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dc.contributor.authorLevy, Douglas E.en_US
dc.contributor.authorAdamkiewicz, Garyen_US
dc.contributor.authorRigotti, Nancy A.en_US
dc.contributor.authorFang, Shona C.en_US
dc.contributor.authorWinickoff, Jonathan P.en_US
dc.date.accessioned2015-10-01T14:55:37Z
dc.date.issued2015en_US
dc.identifier.citationLevy, Douglas E., Gary Adamkiewicz, Nancy A. Rigotti, Shona C. Fang, and Jonathan P. Winickoff. 2015. “Changes in Tobacco Smoke Exposure following the Institution of a Smoke-Free Policy in the Boston Housing Authority.” PLoS ONE 10 (9): e0137740. doi:10.1371/journal.pone.0137740. http://dx.doi.org/10.1371/journal.pone.0137740.en
dc.identifier.issn1932-6203en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:22856884
dc.description.abstractIntroduction: To protect residents from tobacco smoke exposure (TSE), the Boston Housing Authority (BHA) prohibited smoking in BHA-owned apartments beginning in 2012. Our goal was to determine if the smoke-free policy reduced TSE for non-smoking BHA residents. Methods: We compared TSE before the smoke-free policy (2012) and one year later among BHA residents as well as residents of the neighboring Cambridge Housing Authority (CHA) where no such policy was in place. Participants were a convenience sample of adult non-smoking BHA and CHA residents cohabitating with only non-smokers. Main outcomes were 7-day airborne nicotine in participants’ apartments; residents’ saliva cotinine; and residents’ self-reported TSE. Results: We enrolled 287 confirmed non-smokers (192 BHA, 95 CHA). Seventy-nine percent (229) were assessed at follow-up. At baseline, apartment and resident TSE were high in both housing authorities (detectable airborne nicotine: 46% BHA, 48% CHA; detectable saliva cotinine: 49% BHA, 70% CHA). At follow-up there were significant but similar declines in nicotine in both sites (detectable: -33% BHA, -39% CHA, p = 0.40). Detectable cotinine rose among BHA residents while declining among CHA participants (+17% BHA vs. -13% CHA, p = 0.002). Resident self-reported TSE within and outside of the housing environment decreased similarly for both BHA and CHA residents. Conclusions: Apartment air nicotine decreased after the introduction of the smoke-free policy, though the decline may not have resulted from the policy. The BHA policy did not result in reduced individual-level TSE. Unmeasured sources of non-residential TSE may have contributed to BHA residents’ cotinine levels.en
dc.language.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pone.0137740en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4567081/pdf/en
dash.licenseLAAen_US
dc.titleChanges in Tobacco Smoke Exposure following the Institution of a Smoke-Free Policy in the Boston Housing Authorityen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS ONEen
dash.depositing.authorLevy, Douglas E.en_US
dc.date.available2015-10-01T14:55:37Z
dc.identifier.doi10.1371/journal.pone.0137740*
dash.contributor.affiliatedLevy, Douglas
dash.contributor.affiliatedWinickoff, Jonathan
dash.contributor.affiliatedAdamkiewicz, Gary
dash.contributor.affiliatedRigotti, Nancy
dash.contributor.affiliatedFang, Shona C


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