Presentation on theme: "Making no-smoking rules WORK in Affordable Housing"— Presentation transcript:
1 Making no-smoking rules WORK in Affordable Housing
2 Today we’ll talk about Trends Why safe & healthy housing should not be a luxurySteps and tools to implement a no-smoking policyUnderstanding tobacco addiction
3 Smoking: The world has changed In 1965, 1/2 of adult men and 1/3 of women in the US smoked and they did it:At workOn airplanesDuring college classesIn hotels and theatresIn restaurants, bars and tavernsIn their homes andIn their beds
4 Present Day Most workplaces are smokefree 85% of homes in Oregon and 87% in Washington have a no-smoking rulePeople expect smoke-free air where they work and where they live
5 What we know about SECONDHAND SMOKE There is no safe level of exposure to SHS:“The scientific evidence is now indisputable:secondhand smoke is not a mere annoyance.It is a serious health hazard that can lead to disease and premature death in children and nonsmoking adults.”U.S. Surgeon General, 2006
6 Children living in buildings where smoking is allowed… Have higher levels of nicotine markers in their blood.SHS can seep into apartments where no one smokes through shared walls, ventilation systems and ductwork.SHS is absorbed into furniture, carpets, curtains, clothing, toys, etc that children come into contact with and put in their mouths.
7 Secondhand smoke cannot be controlled “At present the only means ofeffectively eliminating the health risksassociated with indoor exposure isto ban smoking activity.”American Society of Heating, Refrigerating &Air-Conditioning Engineers
8 “Treatments” can make it worse Separating smokers from non-smokers, using air cleaning technologies, or ventilating buildings does not eliminate SHS exposureHeating, ventilation and air conditioning systems can actually distribute SHS throughout a building
9 What we know about RENTERS 77% of Metro renters, regardless of smoking status, prefer to live in smokefree housing46% would feel uncomfortable living next door to a smoker74% say it’s OK for landlords to ban smokingResults were similar across all income groupsPortland-Vancouver metro renter survey conducted 2009 by Campbell DeLong Resources, Inc
10 What we know about RENTERS and SMOKING How many renters do you think smoke?Survey of Metro renters said: 23% (16% daily, 7% some days)How many renter households allow smoking inside?82% do not allow smoking anywhere inside + 6% where smoking occurs rarely or neverMost tenants don’t smoke,and over half of those who do already go outside.
11 Oregon and Washington Smokefree Laws Almost every workplace and public place is smokefree in Oregon and WashingtonThis includes public and common areas and anywhere an employee must pass through in the course of their dutiesAlso no-smoking within 10 feet (OR) and 25 feet (WA) of any entrance, window or intake unitSince 12/ 2005 for Washington and 1/2009
12 Prohibiting smoking is legal… Smokers are not a protected class.Nonsmokers may be eligible for protection from SHS under Fair Housing laws.“Property owners and managers have every right to restrict smoking in and on their property.”Fair Housing Council of Oregon
13 New Oregon law for landlords As of 1/1/10 landlords must disclose, as part of their rental agreement, whether or not smoking is:Prohibited on the premisesAllowed on the entire premisesAllowed in limited areas on the premisesIf smoking is allowed, the disclosure must state where it is allowed.
14 HUD Weighs In HUD strongly encourages public housing authorities and multifamily housing rental assistance programs to implement Non-Smoking policiesfor some or all of the units they own or manage.HUD Notice PIH (HA)HUD Notice H
15 National trends in public housing Please note: though some cities and municipalities throughout the country have pursued legislative approaches to no-smoking policies, the Washington State Department of Health support voluntary policies and works with landlords and owners who are interested in learning more about no-smoking policies.*This represents an increase of over 1,000% over the last 68 months.15
16 Safe and healthy housing should not be a luxury for those who can afford it
17 Portland Tribune photos Look familiar?Clean-up after a smoker; nicotine coats everythingPortland Tribune photos
18 Safe & Healthy Housing for ALL Safe & healthy housing is key to a person’s physical safety and well-being.Homes should not pose a serious health hazard to the people who live there.
19 Safe & Healthy Housing for ALL Residents in affordable housing have the least amount of choice and ability to move.With long waits to get in, they are not likely to move out if they experience unwanted SHS at home.
20 Safe & Healthy Housing for ALL People with low-incomes already have higher rates of chronic disease and disability.Exposure to SHS and tobacco use make this worse.
21 How YOU can provide Safe & Healthy Housing A no-smoking policy is an easy and affordable way to:Improve the indoor air quality of a buildingImprove resident health
22 No-Smoking policy might include: All buildingsInside the unitsPorches,patios and balconiesOutside areas (such as playgrounds & pools)Parking areas
23 Communicating your policy Make sure to use the words “non-smoking” or “smokefree” in your rental adsPut the rule in writing - where smoking is and is not allowed - that it applies to guests tooPost adequate signage
25 A no-smoking rule doesn’t mean “no smokers” It just means NO-SMOKING
26 Enforcing your no-smoking rule Just like any other rule:Residents can be your best alliesIf a resident complains, document the facts and resolve the matterPrompt consistent action will send a clear messageLack of enforcement with one resident will make it difficult to enforce with others
28 3 out of 4 Who is Ready to Quit? Oregon smokers say they want to quit Prochaska’s Readiness to Change Model. This can be used for any type of behavior change.Have them write down a behavior and place themselves on this scale. Why do they think this is where they are on the scale. What would make them move up the scale?Example of the Ambivalence Box.
29 Why Don’t They Just Quit? Chain of Addiction:Biologically AddictivePsychologically AddictiveCulturally AddictiveTalking Points:Three different types of addiction make quitting even harder for tobacco users to quit.Biologically Addictive:Nicotine has been reported as more addictive than heroine or cocaine.Nicotine triggers chemicals in the brain that increase pleasure and reduce anxiety.Nicotine exposure produces lasting changes in the brain.Psychologically Addictive:Can be used as self-medication.Can be used as coping mechanism.Behaviors and rituals make quitting even harder.Culturally Addictive:Promoted as part of social activities and norms.Linked to group membership.Tobacco companies spend over $15 Billion on marketing annually.Adapted from materials produced by the Tobacco Cessation Resource Center, Washington State Department of Health
30 Biological addiction to nicotine Feeling of pleasure, decrease in anxietyLasting chemical changes in brainQuitting produces withdrawal symptomsAdapted from materials produced by the Tobacco Cessation Resource Center, Washington State Department of Health
31 Psychological addiction to smoking Triggered by other behaviorsHaving drinks or coffee, driving, etcSelf-medicationAdapted from materials produced by the Tobacco Cessation Resource Center, Washington State Department of Health
32 Cultural/Environmental link to nicotine addiction Friends who smokeActivities that involve smokingAdvertisingMoviesPlaces that still allow smokingAdapted from materials produced by the Tobacco Cessation Resource Center, Washington State Department of Health
33 What’s in a Cigarette? 4000 chemicals, 50 carcinogens
34 Benefits of Quitting 20 Minutes 2 Weeks-3 Months 8 Hours 48 Hours Blood Pressure Body temp in feet/hands 2 Weeks-3 MonthsCirculation improvesLung function increases8 HoursC02 Level decreases to normalOxygen level increases to normal1 year - Risk of coronary heart disease decreases by 50%5 years - Stroke risk is reduced to that of never-smokers48 HoursTaste/Smell improvesNerve endings begin regrowth10 YearsLung cancer death ratedecreases by 50%Risk of Heart Disease almost same as a non-smokerSource: The American Lung Association
35 The average person makes 2-3 serious quit attempts before finally quitting Prochaska’s Readiness to Change Model. This can be used for any type of behavior change.Have them write down a behavior and place themselves on this scale. Why do they think this is where they are on the scale. What would make them move up the scale?Example of the Ambivalence Box.Adapted from materials produced by the Tobacco Cessation Resource Center, Washington State Department of Health
36 No-smoking rule supports cessation Cessation supports no-smoking ruleMoves people along quitting continuumPrevents relapseCreates supportive environment to stay quitMakes rule easier to enforceCreates supportive environment for no-smoking policy
37 One last thoughtA disgruntled resident from Housing Authority of Portland said (in a March 2009 Tribune article)“If you can’t afford to buy a condoor your own house,it’s going to be very difficult to smokein your own home.”
38 Think of it this way You shouldn’t have to buy your own home to be protected from secondhand smoke.
39 Oregon Smokefree Housing Project For more information and tools, go toOregon Smokefree Housing Projectcomcast.netDeveloped by Diane Laughter, MPH, of Health In Sight LLCThis work is funded by the Tobacco Prevention & Education Program, Oregon Health Authority