Intervention to promote smoke-free policies among multiunit housing operators.

OBJECTIVE To assess the efficacy of an intervention to encourage the adoption of smoke-free policies among owners and managers of multiunit housing. DESIGN A pretest-posttest quasi-experimental design was employed. PARTICIPANTS The study population included 287 multiunit housing operators (MUHOs) from across New York State who were recruited to complete a baseline survey designed to assess policies about smoking in the housing units that they owned and/or managed. Subjects were surveyed between March and July 2008 (n = 128 intervention, n = 159 control) and recontacted 1 year later to complete a follow-up survey (n = 59 intervention, n = 95 control). INTERVENTION An informational packet on the benefits of implementing a smoke-free policy was mailed to MUHOs in the New York State counties of Erie and Niagara between March and July 2008. For comparison purposes, a sample of MUHOs located outside of Erie and Niagara counties who did not receive the information packet were identified to serve as control subjects. MAIN OUTCOME MEASURES Logistic regression was used to assess predictors of policy interest, concern, and implementation at follow-up. Predictors included: intervention group, baseline status, respondent smoking status, survey type, government-subsidy status, quantity of units operated, and average building size, construction type, and age. RESULTS Multiunit housing operators who received the information packet were more likely to report interest in adopting a smoke-free policy (OR = 6.49, 95% CI = 1.44-29.2), and less likely to report concerns about adopting such a policy (OR = 0.16, 95% CI = 0.04-0.66) compared to MUHOs who did not receive the information packet; however, the rate of adoption of smoke-free policies was comparable between the groups. CONCLUSION Sending MUHOs an information packet on the benefits of adopting a smoke-free policy was effective in addressing concerns and generating interest toward smoke-free policies but was not sufficient in itself to generate actual policy adoption.

[1]  Michael Cahill,et al.  Housing and urban development , 2018, The Environment and Social Policy.

[2]  Brian A. King,et al.  Multiunit housing residents' experiences and attitudes toward smoke-free policies. , 2010, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[3]  Brian A. King,et al.  Prevalence and predictors of smoke-free policy implementation and support among owners and managers of multiunit housing. , 2010, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[4]  E. Gilpin,et al.  The effect of smoke-free homes on adult smoking behavior: a review. , 2009, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[5]  Brian A. King,et al.  Smoke-free homes and smoking cessation and relapse in a longitudinal population of adults. , 2009, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[6]  Geoffrey T Fong,et al.  Attitudes and beliefs about secondhand smoke and smoke-free policies in four countries: findings from the International Tobacco Control Four Country Survey. , 2009, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[7]  S. Glantz,et al.  Brief secondhand smoke exposure depresses endothelial progenitor cells activity and endothelial function: sustained vascular injury and blunted nitric oxide production. , 2008, Journal of the American College of Cardiology.

[8]  M. Eriksen,et al.  The diffusion and impact of clean indoor air laws. , 2008, Annual review of public health.

[9]  James L. Repace,et al.  Reduced secondhand smoke exposure after implementation of a comprehensive statewide smoking ban--New York, June 26, 2003-June 30, 2004. , 2007, MMWR. Morbidity and mortality weekly report.

[10]  M. Hewett,et al.  Secondhand smoke in apartment buildings: renter and owner or manager perspectives. , 2007, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[11]  A Hyland,et al.  Support for and reported compliance with smoke-free restaurants and bars by smokers in four countries: findings from the International Tobacco Control (ITC) Four Country Survey , 2006, Tobacco Control.

[12]  M. Mahoney,et al.  Early evidence on the effectiveness of clean indoor air legislation in New York State. , 2006, American journal of public health.

[13]  A Hyland,et al.  Changes in hospitality workers’ exposure to secondhand smoke following the implementation of New York’s smoke-free law , 2005, Tobacco Control.

[14]  James L. Repace,et al.  Indoor Air Quality in Hospitality Venues Before and After Implementation of a Clean Indoor Air Law , 2004 .

[15]  James L. Repace,et al.  Indoor air quality in hospitality venues before and after implementation of a clean indoor air law--Western New York, 2003. , 2004, MMWR. Morbidity and mortality weekly report.

[16]  William W. Nazaroff,et al.  Determining Size-Specific Emission Factors for Environmental Tobacco Smoke Particles , 2003 .

[17]  William W. Nazaroff,et al.  Particle Penetration Through Building Cracks , 2003 .

[18]  D. Hennrikus,et al.  Preferences and practices among renters regarding smoking restrictions in apartment buildings , 2003, Tobacco control.

[19]  Nancy J. Brown,et al.  A Concentration Rebound Method for Measuring Particle Penetration and Deposition in the Indoor Environment , 2002 .

[20]  B. Danuser,et al.  Acute sensory responses of nonsmokers at very low environmental tobacco smoke concentrations in controlled laboratory settings. , 2001, Environmental health perspectives.

[21]  K. Anderson,et al.  Metabolites of a tobacco-specific lung carcinogen in nonsmoking women exposed to environmental tobacco smoke. , 2001, Journal of the National Cancer Institute.

[22]  W. H. Engelmann,et al.  The National Human Activity Pattern Survey (NHAPS): a resource for assessing exposure to environmental pollutants , 2001, Journal of Exposure Analysis and Environmental Epidemiology.

[23]  R. M. Davis.  Exposure to environmental tobacco smoke: identifying and protecting those at risk. , 1998, JAMA.