Disparities in Smokefree and Vapefree Home Rules and Smokefree Policy Attitudes Based on Housing Type and Cigarette Smoking Status, United States, 2019

Abstract

This study examined variations in cigarette smoking status, home smoking and vaping rules, and attitudes toward smoking rules among U.S. adults. We analyzed data from the 2019 U.S. Census Bureau’s Current Population Survey Supplements (n = 40,296 adults) and calculated weighted prevalence estimates of adult cigarette smoking based on housing type. In 2019, multi-unit housing (MUH) residents who currently smoked were predominantly residents of privately rented housing (66.9%), followed by privately owned (17.6%) and public housing (15.5%). MUH residents who currently smoked had the highest proportions of allowing smoking (26.7%) or vaping (29.1%) anywhere inside their homes and were least likely to support rules allowing smoking inside all MUH apartments or living areas. In the adjusted models, MUH residents with a current smoking status were 92% less likely to have a complete smoking ban. More than one in four MUH residents with a current smoking status allowed all smoking inside the home and supported allowing smoking inside all MUH apartment or living areas, reinforcing how MUH residents may be at higher risk of experiencing secondhand smoke or aerosol exposure, or incursions within their places of residence. Our results can inform the development, implementation, and sustainment of strategies to reduce exposures from tobacco and nicotine products in all living environments.

Current Use of Cigarettes in the United States: The Joint Role of Race/Ethnicity and Health Insurance Coverage

“…The CPS is specifically designed so that the ASEC and TUS data can be linked [24]. To merge the TUS and ASEC data we used the linkage procedure previously described elsewhere [25]. The merged dataset included responses from 39,882 adults who self-identified as Hispanic, non-Hispanic (NH) American Indian/Alaska Native, NH Asian/Asian American, NH Black/African American, NH Hawaiian/Pacific Islander, and NH White, and for whom we had complete information on all study measures.…”

“…The final model was identified by excluding interaction terms (one at a time) with p-values exceeding 0.500 [removal of interaction terms with such p-values is not expected to affect the model fit and accuracy of classification]. All analyses included TUS survey weights and balanced repeated replications (with a Fay coefficient of 0.75) for variance estimation [25,28].…”