RESUMEN
Combined exposure to secondhand smoke (SHS) and radon increases lung cancer risk 10-fold. The authors assessed the feasibility and impact of a brief home screening and environmental feedback intervention to reduce radon and SHS (Freedom from Radon and Smoking in the Home [FRESH]) and measured perceived risk of lung cancer and synergistic risk perception (SHS x radon). Participants (N = 50) received home radon and SHS kits and completed baseline surveys. Test results were shared using an intervention guided by the Teachable Moment Model. Half of the participants completed online surveys two months later. Most (76%) returned the radon test kits; 48% returned SHS kits. Of the returned radon test kits, 26% were >4.0 pCi/L. Of the returned SHS kits, 38% had nicotine > .1 microg/m3. Of those with high radon, more than half had contacted a mitigation specialist or planned contact. Of those with positive air nicotine, 75% had adopted smoke-free homes. A significant increase occurred in perceived risk for lung cancer and synergistic risk perception after FRESH.
Asunto(s)
Actitud Frente a la Salud , Monitoreo del Ambiente/métodos , Vivienda/estadística & datos numéricos , Radón/análisis , Contaminación por Humo de Tabaco/análisis , Adulto , Femenino , Humanos , Neoplasias Pulmonares/etiología , Neoplasias Pulmonares/psicología , Masculino , Persona de Mediana Edad , Radón/envenenamiento , Riesgo , Fumar , Encuestas y Cuestionarios , Contaminación por Humo de Tabaco/efectos adversosRESUMEN
This article describes a 3-pronged compliance strategy to implement a tobacco-free campus policy at 1 large, land grant public university in the South, and evaluates its impact on outcomes and costs. Although there has been a recent wave of tobacco-free colleges, policy restrictiveness and implementation vary, and compliance remains a challenge. The 3 Ts strategy (Tell-Treat-Train) involves regular, consistent communications, access to tobacco treatment medications and counseling, and ongoing training of supervisors and student leaders. Administrative support, access to tobacco treatment, campus buy-in, sustained communications, and careful implementation planning are critical to instituting a tobacco-free university policy.
Asunto(s)
Implementación de Plan de Salud/organización & administración , Política Organizacional , Cese del Hábito de Fumar , Prevención del Hábito de Fumar , Contaminación por Humo de Tabaco/prevención & control , Universidades , Análisis Costo-Beneficio , Humanos , Capacitación en Servicio , Kentucky , Evaluación de Programas y Proyectos de Salud , Cese del Hábito de Fumar/economía , Cese del Hábito de Fumar/métodos , Servicios de Salud para Estudiantes/economía , Servicios de Salud para Estudiantes/organización & administración , Dispositivos para Dejar de Fumar Tabaco/economíaRESUMEN
The purpose of this article is to describe how the print media portrays secondhand smoke and smoke-free policy in rural communities. Baseline print media clips from an ongoing 5-year study of smoke-free policy development in 40 rural communities were analyzed. The authors hypothesized that community population size would be positively associated with media favorability toward smoke-free policy. Conversely, pounds of tobacco produced and adult smoking prevalence would be negatively associated with media favorability. There was a positive correlation between population size and percentage of articles favorable toward smoke-free policy. The authors did not find a correlation between adult smoking or tobacco produced and media favorability toward smoke-free policy, but we did find a positive relationship between tobacco produced and percentage of pro-tobacco articles and a negative relationship between adult smoking prevalence and percentage of articles about health/comfort. Implications for targeting pro-health media in rural communities as well as policy-based initiatives for tobacco control are discussed.