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

描述（由申请人提供）：美国大约有8000万人居住在多单元住房（MUH）中，这些住房的其他部分可能因吸烟而非自愿地暴露于SHS。美国卫生局局长报告说，接触SHS没有安全水平。根据我们的初步数据，部分原因可能是由于对二手烟危害的认识水平较低，缺乏对其在大医院单位之间转移的程度的了解，实施政策的感知障碍，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其建筑物内建立无烟环境漠不关心。以罗杰斯的扩散理论为指导框架，我们的目标是进行一项随机的基于社区的干预，以测试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，是否可以实现SHS知识的增加、对无烟MUH政策的支持和实际政策的实施。主要假设是，这种无烟的MUH教育活动将以比没有这种干预的情况下观察到的更快的速度增加居住在具有100%无烟政策的建筑物中的租户比例。为了验证这一假设，我们建议进行一项随机配对的基于社区的干预试验，以衡量租户和房东/业主对SHS知识的变化、对无烟MUH政策的支持以及政策的实际执行情况。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，并在美国8对中小型社区提供技术援助。这项干预措施包括收集和分发从租户和业主/业主那里获得的科学调查数据，以及记录卫生部综合大楼内各单位之间的空气质量数据。将针对从基线数据收集中确定的具体问题和障碍，量身定制无烟MUH教育干预措施。干预措施将透过与业主/业主协会和房地产经纪人协会的会议、新闻发布会和推广无烟家庭卫生政策的活动等渠道，传递给目标受众（例如租户和房东/业主）。研究结果包括对二手烟危害认识的变化、对无烟政策的支持以及居住在无烟公共卫生场所的租户百分比。

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.