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Tracking Reports of Smoking Violations in Public Housing Initial Findings Ellen Childs, PhD, Boston University; John Kane, MPP , Boston Housing Authority; Aileen Shen, MPH, Boston Public Health Commission Made possible with funding from the


  1. Tracking Reports of Smoking Violations in Public Housing Initial Findings Ellen Childs, PhD, Boston University; John Kane, MPP , Boston Housing Authority; Aileen Shen, MPH, Boston Public Health Commission Made possible with funding from the CDC.REACH: Partners in Health and Housing is a partnership between Boston Housing Authority, Boston Public Health Commission, Boston University School of Public Health.

  2. Boston Housing Authority Overview • Approximately 12,000 family and elderly/disabled units, with many different building types • Attached units

  3. Background to BHA’s smoke -free policy  Smoke-free policy was implemented at Boston Housing Authority (BHA) in 2012, after survey showed ~90% of residents supported the move.  Implementation was aided by a CDC grant, Communities Putting Prevention to Work (CPPW)  Good start, but as we know implementing policy does not happen over night

  4. Perfect climate to continue the work  17+ years Partners in Health and Housing collaboration between Boston University, Boston Housing Authority, and Boston Public Health Commission  Multi-million dollar CDC Racial and Ethnic Approaches to Community Health (REACH) grant

  5. How to Improve Implementation?  Needed better infrastructure to support the policy  How?  Resident Engagement  Focus Groups / Surveys  Multi-lingual signage  Reporting options  Outreach to Section 8 - voluntary

  6. Resident Reporting Options

  7. Entering Phone Reports Into Database

  8. Non- Smoking Violation Tracking Database

  9. Methods  Descriptive study showing reports from Year 1 (April 2016 to March 2017), including:  date, time, location of reported violation  Whether the alleged violator was a resident, staff, or guest (or unknown)  development/unit of the violation  development/unit of the reporter or whether the reporter requests anonymity  Information about the location of the violation

  10. Smoking Complaint Reports by Month 45 40 35 30 25 20 15 10 5 0

  11. Violation Reports by Development Type (if known) 90 80 70 60 50 40 30 20 10 0 Family Elderly/Disabled Both/Mixed

  12. Report Method 120 100 80 60 40 20 0 Email In Person Phone

  13. Reporter Role 140 120 100 80 60 40 20 0 BHA Employee Resident Anonymous/Missing

  14. Reported Violation Location 140 120 100 80 60 40 20 0 Common Area Inside Inside Unit Outside within 15 feet Building

  15. Most Frequent Complaints 100 90 80 70 60 50 40 30 20 10 0 Cigarette – Cigarette – Cigarette- Cigarette – Marijuana (all inside unit hall outside Stairs locations)

  16. Reported Violations by Enforcement Action 80 70 60 50 40 30 20 10 0 Insufficient Public Reminder Private Pending Evidence Conference I

  17. Reporter Requested Anonymity 140 120 100 80 60 40 20 0 Yes No No Response

  18. Number of Reports by Frequent Reporters 18 16 14 12 10 8 6 4 2 0 R 1 R 2 R 3 R 4 R 5 R 6 R 7

  19. Conclusion  First descriptive information of resident- reported non-smoking violation complaints in a PHA  Residents are somewhat willing to use the smoking complaint reporting system – 192 reports in the first year across all of BHA.  Residents were willing to identify themselves even though they have the option to remain anonymous.  This can be a model for other PHA’s as PHA’s nationwide go smoke-free next month.

  20. Questions? Ellen Childs, PhD, Boston University echilds@bu.edu John Kane, MPP , Boston Housing Authority John.kane@bostonhousing.org Aileen Shen, MPH, Boston Public Health Commission ashen@bphc.org

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