Nguyen Kimberly H, Gomez Yessica, Homa David M, King Brian A
Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Prev Med. 2016 Nov;51(5):682-692. doi: 10.1016/j.amepre.2016.05.009. Epub 2016 Jul 13.
Multiunit housing (MUH) residents are particularly susceptible to involuntary secondhand smoke (SHS) exposure in their home, which can enter their living units from nearby units and shared areas where smoking occurs. To date, no study has assessed non-cigarette tobacco use among MUH residents. This study assessed the prevalence and sociodemographic correlates of tobacco use (combustible, noncombustible, any tobacco use including electronic cigarettes), smoke-free home rules, and SHS incursions among U.S. MUH residents.
Data came from the 2013-2014 National Adult Tobacco Survey, a telephone survey of U.S. adults aged ≥18 years. Analyses were conducted in 2015. Prevalence of current tobacco use and smoke-free home rules were assessed overall and by sociodemographics, stratified by housing type (single family versus MUH). Prevalence and adjusted odds of SHS incursions among MUH residents with smoke-free home rules were assessed.
Tobacco use was higher among adults living in MUH (24.7%) than those in single-family housing (18.9%, p<0.05). Smoke-free home rules were higher among adults living in single-family housing (86.7%) than those in MUH (80.9%, p<0.05). Among MUH residents with smoke-free homes, 34.4% experienced SHS incursions. Adjusted odds of SHS incursions were greater among women, younger adults, non-Hispanic blacks, Hispanics, and those with lower income.
One quarter of MUH residents use tobacco, and one third of MUH residents with smoke-free rules experience SHS incursions. Interventions are warranted to promote tobacco cessation and smoke-free building policies to protect all MUH residents, employees, and visitors from the dangers of tobacco use and SHS.
多单元住房（MUH）居民在其家中特别容易受到非自愿二手烟（SHS）暴露的影响，二手烟可从附近单元和有吸烟现象的共享区域进入他们的居住单元。迄今为止，尚无研究评估MUH居民中使用非卷烟烟草制品的情况。本研究评估了美国MUH居民中烟草使用（可燃烟草、不可燃烟草、包括电子烟在内的任何烟草使用）的患病率及其社会人口学相关因素、无烟家庭规则以及二手烟侵入情况。
数据来自2013 - 2014年全国成人烟草调查，这是一项针对美国18岁及以上成年人的电话调查。分析于2015年进行。总体上以及按社会人口学特征评估当前烟草使用和无烟家庭规则的患病率，并按住房类型（独栋家庭住房与MUH）进行分层。评估了有无烟家庭规则的MUH居民中二手烟侵入的患病率及调整后的比值比。
居住在MUH的成年人中烟草使用率（24.7%）高于独栋家庭住房中的成年人（18.9%，p<0.05）。独栋家庭住房中的成年人中无烟家庭规则的比例（86.7%）高于MUH中的成年人（80.9%，p<0.05）。在有无烟家庭的MUH居民中，34.4%经历过二手烟侵入。女性、年轻人、非西班牙裔黑人、西班牙裔以及低收入者中二手烟侵入的调整后比值比更高。
四分之一的MUH居民使用烟草，三分之一有无烟规则的MUH居民经历过二手烟侵入。有必要采取干预措施来促进戒烟和无烟建筑政策，以保护所有MUH居民、员工和访客免受烟草使用和二手烟危害。
