IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2022i1p78-d1010089.html
   My bibliography  Save this article

Implementation Activities in Smoke-Free Public Housing: The Massachusetts Experience

Author

Listed:
  • Boram Lee

    (Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA 02114, USA
    Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Harvard Medical School, Boston, MA 02115, USA)

  • Vicki Fung

    (Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA 02114, USA
    Harvard Medical School, Boston, MA 02115, USA)

  • David Cheng

    (Harvard Medical School, Boston, MA 02115, USA
    Biostatistics Center, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Jonathan P. Winickoff

    (Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Harvard Medical School, Boston, MA 02115, USA
    Division of General Academic Pediatrics, Massachusetts General for Children, Boston, MA 02114, USA)

  • Nancy A. Rigotti

    (Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA 02114, USA
    Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Harvard Medical School, Boston, MA 02115, USA
    Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Radhika Shah

    (Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Claire McGlave

    (School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA)

  • Sydney Goldberg

    (Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Glory Song

    (Office of Statistics and Evaluation, Bureau of Community Health and Prevention, Massachusetts Department of Public Health, Boston, MA 02108, USA)

  • Jacqueline Doane

    (Massachusetts Tobacco Cessation and Prevention Program, Bureau of Community Health and Prevention, Massachusetts Department of Public Health, Boston, MA 02108, USA)

  • Melody Kingsley

    (Office of Statistics and Evaluation, Bureau of Community Health and Prevention, Massachusetts Department of Public Health, Boston, MA 02108, USA)

  • Patricia Henley

    (Massachusetts Tobacco Cessation and Prevention Program, Bureau of Community Health and Prevention, Massachusetts Department of Public Health, Boston, MA 02108, USA)

  • Sanouri Ursprung

    (Office of Statistics and Evaluation, Bureau of Community Health and Prevention, Massachusetts Department of Public Health, Boston, MA 02108, USA)

  • Christopher Banthin

    (Public Health Advocacy Institute, Northeastern University, Boston, MA 02115, USA)

  • Douglas E. Levy

    (Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA 02114, USA
    Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Harvard Medical School, Boston, MA 02115, USA)

Abstract

A 2018 rule requiring federally-subsidized public housing authorities (PHAs) in the United States to adopt smoke-free policies (SFPs) has sparked interest in how housing agencies can best implement SFPs. However, to date, there is little quantitative data on the implementation of SFPs in public housing. Massachusetts PHAs were among the pioneers of SFPs in public housing, and many had instituted SFPs voluntarily prior to the federal rule. The aim of this study was to examine the adoption, implementation, and outcomes of SFPs instituted in Massachusetts PHAs prior to 2018 using a survey conducted that year. The survey asked if PHAs had SFPs and, if so, what activities were used to implement them: providing information sessions, offering treatment or referral for smoking cessation, soliciting resident input, training staff, partnering with outside groups, using a toolkit, and/or providing outdoor smoking areas. We used multivariable regression to investigate associations between implementation activities and respondent-reported policy outcomes (resident support, complaints about neighbors’ smoking, and the number of violations reported per year). Of 238 Massachusetts PHAs, 218 (91%) completed the survey and 161 had an SFP prior to 2018. Common implementation activities were offering smoking cessation treatment/referral (89%) and information sessions for residents (85%). Information sessions for residents were associated with higher resident support (adjusted odds ratio [AOR] 4.3; 95%CI 1.2–15.3). Training staff (AOR 6.3, 95%CI 1.2–31.8) and engaging in ≥5 implementation activities (AOR 4.1, 95%CI 1.2–14.1) were associated with fewer smoking-related complaints. Utilization of multiple implementation activities, especially ones that informed residents and trained PHA staff, was associated with more favorable policy outcomes. We identified five groups of PHAs that shared distinct patterns of SFP implementation activities. Our findings, documenting implementation activities and their associations with SFP outcomes among the early adopters of SPFs in Massachusetts public housing, can help inform best practices for the future implementation of SFPs in multiunit housing.

Suggested Citation

  • Boram Lee & Vicki Fung & David Cheng & Jonathan P. Winickoff & Nancy A. Rigotti & Radhika Shah & Claire McGlave & Sydney Goldberg & Glory Song & Jacqueline Doane & Melody Kingsley & Patricia Henley & , 2022. "Implementation Activities in Smoke-Free Public Housing: The Massachusetts Experience," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:78-:d:1010089
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/1/78/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/1/78/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Levy, D.E. & Adams, I.F. & Adamkiewicz, G., 2017. "Delivering on the promise of smoke-free public housing," American Journal of Public Health, American Public Health Association, vol. 107(3), pages 380-383.
    2. repec:aph:ajpbhl:10.2105/ajph.2016.303606_9 is not listed on IDEAS
    3. Nan Jiang & Emily Gill & Lorna E. Thorpe & Erin S. Rogers & Cora de Leon & Elle Anastasiou & Sue A. Kaplan & Donna Shelley, 2021. "Implementing the Federal Smoke-Free Public Housing Policy in New York City: Understanding Challenges and Opportunities for Improving Policy Impact," IJERPH, MDPI, vol. 18(23), pages 1-13, November.
    4. Nan Jiang & Lorna Thorpe & Sue Kaplan & Donna Shelley, 2018. "Perceptions about the Federally Mandated Smoke-Free Housing Policy among Residents Living in Public Housing in New York City," IJERPH, MDPI, vol. 15(10), pages 1-8, September.
    5. Wilson, K.M. & Torok, M. & McMillen, R. & Tanski, S. & Klein, J.D. & Winickoff, J.P., 2014. "Tobacco smoke incursions in multiunit housing," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 1445-1453.
    6. Ellen Childs & Alan C. Geller & Daniel R. Brooks & Jessica Davine & John Kane & Robyn Keske & Jodi Anthony & Vaughan W. Rees, 2022. "Assessing Smoke-Free Housing Implementation Approaches to Inform Best Practices: A National Survey of Early-Adopting Public Housing Authorities," IJERPH, MDPI, vol. 19(7), pages 1-15, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ellen Childs & Alan C. Geller & Daniel R. Brooks & Jessica Davine & John Kane & Robyn Keske & Jodi Anthony & Vaughan W. Rees, 2022. "Assessing Smoke-Free Housing Implementation Approaches to Inform Best Practices: A National Survey of Early-Adopting Public Housing Authorities," IJERPH, MDPI, vol. 19(7), pages 1-15, March.
    2. Carolyn M. Reyes-Guzman & Minal Patel & Teresa W. Wang & Nalini Corcy & Dana Chomenko & Beth Slotman & Robert E. Vollinger, 2023. "Disparities in Smokefree and Vapefree Home Rules and Smokefree Policy Attitudes Based on Housing Type and Cigarette Smoking Status, United States, 2019," IJERPH, MDPI, vol. 20(14), pages 1-17, July.
    3. Craig T. Dearfield & Margaret Ulfers & Kimberly Horn & Debra H. Bernat, 2024. "Resident Support for the Federally Mandated Smoke-Free Rule in Public Housing: 2018–2022," IJERPH, MDPI, vol. 21(1), pages 1-8, January.
    4. Nan Jiang & Emily Gill & Lorna E. Thorpe & Erin S. Rogers & Cora de Leon & Elle Anastasiou & Sue A. Kaplan & Donna Shelley, 2021. "Implementing the Federal Smoke-Free Public Housing Policy in New York City: Understanding Challenges and Opportunities for Improving Policy Impact," IJERPH, MDPI, vol. 18(23), pages 1-13, November.
    5. Nan Jiang & Lorna Thorpe & Sue Kaplan & Donna Shelley, 2018. "Perceptions about the Federally Mandated Smoke-Free Housing Policy among Residents Living in Public Housing in New York City," IJERPH, MDPI, vol. 15(10), pages 1-8, September.
    6. Kimberly Horn & Sallie Beth Johnson & Sofía Rincón-Gallardo Patiño & Kevin Krost & Tiffany Gray & Craig Dearfield & Chenguang Du & Debra Bernat, 2021. "Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions," IJERPH, MDPI, vol. 18(17), pages 1-16, August.
    7. Maria Patricia Fabian & Sharon Kitman Lee & Lindsay Jean Underhill & Kimberly Vermeer & Gary Adamkiewicz & Jonathan Ian Levy, 2016. "Modeling Environmental Tobacco Smoke (ETS) Infiltration in Low-Income Multifamily Housing before and after Building Energy Retrofits," IJERPH, MDPI, vol. 13(3), pages 1-15, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:78-:d:1010089. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.