, Peter D.;Sheehan, Brynn E.;Grucza, Richard A.;Paulson, Amy C.;Plunk, Andrew D.
这项研究旨在通过检查居家令与公共住房室内吸烟之间的关联（以 2.5 微米阈值（二手烟的标志）的环境颗粒物来衡量），从而更好地了解这一流行病的不公平影响。 2018 年至 2022 年，在弗吉尼亚州诺福克的 6 栋公共住房建筑中测量了 2.5 微米阈值的颗粒物。使用多级回归将 2020 年弗吉尼亚州居家令的 7 周期间与其他年份的期间进行了比较。 2020 年室内 2.5 微米阈值颗粒物比 2019 年同期高出 10.29 μg/m3（95% CI=8.51、12.07），增加了 72%。尽管2.5微米阈值的颗粒物在2021年和2022年有所改善，但相对于2019年的水平仍然较高。居家令可能导致公共住房室内二手烟增加。鉴于包括二手烟在内的空气污染物与 COVID-19 之间存在联系的证据，这些结果还进一步证明了这一流行病对社会经济弱势群体造成的不成比例的影响。大流行应对措施的这种后果不太可能是孤立的，需要对 COVID-19 的经验进行严格审查，以避免在未来的公共卫生危机中出现类似的政策失败。
This study aimed to better understand the inequitable impact of the pandemic by examining the associations between stay-at-home orders and indoor smoking in public housing, measured by ambient particulate matter at the 2.5-micron threshold, a marker for secondhand smoke. Particulate matter at the 2.5-micron threshold was measured in 6 public-housing buildings in Norfolk, VA from 2018 to 2022. Multilevel regression was used to compare the 7-week period of the Virginia stay-at-home order in 2020 with that period in other years. Indoor particulate matter at the 2.5-micron threshold was 10.29 μg/m3 higher in 2020 (95% CI=8.51, 12.07) than in the same period in 2019, a 72% increase. Although particulate matter at the 2.5-micron threshold improved in 2021 and 2022, it remained elevated relative to the level in 2019. Stay-at-home orders likely led to increased indoor secondhand smoke in public housing. In light of evidence linking air pollutants, including secondhand smoke, with COVID-19, these results also provide further evidence of the disproportionate impact of the pandemic on socioeconomically disadvantaged communities. This consequence of the pandemic response is unlikely to be isolated and calls for a critical examination of the COVID-19 experience to avoid similar policy failures in future public health crises.
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