'If I pay rent, I'm gonna smoke': Insights on the social contract of smokefree housing policy in affordable housing settings

'If I pay rent, I'm gonna smoke': Insights on the social contract of smokefree housing policy in affordable housing settings
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DOI:
10.1016/j.healthplace.2019.01.007
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发表时间:
2019-03-01
期刊:
影响因子:
4.8
通讯作者:
Giovenco, Daniel P.
Giovenco, Daniel P.
中科院分区:
医学2区
文献类型:
--
作者:
Hernandez, Diana;Swope, Carolyn B.;Giovenco, Daniel P.

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多单元住房的无烟住房政策已成为一项有希望的烟草控制倡议,但完全遵守仍然是难以实现的,并且是政策有效性的关键障碍。现有的研究对于阻碍最优无烟政策实施的潜在因素以及相应的解决方案存在空白。本研究利用来自居民调查(N = 115)、关键信息者访谈、焦点小组和观察性实地调查的定性和定量数据,1)评估采用无烟政策后建筑物内的吸烟行为和二手烟体验;2)检查居民和物业管理对政策的看法;3)确定影响纽约市经济适用房政策有效性的社会生态因素。调查结果表明,居民在与住房供应商和其他居民的更广泛关系的背景下看待吸烟规定。我们认为,这些“社会契约”强烈影响无烟住房政策的有效性,必须承认最大限度地遵守。
Smoke-free housing policy in multi-unit housing has emerged as a promising tobacco control initiative, yet full compliance remains elusive and is a critical impediment to policy effectiveness. There is a gap in existing research on potential factors preventing optimal smoke-free policy adoption and corresponding solutions. Using qualitative and quantitative data from resident surveys (N = 115) as well as key informant interviews, a focus group, and observational fieldwork, this study 1) assesses smoking behaviors and experience with secondhand smoke in buildings after adoption of a smoke-free policy; 2) examines resident and property management perceptions of the policy; and 3) identifies socioecological factors that influence the policy's effectiveness in affordable housing settings in New York City. Findings indicate that residents view smoking regulations within the context of broader relationships with the housing provider and other residents. We argue that these "social contracts" strongly influence the effectiveness of smoke-free housing policies and must be acknowledged to maximize compliance.