ArticleAmerican journal of health promotion : AJHP2019
Qualitative Assessment of Smoke-Free Policy Implementation in Low-Income Housing: Enhancing Resident Compliance.
Article in American journal of health promotion : AJHP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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Who cites it
21 citing papers in PubMed.
- Trial
- "We're building the plane while we're flying it": perspectives on local cigar policy implementation from qualitative interviews with key personnel.Implementation science communications · 2026Article
- Indoor Air Quality in Multi-Family Housing: Drivers and Interventions.Current environmental health reports · 2025Review
- A Randomized Control Trial to support smoke-free policy compliance in public housing.Research square · 2023Article
- Invited Commentary: Use of Epidemiologic Methods to Guide Comprehensive and Equitable Approaches to Policy.American journal of epidemiology · 2023Article
- Implementation Activities in Smoke-Free Public Housing: The Massachusetts Experience.International journal of environmental research and public health · 2022Article
- "I think everybody will have to get together for it to work": NYCHA Tenant Perspectives on HUD's 2018 Smoke-Free Mandate Captured Prior to Policy Implementation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Assessing Smoke-Free Housing Implementation Approaches to Inform Best Practices: A National Survey of Early-Adopting Public Housing Authorities.International journal of environmental research and public health · 2022Article
- Peer mentoring for smoking cessation in public housing: A mixed-methods study.Frontiers in public health · 2022Article
- Implementing the Federal Smoke-Free Public Housing Policy in New York City: Understanding Challenges and Opportunities for Improving Policy Impact.International journal of environmental research and public health · 2021Article
- A Qualitative Study of Unfairness and Distrust in Smoke-free Housing.American journal of health behavior · 2021Article
- Implementation of the Department of Housing and Urban Development's Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions.International journal of environmental research and public health · 2021Article
- Increases in Secondhand Smoke After Going Smoke-Free: An Assessment of the Impact of a Mandated Smoke-Free Housing Policy.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Article
- Evaluation of Secondhand Smoke Exposure in New York City Public Housing After Implementation of the 2018 Federal Smoke-Free Housing Policy.JAMA network open · 2020Article
- Secondhand smoke exposure in public and private high-rise multiunit housing serving low-income residents in New York City prior to federal smoking ban in public housing, 2018.The Science of the total environment · 2020Article
- Uneven Access to Smoke-Free Laws and Policies and Its Effect on Health Equity in the United States: 2000-2019.American journal of public health · 2019Article
- A qualitative study of the process of adoption, implementation and enforcement of smoke-free policies in privately-owned affordable housing.BMC public health · 2019Article
- 'If I pay rent, I'm gonna smoke': Insights on the social contract of smokefree housing policy in affordable housing settings.Health & place · 2019Observational
- Perceptions about the Federally Mandated Smoke-Free Housing Policy among Residents Living in Public Housing in New York City.International journal of environmental research and public health · 2018Article
- Public Housing Resident Perspectives on Smoking, Barriers for Smoking Cessation, and Changes in Smoking Mandates.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeAs public housing agencies and other low-income housing providers adopt smoke-free policies, data are needed to inform implementation approaches that support compliance.
designFocused ethnography used including qualitative interviews with staff, focus groups with residents, and property observations.
settingFour low-income housing properties in Massachusetts, 12 months postpolicy adoption.
participantsIndividual interviews (n = 17) with property staff (managers, resident service coordinators, maintenance, security, and administrators) and focus groups with resident smokers (n = 28) and nonsmokers (n = 47). MEASURES: Informed by the social-ecological model: intrapersonal, interpersonal, organizational, and community factors relating to compliance were assessed. ANALYSIS: Utilized MAXQDA in a theory-driven immersion/crystallization analytic process with cycles of raw data examination and pattern identification until no new themes emerged.
resultsSelf-reported secondhand smoke exposure (SHSe) was reduced but not eliminated. Challenges included relying on ambivalent maintenance staff and residents to report violations, staff serving as both enforcers and smoking cessation counsellors, and inability to enforce on nights and weekends. Erroneous knowledge of the policy, perception that SHSe is not harmful to neighbors, as well as believing that smokers were losing their autonomy and being unfairly singled out when other resident violations were being unaddressed, hindered policy acceptance among resident smokers. The greatest challenge to compliance was the lack of allowable outdoor smoking areas that may have reduced the burden of the policy on smokers.
conclusionSmoke-free policy implementation to support compliance could be enhanced with information about SHSe for smokers and nonsmokers, cessation support from external community partners, discussion forums for maintenance staff, resident inclusion in decision-making, and framing the policy as part of a broader wellness initiative.
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