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

描述(由申请人提供)：在美国，大约有8000万人居住在多单元住房(MUH)中，在他们建筑的其他部分存在因吸烟而非自愿暴露于SHS的可能性。美国卫生局局长报告说，暴露在SHS中没有安全水平。根据我们的初步数据，这可能部分是由于人们对SHS的危险知之甚少，缺乏对SHS在卫生部各单元之间转移的程度的了解，缺乏对实施政策的障碍，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在他们的建筑中建立无烟环境的冷漠。以罗杰斯的扩散理论为指导框架，我们的目标是进行以社区为基础的随机干预，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)提供可信的科学信息的教育干预来实现SHS知识的增加、对无烟MUH政策的支持以及实际的政策实施。主要的假设是，这场无烟MUH教育活动将增加居住在有100%无烟政策的大楼中的租户比例，其速度比没有这种干预的情况更快。为了验证这一假设，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执行情况。我们将与非吸烟者权利美国人(ANR)合作，实施为期12个月的干预措施，并在美国8对中小型社区提供技术援助。这项干预将涉及收集和传播从租户和房东/业主那里获得的基线科学调查数据，以及记录SHS在MUH综合体各单元之间转移程度的空气质量数据。无烟部教育干预措施将针对从这一基线数据收集中确定的具体问题和障碍而量身定做。干预将通过各种渠道向目标受众(例如租户和业主/业主)传递，例如与业主/业主和房地产经纪人协会的会议、记者招待会和宣传无烟MUH政策的活动。调查的结果包括对SHS危险的知识变化，对无烟政策的支持，以及居住在无烟MUH中的租户的百分比。

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.