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Assessment of Residents? Attitudes and Satisfaction Before and After Implementation of a Smoke-Free Policy in Boston Multiunit Housing

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Listed:
  • Rokicki, S.
  • Adamkiewicz, A.
  • Fang, S.C.
  • Rigotti, N.A.
  • Winickoff, J.P.
  • Levy, D.E.

Abstract

In 2012, the Boston Housing Authority (BHA) in Massachusetts implemented a smoke-free policy prohibiting smoking within its residences. We sought to characterize BHA resident experiences before and after the smoke-free policy implementation, and compare them to that of nearby residents of the Cambridge Housing Authority (CHA), which had no such policy. We recruited a convenience sample of nonsmoking residents from the BHA and CHA. We measured residents’ awareness and support of their local smoking policies before and 9-12 months after the BHA’s policy implementation, as well as BHA respondents’ attitudes towards the smoke-free policy. We assessed tobacco smoke exposure (TSE) via saliva cotinine, airborne apartment nicotine, and self-reported number of days smelling smoke in the home. We evaluated predictors of general satisfaction at follow-up using linear regression. At follow-up, 91% of BHA respondents knew that smoking was not allowed in apartments and 82% were supportive of such a policy in their building. BHA residents believed enforcement of the smoke-free policy was low. Fifty-one percent of BHA respondents indicated that other residents “never” or “rarely” followed the new smoke-free rule and 41% of respondents were dissatisfied with policy enforcement. Dissatisfaction with enforcement was the strongest predictor of general housing satisfaction, while objective and self-reported measures of TSE were not predictive of satisfaction. At follow-up, 24% of BHA participants had complained to someone in charge about policy violations. Resident support for smoke-free policies is high. However, lack of enforcement of smoke-free policies may cause frustration and resentment among residents, potentially leading to a decrease in housing satisfaction. Smoke-free housing laws are becoming increasingly prevalent, yet little is known about satisfaction and compliance with such policies post-implementation. We evaluated non-smoking residents’ attitudes about smoke-free rules
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Suggested Citation

  • Rokicki, S. & Adamkiewicz, A. & Fang, S.C. & Rigotti, N.A. & Winickoff, J.P. & Levy, D.E., "undated". "Assessment of Residents? Attitudes and Satisfaction Before and After Implementation of a Smoke-Free Policy in Boston Multiunit Housing," Working Paper 347666, Harvard University OpenScholar.
  • Handle: RePEc:qsh:wpaper:347666
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    File URL: http://scholar.harvard.edu/slawarokicki/node/347666
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    References listed on IDEAS

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    1. Moulton, Brent R, 1990. "An Illustration of a Pitfall in Estimating the Effects of Aggregate Variables on Micro Unit," The Review of Economics and Statistics, MIT Press, vol. 72(2), pages 334-338, May.
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    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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