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

Author

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  • Craig T. Dearfield

    (Department of Epidemiology, The Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA)

  • Margaret Ulfers

    (Department of Epidemiology, The Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA)

  • Kimberly Horn

    (Department of Population Health Sciences, Virginia Tech-Carilion Fralin Biomedical Research Institute, Roanoke, VA 24016, USA)

  • Debra H. Bernat

    (Department of Epidemiology, The Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA)

Abstract

This study examines support for the Department of Housing and Urban Development’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+ ( n = 529) completed surveys during three time points: July 2018 (pre-rule), November 2018–March 2020 (post-rule), and September 2020–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.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:1:p:102-:d:1320778
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    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. Zajacova, A., 2012. "Health in working-aged Americans: Adults with high school equivalency diploma are similar to dropouts, not high school graduates," American Journal of Public Health, American Public Health Association, vol. 102(S2), pages 284-290.
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