克服在美国大都市地区采用无烟多单元住房政策所面临的挑战:洛杉矶县 20 个城市受影响群体的见解和建议》。

IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Health Promotion Pub Date : 2024-10-29 DOI:10.1177/08901171241293367
Lia W Marshall, Gladis Chavez-Sosa, Tonya Gorham Gallow, Claude Jovelle, Lori Fischbach, Andy Dang, Dana Guglielmo, Aimee Holmes, Tony Kuo
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引用次数: 0

摘要

目的:要求社区成员和非学术界合作伙伴("受影响群体")确定能够影响公众支持、阻碍采纳以及减轻与采纳当地无烟多单元住房政策有关的挑战的因素:方法:对美国大都会地区的受影响群体进行了一系列关键信息访谈。环境:洛杉矶县 20 个没有无烟多单元住宅法规的城市:受访者是从了解其社区公民和政治状况的受影响群体中招募的(n = 63):方法:采用主题分析法收集和分析数据,对主题进行识别、编码和比较:大多数受访者表示,公民团体、不吸烟者和/或了解二手烟对健康的负面影响的团体更有可能支持无烟多单元住宅政策。受访者报告了政策采纳过程中面临的几个挑战,包括城市优先事项的竞争、公众的不参与以及执行这些法令的成本和社会负担。为了克服这些挑战,受访者建议与地方政府协同合作,建立不同的联盟,教育公众,并制定明确的执行计划:来自美国 20 个城市受影响群体的见解和建议表明,与公众沟通并引导受影响社区支持多单元住房无烟政策,是保护高危家庭在家中避免二手烟暴露的有效干预措施。
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Overcoming Challenges to Adopting Smoke-Free Multi-Unit Housing Policies in a Large U.S. Metropolitan Area: Insights and Recommendations From Affected Groups in 20 Los Angeles County Cities.

Purpose: Community members and non-academic partners ("affected groups") were asked to identify factors that can influence public support, impede adoption, and mitigate challenges related to adopting local smoke-free multi-unit housing policies.

Approach: A series of key informant interviews were conducted with affected groups from a large U.S. metropolitan area.

Setting: 20 cities in Los Angeles County without a smoke-free multi-unit housing ordinance.

Participants: Interviewees were recruited from affected groups with knowledge about their community's civic and political landscape (n = 63).

Method: Data were collected and analyzed using thematic analysis to identify, code and compare themes.

Results: Most interviewees indicated civic groups, those who do not smoke, and/or groups who are educated about the negative health effects of secondhand smoke exposure would be more likely to support smoke-free multi-unit housing policies. Interviewees reported several challenges to policy adoption, including competing city priorities, public disengagement, and the cost and social burden of enforcing these ordinances. To overcome them, interviewees recommended working synergistically with local governments to build diverse coalitions, educate the public, and develop clear enforcement plans.

Conclusion: Insights and recommendations from affected groups in 20 U.S. cities suggest that communicating with the public and priming impacted communities to support smoke-free multi-unit housing policies are promising interventions for protecting at-risk families from secondhand smoke exposure in their homes.

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来源期刊
American Journal of Health Promotion
American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
3.70%
发文量
184
期刊介绍: The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.
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