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无家可归成年人中与无烟政策相关的戒烟意愿

Interest in Smoking Cessation Related to a Smoke-Free Policy Among Homeless Adults.

作者信息

Vijayaraghavan Maya, Pierce John P

机构信息

Family Medicine and Public Health, Cancer Prevention and Control Division, Moores UCSD Cancer Center, University of California, San Diego, 3855 Health Sciences Drive, MC 0901, La Jolla, San Diego, CA, 92093-0901, USA,

出版信息

J Community Health. 2015 Aug;40(4):686-91. doi: 10.1007/s10900-014-9985-9.

Abstract

Homeless adults have among the highest rates of cigarette smoking. Few studies have explored the potential of smoke-free policies as facilitators of smoking cessation or harm reduction among sheltered homeless adults. We focused on clients of a homeless shelter in San Diego, California. The facility prohibited smoking indoors and outdoors within five blocks of the building, and permitted smoking during four smoking breaks during the day in designated smoking zones away from the building. Current and former smokers who were residents of the facility were interviewed on smoking behaviors and attitudes toward these policies. Of the 170 ever smokers, 75.3% were current smokers. The average daily cigarette consumption was 6.6 cigarettes per day (SD 4.3). More than half of the participants (57.8%) attempted to quit smoking in the past year. Of the current smokers, three-fourths agreed that the facility policies were associated with their reduced consumption, and about half agreed that the policies were associated with either making a quit attempt or getting ready to quit completely. Sixty percent agreed that further restrictions on smoking, beyond the current policies, would be associated with increased interest in quitting smoking completely. Less than 10% agreed that they were unhappy to stay in the facility because of the policies. Findings suggest that smoke-free policies may not influence occupancy rates in shelters serving clientele with high rates of cigarette smoking. Smoke-free policies in homeless service settings present an important and un-tapped opportunity to reduce smoking behaviors among homeless adults.

摘要

无家可归的成年人吸烟率位居前列。很少有研究探讨无烟政策对庇护所中无家可归成年人戒烟或减少危害的促进作用。我们聚焦于加利福尼亚州圣地亚哥一家无家可归者庇护所的客户。该设施禁止在建筑物内及建筑物周边五个街区内的户外吸烟,且允许在白天的四个吸烟时段在远离建筑物的指定吸烟区吸烟。对该设施的现住和曾住吸烟者就吸烟行为及对这些政策的态度进行了访谈。在170名曾经吸烟的人中,75.3%为现吸烟者。平均每日吸烟量为6.6支(标准差4.3)。超过半数的参与者(57.8%)在过去一年尝试过戒烟。在现吸烟者中,四分之三的人认为该设施的政策与他们吸烟量减少有关,约半数的人认为这些政策与尝试戒烟或准备完全戒烟有关。60%的人认为,除现行政策外,进一步限制吸烟将与完全戒烟的兴趣增加有关。不到10%的人认为他们因这些政策而不愿留在该设施。研究结果表明,无烟政策可能不会影响为吸烟率高的客户提供服务的庇护所的入住率。无家可归服务场所的无烟政策为减少无家可归成年人的吸烟行为提供了一个重要且未被开发的机会。

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