Sociomedical Sciences Department, Columbia University Mailman School of Public Health, New York, NY, USA.
Sociomedical Sciences Department, Columbia University Mailman School of Public Health, New York, NY, USA.
Health Place. 2019 Mar;56:106-117. doi: 10.1016/j.healthplace.2019.01.007. Epub 2019 Feb 1.
Smoke-free housing policy in multi-unit housing has emerged as a promising tobacco control initiative, yet full compliance remains elusive and is a critical impediment to policy effectiveness. There is a gap in existing research on potential factors preventing optimal smoke-free policy adoption and corresponding solutions. Using qualitative and quantitative data from resident surveys (N = 115) as well as key informant interviews, a focus group, and observational fieldwork, this study 1) assesses smoking behaviors and experience with secondhand smoke in buildings after adoption of a smoke-free policy; 2) examines resident and property management perceptions of the policy; and 3) identifies socioecological factors that influence the policy's effectiveness in affordable housing settings in New York City. Findings indicate that residents view smoking regulations within the context of broader relationships with the housing provider and other residents. We argue that these "social contracts" strongly influence the effectiveness of smoke-free housing policies and must be acknowledged to maximize compliance.
多户住宅的无烟住房政策已成为一项有前途的控烟举措，但全面遵守仍难以实现，是政策有效性的关键障碍。现有研究存在差距，缺乏关于防止最佳无烟政策采用的潜在因素及相应解决方案的研究。本研究使用来自居民调查（N=115）的定性和定量数据，以及关键知情人访谈、焦点小组和观察性实地工作，1）评估无烟政策实施后建筑物中吸烟行为和二手烟暴露情况；2）考察居民和物业管理对该政策的看法；3）确定影响该政策在纽约市经济适用房环境中有效性的社会生态因素。研究结果表明，居民在与住房提供者和其他居民的更广泛关系背景下看待吸烟法规。我们认为，这些“社会契约”强烈影响无烟住房政策的有效性，必须得到承认，以最大限度地提高遵守率。
