Challenges in Enforcing Home Smoking Rules in a Low-Income Population: Implications for Measurement and Intervention Design

Kegler, Michelle C.; Haardörfer, Regine; Berg, Carla J.; Escoffery, Cam; Bundy, Łucja; Williams, Rebecca S.; Mullen, Patricia Dolan

doi:10.1093/ntr/ntv165

Cited by 9 publications

(8 citation statements)

References 31 publications

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“…18,32,33 We also found other commonly reported barriers to creating bans, such as weather, parties with smokers present, smokers' resisting bans, and feelings about smoker's rights influenced by their household or guest status. 32,37 In addition, we observed the importance of cultural factors that affected participants' interpersonal behaviors around adopting and enforcing home smoking bans. The importance of Latino culture to household smoking behaviors has been described in other Latinospecific, secondhand smoke-related research.…”

Section: Discussionmentioning

confidence: 87%

A Qualitative Study Among Mexican Americans to Understand Factors Influencing the Adoption and Enforcement of Home Smoking Bans

Savas

Mullen

Hovell

et al. 2016

NICTOB

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Qualitative interviews suggested cultural and family considerations to address in adapting a brief evidence-based smoke-free homes intervention for Mexican Americans, including traditional gender roles, unique contexts of multigenerational households, and language preferences. Our work confirms previous research among Latinos regarding importance of common cultural constructs, such as respeto (deference), simpatia (courtesy and agreeability), and familismo (family attachment), which inform behaviors that may impede or facilitate adopting and enforcing home smoking bans. Decision-making gender imbalances, high regard for head-of-household and guest smokers, and less sensitivity to the health of nonsmoker adults compared with children may lead to permission to smoke indoors.

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Section: Discussionmentioning

confidence: 87%

A Qualitative Study Among Mexican Americans to Understand Factors Influencing the Adoption and Enforcement of Home Smoking Bans

Savas

Mullen

Hovell

et al. 2016

NICTOB

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“…These innovations should include creative efforts to extend traditional approaches to groups that have proven difficult to reach in addition to novel approaches that are tailored to the subpopulation of interest. Some examples of novel and innovative interventions and tools that have recently been developed and implemented at the national, state, and community levels in the United States to address smoking disparities include the following: The US Food and Drug Administration's “This Free Life” campaign aimed at the LGBT community; The establishment of strategic partnerships with the 2‐1‐1 information and referral system to promote smoke‐free, low‐income homes and to support cessation among 2‐1‐1 callers who are disproportionally low‐income, unemployed, and/or uninsured; Reducing sales of untaxed or low‐tax cigarettes on tribal lands; Setting minimum floor pricing policies across states; The development of simplified and standardized tobacco‐assessment tools for retail settings to allow state and local partners to record their own retail data about product packaging, price, and placement to inform regulation of the retail environment; The development of antitobacco media campaigns using nonsmokers and/or former smokers to help smokers to quit, such as the Tips From Former Smokers campaign; Using social branding interventions to counter the tobacco industry's marketing efforts in social environments like bars and nightclubs and on social media to aggressively target young adults and groups outside of the cultural mainstream; Expand health care access among low‐income adults with attendant smoking‐cessation counseling and medication benefits via Medicaid expansion and insurance exchange subsidies; and Support the US Department of Housing and Urban Development's ban on smoking in public housing …”

Section: Discussionmentioning

confidence: 99%

Who's still smoking? Disparities in adult cigarette smoking prevalence in the United States

Drope

Liber

Cahn

et al. 2018

CA A Cancer J Clinicians

332

247

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The continuing high prevalence of cigarette smoking among specific subpopulations, many of them vulnerable, is one of the most pressing challenges facing the tobacco control community. These populations include individuals in lower education and/or socioeconomic groups; from certain racial/ethnic groups; in the lesbian, gay, bisexual, and transgender community; with mental illness; and in the military, particularly among those in the lowest pay grades. Although traditional tobacco control measures are having positive health effects for most groups, the effects are not sufficient for others. More attention to and support for promising novel interventions, in addition to new attempts at reaching these populations through conventional interventions that have proven to be effective, are crucial going forward to find new ways to address these disparities. CA Cancer J Clin 2018;68:106-115. © 2018 American Cancer Society.

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“…Implementing any type of HSB is associated with tobacco use cessation ( 2 – 4 ). However, complete HSBs are a more effective cessation strategy than partial HSBs ( 5 ), which present challenges in enforcing smoking restrictions ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Tobacco Use Cessation Among Quitline Callers Who Implemented Complete Home Smoking Bans During the Quitting Process

et al. 2017

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IntroductionThe implementation of a home smoking ban (HSB) is associated with tobacco use cessation. We identified which quitline callers were most likely to report 30-day cessation among those who implemented complete HSBs after enrollment.MethodsOur sample consisted of callers to the Arizona Smokers’ Helpline who enrolled from January 1, 2011, through July 26, 2015, and who reported no HSB at enrollment and a complete HSB by 7-month follow-up. We used logistic regression to estimate associations between no use of tobacco in the previous 30 days (30-day quit) at 7-month follow-up and demographic characteristics, health conditions, tobacco use, and cessation strategies.ResultsAt 7-month follow-up, 65.4% of 399 callers who implemented a complete HSB reported 30-day quit. Lower odds of tobacco use cessation were associated with having a chronic health condition (odds ratio [OR], 0.31; 95% confidence interval [CI], 0.18–0.56) and living with other smokers (OR, 0.46; 95% CI, 0.29–0.73). Higher odds of tobacco cessation were associated with completing 5 or more telephone coaching sessions (OR, 2.48; 95% CI, 1.54–3.98) and having confidence to quit (OR, 2.05; 95% CI, 1.05–3.99). However, confidence to quit was not significant in the sensitivity analysis.ConclusionImplementing an HSB after enrolling in quitline services increases the likelihood of cessation among some tobacco users. Individuals with complete HSBs were more likely to quit if they did not have a chronic health condition, did not live with another smoker, and were actively engaged in coaching services. These findings may be used by quitlines to develop HSB intervention protocols primarily targeting tobacco users most likely to benefit from them.

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Challenges in Enforcing Home Smoking Rules in a Low-Income Population: Implications for Measurement and Intervention Design

Abstract: Interventions that promote smoke-free homes should address enforcement challenges.

Cited by 9 publications

References 31 publications

A Qualitative Study Among Mexican Americans to Understand Factors Influencing the Adoption and Enforcement of Home Smoking Bans

A Qualitative Study Among Mexican Americans to Understand Factors Influencing the Adoption and Enforcement of Home Smoking Bans

Who's still smoking? Disparities in adult cigarette smoking prevalence in the United States

Tobacco Use Cessation Among Quitline Callers Who Implemented Complete Home Smoking Bans During the Quitting Process

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