Garritsen Heike H, Khan Farzana, Rozema Andrea D, Navas-Acien Ana, Hernández Diana
Department of Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.
Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
Addiction. 2025 Apr;120(4):578-588. doi: 10.1111/add.16724. Epub 2024 Dec 6.
Although considerable progress has been made regarding the implementation of smoke-free policies (SFPs), many people continue to be exposed to second-hand smoke (SHS) in the home environment. The aim of this study was to conduct a systematic review on the association of SFPs in multi-unit housing (MUH) with smoking behavior and SHS exposure.
In August 2022, we searched five online databases: PubMed, Embase, Web of Science, PsycINFO and CENTRAL. Keywords included terms for SFPs, MUH, smoking behavior and exposure to SHS. We searched for studies that focused on regular combustible cigarettes. Due to the high heterogeneity in methodology and outcomes of the included studies, a meta-analysis was not performed.
Our search yielded 4750 articles. All of them were screened (24 based on full-text), and 17 met the inclusion criteria. All studies were published between 2001 and 2022. Most studies were conducted in the United States (n = 16) and used a cross-sectional design (n = 7) or a longitudinal design (n = 7). Seven studies evaluated smoking behavior. Five of them reported that SFPs in MUH were statistically significantly associated with decreases in either current smoking, smoking quantity, smoking frequency or smoking cessation. Fourteen studies evaluated exposure to SHS. Ten reported that SFPs in MUH were statistically significantly associated with decreases in self-reported exposure to SHS, airborne nicotine levels and particulate matter levels.
Smoke-free policies in multi-unit housing appear to be associated with reduced smoking behavior and second-hand smoke exposure. Successful implementation depends on accessible cessation support and effective enforcement.
尽管在实施无烟政策（SFP）方面已取得显著进展，但仍有许多人在家庭环境中接触二手烟（SHS）。本研究的目的是对多单元住房（MUH）中的无烟政策与吸烟行为及二手烟暴露之间的关联进行系统评价。
2022年8月，我们检索了五个在线数据库：PubMed、Embase、Web of Science、PsycINFO和CENTRAL。关键词包括无烟政策、多单元住房、吸烟行为和二手烟暴露等术语。我们检索了专注于普通可燃香烟的研究。由于纳入研究的方法和结果存在高度异质性，未进行荟萃分析。
我们的检索共获得4750篇文章。对所有文章进行了筛选（24篇基于全文），17篇符合纳入标准。所有研究均发表于2001年至2022年之间。大多数研究在美国进行（n = 16），采用横断面设计（n = 7）或纵向设计（n = 7）。七项研究评估了吸烟行为。其中五项报告称，多单元住房中的无烟政策与当前吸烟、吸烟量、吸烟频率或戒烟的减少在统计学上显著相关。十四项研究评估了二手烟暴露。十项报告称，多单元住房中的无烟政策与自我报告的二手烟暴露、空气中尼古丁水平和颗粒物水平的降低在统计学上显著相关。
多单元住房中的无烟政策似乎与吸烟行为减少和二手烟暴露减少有关。成功实施取决于可获得的戒烟支持和有效执行。
