A Community Trial to Speed the Diffusion of Smoke Free Multiunit Housing Policies

加速无烟多单元住房政策推广的社区试验

• 批准号: 8327169
• 负责人: Andrew Hyland
• 金额: $ 54.31万
• 依托单位: ROSWELL PARK CANCER INSTITUTE CORP
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8327169
• 关键词: Adopted; Adoption; Air; Am 80; American; Area; Awareness; Belief; Censuses; Collection; Communities; Community Trial; Complex; Data; Data Collection; Data Quality; Data Sources; Diffusion; Educational Intervention; Environment; Environmental Tobacco Smoke; Event; Exposure to; Goals; Home environment; Housing; Income; Individual; Intervention; Intervention Trial; Knowledge; Life; Literature; Longitudinal Surveys; Measures; Outcome; Policies; Population; Property; Protocols documentation; Public Health; Randomized; Reporting; Research Design; Rights; Smoke; Smoking; Speed; Statutes and Laws; Surgeon; Surveys; Testing; Training; Work; Workplace; base; community intervention; cost; meetings; non-smoker; non-smoking; post intervention; smoking cessation; symposium; theories; therapy design; trend

DESCRIPTION (provided by applicant): There are approximately 80 million people in the US that live in multiunit housing (MUH) where the potential exists for involuntary exposure to SHS from smoking occurring in other parts of their building. The US Surgeon General has reported that there is no safe level of exposure to SHS. Based on our preliminary data, this could be in part due to low levels of knowledge about the dangers of SHS, the lack of understanding the extent to which it transfers between units in MUH, perceived barriers to implementing policies such as lost rental income and the legality of smoke free building policies, and a general apathy among tenants to request a smoke free environment in their building. Using Rogers' Theory of Diffusion as a guiding framework, we aim to conduct a randomized community-based intervention to test whether increases in SHS knowledge, support for smokefree MUH policies, and actual policy implementation can be achieved through an educational intervention that delivers credible scientific information to the appropriate target audiences (i.e., landlords/owners and tenants). The primary hypothesis is that this smokefree MUH educational campaign will increase the fraction of tenants that live in a building that has a 100% smokefree policy at a faster rate than that observed without such an intervention. To test this hypothesis, we propose to conduct a randomized matched-pair community-based intervention trial to measure changes in knowledge about SHS, support for smokefree MUH policies, and actual policy implementation among tenants and landlords/owners. We will work with Americans for Non- smokers' Rights (ANR) to implement the 12 month intervention and to provide technical assistance in 8 pairs of small to mid-sized communities in the US. The intervention will involve the collection and dissemination of scientific survey data obtained at baseline from tenants and landlord/owners as well as air quality data documenting the extent to which SHS transfers between units in a MUH complex. The smokefree MUH educational intervention will be tailored to the specific issues and barriers identified from this baseline data collection. The intervention will be delivered to the target audience (e.g., tenants and landlords/owners) through channels, such as meetings with landlords/owners' and realtors' associations, press conferences, and events to promote smokefree MUH policies. Outcomes examined include changes in knowledge about the dangers of SHS, support for smokefree policies, and the percent of tenants that live in a smokefree MUH.

描述（由申请人提供）：美国大约有 8000 万人居住在多单元住宅 (MUH) 中，这些住宅有可能因建筑物其他部分吸烟而非自愿接触二手烟。美国卫生局局长报告称，接触二手烟没有安全水平。根据我们的初步数据，这可能部分是由于对二手烟危险性的了解程度较低，缺乏对二手烟在 MUH 各单元之间转移的程度的了解，认为执行政策存在障碍，例如租金收入损失和无烟建筑政策的合法性，以及租户普遍对要求其建筑内无烟环境的冷漠。使用罗杰斯的扩散理论作为指导框架，我们的目标是进行基于社区的随机干预，以测试是否可以通过向适当的目标受众（即房东/业主和租户）提供可靠的科学信息的教育干预来增加 SHS 知识、支持无烟 MUH 政策以及实际政策实施。主要假设是，这项无烟 MUH 教育活动将增加居住在实行 100% 无烟政策的建筑中的租户比例，其速度比没有此类干预时观察到的速度更快。为了检验这一假设，我们建议进行一项基于社区的随机配对干预试验，以衡量租户和房东/业主对 SHS 知识的变化、对无烟 MUH 政策的支持以及实际政策实施情况。我们将与美国非吸烟者权利组织（ANR）合作，实施为期12个月的干预措施，并为美国8对中小型社区提供技术援助。干预措施将包括收集和传播从租户和房东/业主处获得的基线科学调查数据，以及记录 MUH 综合体各单元之间 SHS 转移程度的空气质量数据。无烟 MUH 教育干预措施将针对从基线数据收集中发现的具体问题和障碍进行定制。干预措施将通过各种渠道向目标受众（例如租户和房东/业主）提供，例如与房东/业主和房地产经纪人协会的会议、新闻发布会以及宣传无烟 MUH 政策的活动。检查的结果包括对二手烟危害的认识的变化、对无烟政策的支持以及居住在无烟 MUH 中的租户的百分比。