Impact of smoke-free housing policy lease exemptions on compliance, enforcement and smoking behavior

A qualitative study

Pamela Kaufman, Julie Kang, Ryan David Kennedy, Pippa Beck, Roberta Ferrence

Research output: Contribution to journalArticle

Abstract

This paper investigates the impacts of smoke-free housing policies on compliance, enforcement and smoking behavior. From 2012 to 2014, we studied two affordable housing providers in Canada with comprehensive smoke-free policies: Waterloo Regional Housing that required new leases to be non-smoking and exempted existing leases, and Yukon Housing Corporation that required all leases (existing and new) to be non-smoking. Focus groups and key informant interviews were conducted with 31 housing and public health staff involved in policy development and implementation, and qualitative interviews with 56 tenants. Both types of smoke-free policies helped tenants to reduce and quit smoking. However, exempting existing tenants from the policy created challenges for monitoring compliance and enforcing the policy, and resulted in ongoing tobacco smoke exposure. Moreover, some new tenants were smoking in exempted units, which undermined the policy and maintained smoking behavior. Our findings support the implementation of complete smoke-free housing policies that do not exempt existing leases to avoid many of the problems experienced by staff and tenants. In jurisdictions where exempting existing leases is still required by law, adequate staff resources for monitoring and enforcement, along with consistent and clear communication (particularly regarding balconies, patios and outdoor spaces) will encourage compliance.

Original languageEnglish (US)
Pages (from-to)29-36
Number of pages8
JournalPreventive Medicine Reports
Volume10
DOIs
StatePublished - Jun 1 2018

Fingerprint

Smoke-Free Policy
Compliance
Smoking
Guideline Adherence
Yukon Territory
Interviews
Policy Making
Focus Groups
Smoke
Tobacco
Canada
Public Health
Communication

Keywords

  • Housing
  • Qualitative research
  • Smoke-free policy
  • Smoking cessation
  • Tobacco smoke pollution

ASJC Scopus subject areas

  • Health Informatics
  • Public Health, Environmental and Occupational Health

Cite this

Impact of smoke-free housing policy lease exemptions on compliance, enforcement and smoking behavior : A qualitative study. / Kaufman, Pamela; Kang, Julie; Kennedy, Ryan David; Beck, Pippa; Ferrence, Roberta.

In: Preventive Medicine Reports, Vol. 10, 01.06.2018, p. 29-36.

Research output: Contribution to journalArticle

@article{019c6013408e4064aedf86ccff92ac79,
title = "Impact of smoke-free housing policy lease exemptions on compliance, enforcement and smoking behavior: A qualitative study",
abstract = "This paper investigates the impacts of smoke-free housing policies on compliance, enforcement and smoking behavior. From 2012 to 2014, we studied two affordable housing providers in Canada with comprehensive smoke-free policies: Waterloo Regional Housing that required new leases to be non-smoking and exempted existing leases, and Yukon Housing Corporation that required all leases (existing and new) to be non-smoking. Focus groups and key informant interviews were conducted with 31 housing and public health staff involved in policy development and implementation, and qualitative interviews with 56 tenants. Both types of smoke-free policies helped tenants to reduce and quit smoking. However, exempting existing tenants from the policy created challenges for monitoring compliance and enforcing the policy, and resulted in ongoing tobacco smoke exposure. Moreover, some new tenants were smoking in exempted units, which undermined the policy and maintained smoking behavior. Our findings support the implementation of complete smoke-free housing policies that do not exempt existing leases to avoid many of the problems experienced by staff and tenants. In jurisdictions where exempting existing leases is still required by law, adequate staff resources for monitoring and enforcement, along with consistent and clear communication (particularly regarding balconies, patios and outdoor spaces) will encourage compliance.",
keywords = "Housing, Qualitative research, Smoke-free policy, Smoking cessation, Tobacco smoke pollution",
author = "Pamela Kaufman and Julie Kang and Kennedy, {Ryan David} and Pippa Beck and Roberta Ferrence",
year = "2018",
month = "6",
day = "1",
doi = "10.1016/j.pmedr.2018.01.011",
language = "English (US)",
volume = "10",
pages = "29--36",
journal = "Preventive Medicine Reports",
issn = "2211-3355",
publisher = "Elsevier BV",

}

TY - JOUR

T1 - Impact of smoke-free housing policy lease exemptions on compliance, enforcement and smoking behavior

T2 - A qualitative study

AU - Kaufman, Pamela

AU - Kang, Julie

AU - Kennedy, Ryan David

AU - Beck, Pippa

AU - Ferrence, Roberta

PY - 2018/6/1

Y1 - 2018/6/1

N2 - This paper investigates the impacts of smoke-free housing policies on compliance, enforcement and smoking behavior. From 2012 to 2014, we studied two affordable housing providers in Canada with comprehensive smoke-free policies: Waterloo Regional Housing that required new leases to be non-smoking and exempted existing leases, and Yukon Housing Corporation that required all leases (existing and new) to be non-smoking. Focus groups and key informant interviews were conducted with 31 housing and public health staff involved in policy development and implementation, and qualitative interviews with 56 tenants. Both types of smoke-free policies helped tenants to reduce and quit smoking. However, exempting existing tenants from the policy created challenges for monitoring compliance and enforcing the policy, and resulted in ongoing tobacco smoke exposure. Moreover, some new tenants were smoking in exempted units, which undermined the policy and maintained smoking behavior. Our findings support the implementation of complete smoke-free housing policies that do not exempt existing leases to avoid many of the problems experienced by staff and tenants. In jurisdictions where exempting existing leases is still required by law, adequate staff resources for monitoring and enforcement, along with consistent and clear communication (particularly regarding balconies, patios and outdoor spaces) will encourage compliance.

AB - This paper investigates the impacts of smoke-free housing policies on compliance, enforcement and smoking behavior. From 2012 to 2014, we studied two affordable housing providers in Canada with comprehensive smoke-free policies: Waterloo Regional Housing that required new leases to be non-smoking and exempted existing leases, and Yukon Housing Corporation that required all leases (existing and new) to be non-smoking. Focus groups and key informant interviews were conducted with 31 housing and public health staff involved in policy development and implementation, and qualitative interviews with 56 tenants. Both types of smoke-free policies helped tenants to reduce and quit smoking. However, exempting existing tenants from the policy created challenges for monitoring compliance and enforcing the policy, and resulted in ongoing tobacco smoke exposure. Moreover, some new tenants were smoking in exempted units, which undermined the policy and maintained smoking behavior. Our findings support the implementation of complete smoke-free housing policies that do not exempt existing leases to avoid many of the problems experienced by staff and tenants. In jurisdictions where exempting existing leases is still required by law, adequate staff resources for monitoring and enforcement, along with consistent and clear communication (particularly regarding balconies, patios and outdoor spaces) will encourage compliance.

KW - Housing

KW - Qualitative research

KW - Smoke-free policy

KW - Smoking cessation

KW - Tobacco smoke pollution

UR - http://www.scopus.com/inward/record.url?scp=85041541038&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041541038&partnerID=8YFLogxK

U2 - 10.1016/j.pmedr.2018.01.011

DO - 10.1016/j.pmedr.2018.01.011

M3 - Article

VL - 10

SP - 29

EP - 36

JO - Preventive Medicine Reports

JF - Preventive Medicine Reports

SN - 2211-3355

ER -