Department of Health Behavior, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263, USA.
Nicotine Tob Res. 2010 Feb;12(2):159-63. doi: 10.1093/ntr/ntp175. Epub 2009 Dec 3.
Exposure to secondhand smoke causes disease and premature death. Although many municipalities have instituted policies prohibiting smoking in public areas, personal living areas remain largely unregulated. Individuals who reside in multiunit housing (MUH) facilities where smoking is permitted are particularly susceptible to involuntary exposure. This study assessed the prevalence and predictors of smoke-free policy implementation and support among owners and managers of MUH throughout Western New York State.
A telephone survey was administered to a sample of owners and managers of MUH buildings in the Erie and Niagara counties, New York. A total of 127 respondents completed the survey between March and July 2008 (62% response rate). Logistic regression was used to assess predictors of policy implementation and support, while adjusting for participant smoking status, quantity of units owned/managed, government subsidy status, as well as building age, construction type, and size.
Only 13% of participants reported smoking restrictions within any of their buildings. Among those without a smoke-free policy, 75% would be interested in restricting smoking in at least one of their units, with interest being significantly higher among participants with government-subsidized units (odds ratio = 3.12, 95% CI = 1.14-8.52). Primary barriers to policy implementation included concern over increased vacancy (27%) and a decreased market base (21%).
Few Western New York MUH owners and managers have implemented smoke-free policies in their buildings, but most are receptive to doing so. Therefore, opportunities exist for interventions to enhance policy acceptance, implementation, and enforcement among these individuals.
接触二手烟会导致疾病和早逝。尽管许多城市都制定了在公共场所禁烟的政策，但个人居住区域在很大程度上仍未得到监管。居住在允许吸烟的多户住宅（MUH）设施中的个人特别容易受到被动吸烟的影响。本研究评估了纽约州西部 MUH 业主和管理人员实施和支持无烟政策的流行率和预测因素。
对纽约州伊利县和尼亚加拉县 MUH 建筑的业主和管理人员进行了电话调查。共有 127 名受访者在 2008 年 3 月至 7 月期间完成了调查（回应率为 62%）。使用逻辑回归来评估政策实施和支持的预测因素，同时调整参与者的吸烟状况、拥有/管理的单位数量、政府补贴状况以及建筑物的年龄、建筑类型和规模。
只有 13%的参与者报告在他们的任何建筑物内有吸烟限制。在没有无烟政策的参与者中，75%的人对至少在他们的一个单位内限制吸烟感兴趣，其中政府补贴单位的参与者兴趣显著更高（比值比=3.12，95%置信区间=1.14-8.52）。政策实施的主要障碍包括对增加空缺率（27%）和减少市场基础（21%）的担忧。
纽约州西部 MUH 的业主和管理人员很少在他们的建筑物中实施无烟政策，但大多数人都愿意这样做。因此，为这些人提供了机会，通过干预措施来增强他们对政策的接受、实施和执行。
