Department of Emergency Medicine, 2954Wayne State University, Detroit, MI, USA.
Integrative Biosciences Center, Wayne State University, Detroit, MI, USA.
Inquiry. 2022 Jan-Dec;59:469580221092814. doi: 10.1177/00469580221092814.
Individuals from low-income groups report disproportionate rates of cigarette use, secondhand smoke (SHS) exposure with increased morbidity and mortality. Smoking bans in public housing have been enacted in attempt to reduce tobacco use and SHS exposure among lower income individuals. This study investigated the support needs of tobacco users living in two public housing complexes in Detroit, Michigan (USA), including their perspectives on smoking, resources and barriers for smoking cessation, and the impact of policy changes.
This is a mixed-methods study, using a qualitative focus groups approach and a short survey, public housing residents interview data was analyzed to explore themes related to smoking-related issues. Specifically, six themes were assessed across four focus groups: (1) Quitting Smoking, (2) Current Smoking Cessation Resources, (3) Legal Mandates, (4) Education and Perceptions of Smoking, (5) Community Needs and Barriers, and (6) Medical Experiences.
There were 59 participants; the majority (39/42, 93%) of smokers reported at least one quit attempt. During the focus groups, several participants indicated a desire to quit smoking but reported barriers to smoking cessation, such as lack of access to medications, social triggers to continue smoking, and socioeconomic stressors. A number of suggestions were provided to improve smoking cessation resources, including support groups, graphic images of smoking-related diseased tissue, and better communication with health care providers.
These findings demonstrate smoking bans in two public housing complexes can be effective yet are dependent upon a complex set of issues, including numerous barriers to care.
来自低收入群体的个人报告吸烟率不成比例，二手烟（SHS）暴露率增加，发病率和死亡率增加。为了减少低收入个人的烟草使用和 SHS 暴露，已在公共住房中实施了禁烟令。本研究调查了密歇根州底特律市两个公共住房综合大楼中烟草使用者的支持需求，包括他们对吸烟的看法、戒烟资源和障碍，以及政策变化的影响。
这是一项混合方法研究，使用定性焦点小组方法和简短的调查，对公共住房居民访谈数据进行了分析，以探讨与吸烟相关问题的主题。具体来说，在四个焦点小组中评估了六个主题：（1）戒烟，（2）当前戒烟资源，（3）法律授权，（4）教育和吸烟观念，（5）社区需求和障碍，以及（6）医疗经验。
共有 59 名参与者；大多数（39/42，93%）吸烟者报告至少有一次戒烟尝试。在焦点小组中，一些参与者表示有戒烟的愿望，但报告了戒烟的障碍，例如缺乏药物、继续吸烟的社会诱因和社会经济压力。为改善戒烟资源提出了一些建议，包括支持小组、吸烟相关疾病组织的图形图像以及与医疗保健提供者更好地沟通。
这些发现表明，在两个公共住房综合大楼中实施禁烟令可能是有效的，但取决于一系列复杂的问题，包括众多的护理障碍。
