Preventing Chronic Disease | Smoking Behaviors and Cessation Interests Among Multiunit Subsidized Housing Tenants, Columbus, Ohio, 2011 - CDC

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Preventing Chronic Disease | Smoking Behaviors and Cessation Interests Among Multiunit Subsidized Housing Tenants, Columbus, Ohio, 2011 - CDC

Smoking Behaviors and Cessation Interests Among Multiunit Subsidized Housing Tenants, Columbus, Ohio, 2011

Nancy E. Hood, PhD, MPH; Amy K. Ferketich, PhD; Elizabeth G. Klein, PhD, MPH; Mary Ellen Wewers, PhD, MPH; Phyllis Pirie, PhD

Suggested citation for this article: Hood NE, Ferketich AK, Klein EG, Wewers ME, Pirie P. Smoking Behaviors and Cessation Interests Among Multiunit Subsidized Housing Tenants, Columbus, Ohio, 2011. Prev Chronic Dis 2013;10:120302. DOI: http://dx.doi.org/10.5888/pcd10.120302.

MEDSCAPE CME Medscape, LLC is pleased to provide online continuing medical education (CME) for this journal article, allowing clinicians the opportunity to earn CME credit. This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Medscape, LLC and Preventing Chronic Disease. Medscape, LLC is accredited by the ACCME to provide continuing medical education for physicians. Medscape, LLC designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. All other clinicians completing this activity will be issued a certificate of participation. To participate in this journal CME activity: (1) review the learning objectives and author disclosures; (2) study the education content; (3) take the post-test with a 70% minimum passing score and complete the evaluation at www.medscape.org/journal/pcd; (4) view/print certificate. Release date: June 26, 2013; Expiration date: June 26, 2014

Learning Objectives Upon completion of this activity, participants will be able to: Analyze smoking patterns and outcomes among persons of low socioeconomic status Evaluate attitudes and knowledge regarding smoking cessation among subsidized housing tenants Distinguish the preferred smoking cessation aid among subsidized housing tenants EDITORS Caran Wilbanks, Editor, Preventing Chronic Disease. Disclosure: Caran Wilbanks has disclosed the following relevant financial relationship: Partner is employed by McKesson Corporation. CME AUTHOR Charles P. Vega, MD, Associate Professor and Residency Director, Department of Family Medicine, University of California, Irvine. Disclosure: Charles P. Vega, MD, has disclosed no relevant financial relationships. AUTHORS AND CREDENTIALS Disclosures: Nancy E. Hood, PhD, MPH; Amy K. Ferketich, PhD; Elizabeth G. Klein, PhD, MPH; Mary Ellen Wewers, PhD, MPH; Phyllis Pirie, PhD, have disclosed no relevant financial relationships. Affiliations: Amy K. Ferketich, Elizabeth G. Klein, Mary Ellen Wewers, Phyllis Pirie, The Ohio State University College of Public Health, Columbus, Ohio.

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Abstract

Introduction
Cessation services have been recommended to complement smoke-free policies in subsidized multiunit housing, but little is known about smoking- and cessation-related characteristics among subsidized housing tenants. This study examined smoking behaviors and cessation-related interests in a population of subsidized housing tenants.
Methods
A face-to-face survey was conducted in August to October 2011 with a probability sample of private subsidized housing lease holders in Columbus, Ohio (N = 301, 64% response rate).
Results
Almost half (47.5%) of respondents were current smokers, including smokers of cigarettes or small cigars. Smokers were less likely than nonsmokers to have health insurance and more likely to be at risk for food insecurity. Among smokers, 20.3% did not smoke daily and 35.0% smoked 5 or fewer cigarettes per day. More than half (61.3%) purchased single cigarettes in the past month, with higher rates among nondaily smokers. Most smokers intended to quit within 6 months or less (60.1%) and were interested in using nicotine replacement therapy (NRT) (65.0%). Most respondents had Medicaid but only 30.4% knew Medicaid covered cessation medications.
Conclusions
This population of subsidized housing tenants had high rates of smoking, including light smoking. Interest in NRT was high and access can be improved by increasing awareness of Medicaid coverage among clients and health care providers. However, more research is needed about scalable, evidence-based cessation strategies for low-socioeconomic status and light smokers. Strategies to address environmental factors such as availability of single cigarettes should also be considered in parallel with smoke-free policies.

Comportamientos de los fumadores e intereses en la cesación del tabaquismo entre arrendatarios de viviendas subsidiadas de múltiples unidades, Columbus, Ohio, 2011

Nancy E. Hood, PhD, MPH; Amy K. Ferketich, PhD; Elizabeth G. Klein, PhD, MPH; Mary Ellen Wewers, PhD, MPH; Phyllis Pirie, PhD

Citación sugerida para este artículo: Hood NE, Ferketich AK, Klein EG, Wewers ME, Pirie P. Smoking Behaviors and Cessation Interests Among Multiunit Subsidized Housing Tenants, Columbus, Ohio, 2011. Prev Chronic Dis 2013;10:120302. DOI: http://dx.doi.org/10.5888/pcd10.120302.

REVISADO POR EXPERTOS

Resumen

Introducción
Se han recomendado servicios de cesación para complementar los reglamentos que prohíben fumar en viviendas subsidiadas de múltiples unidades, pero se sabe poco acerca de las características relacionadas con el tabaquismo y la cesación entre los arrendatarios de dichas viviendas. Este estudio investigó los comportamientos de los fumadores y los intereses relacionados con la cesación del tabaquismo en una población de arrendatarios de viviendas subsidiadas.
Métodos
Se realizó una encuesta cara a cara entre agosto y octubre del 2011 con una muestra de probabilidad de arrendatarios de viviendas privadas subsidiadas en Columbus, Ohio (N = 301, tasa de respuesta del 64 %).
Resultados
Casi la mitad (47.5 %) de los encuestados eran fumadores en ese momento, incluidos fumadores de cigarrillos o cigarros pequeños. Los fumadores tenían menos probabilidades que los no fumadores de tener seguro médico y tenían más probabilidades de estar en riesgo de inseguridad alimentaria. Entre los fumadores, el 20.3 % no fumaba diariamente y el 35.0 % fumaba 5 cigarrillos al día o menos. Más de la mitad (61.3 %) compró cigarrillos sueltos en el mes anterior, con tasas más altas entre los que no fumaban diariamente. La mayoría de los fumadores tenía la intención de dejar el hábito dentro de 6 meses o menos (60.1 %) y estaba interesada en utilizar la terapia de remplazo de nicotina (TRN) (65.0 %). La mayoría de los encuestados tenía Medicaid, pero solo el 30.4 % sabía que Medicaid cubría los medicamentos de cesación.
Conclusiones
Esta población de arrendatarios de viviendas subsidiadas tenía altas tasas de tabaquismo, incluidos los que fumaban poco. El interés en la TRN era alto y se puede mejorar el acceso al aumentar la concientización sobre la cobertura de Medicaid entre los clientes y proveedores de atención médica. Sin embargo, se necesita más investigación acerca de estrategias de cesación basadas en la evidencia que se puedan ampliar para quienes fuman poco y tienen una situación socioeconómica baja. También se deben considerar estrategias que aborden factores ambientales, tales como la disponibilidad de cigarrillos sueltos, en forma paralela con las regulaciones que prohíben fumar.