Hawes Mark, Alway Jessica, Chakravarty Deepalika, Kushel Margot, Max Wendy, Xia Fan, Neyazi Narges, Vijayaraghavan Maya
Center for Tobacco Control Research and Education, University of California, San Francisco, CA, USA.
UCSF Benioff Homelessness and Housing Initiative, University of California, San Francisco, CA, USA.
Drug Alcohol Depend Rep. 2025 Jul 22;16:100363. doi: 10.1016/j.dadr.2025.100363. eCollection 2025 Sep.
INTRODUCTION: Globally, tobacco use causes 8.7 million deaths annually. Approximately 50 % of formerly homeless adults in permanent supportive housing (PSH) in the United States smoke cigarettes. Secondhand smoke exposure is high in the absence of smoke-free policies. There is a need to understand attitudes toward smoke-free policies and factors associated with smoke-free home adoption attempts among PSH residents. METHODS: Between 2022 and 2024, we recruited 400 PSH residents who smoked into a smoke-free home intervention trial in 40 multi-unit PSH sites. Using baseline data, we applied generalized linear mixed models to examine factors associated with past 3-month smoke-free home adoption attempts, adjusting for age, gender, and race-ethnicity. RESULTS: Median age was 56 years (IQR 46, 62), and 41.8 % were Black/African American. Of the sample, 34.8 % previously attempted to adopt a smoke-free home, daily cigarette consumption averaged 11.1 (SD 7.5), and 19.3 % used e-cigarettes in the past 30 days. E-cigarette use (AOR 2.92, 95 % CI 1.48, 5.77) and positive attitudes toward smoke-free policies (AOR 2.13, 95 % CI 1.43, 3.18) were associated with increased odds of smoke-free home adoption attempts. Longer tenure at current residence (AOR 0.94, 95 % CI 0.89, 0.99), smoking within 5 min of waking (AOR 0.55, 95 % CI 0.31, 0.97), and having a serious mental illness (AOR 0.51, 95 % CI 0.30, 0.88) were associated with lower odds. CONCLUSIONS: Support for smoke-free policies among PSH residents can be strengthened by promoting access to tobacco treatment, addressing the role of e-cigarette use, and providing tailored support for residents with serious mental illness.
引言:在全球范围内,烟草使用每年导致870万人死亡。在美国,永久性支持性住房(PSH)中约50%曾经无家可归的成年人吸烟。在没有无烟政策的情况下,二手烟暴露程度很高。有必要了解PSH居民对无烟政策的态度以及与尝试采用无烟家庭相关的因素。 方法:在2022年至2024年期间,我们在40个多单元PSH场所招募了400名吸烟的PSH居民参加无烟家庭干预试验。利用基线数据,我们应用广义线性混合模型来检查与过去3个月尝试采用无烟家庭相关的因素,并对年龄、性别和种族进行了调整。 结果:中位年龄为56岁(四分位间距46, 62),41.8%为黑人/非裔美国人。在样本中,34.8%的人此前曾尝试采用无烟家庭,每日平均吸烟量为11.1支(标准差7.5),19.3%的人在过去30天内使用过电子烟。使用电子烟(调整后比值比2.92,95%置信区间1.48, 5.77)和对无烟政策持积极态度(调整后比值比2.13,95%置信区间1.43, 3.18)与尝试采用无烟家庭的几率增加相关。在当前住所居住时间较长(调整后比值比0.94,95%置信区间0.89, 0.99)、醒来后5分钟内吸烟(调整后比值比0.55,95%置信区间0.31, 0.97)以及患有严重精神疾病(调整后比值比0.51,95%置信区间0.30, 0.88)与几率降低相关。 结论:通过促进获得烟草治疗、解决电子烟使用的作用以及为患有严重精神疾病的居民提供量身定制的支持,可以加强PSH居民对无烟政策的支持。
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