Implementation of the Department of Housing and Urban Development's Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions.
Int J Environ Res Public Health
; 18(17)2021 08 24.
Article
em En
| MEDLINE
| ID: mdl-34501498
ABSTRACT
In July 2018, the United States Department of Housing and Urban Development (HUD) implemented a mandatory smoke-free rule in public housing. This study assessed administrator and resident perceptions of rule implementation during its initial year in the District of Columbia Housing Authority (DCHA). Assessment included nine focus groups (n = 69) with residents and in-depth interviews with administrators (n = 7) and residents (n = 26) from 14 DCHA communities (family = 7 and senior/disabled = 7). Semi-structured discussion guides based on the multi-level socio-ecological framework captured dialogue that was recorded, transcribed verbatim, and coded inductively. Emerging major themes for each socio-ecological framework level included (1) Individual the rule was supported due to perceived health benefits, with stronger support among non-smokers; (2) Interpersonal limiting secondhand smoke exposure was perceived as a positive for vulnerable residents; (3) Organizational communication, signage, and cessation support was perceived as a need; (4) Community residents perceived mobility, disability, weather, and safety-related issues as barriers; and (5) Public Policy lease amendments were perceived as enablers of rule implementation but expressed confusion about violations and enforcement. A majority of administrators and residents reported favorable implications of the mandated HUD rule. The novel application of a socio-ecological framework, however, detected implementation nuances that required improvements on multiple levels, including more signage, cessation support, clarification of enforcement roles, and addressing safety concerns.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Poluição por Fumaça de Tabaco
/
Política Antifumo
Tipo de estudo:
Qualitative_research
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Int J Environ Res Public Health
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos