New York University School of Medicine, New York, NY, 10016, USA.
City University of New York Graduate School of Public Health and Health Policy, New York, NY, 10027, USA.
J Urban Health. 2017 Aug;94(4):525-533. doi: 10.1007/s11524-017-0180-z.
To guide targeted cessation and prevention programming, this study assessed smoking prevalence and described sociodemographic, health, and healthcare use characteristics of adult smokers in public housing. Self-reported data were analyzed from a random sample of 1664 residents aged 35 and older in ten New York City public housing developments in East/Central Harlem. Smoking prevalence was 20.8%. Weighted log-binomial models identified to be having Medicaid, not having a personal doctor, and using health clinics for routine care were positively associated with smoking. Smokers without a personal doctor were less likely to receive provider quit advice. While most smokers in these public housing developments had health insurance, a personal doctor, and received provider cessation advice in the last year (72.4%), persistently high smoking rates suggest that such cessation advice may be insufficient. Efforts to eliminate differences in tobacco use should consider place-based smoking cessation interventions that extend cessation support beyond clinical settings.
为了指导有针对性的戒烟和预防计划，本研究评估了成年吸烟者在公共住房中的吸烟流行率，并描述了他们的社会人口学、健康和医疗保健使用特征。从东/中哈莱姆区十个纽约市公共住房开发项目中随机抽取的 1664 名 35 岁及以上居民的自我报告数据进行了分析。吸烟率为 20.8%。加权对数二项式模型发现，拥有医疗补助、没有私人医生和使用诊所进行常规护理与吸烟呈正相关。没有私人医生的吸烟者接受医生戒烟建议的可能性较低。虽然这些公共住房开发项目中的大多数吸烟者都有健康保险、私人医生，并在过去一年中接受了医生提供的戒烟建议（72.4%），但持续高的吸烟率表明，这种戒烟建议可能还不够。消除烟草使用差异的努力应考虑基于场所的戒烟干预措施，将戒烟支持扩展到临床环境之外。
