Cigarette smoking and adverse health outcomes among adults receiving federal housing assistance
Cigarette smoking and adverse health outcomes among adults receiving federal housing assistance
复制标题
DOI：
10.1016/j.ypmed.2017.02.001
复制
发表时间：
2017-06-01
影响因子：
5.1
通讯作者：
Ashley, Peter J.
中科院分区：
文献类型：
--
作者：
Helms, Veronica E.;King, Brian A.;Ashley, Peter J.
低收入成年人的吸烟率较高，居住在联邦援助住房中的个人特别容易受到吸烟和二手烟暴露的不利影响。这项研究评估了2006-2012年期间接受联邦住房援助的美国成年人的吸烟相关行为和健康结果。分析了与美国住房和城市发展部行政数据相关的国家健康访谈调查数据;对5218名HUD辅助成年人进行了评估。在成年吸烟者中评估与吸烟相关的人口统计学特征，包括频率和消费量。在吸烟和不吸烟的成年人中检查了14种不良健康结果。三分之一（33.6%）的HUD辅助成人是目前的吸烟者。吸烟率最高的是25-44岁的成年人（42.5%），非西班牙裔白人（39.5%）和有孩子的成年人（37.5%）。在过去的一年中，有一半的人试图戒烟; 82.1%的人每天吸烟; 35.8%的每天吸烟者报告每天吸烟20支以上。多变量分析显示，与不吸烟者相比，吸烟者报告健康状况一般或较差的可能性增加（95% CI：1.04-1.52），慢性阻塞性肺疾病（CI：1.87-3.06），残疾（置信区间：1.25-1.83），哮喘（置信区间：1.02-1.55），严重心理困扰（CI：1.39-2.52），过去一年中急诊室就诊次数>1次（CI：1.09-1.56），过去一年中工作损失天数>= 10天（CI：1.15-3.06）。接受住房援助的成年人是与吸烟和二手烟有关的不良健康后果的高危人群。住房援助计划为实施循证烟草预防和控制措施，包括无烟政策，提供了一个宝贵的平台。(C)2017由Elsevier Inc.出版
Cigarette smoking is higher among low-income adults and individuals who reside in federally assisted housing are particularly susceptible to the adverse effects of smoking and secondhand smoke exposure. This study assessed smoking-related behaviors and health outcomes among U.S. adults who received federal housing assistance during 2006-2012. NationalHealth Interview Survey data linked with administrative data from the U.S. Department of Housing and Urban Development were analyzed; 5218 HUD-assisted adults were assessed. Demographic characteristics associated with smoking, including frequency and consumption, were assessed among adult cigarette smokers. Fourteen adverse health outcomes were examined among cigarette smoking and nonsmoking adults. One-third (33.6%) of HUD-assisted adults were current cigarette smokers. Smoking prevalence was highest among adults aged 25-44 (42.5%), non-Hispanic whites (39.5%), and adults who resided in households with children (37.5%). Half attempted to quit in the past year; 82.1% were daily smokers; and, 35.8% of daily smokers reported smoking 20+ cigarettes a day. Multivariable analyses revealed that compared to nonsmokers, cigarette smokers had increased likelihood of reporting fair or poor health (95% CI: 1.04-1.52), chronic obstructive pulmonary disease (CI: 1.87-3.06), disability (CI: 1.25-1.83), asthma (CI: 1.02-1.55), serious psychological distress (CI: 1.39-2.52), >1 emergency room visit in the past year (CI: 1.09-1.56), and >= 10 work loss days in the past year (CI: 1.15-3.06). Adults who receive housing assistance represent an at-risk population for adverse health outcomes associated with smoking and secondhand smoke. Housing assistance programs provide a valuable platform for the implementation of evidence-based tobacco prevention and control measures, including smokefree policies. (C) 2017 Published by Elsevier Inc.