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

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...

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Autores principales: Martinez, Jayda, Jafry, Midhat Z., Chen, Tzuan A., Businelle, Michael S., Kendzor, Darla E., Britton, Maggie, Vijayaraghavan, Maya, Reitzel, Lorraine R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872137/
https://www.ncbi.nlm.nih.gov/pubmed/35206595
http://dx.doi.org/10.3390/ijerph19042408
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author Martinez, Jayda
Jafry, Midhat Z.
Chen, Tzuan A.
Businelle, Michael S.
Kendzor, Darla E.
Britton, Maggie
Vijayaraghavan, Maya
Reitzel, Lorraine R.
author_facet Martinez, Jayda
Jafry, Midhat Z.
Chen, Tzuan A.
Businelle, Michael S.
Kendzor, Darla E.
Britton, Maggie
Vijayaraghavan, Maya
Reitzel, Lorraine R.
author_sort Martinez, Jayda
collection PubMed
description 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.
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spelling pubmed-88721372022-02-25 Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter Martinez, Jayda Jafry, Midhat Z. Chen, Tzuan A. Businelle, Michael S. Kendzor, Darla E. Britton, Maggie Vijayaraghavan, Maya Reitzel, Lorraine R. Int J Environ Res Public Health Article 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. MDPI 2022-02-19 /pmc/articles/PMC8872137/ /pubmed/35206595 http://dx.doi.org/10.3390/ijerph19042408 Text en © 2022 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
Martinez, Jayda
Jafry, Midhat Z.
Chen, Tzuan A.
Businelle, Michael S.
Kendzor, Darla E.
Britton, Maggie
Vijayaraghavan, Maya
Reitzel, Lorraine R.
Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter
title Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter
title_full Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter
title_fullStr Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter
title_full_unstemmed Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter
title_short Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter
title_sort guest support for outdoor smoke-free policies within a homeless shelter
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872137/
https://www.ncbi.nlm.nih.gov/pubmed/35206595
http://dx.doi.org/10.3390/ijerph19042408
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