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Area of Science:

  • Public Health
  • Health Services Research
  • Behavioral Science

Background:

  • Smoke-free policies are effective in reducing secondhand smoke (SHS) exposure and influencing smoking behaviors.
  • Permanent supportive housing (PSH) for formerly homeless individuals rarely implements such policies.
  • This study assessed the impact of a smoke-free policy in a PSH setting.

Purpose of the Study:

  • To evaluate the effectiveness of a smoke-free policy in a PSH for formerly homeless adults.
  • To assess changes in SHS exposure, smoking behaviors, and resident support post-policy implementation.

Main Methods:

  • A quasi-experimental design was used, with pre-policy and post-policy surveys.
  • Residents in a PSH in San Diego, California, completed questionnaires on attitudes and SHS exposure.
  • Data were collected between August-November 2015 (pre-policy) and 7-9 months after policy implementation (post-policy).

Main Results:

  • Indoor smoking decreased by 59.7% post-policy.
  • Reported SHS exposure decreased across indoor and outdoor areas.
  • Overall resident support for the policy increased by 18.7%, with a notable rise among current smokers.
  • The proportion of current smokers decreased by 13%, though this was not statistically significant.

Conclusions:

  • Implementing smoke-free policies in PSH for formerly homeless adults is feasible.
  • While policies reduce SHS exposure and increase support, they are insufficient alone to drive smoking cessation.
  • Integrated smoking cessation resources are crucial to support behavior change in this population.