IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i1p102-d1320778.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/1/102/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/21/1/102/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    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.
    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. Zajacova, Anna & Montez, Jennifer Karas, 2018. "Explaining the increasing disability prevalence among mid-life US adults, 2002 to 2016," Social Science & Medicine, Elsevier, vol. 211(C), pages 1-8.
    2. 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.
    3. Elaine M. Hernandez & Mike Vuolo & Laura C. Frizzell & Brian C. Kelly, 2019. "Moving Upstream: The Effect of Tobacco Clean Air Restrictions on Educational Inequalities in Smoking Among Young Adults," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1693-1721, October.
    4. Walsemann, Katrina M. & Gee, Gilbert C. & Gentile, Danielle, 2015. "Sick of our loans: Student borrowing and the mental health of young adults in the United States," Social Science & Medicine, Elsevier, vol. 124(C), pages 85-93.
    5. Christopher J. Holmes & Anna Zajacova, 2014. "Education as “the Great Equalizer”: Health Benefits for Black and White Adults," Social Science Quarterly, Southwestern Social Science Association, vol. 95(4), pages 1064-1085, December.
    6. Elizabeth M. Lawrence & Richard G. Rogers & Anna Zajacova, 2016. "Educational Attainment and Mortality in the United States: Effects of Degrees, Years of Schooling, and Certification," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(4), pages 501-525, August.
    7. 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.

    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:21:y:2024:i:1:p:102-:d:1320778. 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.