Lewinson Terri, Dasgupta Abhirupa, Murphey James M, Onsando W Moraa, Nagovich Justice
The Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College Geisel School of Medicine, Hanover, NH, USA.
Department of Epidemiology, Dartmouth College Geisel School of Medicine, Hanover, NH, USA.
Tob Use Insights. 2024 Sep 26;17:1179173X241272368. doi: 10.1177/1179173X241272368. eCollection 2024.
Extended-stay hotels (ESH) are a reliable and accessible housing option for low-income, minoritized renters, who are disproportionately exposed to secondhand and thirdhand cigarette smoke (SHS and THS). This study explores ESH residents' perceptions of their SHS and THS exposure, harms related to this exposure, their willingness to mitigate these harms, and the contextual factors associated with smoking in hotels.
Eighty ESH renters from the metropolitan Atlanta region were recruited to complete a survey about the perceived harm and persistence of tobacco smoke, exposure experiences, knowledge, attitudes, self-efficacy, and intentions to protect oneself. Eleven of these participants completed semi-structured interviews, during which they discussed their daily SHS and THS exposure at their ESHs in greater detail.
Of the survey respondents, 62% reported being bothered by their level of smoke exposure, and 77% said they believed smoke particulates remained in their rooms even after housekeeping cleaned them. Approximately half of survey respondents had attempted to stop smoking in the 3 months prior to the study, and 29 of these individuals were still on their smoking cessation journeys. Most interview participants agreed that SHS and THS exposure exacerbated their existing chronic illnesses and could possibly result in death in the long term. Participants agreed with the benefits of smoke-free policies, but also acknowledged other priorities for ESH living-affordability, safety, and proximity to the workplace-that overshadowed their desires for such policies.
Overall, study findings suggest that ESH renters understand the dangers of smoking and SHS/THS and want to decrease their exposure, but the persistence of cultural and contextual factors prevents them from fully engaging with 100% smoke-free policies.
长期住宿酒店（ESH）是低收入、少数族裔租房者可靠且可及的住房选择，而这些人群不成比例地暴露于二手烟和三手烟（SHS和THS）环境中。本研究探讨了ESH居民对其SHS和THS暴露的认知、与这种暴露相关的危害、他们减轻这些危害的意愿，以及与酒店吸烟相关的背景因素。
招募了来自亚特兰大大都市区的80名ESH租房者，以完成一项关于烟草烟雾的感知危害和持久性、暴露经历、知识、态度、自我效能以及自我保护意图的调查。其中11名参与者完成了半结构化访谈，在此过程中他们更详细地讨论了在ESH日常接触SHS和THS的情况。
在调查受访者中，62%报告称受到烟雾暴露程度的困扰，77%表示他们认为即使客房部打扫后，烟雾颗粒仍残留在房间里。约一半的调查受访者在研究前3个月曾尝试戒烟，其中29人仍在戒烟过程中。大多数访谈参与者一致认为，SHS和THS暴露加剧了他们现有的慢性疾病，从长远来看可能导致死亡。参与者认同无烟政策的益处，但也承认ESH生活中的其他优先事项——可负担性、安全性和工作地点的便利性——使他们对这类政策的渴望黯然失色。
总体而言，研究结果表明，ESH租房者了解吸烟以及SHS/THS的危害，并希望减少暴露，但文化和背景因素的持续存在使他们无法充分参与到100%无烟政策中。
