DOI QR코드

DOI QR Code

Prevalence and Predictors of Support for the Implementation of Smoke-free Regulations in the Home Environment among Residents of Multi-unit Housing in Seoul

서울시내 공동주택 거주자의 주거환경 내 금연정책 시행에 대한 지지와 영향요인

  • Kim, Jeonghoon (Department of Environmental Health Research, Seoul Medical Center) ;
  • Lee, Kiyoung (Department of Environmental Health, Graduate School of Public Health, Seoul National University) ;
  • Kim, KyooSang (Department of Environmental Health Research, Seoul Medical Center)
  • 김정훈 (서울의료원 의학연구소 환경건강연구실) ;
  • 이기영 (서울대학교 보건대학원 환경보건학과) ;
  • 김규상 (서울의료원 의학연구소 환경건강연구실)
  • Received : 2017.02.22
  • Accepted : 2017.03.08
  • Published : 2017.04.28

Abstract

Objectives: Although the Korean government is able to implement smoke-free regulations for shared areas in multi-unit housing (MUH), such regulations are limited for private homes. The purpose of this study was to determine the prevalence and predictors of support for the implementation of smoke-free regulations for homes and near the outsides of building among residents in MUH. Methods: A population-based sample of 2,600 residents among a web-based panel in Seoul was included. The residents completed questionnaires including smoking status, voluntary smoke-free home rules, and support for the implementation of smoke-free regulations for homes and near the outsides of building. The presence of a voluntary smoke-free home rule was determined when residents declared that no one smoked inside their homes. Results: Among the 2,600 MUH residents, prevalence of support for the implementation of smoke-free regulations for homes was higher (83.2%) than for near the outsides of buildings (75.1%). Support for the implementation of smoke-free regulations for homes was higher when residents were non-smokers, had voluntary smoke-free home rules, lived with children, lived with more residents, lived in owned homes, lived in apartments, and lived in homes with more frequent secondhand smoke (SHS) incursion. Support for the implementation of smoke-free regulations near the outsides of buildings was higher when residents were women, non-smokers, more educated, had a voluntary smoke-free home rule, lived with children, lived in homes with more frequent SHS incursion, and lived in a commercial area. Conclusions: The majority was supportive of the implementation of smoke-free regulations for homes. Predictors identified in the study can be useful for promoting implementation of smoke-free regulations for homes in MUH.

Keywords

References

  1. U.S. Department of Health and Human Services. A Report of the Surgeon General: How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease. U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General; 2010.
  2. Brennan P, Buffler PA, Reynolds P, Wu AH, Wichmann HE, Agudo A, et al. Secondhand smoke exposure in adulthood and risk of lung cancer among never smokers: a pooled analysis of two large studies. Int J Cancer. 2004; 109(1): 125-131. https://doi.org/10.1002/ijc.11682
  3. He J, Vupputuri S, Allen K, Prerost MR, Hughes J, Whelton PK. Passive smoking and the risk of coronary heart disease—a meta-analysis of epidemiologic studies. N Engl J Med. 1999; 340(12): 920-926. https://doi.org/10.1056/NEJM199903253401204
  4. U.S. Department of Health and Human Services. The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
  5. Sturm JJ, Yeatts K, Loomis D. Effects of tobacco smoke exposure on asthma prevalence and medical care use in North Carolina middle school children. Am J Public Health. 2004; 94(2): 308-313. https://doi.org/10.2105/AJPH.94.2.308
  6. Junker MH, Danuser B, Monn C, Koller T. Acute sensory responses of nonsmokers at very low environmental tobacco smoke concentrations in controlled laboratory settings. Environ Health Perspect. 2001; 109(10): 1045. https://doi.org/10.1289/ehp.011091045
  7. Heiss C, Amabile N, Lee AC, Real WM, Schick SF, Lao D, et al. Brief secondhand smoke exposure depresses endothelial progenitor cells activity and endothelial function: sustained vascular injury and blunted nitric oxide production. J Am Coll Cardiol. 2008; 51(18): 1760-1771. https://doi.org/10.1016/j.jacc.2008.01.040
  8. U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2006.
  9. King BA, Babb SD, Tynan MA, Gerzoff RB. National and state estimates of secondhand smoke infiltration among US multiunit housing residents. Nicotine Tob Res. 2012; 15(7): 1316-1321. https://doi.org/10.1093/ntr/nts254
  10. Staticis Korea. Press Releases: 2015 population and housing census. Available: https://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=356061 [accessed 22 February 2017].
  11. Jarvis MJ, Feyerabend C, Bryant A, Hedges B, Primatesta P. Passive smoking in the home: plasma cotinine concentrations in non-smokers with smoking partners. Tob Control. 2001; 10(4): 368-374. https://doi.org/10.1136/tc.10.4.368
  12. Yang W, Lee K, Yoon C, Yu S, Park K, Choi W. Determinants of Indoor Activity Pattern in Korean Population. J Expo Sci Environ Epidemiol. 2011; 21: 310-316. https://doi.org/10.1038/jes.2010.23
  13. Dacunto PJ, Cheng K, Acevedo-Bolton V, Klepeis NE, Repace JL, Ott WR, et al. Identifying and quantifying secondhand smoke in multiunit homes with tobacco smoke odor complaints. Atmos Environ. 2013; 71: 399-407. https://doi.org/10.1016/j.atmosenv.2013.02.018
  14. King BA, Travers MJ, Cummings KM, Mahoney MC, Hyland AJ. Secondhand smoke transfer in multiunit housing. Nicotine Tob Res. 2010; 12(11): 1133-1141. https://doi.org/10.1093/ntr/ntq162
  15. Koster B, Brink AL, Clemmensen IH. 'Neighbour smoke'-exposure to secondhand smoke in multiunit dwellings in Denmark in 2010: a cross-sectional study. Tob Control. 2013; 22(3): 190-193. https://doi.org/10.1136/tobaccocontrol-2011-050393
  16. Kim J, Lee K. Characterization of urinary cotinine in non-smoking residents in smoke-free homes in the Korean National Environmental Health Survey (KoNEHS). BMC Public Health. 2016; 16(1): 1-8.
  17. Canada Cancer Advocacy Coalition of Canada. Report Card on Cancer in Canada 2011-2012. Cancer Advocacy Coalition of Canada; 2012.
  18. Foundation American Nonsmokers' Rights. U.S. Laws and Policies Restricting or Prohibiting Smoking in Private Units of Multi-Unit Housing. Available: http://www.no-smoke.org/pdf/smokefreemuh.pdf [accessed 22 February 2017].
  19. King BA, Cummings KM, Mahoney MC, Juster HR, Hyland AJ. Multiunit housing residents' experiences and attitudes toward smoke-free policies. Nicotine Tob Res. 2010; 12(6): 598-605. https://doi.org/10.1093/ntr/ntq053
  20. Eriksen MP, Cerak RL. The diffusion and impact of clean indoor air laws. Annu Rev Public Health. 2008; 29: 171-185. https://doi.org/10.1146/annurev.publhealth.29.020907.090920
  21. Berg CJ, Haardorfer R, Windle M, Solomon M, Kegler MC. Smoke-Free Policies in Multiunit Housing: Smoking Behavior and Reactions to Messaging Strategies in Support or in Opposition. Prev Chronic Dis. 2015; 12: E98.
  22. Cook NJ, Hollar L, Chavez S, Quinn DL, Phillips T, DeLucca M, et al. Support for smoke-free multiunit housing policies among racially and ethnically diverse, low-income seniors in South Florida. J Cross Cult Gerontol. 2014; 29(4): 405-415. https://doi.org/10.1007/s10823-014-9247-4
  23. Hewett MJ, Sandell SD, Anderson J, Niebuhr M. Secondhand smoke in apartment buildings: renter and owner or manager perspectives. Nicotine Tob Res. 2007; 9(Suppl 1): S39-S47. https://doi.org/10.1080/14622200601083442
  24. Hood NE, Ferketich AK, Klein EG, Wewers ME, Pirie P. Individual, social, and environmental factors associated with support for smoke-free housing policies among subsidized multiunit housing tenants. Nicotine Tob Res. 2013; 15(6): 1075-1083. https://doi.org/10.1093/ntr/nts246
  25. Licht AS, King BA, Travers MJ, Rivard C, Hyland AJ. Attitudes, experiences, and acceptance of smoke-free policies among US multiunit housing residents. Am J Public Health. 2012; 102(10): 1868- 1871. https://doi.org/10.2105/AJPH.2012.300717
  26. Schmidt LM, Reidmohr AA, Helgerson SD, Harwell TS. Secondhand Smoke Exposure and Smoke- Free Policy Support Among Public Housing Authority Residents in Rural and Tribal Settings. J Community Health. 2016; 41(6): 1116-1121. https://doi.org/10.1007/s10900-016-0204-8
  27. Ministry of the Interior. The Statistics of Registered Population. Available: http://rcps.egov.go.kr :8081 [accessed 04 September 2015].
  28. Korea Centers for Disease Control & Prevention. Community Health Survey. Korea Centers for Disease Control & Prevention; 2014.
  29. Kang E. Smoking restriction rules and children's exposure to second-hand smoke in homes. Health and Welfare Policy Forum. 2007: 59-70.
  30. Ministry of Health and Welfare. Adult Smoking Rate. Available: http://www.nosmokeguide.or.kr/mbs/nosmokeguide/subview.jsp?id=nosmokeguide_ 010101000000 [accessed 22 February 2017].
  31. Ballor DL, Henson H, MacGuire K. Support for nosmoking policies among residents of public multiunit housing differs by smoking status. J Community Health. 2013; 38(6): 1074-1080. https://doi.org/10.1007/s10900-013-9716-7
  32. Park S. Smoking ban and leased accommodation. The Korean Journal of Civil Law. 2013; 64: 605-632.