Implementation Activities in Smoke-Free Public Housing: The Massachusetts Experience.
Implementation Activities in Smoke-Free Public Housing: The Massachusetts Experience.
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DOI：
10.3390/ijerph20010078
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发表时间：
2022-12-21
影响因子：
--
通讯作者：
Levy, Douglas E.
中科院分区：
文献类型：
--
作者：
Lee, Boram;Fung, Vicki;Cheng, David;Winickoff, Jonathan P.;Rigotti, Nancy A.;Shah, Radhika;McGlave, Claire;Goldberg, Sydney;Song, Glory;Doane, Jacqueline;Kingsley, Melody;Henley, Patricia;Ursprung, Sanouri;Banthin, Christopher;Levy, Douglas E.
关键词：
2018年的一项规定要求美国联邦政府补贴的公共住房当局（PHA）采取无烟政策（SFP），这引发了人们对住房机构如何最好地实施SFP的兴趣。然而，到目前为止，很少有定量数据说明在公共住房中实施补充营养方案的情况。马萨诸塞州PHAs是公共住房SFP的先驱之一，许多PHAs在联邦规则之前就自愿建立了SFP。本研究的目的是使用2018年进行的一项调查，检查2018年之前在马萨诸塞州PHA中制定的SFP的采用、实施和结果。该调查询问PHAs是否有SFP，如果有，则使用哪些活动来实施它们：提供信息会议，提供戒烟治疗或转诊，征求居民意见，培训工作人员，与外部团体合作，使用工具包和/或提供户外吸烟区。我们使用多变量回归来调查实施活动和受访者报告的政策结果（居民支持，对邻居吸烟的投诉，以及每年报告的违规次数）之间的关联。在238个马萨诸塞州PHA中，218个（91%）完成了调查，161个在2018年之前有SFP。常见的实施活动是提供戒烟治疗/转诊（89%）和为居民举办信息会议（85%）。住院医师的信息会议与较高的住院医师支持相关（调整优势比[AOR] 4.3; 95%CI 1.2-15.3）。培训员工（AOR 6.3，95%CI 1.2-31.8）和参与≥5次实施活动（AOR 4.1，95%CI 1.2-14.1）与吸烟相关投诉较少相关。利用多种实施活动，特别是那些通知居民和培训PHA工作人员，与更有利的政策结果。我们确定了五组PHA，它们共享不同的SFP实施活动模式。我们的研究结果，记录的实施活动及其关联与SFP的结果之间的早期采用者的SPFs在马萨诸塞州公共住房，可以帮助通知未来实施的最佳实践SFP在多单元住房。
A 2018 rule requiring federally-subsidized public housing authorities (PHAs) in the United States to adopt smoke-free policies (SFPs) has sparked interest in how housing agencies can best implement SFPs. However, to date, there is little quantitative data on the implementation of SFPs in public housing. Massachusetts PHAs were among the pioneers of SFPs in public housing, and many had instituted SFPs voluntarily prior to the federal rule. The aim of this study was to examine the adoption, implementation, and outcomes of SFPs instituted in Massachusetts PHAs prior to 2018 using a survey conducted that year. The survey asked if PHAs had SFPs and, if so, what activities were used to implement them: providing information sessions, offering treatment or referral for smoking cessation, soliciting resident input, training staff, partnering with outside groups, using a toolkit, and/or providing outdoor smoking areas. We used multivariable regression to investigate associations between implementation activities and respondent-reported policy outcomes (resident support, complaints about neighbors’ smoking, and the number of violations reported per year). Of 238 Massachusetts PHAs, 218 (91%) completed the survey and 161 had an SFP prior to 2018. Common implementation activities were offering smoking cessation treatment/referral (89%) and information sessions for residents (85%). Information sessions for residents were associated with higher resident support (adjusted odds ratio [AOR] 4.3; 95%CI 1.2–15.3). Training staff (AOR 6.3, 95%CI 1.2–31.8) and engaging in ≥5 implementation activities (AOR 4.1, 95%CI 1.2–14.1) were associated with fewer smoking-related complaints. Utilization of multiple implementation activities, especially ones that informed residents and trained PHA staff, was associated with more favorable policy outcomes. We identified five groups of PHAs that shared distinct patterns of SFP implementation activities. Our findings, documenting implementation activities and their associations with SFP outcomes among the early adopters of SPFs in Massachusetts public housing, can help inform best practices for the future implementation of SFPs in multiunit housing.
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DOI：
10.3390/ijerph15102062
发表时间：
2018-09-20
影响因子：
--
作者：
Jiang N;Thorpe L;Kaplan S;Shelley D
通讯作者：
Shelley D
影响因子：
5.5
作者：
Levy, Douglas E.;Rigotti, Nancy A.;Winickoff, Jonathan P.
通讯作者：
Winickoff, Jonathan P.
影响因子：
4.7
作者：
Rokicki, Slawa;Adamkiewicz, Gary;Levy, Douglas E.
通讯作者：
Levy, Douglas E.
影响因子：
2.4
作者：
Kegler，Michelle C.;Lea，Jaimie;Haardorfer，Regine
通讯作者：
Haardorfer，Regine
影响因子：
4.7
作者：
Russo, Elizabeth T.;Hulse, Thomas E.;Shah, Snehal N.
通讯作者：
Shah, Snehal N.