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HomeMy WebLinkAbout2018-12-10 Community Health Commission MinutesMINUTES Community Health Commission December 10, 2018 at 6:30 PM City Hall, Community Room I.Call To Order II.Roll Call Present: Andrew Johnson-Cowley, Christy Zilka, Julia Selleys, Amanda Herr, Greg Wright, Alison Pence, Britta Orr, Om Jahargirdar, Anushka Thorat. Absent: Dena Soukup III.Approval Of Meeting Agenda Motion by Greg Wright to approve modified meeting agenda, tabling approval of November meeting minutes until January meeting.. Seconded by Andrew Johnson-Cowley. Motion Carried. IV.Approval Of Meeting Minutes V.Community Comment VI.Reports/Recommendations A.Smoke Free Multi-Unit Housing Survey Received report from Bloomington Public Health regarding smoke-free multi-unit housing survey. Report to be attached to minutes. VII.Chair And Member Comments VIII.Staff Comments Presentation from resident at January meeting regarding wood smoke concerns. City will be moving forward with preparations to implement rental licensing program. IX.Adjournment City of Edina Multi-Unit Housing Resident Survey September 2018 ACKNOWLEDGEMENT This report was made possible through funding from the Statewide Health Improvement Partnership, Minnesota Department of Health and the collaboration of: City of Edina Health Commission Bloomington Public Health Association for Non-smokers Minnesota: Live Smoke Free Program Minnesota Department of Health Office of Statewide Health Improvement Initiatives Evaluation and Research Unit WE WISH TO THANK THE FOLLOWING PROPERTIES FOR THEIR SUPPORT OF THIS PROJECT Heritage Court/Premier Properties, LLC Oaks Lincoln/Oaks Properties, LLC Ponds of Edina/KCS Property Management Oaks Braemar/Oaks Properties, LLC The Durham/RMK Management York Plaza/Stuart Company 1 TABLE OF CONTENTS Executive Summary ...................................................................................................................................... 2 Background ................................................................................................................................................... 3 Scope of the Issue ......................................................................................................................................... 3 City of Edina profile ..................................................................................................................................... 4 Methodology ................................................................................................................................................. 4 Highlights from comparison of smoke-free vs. smoking-allowed properties ............................................... 6 Key findings .................................................................................................................................................. 9 Next Steps ................................................................................................................................................... 11 Appendix ..................................................................................................................................................... 12  Survey Results  Resident letter  Resident survey cover letter  Resident survey 2 EXECUTIVE SUMMARY The multi-unit housing resident survey was conducted to learn about smoking in apartments, and what residents think about secondhand smoke and smoke-free building policies. In early 2018, Bloomington Public Health (BPH) and the Association for Non-Smokers (ANSR) Minnesota’s Live Smoke Free program administered a survey to residents in to two types of multi-unit housing properties in the City of Edina: those with a smoke-free policy (i.e. smoking of tobacco is not allowed anywhere indoors) and those with a smoking-allowed policy. Questions included: o Basic demographics o Whether residents allowed smoking in their units o Frequency of secondhand smoke exposure o Any smoking behavior changes as a result of or following a building-wide smoke-free policy o Support for a smoke-free property policy o Support for citywide ordinance around smoking in multi-unit housing  Residents from smoke-free properties were asked to provide details about rules in place for tobacco smoking.  When asked about smoking behavior, all residents had the option to indicate when a question didn’t apply to them because they were nonsmoking or no one in their household smoked.  Surveys were available in English only. A total of 893 surveys were distributed and 458 were returned representing a 51% return rate. Individual return rates were as follows: Smoke-Free Properties: 50% return rate  Oaks Lincoln 48%  Oaks Braemer 50%  York Plaza 51% Smoking-allowed properties: 54% return rate  Heritage 58%  The Ponds, 59%  The Durham 52% 3 Key findings include:  Majority of all respondents (97%) don’t allow smoking in their units even with a smoking-allowed policy present.  Majority of respondents surveyed (94%) support a smoke-free building-wide policy.  Despite 97% of all respondents not allowing the smoking of tobacco products in their units, (99% in smoke-free vs 93% in smoking-allowed properties), 46% of these respondents are still exposed to secondhand smoke from all buildings. This includes 39% in smoke-free vs. 64% in smoking-allowed buildings.  Negative health impact of secondhand smoke exposure were reported by 8% of respondents.  Majority of respondents (91% in smoke-free properties and 90% in smoking-allowed properties) indicated they would support a multi-unit housing smoking related citywide ordinance. BACKGROUND The City of Edina has been a leader in reducing resident exposure to secondhand smoke and protecting youth from tobacco products. In 2017, Edina was the first city in the state to set a high standard for the sale of cigarettes and tobacco products to young adults under the age of 21 by passing a Tobacco 21 ordinance. This ordinance increased the tobacco sale age from 18 to 21. The City of Edina also protects its residents from secondhand smoke by prohibiting smoking in public parks and recreational spaces. In February 2018, at the request of the Edina Health Commission, Bloomington Public Health (BPH) and the Association for Non-Smokers Minnesota (ANSR) Live Smoke Free program began outreaching to select multi-unit properties (both smoking prohibited and permitted) asking to survey residents on the topic of smoke-free housing. The goal of the survey was to learn about smoking in apartments, and what residents think about secondhand smoke and smoke-free building policies. Bloomington Public Health (BPH) has long supported programs, partnerships and policies that cultivate healthy, active communities. We collaborate with communities, schools, worksites and healthcare providers to reduce the risk of chronic disease by targeting poor nutrition, physical inactivity and tobacco use for those who live and work in the City of Edina. SCOPE OF THE ISSUE Research strongly demonstrates an association between tobacco use and chronic disease risk factors. Scientific knowledge about the health effects of tobacco use has increased greatly since 4 the first Surgeon General’s report on tobacco was released in 1964.1 Since the publication of that report, more than 20 million Americans have died because of smoking.2 The harmful effects of tobacco do not end with the user. The US Surgeon General has concluded that there is no risk- free level of exposure to secondhand smoke. Since 1964, 2.5 million deaths have occurred among nonsmokers who died from diseases caused or exacerbated by secondhand smoke exposure. Secondhand smoke causes heart disease, lung cancer, and stroke in adults and can cause a number of health problems in infants, children, and older adults including asthma, Type II diabetes, hypertension, high cholesterol, and obesity. An estimated 58 million Americans remain exposed to secondhand smoke each year. The home is the primary source of secondhand smoke exposure for children, and multi-unit housing residents are particularly vulnerable to involuntary exposure in their homes.3 Many factors influence tobacco use. Risk factors include race/ethnicity, age, education, and socioeconomic status. Significant disparities in tobacco use exist geographically; such disparities typically result from differences among states in smoke- free protections, tobacco prices, and program funding for tobacco control.3 Tobacco use is the largest preventable cause of death and disease in the United States. Each year, approximately 480,000 Americans die from tobacco-related illnesses. Further, more than 16 million Americans suffer from at least one disease caused by smoking.4 CITY OF EDINA PROFILE The City of Edina is located in the metro region of the state. The city’s population is estimated to be 49,976 in 2016.5 Of this population it is estimated that 42,489 (85%) are non-Hispanic White, 1,092 (2.2%) are African American, 1,516 (3%) are Hispanic, and 3,521 (7%) are Asian.6 The City of Edina is estimated to contain 21,325 occupied housing units in 2016.7 Less than a third of those units, 5,915, are occupied by households renting. It is estimated that households that are White (not Hispanic) own 94.4 percent of the owner-occupied housing units and rent 75.3 percent of the renter-occupied housing units. There are significant racial differences in household occupancy based on ownership or rental status. METHODOLOGY The project team, including the City of Edina Community Health Administrator, staff from Bloomington Public Health, Association for Non-smokers Minnesota: Live Smoke Free Program and the Minnesota Department of Health met in December 2017 and January 2018. The project team determined criteria for who to survey and developed survey questions over two meetings. 1 DHHS Publication No. (CDC) 89-8411 2 DHHS Office on Smoking and Health, January 2014 3 Healthy People 2020 4 DHHS Office on Smoking and Health 5 2012-2016 American Community Survey 5-Year Estimates Table S0101 6 2012-2016 American Community Survey 5-Year Estimates Table B03002 7 2012-2016 American Community Survey 5-Year Estimates Table S2502 5 Bloomington Public Health maintains a list of all multi-unit properties in Edina which includes information about their smoking policies, number of units and if available, the number of residents residing in those properties. Although the exact number of smoke-free properties is unknown, our best data shows 47% of 53 properties contacted report having adopted a smoke- free policy. A map was created using ArcMap in ArcGIS version 10.5 to visualize the geographic distribution of multi-unit properties with and without smoking policies in Edina. The project team then prioritized the 53 multi-unit properties based on their geographic distribution, smoking policy type and number of residents to ensure the selected properties provided the best representation of the city and then narrowed the selection to six. The property managers of the six properties were contacted to ascertain their interest in participating in the survey process. Of the initial six properties selected, four agreed to allow for the survey to occur and provide assistance with the survey. The two properties that declined were replaced by two other properties from the original pool of 53. Property managers distributed paper copies of the survey with instructions for completion to all households (one survey per unit). Residents received written instructions to return completed surveys in a sealed envelope to the on-site manager or management office at which time they would receive a $10 gift card. Property managers received a $50 gift card for their role in survey dissemination and collection.8 Decisions regarding timeframe for survey distribution and collection were left to property managers and what they felt was the best time to achieve the highest return rate. In most cases, that meant surveys were distributed toward the end of the month and returned the first of the month when rents were due. The average length of time from survey distribution to collection was 7-14 days and occurred between April 2018 and July 2018. Paper survey results were compiled by ANSR and entered into Survey Monkey. All survey data was analyzed by BPH in Statistical Package for Social Services (SPSS) version 24. 8 Gift cards were purchased from retailer that did not sell tobacco products. 6 HIGHLIGHTS FROM COMPARISON OF SMOKE-FREE VS. SMOKING-ALLOWED PROPERTIES Demographics of survey respondents by property type Smoke-free properties N=287 Smoking-allowed properties N=168  It is estimated that the demographic makeup of renter in Edina include 75% non- Hispanic White, 14% Asian, 4% African American, 4% Hispanic and 4% some other race9.  The three smoke-free properties surveyed are similar demographically to renters in Edina.  The three smoking-allowed properties surveyed are demographically more diverse than renters in Edina. 9 2012-2016 American Community Survey 5-Year Estimates Table S2502 Note due to rounding, totals are greater than 100. 1% 11%4% 79% 4% 2% American Indian or Alaska Native Asian or Asian American Black or African American White Hispanic or Latino Other 1% 34% 8% 53% 4% 1% American Indian or Alaska Native Asian or Asian American Black or African American White Hispanic or Latino Other 7 Smoking rules set by respondents for their apartment Smoke-free properties N=289 Smoking-allowed properties N=167  Housing cost was ranked first followed by proximity to work or school second and a smoke-free policy third as what tenants considered when selecting a place to live by respondents from both smoking-allowed and smoke- free properties. o Overall, 71% of all respondents surveyed indicated a smoke-free policy was in their top three consideration when selecting a place to live. Top considerations from respondents in smoke-free properties when considering housing Rank 1 2 3 Percent citing in their Top 3 Housing Cost 72% 19% 6% 97% Proximity to work/school 10% 44% 26% 80% Smoke-Free Policy 13% 35% 28% 75% Transportation 1% 10% 24% 35% Good school district 9% 7% 15% 31% 1% 99% Yes, smoking is allowed in my unit No, smoking is not allowed in my unit 7% 93% Yes, smoking is allowed in my unit No, smoking is not allowed in my unit 8 Top considerations from respondents in smoking-allowed properties when considering housing Rank 1 2 3 Percent citing in their Top 3 Housing Cost 75% 16% 5% 96% Proximity to work/school 12% 35% 32% 79% Smoke-Free Policy 12% 26% 26% 64% Good school district 11% 19% 10% 40% Transportation 1% 15% 24% 40% 9 KEY FINDINGS  Majority of all respondents don’t allow smoking in their unit even with a smoking- allowed policy present. Respondents that do not allow smoking of tobacco in their units by property tobacco policy type  Several respondents who didn’t allow smoking in their unit indicated they had secondhand smoke exposure Respondents secondhand smoke exposure in their apartment who do not allow smoking of tobacco in their apartment by property tobacco policy type  Majority of respondents surveyed support a smoke-free property policy 97% 99% 93% 0%10%20%30%40%50%60%70%80%90%100% All respondents Smoke-free properties Smoking-allowed properties 46% 39% 64% 0%10%20%30%40%50%60%70% All respondents Smoke-free properties Smoking-allowed properties 10 Respondents support for smoke-free property by property tobacco policy type  Majority of respondents indicated they would support a multi-unit housing smoking related citywide ordinance Respondents support for citywide smoke free ordinance for apartments by property tobacco policy type 93% 95% 91% 0%10%20%30%40%50%60%70%80%90%100% All respondents Smoke-free properties Smoking-allowed properties 90% 90% 91% 0%10%20%30%40%50%60%70%80%90%100% All respondents Smoke-free properties Smoking-allowed properties 11 NEXT STEPS Upon survey completion and analysis, BPH and ANSR conducted face-to-face meetings with property managers to share property-specific results, discuss policy changes and offer technical assistance. For those properties with existing smoke-free policies, technical assistance was provided to strengthen policy compliance in the form of consultation, policy review, recommending strategies to increase resident engagement, and provision of tools like signage and a resident letter which shared survey findings and reinforced policy specifics and enforcement protocol. For first-time policy adopters, technical assistance provided included educational resources (e.g., an FAQ document that addressed common questions residents may have as to why the property is going smoke-free, how the policy will benefit residents, and an explanation of policy enforcement, etc.); sample implementation tools (e.g., a resident letter template that shared survey findings, the hazards of secondhand smoke, fire risk, and details about the new smoke-free policy, a sample lease addendum, etc.); cessation resources for residents; and ongoing consultation. With the completion of the final report, BPH staff will meet with City of Edina staff to review the findings and evaluate the options for city policies. Our findings highlight the importance of smoke-free policies to help protect all residents, especially youth and those with low income status, from secondhand smoke exposure. 12 APPENDIX 13 SURVEY RESULTS BPH distributed a total of 893 surveys, and 457 were returned representing a 51% return rate. In smoke-free multi-unit properties, 580 surveys were distributed and 289 surveys were returned (50%). In smoking-allowed multi-unit properties, 313 surveys were distributed and 169 surveys were returned (54%). Five multi-unit properties had an individual return rate of 50% or greater. Demographics Race and Ethnicity. N=434  It is estimated that the demographic makeup of renter in Edina include 75% non- Hispanic White, 14% Asian, 4% African American, 4% Hispanic and 4% some other race10.  The three smoke-free properties surveyed are similar demographically to renters in Edina.  The three smoking-allowed properties surveyed are demographically more diverse than renters in Edina. Race and ethnicity for all respondents 10 2012-2016 American Community Survey 5-Year Estimates Table S2502 Note due to rounding, totals are greater than 100. 1% 19% 5% 70% 4% 1% American Indian or Alaska Native Asian or Asian American Black or African American White Hispanic or Latino Other 14 Race and ethnicity for respondents by property tobacco policy type Smoke-free properties N=287 Smoking-allowed properties N=168  Of respondents to this survey, more respondents of color reside in smoking-allowed properties compared to smoke-free. This could be due to costs, amenities, and other factors. Age. N= 456Age ranges for all respondents 1% 11%4% 79% 4% 2% American Indian or Alaska Native Asian or Asian American Black or African American White Hispanic or Latino Other 1% 34% 8% 53% 4% 1% American Indian or Alaska Native Asian or Asian American Black or African American White Hispanic or Latino Other 7% 51%12% 30% 18-25 26-55 56-65 Over 65 15 Age ranges for respondents by property tobacco policy type Smoke-free properties N=288 Smoking-allowed properties N=168  Renters over 65 were more represented in responses from smoking-allowed properties. A larger young adult population (18-25) was observed among respondents of smoking- allowed properties. Income. N= 437  The median income for households in Edina is estimated to be $91,84711.  The median of the respondents is within the $55,000 to $79,000 category, lower than the median income for Edina households. 11 2012-2016 American Community Survey 5-Year Estimates Table S1903 8% 44% 14% 34% 18-25 26-55 56-65 Over 65 4% 64% 8% 23% 18-25 26-55 56-65 Over 65 16 Income reported by all respondents Income reported by respondents by property tobacco policy type Smoke-free properties N=276 Smoking-allowed properties N=161 6% 11% 21% 25% 17% 21% 0% 5% 10% 15% 20% 25% 30% $23,000 or less $23,001-$39,000 $39,001-$55,000 $55,001-$79,000 $79,001-$100,000 More than $100,000 6% 13% 23%23% 15% 21% 0% 5% 10% 15% 20% 25% 30% $23,000 or less $23,001-$39,000 $39,001-$55,000 $55,001-$79,000 $79,001-$100,000 More than $100,000 6% 8% 17% 27% 21%21% 0% 5% 10% 15% 20% 25% 30% $23,000 or less $23,001-$39,000 $39,001-$55,000 $55,001-$79,000 $79,001-$100,000 More than $100,000 17 The apartment that you live in Tenure in apartment by property tobacco policy type Smoke-free properties N=287 Smoking-allowed properties N=169 Children under 18 present in all respondents apartment N=458 29% 47% 12% 12%Less than 1 year 1-5 years 6-10 years More than 10 years 25% 54% 10% 12% Less than 1 year 1-5 years 6-10 years More than 10 years 78% 22% No Yes 18 Children under 18 living in respondent’s apartment by property tobacco policy type Smoke-free properties N=289 Smoking-allowed properties N=169 Adults over 65 present in respondents apartment for all respondents n=455 84% 16% No Yes 69% 31% No Yes 67% 33% No Yes 19 Adults over 65 present in respondents apartment by property tobacco policy type Smoke-free properties N=288 Smoking-allowed properties N=167 Apartment unit smoking rules and exposure Respondents smoking rules for their apartment by property tobacco policy type Smoke-free properties N=289 Smoking-allowed properties N=167  A small percentage of respondents (7%) indicated they allowed smoking in their units on smoking-allowed properties.  A small percentage of respondents (1%) indicated they smoked/allowed smoking in their units on smoke-free properties. 64% 37% No Yes 72% 28% No Yes 1% 99% Yes, smoking is allowed in my unit No, smoking is not allowed in my unit 7% 93% Yes, smoking is allowed in my unit No, smoking is not allowed in my unit 20 Secondhand smoke exposure (SHS) for respondents who don’t allow smoking in unit by property tobacco policy type12 Smoke-free properties N=286 Smoking-allowed properties N=156  In smoke-free properties, 39% of respondents who don’t allow smoking in their units indicated secondhand smoke exposure. In smoking-allowed units, 56% of respondents indicated exposure.  Despite not allowing smoking in their units, respondents are still largely exposed to secondhand smoke potentially due to smoking in shared areas, adjacent units, and/or outdoor areas that seep into individual units. 12 A few respondents who allow smoking in their individual units also smelled smoke from other units. These responses have been eliminated from this ‘secondhand smoke’ exposure analysis. 2% 9%11% 17% 61% 0% 10% 20% 30% 40% 50% 60% 70% Everyday A few times a week A few times a month A few times a year Not at all 7% 15%17%17% 44% 0% 10% 20% 30% 40% 50% Everyday A few times a week A few times a month A few times a year Not at all 21 Willing to Use designated smoking areas. N=458  When asked whether they would use a designated smoking area if provided, 81% of all respondents indicated that the question didn’t apply to them because they did not smoke Respondents willing to use designated smoking area for all respondents Respondents willing to use designated smoking area by property tobacco policy type for all respondents Smoke-free properties N=289 Smoking-allowed properties N=169  From smoke-free properties, 81% were nonsmoking compared to 79% of respondents in smoking-allowed properties. 81% 7% 13% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% I do not smoke Yes No 81% 7%11% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% I do not smoke Yes No 79% 6% 15% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% I do not smoke Yes No 22 Secondhand smoke (SHS) exposure for residents who indicated they were non-smokers. N=369  Half (50%) of the 81% of residents who indicated they were nonsmoking (when asked if they would be willing to use designated smoking areas) reported secondhand smoke exposure. Secondhand smoke exposure (SHS) for all respondents who indicated they were non-smokers. Secondhand smoke exposure (SHS) for respondents who indicated they were non-smokers by property tobacco policy type Smoke-free properties N=235 Smoking-allowed properties N=134 5% 13%14%18% 50% 0% 10% 20% 30% 40% 50% 60% Everyday A few times a week A few times a month A few times a year Not at all 3% 10%13%17% 57% 0% 10% 20% 30% 40% 50% 60% Everyday A few times a week A few times a month A few times a year Not at all 9% 18%17%19% 37% 0% 5% 10% 15% 20% 25% 30% 35% 40% Everyday A few times a week A few times a month A few times a year Not at all 23  Despite living in a smoke-free building, 43% of nonsmoking respondents indicated secondhand smoke exposure. In smoking-allowed buildings, 63% of nonsmoking respondents indicated exposure. Respondents with secondhand smoke exposure who reported tobacco smoke nuisance to landlord by property tobacco policy type Smoke-free properties N=114 Smoking-allowed properties N=96  In smoke-free properties, 68% of respondents who indicated secondhand smoke exposure did not report it to their landlord. In smoking-allowed properties, 78% of respondents exposed did not report.  Of the respondents who reported secondhand smoke exposure, those with more frequent exposure indicated they reported it to their landlord; o 91% of respondents with at least weekly secondhand smoke exposure in smoke- free properties reported secondhand smoke exposure to their landlord compared to 69% of respondents in smoking-allowed properties.  Some respondents that didn’t report smelling secondhand smoke in their apartment, reported secondhand smoke exposure to their landlord; 5% in smoke free properties vs. 3% in smoking-allowed. Reasons respondents provided for not reporting smoke  Respondents who smelled smoke but didn’t report it in smoke-free properties provided reasons including; o Had no idea it was a smoke-free property o Could not pinpoint exact source of smoke o Smoke was too infrequent or didn’t bother them enough to report it  Major reasons for not reporting in smoking-allowed properties included; 43% 48% 22% 13% 5% 0% 20% 40% 60% Everyday A few times a week A few times a month A few times a year Not at all 54% 15% 26% 17% 3% 0% 20% 40% 60% Everyday A few times a week A few times a month A few times a year Not at all 24 o Problem was insignificant o Property allowed smoking, management wouldn’t do anything o Others have already reported it o They had countermeasures  In smoke-free properties, 17% percent of all respondents had countermeasures for the smoke, compared to 28% of all respondents in smoking-allowed buildings. o This percentage includes respondents who indicated they had no secondhand smoke exposure. o Countermeasures included laundry and cleaning supplies, air purifiers, odor absorbers and door/window seals. Most respondents selected using multiple countermeasures. Respondents’ perceptions of the follow-up frequency on smoking violation or nuisance reported to landlord  In smoke-free properties; o Twelve out of 37 (32%) respondents who reported smoke (including a few who didn’t indicate exposure) indicated that landlord responded to smoke complaints always or most of the time. o Twenty out of 247 (8%) respondents didn’t report smoke but indicated that landlord responded always or most of the time to smoke complaints.  In smoking-allowed properties; o Six out of 23 (26%) respondents who reported smoke (including a few who didn’t indicate exposure) indicated that landlord responded to smoke complaints always or most of the time. o Nineteen out of 142 (13%) respondents didn’t report smoke but indicated that landlord responded always or most of the time to tobacco complaints. 25 Respondents’ knowledge of smoking policy by property tobacco policy type Smoke-free properties N=116 Smoking-allowed properties N=109  Many respondents, 173/289 (60%) in smoke-free properties and 60/169 (36%), in smoking-allowed properties selected multiple options which have been excluded from the above charts. Respondents’ perception of landlord’s policy enforcement. In smoke-free properties (N=281);  More than half (71%) of respondents indicated they didn’t know how landlord enforced policy.  Two percent of respondents didn’t think landlord enforced policy.  A few respondents (2%) indicated question didn’t apply because smoking was allowed in the building. In smoking-allowed properties (N=154);  More than half (51%) of respondents indicated they didn’t know how landlord enforced policy.  Three percent of respondents didn’t think landlord enforced policy.  Six percent indicated question didn’t apply because smoking was allowed in the building. 3% 19% 47% 3% 28% 0%20%40%60% Smoking is allowed in individual apartments but not in shared… Smoking is allowed in some outdoors areas Smoking is not allowed anywhere inside the building Smoking is not allowed anywhere outdoors Don’t know/not sure 20% 8% 29% 1% 41% 0%20%40%60% Smoking is allowed in individual apartments but not in shared… Smoking is allowed in some outdoors areas Smoking is not allowed anywhere inside the building Smoking is not allowed anywhere outdoors Don’t know/not sure 26 Health problems: Percent of respondents reporting a smoke related health problem  Of all respondents who responded (N=421), 36 of them (8%) indicated they believed they or a family member had a health problem due to secondhand smoke exposure. o This includes 22/288 (8%) of respondents from smoke-free properties and 14/169 (7%) of respondents from smoking-allowed properties.  Self-reported health problems include: o allergies o asthma o headaches o breathing problems o cancer Smoke-free policy experience and ordinance perception Smoking behavior change since being in a smoke free property In smoke-free properties (N=284);  All properties already have a no smoking policy.  Majority of respondents (86%) indicated question didn’t apply as no one living in my apartment smokes tobacco.  Other respondents responded as shown in graph above N=35. o Of these respondents, 31% indicated they had quit or tried to cut back due to smoke-free policy in place at their property. 11%9%11% 69% 0% 20% 40% 60% 80% Yes, quit smoking Yes, quit smoking cigarettes and now smoking e-cigarettes Yes, tried to quit or cut back smoking No, no changes in current smoking behavior 27 In smoking-allowed properties (N=165):  All properties have a smoking-allowed policy.  Three fourths (75%) of respondents indicated that no one living in my apartment smokes tobacco.  A few, 12% indicated that question didn’t apply since property didn’t have a smoke-free policy.  The remaining 13% of respondents indicated behavior changes: o The majority, 81% indicated no change to their smoking behavior. o Some indicated they quit smoking, 10% or tried to cut back on smoking, 10%. Property wide smoking policy N=359  Of all respondents who responded, 93% indicated they would support a property wide smoke-free policy. o This includes 95% in smoke-free and 91% in smoking-allowed properties o Only a few respondents (4%) in smoke-free properties indicated they opposed or strongly opposed a property-wide policy compared to 8% in smoking-allowed properties. Support for a property wide smoke-free policy by property tobacco policy type Smoke-free properties N=284 Smoking-allowed properties N=165 95% 5% 0% 20% 40% 60% 80% 100% Support or strongly support Oppose or strongly oppose 91% 8% 0% 20% 40% 60% 80% 100% Support or strongly support Oppose or strongly oppose 28 Citywide ordinance support N=359  Of all respondents who responded, 90% indicated they would support a city-wide smoke- free multi-unit housing ordinance. o This includes 90% in smoke-free and 91% in smoking-allowed properties. Support for city-wide smoke-free multi-unit housing ordinance by property tobacco policy type for all respondents Policy support by smoking behavior for all respondents  Note: Graphs show respondent who indicated they support or strongly support property-wide and citywide policies/ordinance 90% 90% 91% All respondents Smoke-free properties Smoking-allowed properties 50%55%60%65%70%75%80%85%90%95%100% All respondents Smoke-free properties Smoking-allowed properties 35% 71% 92% 82% 92% 0%20%40%60%80%100% Willing to use designated smoking area Supports buildingwide smoke free policy Supports a citywide smoke ordinance NonSmoker Smoker 29 Consideration used to make housing choices  Housing cost was ranked first followed by proximity to work or school second and a smoke-free policy third as what tenants considered when selecting a place to live by respondents from both smoking-allowed and smoke free properties. o Overall, 71% of all respondents surveyed indicated a smoke-free policy was in their top three considerations when selecting a place to live. Top considerations from respondents in smoke-free properties when considering housing Rank 1 2 3 Percent citing in their Top 3 Housing Cost 72% 19% 6% 97% Proximity to work/school 10% 44% 26% 80% Smoke-Free Policy 13% 35% 28% 75% Transportation 1% 10% 24% 35% Good school district 9% 7% 15% 31% Top considerations from respondents in smoking-allowed properties when considering housing Rank 1 2 3 Percent citing in their Top 3 Housing Cost 75% 16% 5% 96% Proximity to work/school 12% 35% 32% 79% Smoke-Free Policy 12% 26% 26% 64% Good school district 11% 19% 10% 40% Transportation 1% 15% 24% 40% 30 Sociodemographic Differences for all Respondents Secondhand smoke exposure (SHS) for respondents who indicated they did not allow smoking in their units N=442 55% 42% 46% 55% 35% 46% 42% 65% 46% 50% 43% 50% 44% 55% 46% 40% 51% 0%10%20%30%40%50%60%70% All Respondents More than $100,000 $79,001-$100,000 $55,001-$79,000 $39,001-$55,000 $23,001-$39,000 $23,000 or less Over 65 56-65 26-55 18-25 Hispanic or Latino White Black or African American Asian or Asian American Has Adults over 65 Has Children Under 18 31 32 33 34 35 36