title: State Tobacco Control Program Implementation Strategies for Smoke-Free Multiunit Housing.
abstract: Multiunit housing residents are at risk of secondhand smoke exposure from adjoining units and common areas. We developed this case study to document state-level strategies undertaken to address this risk. We explored program documents to identify facilitators, barriers, and outcomes. Three states (Montana, Michigan, and Nebraska) provided detailed information on multiunit housing efforts in the study time frame. We conducted a qualitative analysis using inductive coding to develop themes. Several facilitators relating to existing infrastructure included traditional and nontraditional partnerships, leadership and champions, collecting and using data, efficient use of resources, and strategic plans. We also report external catalysts, barriers, and outcomes. Significant state leadership and effort were required to provide local-level technical assistance to engage traditional and nontraditional partners. Information needs were identified and varied by stakeholder type (i.e., health vs. housing). States recommend starting with public housing authorities, so they can become resources for affordable and subsidized housing. These lessons and resources can be used to inform smoke-free multiunit housing initiatives in other states and localities.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA nkuiper@cdc.gov.
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Kuiper
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: LaTisha L
authors.initials: LL
authors.lastname: Marshall
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: S Rene
authors.initials: SR
authors.lastname: Lavinghouze
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Brian A
authors.initials: BA
authors.lastname: King
mesh_terms: D005069:Evaluation Studies as Topic; D006801:Humans; D011050:Policy Making; D011638:Public Housing / Q000331:legislation & jurisprudence*; D061845:Smoke-Free Policy / Q000331:legislation & jurisprudence*; D013219:State Government; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*; D014481:United States
chemical_list: D014028:Tobacco Smoke Pollution
keywords: multiunit housing; public housing; secondhand smoke; smoke-free housing; smoke-free policy; subsidized housing; tobacco control