Intervention for Enhanced Adoption of Smoke-Free Apartment Building Policies

在过去的十年中，公众宣传和科学发现促使许多州和地方政府采取全面禁止在公共场所吸烟的措施。然而，这些政策的实施和加强最终使包括个人生活空间在内的不受管制的区域成为许多人接触二手烟的主要场所。非自愿SHS暴露的可能性以及与这种暴露相关的不良健康结果在近8000万居住在多单元住房设施中彼此紧邻的美国人中尤其明显。尽管目前有大量文献记录了公共场所的无烟政策支持和实施情况，但评估个人生活空间（更具体地说，多单元住房）中这些问题的文献有限。因此，该提案旨在将先前在公共场所SHS暴露领域的工作扩展并应用于多单元住房领域。这些发现可能对促进健康，安全和可访问的家庭的努力产生深远的影响，从而使疾病控制中心（CDC）更接近实现其在健康场所为健康人群提供健康保护的目标。为了回答这些问题，将与纽约西部的烟草控制组织伊利-尼亚加拉无烟联盟（ENTFC）合作进行四项研究。首先，我们将通过在吸烟和非吸烟公寓中同时进行实时空气监测来研究多单元建筑中的SHS传输。其次，我们将对参加纽约州成人烟草调查的近2,800名租户的数据进行二次分析，以评估他们对无烟政策的态度和支持。第三，我们将对纽约州多单元建筑业主/管理者进行调查，以更好地了解他们对SHS的了解，SHS转移的经验，以及政策实施的障碍。最后，我们会评估教育介入的成效，以提高业主/管理人对无烟政策的认识和支持。干预措施将以上述三项研究的结果为基础，并由国家培训和培训委员会实施。所有四项研究的结果都将通过一个网站传播，以便为今后的研究工作提供信息，并教育相关利益攸关方了解研究结果的影响。

DESCRIPTION (provided by applicant): Within the past decade, public advocacy and scientific discovery has prompted many state and local level governments to adopt comprehensive bans on cigarette smoking in public places. However, the implementation and strengthening of these policies has ultimately left unregulated areas, including personal living spaces, as the primary venues of secondhand smoke (SHS) exposure for many individuals. The potential for involuntary SHS exposure, as well as the adverse health outcomes associated with such exposure, is particularly palpable among the nearly 80 million Americans residing in close proximity to each other in multi- unit housing facilities. Although there is currently an extensive amount of literature documenting smoke-free policy support and implementation in public places, literature assessing these issues in personal living spaces, and more specifically multi-unit housing, is limited. Consequently, this proposal seeks to extend and apply previous work in the area of SHS exposure in public places to the area of multi-unit housing. The findings could have profound implications for efforts to promote homes that are healthy, safe, and accessible, thus bringing the Centers for Disease Control (CDC) one step closer towards realizing its Health Protection Goal for Healthy People in Healthy Places. To answer these questions, four studies will be performed in partnership with the Erie-Niagara Tobacco-Free Coalition (ENTFC), a tobacco control organization in Western New York. First, we will examine SHS transfer in multi-unit buildings by conducting simultaneous real-time air monitoring in smoking and non-smoking apartments. Second, we will perform a secondary analysis of data from nearly 2,800 tenants who participated in the New York State Adult Tobacco Survey to assess attitudes toward, and support for, smoke-free policies. Third, we will conduct a survey of New York State multi-unit building owners/managers to better understand their knowledge of SHS, experiences with SHS transfer, and perceived barriers to policy implementation. Lastly, we will evaluate the effectiveness of an educational intervention to increase awareness and support for smoke-free policies among owners/managers. The intervention will be founded upon the findings of the three aforementioned studies and implemented by the ENTFC. The results from all four studies will be disseminated through a website in an effort to inform future research efforts and to educate relevant stakeholders about the implications of the findings.