Abstract

BackgroundIn a multi-unit housing (MUH) complex, secondhand smoke (SHS) can pass from one living space to another. The aim of this study was to determine the prevalence of SHS incursion, and to establish the relationship between SHS incursion and socio-demographic and built environmental factors in MUH in Korea.MethodsA population-based sample of 2600 residents (aged ≥19 years) living in MUH from across the city of Seoul, Korea, was obtained through a web-based selection panel. The residents completed a questionnaire detailing socio-demographic factors, smoking status, frequency of SHS incursion, and built environmental factors. The presence of a personal smoke-free home rule was determined by residents declaring that no one smoked inside the home.ResultsOf the 2600 participants, non-smoking residents who lived in homes with a personal smoke-free rule were selected for further analysis (n = 1784). In the previous 12 months, 74.7% of residents had experienced SHS incursion ≥1 times. A multivariate ordinal logistic regression analysis indicated that residents who spent more time at home, lived with children, supported the implementation of smoke-free regulations in MUH, lived in small homes, lived in homes with natural ventilation provided by opening a front door or the windows and front door, and lived in homes with more frequent natural ventilation were more likely to report SHS incursion into their homes.ConclusionsThe majority of the non-smoking residents experienced SHS incursion, even with a personal smoke-free rule in their homes. A smoke-free policy in MUH is needed to protect residents from SHS exposure when they are at home.

Highlights

  • In a multi-unit housing (MUH) complex, secondhand smoke (SHS) can pass from one living space to another

  • The proportion of residents in the various categories differed between apartments and attached homes, we considered that about 50% of each category was present in each type of residence, enabling us to determine whether housing type played an important role in SHS incursion

  • The majority of non-smoking respondents who lived in homes with a personal smoke-free rule experienced SHS incursion in their units within the previous 12 months

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Summary

Introduction

In a multi-unit housing (MUH) complex, secondhand smoke (SHS) can pass from one living space to another. Secondhand smoke (SHS) exposure is causally linked to cardiovascular disease, respiratory effects, and lung cancer [1,2,3,4]. The extensive evidence of adverse health effects associated with SHS exposure has led many countries to introduce smoke-free regulations in indoor public spaces and work places. The implementation of smoke-free regulations has resulted in an improvement in indoor air quality [6, 7] and the health of non-smoking staff in hospitality venues [8, 9]. It might be difficult to pass legislation to restrict smoking in a private home, public housing could be smoke-free.

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