Hollar T Lucas, Cook Nicole, Quinn David, Phillips Teina, DeLucca Michael
Master of Public Health Program, College of Osteopathic Medicine, Nova Southeastern University, 3200 South University Drive, Fort Lauderdale, FL, 33328, USA.
Area Health Education Center, Nova Southeastern University, Fort Lauderdale, FL, USA.
J Immigr Minor Health. 2017 Dec;19(6):1281-1289. doi: 10.1007/s10903-016-0430-2.
Secondhand smoke (SHS) exposure is a public health issue for residents of multi-unit housing (MUH) properties. We evaluated the impact of smoke-free policy implementation on reported SHS exposure among racially, ethnically diverse seniors living in low-income MUH properties. In Spring 2013 and Summer 2014, we surveyed residents (n = 960) at 15 MUH properties in Broward and Miami-Dade Counties, Florida. The percentage of residents reporting SHS exposure within their apartments from elsewhere in or around their building decreased from 31.1 %, before policy implementation, to 23.6 % at follow-up (p = 0.02). In multivariate analysis of non-smoking residents after policy implementation, residents who reported having one or more comorbidities were two times more likely to report SHS exposure (aOR 2.23, 95 % CI 1.12-4.40). Considering the vulnerability of low-income seniors to SHS exposure, our findings are relevant to residents, property owners/managers, and public health professionals making decisions about smoke-free policies for MUH properties in which seniors reside.
二手烟暴露对多单元住房（MUH）居民来说是一个公共卫生问题。我们评估了无烟政策实施对居住在低收入多单元住房中的不同种族和族裔老年人报告的二手烟暴露的影响。2013年春季和2014年夏季，我们对佛罗里达州布劳沃德县和迈阿密 - 戴德县15个多单元住房的居民（n = 960）进行了调查。报告在其公寓内受到来自建筑物内或周围其他地方二手烟暴露的居民比例，从政策实施前的31.1%降至随访时的23.6%（p = 0.02）。在政策实施后对非吸烟居民的多变量分析中，报告患有一种或多种合并症的居民报告二手烟暴露的可能性高出两倍（调整后比值比2.23，95%置信区间1.12 - 4.40）。考虑到低收入老年人易受二手烟暴露影响，我们的研究结果对于居民、房产所有者/管理者以及为老年人居住的多单元住房制定无烟政策的公共卫生专业人员具有参考价值。
