Session
How are clean air policies benefitting multi-unit housing residents?
APHA's 2019 Annual Meeting and Expo (Nov. 2 - Nov. 6)
Abstract
Impact of the HUD Smokefree Policy on PA Tobacco Cessation Programming among Residents in Public Housing
APHA's 2019 Annual Meeting and Expo (Nov. 2 - Nov. 6)
This presentation will describe the policy’s impact on PA-TPC enrollment and effectiveness among Pennsylvania residents of public housing.
Method: Quitline intake and service use data was provided by PA Free Quitline’s vendor, National Jewish Health. At six months, a third party conducted follow-up with participants who completed intake. PA-TPC Regional Primary Contractors collect local cessation program participant data at intake and six months post-program completion.
Results: In state fiscal year 2017/2018, 15.4% of Quitline callers and 20.1% of local cessation class enrollees reported living in PHAs. Quitline enrollees living in PHAs complete significantly more counseling calls than enrollees living elsewhere (p<.001), but receive significantly less NRT (p<.001). Six-month follow-up data reveal a significantly lower proportion of callers living in PHAs had quit successfully compared to callers living elsewhere (p=.003); however, local cessation program enrollees show no significant difference in quit rates (p=.06).
Conclusion: PA-TPC will continue outreach to PHA residents for cessation support and continue to examine service use and outcomes for residents seeking quit support through the Quitline and local programming. There are opportunities to maximize service delivery for clients living in public housing, such as targeted outreach and education.
Conduct evaluation related to programs, research, and other areas of practice Public health or related public policy
Abstract
Smoking and Cessation Behavior of Public Housing Residents Enrolled in Tobacco Dependence Treatment
APHA's 2019 Annual Meeting and Expo (Nov. 2 - Nov. 6)
Methods: We examined intake and follow-up data from 3,241 clients enrolled in TDT through providers contracted by Health Promotion Council, primary contractor for the SEPA TCP, from 2015 to 2019. We used chi-square analyses and independent samples t-tests to compare outcomes of clients who live in public housing and non-public housing clients to assess differences in smoking cessation behaviors. To identify barriers, we asked providers how clientele at MUH sites differ from traditional clients.
Results: Public housing clients had significantly lower quit rates at one month (p=.001) and six months (p=.001) after treatment, indicating that public housing clients were more likely to resume smoking one (68.7%) and six (70.7%) months following treatment, compared to non-public housing clients. Providers cited barriers in providing treatment at MUH sites, including resentment of having to quit and staff members continuing to smoke on site.
Conclusion: Initial findings suggest that public housing clients differ from non-public housing clients, displaying significantly lower quit rates and less motivation to quit. Perceived lack of autonomy in quit behaviors may contribute to poorer outcomes at the end of treatment, which points to the necessity of cessation programming that better facilitates desire and motivation to quit.
Conduct evaluation related to programs, research, and other areas of practice Implementation of health education strategies, interventions and programs Program planning
Abstract
Smoke is Smoke: Addressing Smoking & Vaping in Multi-Unit Housing Complexes
APHA's 2019 Annual Meeting and Expo (Nov. 2 - Nov. 6)
Establishing tobacco control policies on a local level continues to be an effective strategy to reduce the negative impact of tobacco products. San Mateo County (SMC) in California is a great example of how adopting effective tobacco control policies can lead to positive health outcomes. Currently, the smoking rate in SMC is 6.7%, which is the lowest in the state and one of the lowest in the nation. This would not be possible without the adoption of local smoke-free multi-unit housing (SF-MUH) and other tobacco control policies. However, recently the City of Half Moon Bay (HMB) adopted a SF-MUH policy exempting medical cannabis vaping. This exemption could potentially undermine the effectiveness of the policy, and inadvertently support the idea that vaping is a safe practice.
Description:
In an effort to reduce the likelihood that other SMC jurisdictions will include similar exemptions in their MUH policies, the SMC Tobacco Prevention Program (TPP) is implementing a social marketing campaign tentatively titled, Smoke is Smoke. The goals of the campaign are to raise awareness about SF-MUH policies, and educate SMC residents about the dangers of secondhand smoke, whether it’s cigarette smoke, vape aerosol, or smoke from other substances.
The campaign will be developed in partnership with a social marketing firm, and will focus on the City of San Bruno since a SF-MUH policy was recently implemented there. However, some of the selected media channels will reach other jurisdictions that may be planning to adopt a SF-MUH policy or amend their existing policy. The campaign concepts will be vetted via focus groups with San Bruno residents.
Lessons Learned & Recommendations:
The campaign is expected to launch in late spring 2019. The final campaign concept will be evaluated and include lessons learned, recommendations, and data regarding the campaign’s effectiveness.
Communication and informatics Public health or related education Public health or related public policy
Abstract
HUD's Final Rule: Health and Housing Partnerships for Smoking Cessation
APHA's 2019 Annual Meeting and Expo (Nov. 2 - Nov. 6)
Planning of health education strategies, interventions, and programs Provision of health care to the public
Abstract
Promoting Smoking Cessation in Public Housing Communities
APHA's 2019 Annual Meeting and Expo (Nov. 2 - Nov. 6)
Administer health education strategies, interventions and programs Conduct evaluation related to programs, research, and other areas of practice Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Public health or related public policy