Schmidt Lisa M, Reidmohr Alison A, Helgerson Steven D, Harwell Todd S
Montana Department of Public Health and Human Services, 1400 Broadway Street, Helena, MT, 59620, USA.
J Community Health. 2016 Dec;41(6):1116-1121. doi: 10.1007/s10900-016-0204-8.
Previous research has shown that multi-unit housing (MUH) residents are at risk of secondhand smoke (SHS) exposure, which can transfer between units. The purpose of this study was to determine SHS exposure and examine attitudes towards smoking policies among public housing authority (PHA) residents in rural and tribal settings. A self-administered questionnaire was completed by 895 adult tenants (41 % response rate) living in PHA multiunit buildings in Montana in 2013. Our primary outcome was tenant support of smoke-free policies; our secondary outcome was exacerbation of child asthma symptoms due to SHS exposure. In 2014, we used multiple logistic regression models to test associations between independent variables and outcomes of interest. The majority (80.6 %) of respondents supported having a smoke-free policy in their building, with support being significantly higher among nonsmokers [adjusted odds ratio (aOR) 4.2, 95 % confidence interval (CI) 1.5-11.6] and among residents living with children (aOR 2.9, 95 % CI 1.3-6.2). Tribal residents were as likely to support smoke-free policies as non-tribal residents (aOR 1.4; 95 % CI 0.5-4.0). Over half (56.5 %) of respondents reported SHS exposure in their home; residents in a building with no smoke-free policy in place were significantly more likely to report exposure (aOR 3.5, 95 % CI 2.2-5.5). SHS exposure was not significantly associated with asthma symptoms. There is a significant reduction in exposure to SHS in facilities with smoke-free policies and there is strong support for such policies by both tribal and non-tribal MUH residents. Opportunities exist for smoke-free policy initiatives in rural and tribal settings.
先前的研究表明，多单元住房（MUH）居民面临二手烟暴露风险，二手烟会在各单元之间传播。本研究的目的是确定农村和部落地区公共住房管理局（PHA）居民的二手烟暴露情况，并调查他们对吸烟政策的态度。2013年，蒙大拿州PHA多单元建筑中的895名成年租户（回复率为41%）完成了一份自填式问卷。我们的主要结果是租户对无烟政策的支持情况；次要结果是二手烟暴露导致儿童哮喘症状加重。2014年，我们使用多个逻辑回归模型来检验自变量与感兴趣的结果之间的关联。大多数（80.6%）受访者支持在其居住建筑内实施无烟政策，非吸烟者（调整优势比[aOR]为4.2，95%置信区间[CI]为1.5 - 11.6）以及有孩子同住的居民（aOR为2.9，95% CI为1.3 - 6.2）的支持率显著更高。部落居民与非部落居民支持无烟政策的可能性相同（aOR为1.4；95% CI为0.5 - 4.0）。超过一半（56.5%）的受访者报告家中有二手烟暴露；所在建筑未实施无烟政策的居民报告暴露的可能性显著更高（aOR为3.5，95% CI为2.2 - 5.5）。二手烟暴露与哮喘症状无显著关联。实施无烟政策的场所中二手烟暴露显著减少，部落和非部落的MUH居民都大力支持此类政策。在农村和部落地区存在推行无烟政策倡议的机会。
