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

Author

Listed:
  • Slawa Rokicki
  • Gary Adamkiewicz
  • Shona Fang
  • Nancy Rigotti
  • Jonathan Winickoff
  • Douglas Levy
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 and their satisfaction with enforcement one year after the Boston Housing Authority implemented its comprehensive smoke-free policy. We found that while residents were supportive of the policy, they believed enforcement was low, a perception that was associated with a drop in housing satisfaction. Our findings point to a desire for smoke-free housing among public housing residents, and the importance of establishing systems and guidelines to help landlords monitor and enforce these policies effectively.

Suggested Citation

  • Slawa Rokicki & Gary Adamkiewicz & Shona Fang & Nancy Rigotti & Jonathan Winickoff & Douglas Levy, 2015. "Assessment of Residents’ Attitudes and Satisfaction Before and After Implementation of a Smoke-free Policy in Boston Multiunit Housing," Economics Working Papers 15-05, Queen's Management School, Queen's University Belfast.
  • Handle: RePEc:qub:wpaper:1505
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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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    More about this item

    Keywords

    Smoking; Public Housing; Policy Evaluation; Smoke-free Policy; Biomarkers;
    All these keywords.

    JEL classification:

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

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    This paper has been announced in the following NEP Reports:

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