Secondhand Smoke Exposure and Smoke-free Policy in Philadelphia Public Housing

Details

• Alternative Title:
  Tob Regul Sci
• Personal Author:
  Klassen, Ann C. ; Lee, Nora L. ; Pankiewicz, Aaron ; Ward, Rikki ; Shuster, Michelle ; Ogbenna, Bethany Townsend ; Wade, Anita ; Boamah, Maxwell ; Osayameh, Olufunlayo ; Rule, Ana M. ; Szymkowiak, Dorota ; Coffman, Ryan ; Bragg, Virginius ; Mallya, Giridhar
• Description:
  Objectives
  
  Multi-unit housing environments remain significant sources of secondhand smoke (SHS) exposure, especially for vulnerable populations in subsidized housing. In Philadelphia, the largest US housing authority to implement smoke-free policies, we measured baseline resident smoking-related behaviors and attitudes, and longitudinal exposures to airborne nicotine, during policy development and implementation.
  
  Methods
  
  In 4 communities, we collected data in 2013, 2014, and 2016, before and after introduction of comprehensive smoke-free policies, interviewing persons in 172 households, and monitoring air-borne nicotine in non-smoking homes and public areas. Average nicotine level differences across years were estimated with multi-level models.
  
  Results
  
  Fifty-six percent of respondents smoked. Only 37% of households were smoke-free, with another 41% restricting smoking by area or time of day. The number of locations with detectable nicotine did not differ before and after policy implementation, with approximately 20% of non-smoking homes and 70%–80% of public areas having detectable nicotine. However, public area nicotine levels were lower in 2016, after policy implementation, than in 2013 and 2014 (−0.19 μg/m3, p = .03).
  
  Conclusions
  
  Findings suggest that initial policy implementation was associated with reduced SHS exposure in Philadelphia. As HUD strengthens smoke-free policies, SHS monitoring can be useful to educate stakeholders and build support for policy enforcement.
  
  
• Keywords:
  Air Monitoring Health Policy Public Housing Secondhand Smoke Smoking Control Smoking Policy Vulnerable Populations
• Source:
  Tob Regul Sci. 3(2):192-203
• Pubmed ID:
  28944277
• Pubmed Central ID:
  PMC5609462
• Document Type:
  Journal Article
• Funding:
  R25 MD006792/MD/NIMHD NIH HHSUnited States/ ; U58 DP003557/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  3
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:88ee3c777ba5394df8603494c2c7458c5a1dec809c5d42afb05ad97a2b39fd4c
• Download URL:
  https://stacks.cdc.gov/view/cdc/48431/cdc_48431_DS1.pdf
• File Type:
  [PDF - 98.85 KB ]