Resident Support for the Federally Mandated Smoke-Free Rule in Public Housing: 2018-2022

dc.contributor.authorDearfield, Craig T.en
dc.contributor.authorUlfers, Margareten
dc.contributor.authorHorn, Kimberlyen
dc.contributor.authorBernat, Debra H.en
dc.date.accessioned2024-02-01T14:30:34Zen
dc.date.available2024-02-01T14:30:34Zen
dc.date.issued2024-01-17en
dc.date.updated2024-01-26T14:10:45Zen
dc.description.abstractThis study examines support for the Department of Housing and Urban Development&rsquo;s (HUD) mandatory smoke-free rule up to four years post-rule among smokers and non-smokers. A repeated cross-sectional design was used where District of Columbia public housing residents aged 18+ (<i>n</i> = 529) completed surveys during three time points: July 2018 (pre-rule), November 2018&ndash;March 2020 (post-rule), and September 2020&ndash;December 2022 (post-rule + COVID-19). Full support for the rule was indicated by agreeing that smoking should not be allowed in all indoor locations and within 25 feet of buildings. Descriptive statistics showed significant differences in support across time for smokers (5.3%, 30.7%, and 22.5%, respectively) and similar support across time for nonsmokers (48.2%, 52.2%, and 40.0%, respectively). In unstratified regression analysis, pre-rule support was lower than when the rule was in effect (aOR = 0.47, 95% CI = 0.25, 0.90), and tobacco users were less likely to support the rule (aOR = 0.34, 95% CI = 0.23, 0.50). Stratified logistic regression results showed that pre-rule support was lower among smokers compared to post-rule support (aOR = 0.14, 95% CI = 0.03, 0.59); support among nonsmokers did not vary by time. Findings overall indicate low support for the smoke-free rule up to 4 years post-implementation. Engaging residents with the rule and promoting health and well-being may further enhance policy effectiveness and acceptance.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationDearfield, C.T.; Ulfers, M.; Horn, K.; Bernat, D.H. Resident Support for the Federally Mandated Smoke-Free Rule in Public Housing: 2018&ndash;2022. Int. J. Environ. Res. Public Health 2024, 21, 102.en
dc.identifier.doihttps://doi.org/10.3390/ijerph21010102en
dc.identifier.urihttps://hdl.handle.net/10919/117789en
dc.language.isoenen
dc.publisherMDPIen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjecttobaccoen
dc.subjectpublic policyen
dc.subjectpolicy surveillanceen
dc.subjecthousingen
dc.subjectevaluationen
dc.titleResident Support for the Federally Mandated Smoke-Free Rule in Public Housing: 2018-2022en
dc.title.serialInternational Journal of Environmental Research and Public Healthen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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