Background
Few longitudinal studies have examined the adoption of bans on smoking in private
homes.
Purpose
This longitudinal study examined: (1) the prevalence of home smoking bans at baseline,
(2) the incidence and predictors of new ban implementation by follow-up, and (3) the
reasons for banning smoking and the difficulties with enforcement.
Methods
The sample consisted of 1360 adults of Korean descent residing in California who were
interviewed by telephone (in English/Korean) at baseline during 2001–2002 and re-interviewed
in 2006–2007. Data analyses were conducted in 2007–2008.
Results
The proportion of respondents with a complete household smoking ban grew from 59%
at baseline to 91% by the follow-up interview. Among the 552 respondents who did not
have a ban at baseline, 84% had adopted a ban by follow-up. Three baseline factors
independently predicted ban adoption during the follow-up period: the presence of
a nonsmoking respondent or spouse, the presence of nonsmoking family members, and
respondent's belief that secondhand smoke caused lung cancer. The most highly rated
reasons for banning smoking were as follows: because smoke annoys others, to protect
family members, to avoid the odor, to discourage youth from smoking, and to encourage
smokers to quit. Finally, respondents indicated that they would find it most difficult
to ask their parent-in-law not to smoke.
Conclusions
The proportion of households with smoking bans increased substantially, but households
with smokers or family members who smoke remained less likely to implement bans. The
importance of culturally sensitive programs to promote household bans cannot be overstated.
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© 2009 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.