title: Smoke-Free Policies in Multiunit Housing: Smoking Behavior and Reactions to Messaging Strategies in Support or in Opposition.
abstract: BACKGROUND
  Given the high proportion of US adults living in multiunit housing (MUH) and the related risks of secondhand smoke, we examined correlates of having smoke-free MUH policies, level of support for such policies, and reactions to related messaging among a quota-based nonprobability sample of US adults.
  
  
  METHODS
  In 2013, 752 adult MUH residents were recruited through an online survey panel to complete a cross-sectional survey assessing tobacco use, personal smoke-free policies in homes and cars, smoke-free MUH policies, and reactions to messaging on smoke-free MUH policies. We sought sufficient representation of smokers, racial/ethnic minorities, and residents of the Southeast.
  
  
  RESULTS
  Overall, 56.3% had no smoke-free MUH policies and 16.2% had complete policies; 62.8% favored living in smoke-free MUH, and 28.9% said they would move if their building became smoke-free. Multivariate regression indicated that correlates of living in MUH with partial or no policies included younger age, less education, lower income, and current smoking (P's ≤ .01); more restrictive smoke-free MUH policies were associated with lower cigarette consumption and recent quit attempts among current smokers (P's < .05); and correlates of support for MUH policies included greater education, nonsmoker status, and having complete MUH policies (P's < .05). Of 9 messages opposing smoke-free MUH policies, the most persuasive was "People have the right to smoke in their own homes"; the most persuasive message of 11 in support was "You have the right to breathe clean air in your home."
  
  
  CONCLUSIONS
  Smoke-free MUH policies may reduce smoking. Messaging in favor of smoke-free MUH policies was more persuasive than messaging opposing such policies, indicating the potential for using these approaches.
authors.affiliation: Department of Behavioral Sciences and Health Education, Emory University School of Public Health, 1518 Clifton Rd NE, Room 524, Atlanta, GA 30322. Email: cjberg@emory.edu.
authors.forename: Carla J
authors.initials: CJ
authors.lastname: Berg
authors.affiliation: Emory University Rollins School of Public Health, Atlanta, Georgia.
authors.forename: Regine
authors.initials: R
authors.lastname: Haardörfer
authors.affiliation: Emory University Rollins School of Public Health, Atlanta, Georgia.
authors.forename: Michael
authors.initials: M
authors.lastname: Windle
authors.affiliation: Emory University Rollins School of Public Health, Atlanta, Georgia.
authors.forename: Madeleine
authors.initials: M
authors.lastname: Solomon
authors.affiliation: Emory University Rollins School of Public Health, Atlanta, Georgia.
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Kegler
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001336:Automobiles / Q000331:legislation & jurisprudence; D003430:Cross-Sectional Studies; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006293:Health Promotion / Q000706:statistics & numerical data; D006798:Housing / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010565:Persuasive Communication; D012307:Risk Factors; D057566:Self Report; D061845:Smoke-Free Policy; D012907:Smoking / Q000453:epidemiology / Q000523:psychology*; D016540:Smoking Cessation / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D015144:Southeastern United States / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014028:Tobacco Smoke Pollution / Q000009:adverse effects / Q000331:legislation & jurisprudence / Q000517:prevention & control; D055815:Young Adult
chemical_list: D014028:Tobacco Smoke Pollution