Center for Health Analytics, Media, and Policy, RTI International, 701 13th St. NW, Washington, DC 20005, USA.
Center for Health Analytics, Media, and Policy, RTI International, 3040 East Cornwallis Road, Research Triangle Park, Durham, NC 27709, USA.
Int J Environ Res Public Health. 2022 Mar 16;19(6):3513. doi: 10.3390/ijerph19063513.
This study assessed changes in smoking behavior and secondhand smoke (SHS) exposure after implementation of the U.S. Department of Housing and Urban Development (HUD) rule prohibiting the use of cigarettes, cigars, pipes, and waterpipes in all federally subsidized public housing, including within residential units (apartments). Using quantitative data from a repeated cross-sectional mail survey of New York State residents of five public housing authorities (N = 761 at Wave 1, N = 649 at Wave 2), we found evidence of policy compliance (99% decrease in odds of self-reported smoking in units, OR = 0.01, p < 0.01, CI: 0.00−0.16), reduced SHS incursions (77% decrease in odds of smelling smoke within developments, OR = 0.23, p < 0.01, CI: 0.13−0.44), and lower reported smoking rates in July 2018 (9.5%, down from 16.8%), 10 months after implementation of the rule. Despite evident success, one-fifth of residents reported smelling smoke inside their apartment at least a few times per week. This study provides insights into how the policy was implemented in selected New York public housing authorities, offers evidence of policy-intended effects, and highlights challenges to consistent and impactful policy implementation.
本研究评估了美国住房和城市发展部（HUD）禁止在所有联邦补贴的公共住房中使用香烟、雪茄、烟斗和水烟的规定实施后吸烟行为和二手烟（SHS）暴露的变化，包括住宅单元（公寓）内。我们使用来自纽约州五个公共住房管理局居民的重复横断面邮件调查的定量数据（第 1 波 761 人，第 2 波 649 人），发现了政策合规的证据（自我报告的单位内吸烟几率降低了 99%，OR = 0.01，p < 0.01，CI：0.00-0.16），减少了 SHS 入侵（在开发项目中闻到烟雾的几率降低了 77%，OR = 0.23，p < 0.01，CI：0.13-0.44），以及 2018 年 7 月报告的吸烟率降低（从 16.8%降至 9.5%），该规定实施后 10 个月。尽管取得了明显的成功，但仍有五分之一的居民报告说每周至少有几次在公寓内闻到烟味。本研究深入了解了该政策在选定的纽约公共住房管理局的实施情况，提供了政策预期效果的证据，并强调了实现一致和有影响力的政策实施所面临的挑战。
