Cargando…

Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions

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)....

Descripción completa

Detalles Bibliográficos
Autores principales: Horn, Kimberly, Johnson, Sallie Beth, Patiño, Sofía Rincón-Gallardo, Krost, Kevin, Gray, Tiffany, Dearfield, Craig, Du, Chenguang, Bernat, Debra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431491/
https://www.ncbi.nlm.nih.gov/pubmed/34501498
http://dx.doi.org/10.3390/ijerph18178908
_version_ 1783750949684117504
author Horn, Kimberly
Johnson, Sallie Beth
Patiño, Sofía Rincón-Gallardo
Krost, Kevin
Gray, Tiffany
Dearfield, Craig
Du, Chenguang
Bernat, Debra
author_facet Horn, Kimberly
Johnson, Sallie Beth
Patiño, Sofía Rincón-Gallardo
Krost, Kevin
Gray, Tiffany
Dearfield, Craig
Du, Chenguang
Bernat, Debra
author_sort Horn, Kimberly
collection PubMed
description 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.
format Online
Article
Text
id pubmed-8431491
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-84314912021-09-11 Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions Horn, Kimberly Johnson, Sallie Beth Patiño, Sofía Rincón-Gallardo Krost, Kevin Gray, Tiffany Dearfield, Craig Du, Chenguang Bernat, Debra Int J Environ Res Public Health Article 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. MDPI 2021-08-24 /pmc/articles/PMC8431491/ /pubmed/34501498 http://dx.doi.org/10.3390/ijerph18178908 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Horn, Kimberly
Johnson, Sallie Beth
Patiño, Sofía Rincón-Gallardo
Krost, Kevin
Gray, Tiffany
Dearfield, Craig
Du, Chenguang
Bernat, Debra
Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions
title Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions
title_full Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions
title_fullStr Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions
title_full_unstemmed Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions
title_short Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions
title_sort implementation of the department of housing and urban development’s smoke-free rule: a socio-ecological qualitative assessment of administrator and resident perceptions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431491/
https://www.ncbi.nlm.nih.gov/pubmed/34501498
http://dx.doi.org/10.3390/ijerph18178908
work_keys_str_mv AT hornkimberly implementationofthedepartmentofhousingandurbandevelopmentssmokefreeruleasocioecologicalqualitativeassessmentofadministratorandresidentperceptions
AT johnsonsalliebeth implementationofthedepartmentofhousingandurbandevelopmentssmokefreeruleasocioecologicalqualitativeassessmentofadministratorandresidentperceptions
AT patinosofiarincongallardo implementationofthedepartmentofhousingandurbandevelopmentssmokefreeruleasocioecologicalqualitativeassessmentofadministratorandresidentperceptions
AT krostkevin implementationofthedepartmentofhousingandurbandevelopmentssmokefreeruleasocioecologicalqualitativeassessmentofadministratorandresidentperceptions
AT graytiffany implementationofthedepartmentofhousingandurbandevelopmentssmokefreeruleasocioecologicalqualitativeassessmentofadministratorandresidentperceptions
AT dearfieldcraig implementationofthedepartmentofhousingandurbandevelopmentssmokefreeruleasocioecologicalqualitativeassessmentofadministratorandresidentperceptions
AT duchenguang implementationofthedepartmentofhousingandurbandevelopmentssmokefreeruleasocioecologicalqualitativeassessmentofadministratorandresidentperceptions
AT bernatdebra implementationofthedepartmentofhousingandurbandevelopmentssmokefreeruleasocioecologicalqualitativeassessmentofadministratorandresidentperceptions