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Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter

Author

Listed:
  • Jayda Martinez

    (Department of Psychological, Health, & Learning Sciences, College of Education, University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA)

  • Midhat Z. Jafry

    (Department of Psychological, Health, & Learning Sciences, College of Education, University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    Department of Biology and Biochemistry, College of Natural Sciences & Mathematics, University of Houston, Science & Research Building 2, 3455 Cullen Blvd #342, Houston, TX 77004, USA)

  • Tzuan A. Chen

    (Department of Psychological, Health, & Learning Sciences, College of Education, University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    HEALTH Research Institute, University of Houston, 4349 Martin Luther King Boulevard, Houston, TX 77204, USA)

  • Michael S. Businelle

    (HEALTH Research Institute, University of Houston, 4349 Martin Luther King Boulevard, Houston, TX 77204, USA
    TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73104, USA)

  • Darla E. Kendzor

    (TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73104, USA)

  • Maggie Britton

    (Department of Psychological, Health, & Learning Sciences, College of Education, University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    HEALTH Research Institute, University of Houston, 4349 Martin Luther King Boulevard, Houston, TX 77204, USA)

  • Maya Vijayaraghavan

    (Division of General Internal Medicine, University of California, San Francisco, 1001 Potrero Avenue, San Francisco, CA 94110, USA)

  • Lorraine R. Reitzel

    (Department of Psychological, Health, & Learning Sciences, College of Education, University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    HEALTH Research Institute, University of Houston, 4349 Martin Luther King Boulevard, Houston, TX 77204, USA)

Abstract

Roughly 70–80% of adults experiencing homelessness smoke cigarettes. Smoke-free living/workplace policies are an empirically-supported tobacco control intervention. However, homeless shelters may be reluctant to implement smoke-free policies due to fears of it discouraging current/potential shelter guests from taking refuge there. The current study was meant to characterize guest support for on-property smoke-free policies within a homeless shelter with an extant indoor tobacco use ban amongst never smokers, former smokers, and current smokers to provide data on this point. Participants comprised a convenience sample of adult guests of a homeless shelter in Texas (N = 394, 28.2% women; 10.2% former; and 75.9% current smokers). Participant sociodemographics, smoking status, behavioral health diagnoses, and support for two versions of an on-property outdoor courtyard smoke-free policy (one partial, one complete) were assessed. Data were collected in two waves in a repeated cross-sectional design. Overall, 64.0% of participants supported a partial, and 32.0% a full smoking ban. Logistic regressions, controlling for wave of data collection, age, sex, and any additional significant predictors from a semi-adjusted model, examined associations between participant characteristics and policy support. Older participants (OR = 1.024, CI 0.95 = 1.005–1.044), non-veterans (OR = 2.523, CI 0.95 = 1.156–5.506), former smokers (OR = 2.730, CI 0.95 = 1.191–6.258), and those without severe mental illness (OR = 1.731, CI 0.95 = 1.061–2.824) had significantly greater odds of supporting a partial smoking ban. Relative to current smokers, never smokers (OR = 3.902, CI 0.95 = 2.133–7.137) and former smokers (OR = 8.257, CI 0.95 = 3.951–17.258) had significantly greater odds of supporting a complete smoking ban. The implementation of smoke-free living/workplace policies in homeless shelters may enjoy more support from guests—specifically, non-smokers—than anticipated by shelter administrators. Aside from reducing ambient smoke exposure for never and former smokers, these policies can help to reduce ubiquitous smoking cues for those who may want to quit, are undergoing a quit attempt, or are trying to maintain abstinence. Interventionists might partner with shelter guests, particularly smokers, to inform the roll-out of such policies for maximal acceptance and adoption.

Suggested Citation

  • Jayda Martinez & Midhat Z. Jafry & Tzuan A. Chen & Michael S. Businelle & Darla E. Kendzor & Maggie Britton & Maya Vijayaraghavan & Lorraine R. Reitzel, 2022. "Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:2408-:d:753454
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    References listed on IDEAS

    as
    1. Baggett, T.P. & Chang, Y. & Singer, D.E. & Porneala, B.C. & Gaeta, J.M. & O'Connell, J.J. & Rigotti, N.A., 2015. "Tobacco-, alcohol-, and drug-attributable deaths and their contribution to mortality disparities in a cohort of homeless adults in Boston," American Journal of Public Health, American Public Health Association, vol. 105(6), pages 1189-1197.
    2. Kathy Le & Tzuan A. Chen & Isabel Martinez Leal & Virmarie Correa-Fernández & Ezemenari M. Obasi & Bryce Kyburz & Teresa Williams & Kathleen Casey & Matthew Taing & Daniel P. O’Connor & Lorraine R. Re, 2021. "Organizational Factors Moderating Changes in Tobacco Use Dependence Care Delivery Following a Comprehensive Tobacco-Free Workplace Intervention in Non-Profit Substance Use Treatment Centers," IJERPH, MDPI, vol. 18(19), pages 1-16, October.
    3. Olivia Wynne & Ashleigh Guillaumier & Laura Twyman & Sam McCrabb & Alexandra M. J. Denham & Christine Paul & Amanda L. Baker & Billie Bonevski, 2018. "Signs, Fines and Compliance Officers: A Systematic Review of Strategies for Enforcing Smoke-Free Policy," IJERPH, MDPI, vol. 15(7), pages 1-14, July.
    4. Chisom N. Iwundu & Pooja Agrawal & Michael S. Businelle & Darla E. Kendzor & Lorraine R. Reitzel, 2020. "Predictors of Overnight and Emergency Treatment among Homeless Adults," IJERPH, MDPI, vol. 17(12), pages 1-9, June.
    5. Lorraine R. Reitzel & Surya Chinamuthevi & Sajeevika S. Daundasekara & Daphne C. Hernandez & Tzu-An Chen & Yashwant Harkara & Ezemenari M. Obasi & Darla E. Kendzor & Michael S. Businelle, 2020. "Association of Problematic Alcohol Use and Food Insecurity among Homeless Men and Women," IJERPH, MDPI, vol. 17(10), pages 1-10, May.
    6. Matthew Taing & Bryce Kyburz & Isabel Martinez Leal & Kathy Le & Tzu-An Chen & Virmarie Correa-Fernandez & Teresa Williams & Daniel P. O’Connor & Ezemenari M. Obasi & Kathleen Casey & Litty Koshy & Lo, 2020. "Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed," IJERPH, MDPI, vol. 17(17), pages 1-15, August.
    Full references (including those not matched with items on IDEAS)

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