Interest in Smoking Cessation Related to a Smoke-Free Policy Among Homeless Adults

Vijayaraghavan, Maya; Pierce, John P.

doi:10.1007/s10900-014-9985-9

Cited by 30 publications

(40 citation statements)

References 21 publications

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“…Shelters have smoke-free policies that may motivate individuals to make quit attempts. 2,42 Few shelters offer on-site resources, but most provide referrals to community-based resources for smoking cessation. 43 These factors may also encourage quit attempts among homeless clients.…”

Section: Discussionmentioning

confidence: 99%

Tobacco Cessation Behaviors Among Older Homeless Adults: Results From the HOPE HOME Study

Vijayaraghavan¹,

Tieu²,

Ponath³

et al. 2016

NICTOB

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Introduction: Tobacco-attributable deaths contribute significantly to the increased mortality observed among homeless adults aged 50 years or more. Little is known about the epidemiology of tobacco use among older homeless individuals. This longitudinal cohort study examines smoking behaviors and factors associated with smoking cessation among homeless individuals aged 50 years or more. Methods: We recruited a prospective cohort of 350 homeless individuals sampled from the community in Oakland, California. At 6 months follow-up, participants reported their cigarette quit attempts and 30-day abstinence. We used multivariable logistic regression to examine factors associated with making a quit attempt at follow-up, hypothesizing that heavier smokers would be less likely to make a quit attempt. Results: Of the 272 ever-smokers, 229 (84.2%) were current smokers (quit ratio 15.8). Among current smokers at enrollment who had a follow-up interview at 6 months, 43.6% (n = 71) reported making a quit attempt during the follow-up. Of those who reported making a quit attempt, 14.3% (n = 10) reported 30-day abstinence at follow-up. Among those who had reported making a quit attempt at follow-up, 22.5% had used nicotine replacement therapy (NRT). Staying in shelters (adjusted odds ratio [AOR] = 2.5, 95% confidence interval [CI] = 1.0-5.8) was associated with higher odds of making a quit attempt at follow-up. Higher cigarette consumption was associated with lower odds of making a quit attempt (AOR = 0.9, 95% CI = 0.8-0.9). Conclusions: In this study of tobacco use in older homeless adults, rates of quit attempts were similar to that observed in the general population, but successful quitting was lower. Implications: The current study is among the first studies to focus specifically on tobacco use and cessation behaviors among older homeless adults. The high prevalence of smoking and the low rates of successful quitting highlight numerous opportunities to intervene to increase quitting rates among this population. Among these, increasing access to smoke-free living environments and identifying effective cessation therapies will be critical to reducing tobacco-related disease burden among older homeless adults.

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Section: Discussionmentioning

confidence: 99%

Tobacco Cessation Behaviors Among Older Homeless Adults: Results From the HOPE HOME Study

Vijayaraghavan¹,

Tieu²,

Ponath³

et al. 2016

NICTOB

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“…A cross-sectional survey of homeless shelters in San Diego County showed that all facilities had an indoor ban on smoking, 61.5% had an outdoor designated smoking zone and 25% had a campus-wide ban on smoking 88. In two cross-sectional studies of sheltered homeless adults, the majority of participants were supportive of indoor smoke-free policies 89 90. In a shelter that had an indoor and outdoor smoking ban, most homeless adults reported reductions in consumption, and about half reported either having made a quit attempt or getting ready to quit completely 90…”

Section: Clean Indoor Air Lawsmentioning

confidence: 99%

The effectiveness of tobacco control policies on vulnerable populations in the USA: a review

Vijayaraghavan

Schroeder

Kushel

2016

Postgraduate Medical Journal

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Despite population-wide efforts to reduce tobacco use, low-income populations in the USA have much higher rates of tobacco use compared with the general population. The principal components of tobacco control policies in the USA include cigarette taxes, clean indoor air laws and comprehensive interventions to increase access to tobacco cessation services. In this review, we describe the effectiveness of these policies and interventions in reducing tobacco use among vulnerable populations, focusing on persons with mental health disorders and substance use disorders, persons who have experienced incarceration or homelessness, and low-income tenants of public housing. We discuss the challenges that evolving tobacco and nicotine products pose to tobacco control efforts. We conclude by highlighting the clinical implications of treating tobacco dependence in healthcare settings that serve vulnerable populations.

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“…There is research supporting the enactment of clean indoor air policies in homeless housing programs; pilot studies suggest that such policies lead to reduced smoking rates and reduced carbon monoxide exposure (Businelle et al, 2015; Vijayaraghavan & Pierce, 2015). Providing on-site smoking cessation therapy in transitional housing has led to increased abstinence and reduced carbon monoxide exposure (Goldade et al, 2011; Okuyemi, Thomas, et al, 2006; Power, Mallat, Bonevski, & Nielssen, 2015; Segan, Maddox, & Borland, 2015; Shelley, Cantrell, Wong, & Warn, 2010).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Tobacco Control Policies in San Francisco Homeless Housing Programs

Sung

Apollonio

2017

Health Promotion Practice

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Background The 2014 Surgeon General’s Report noted that high smoking rates in vulnerable populations such as the homeless have been a persistent public health problem; smoking prevalence among individuals experiencing homelessness exceeds 70%. Historically, service providers for the homeless have not enacted comprehensive tobacco control policies. Method We conducted a qualitative study of homeless housing programs in San Francisco. Administrators representing 9 of the city’s 11 homeless service agencies were interviewed to assess institutional smoking-related policies and cessation programs and perceived barriers and receptivity to instituting tobacco control interventions. Results Respondents indicated that although most programs had adopted smoke-free grounds and some had eliminated evidence of staff smoking, the smoking status of clients was assessed only when required by funders. None of the programs offered smoking cessation interventions. Most administrators were receptive to adopting policies that would promote a tobacco-free culture; however, they noted that their clients had unique challenges that made traditional smoking cessation programs unfeasible. Conclusions Homeless housing programs in San Francisco have not yet adopted a tobacco-free culture. Existing policies were created in response to external mandates, and smoking cessation programs may need to be modified in order to effectively reach clients.

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Interest in Smoking Cessation Related to a Smoke-Free Policy Among Homeless Adults

Cited by 30 publications

References 21 publications

Tobacco Cessation Behaviors Among Older Homeless Adults: Results From the HOPE HOME Study

Tobacco Cessation Behaviors Among Older Homeless Adults: Results From the HOPE HOME Study

The effectiveness of tobacco control policies on vulnerable populations in the USA: a review

Evaluation of Tobacco Control Policies in San Francisco Homeless Housing Programs

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