The Built Environment, PTSD Symptoms, and Tobacco Use among Permanent Supportive Housing Residents.
Introduction: 50% of permanent supportive housing (PSH) residents in the U.S. smoke cigarettes, and tobacco-related mortality is their number one cause of death. Over 30% of PSH residents have post-traumatic stress disorder (PTSD), and many perceive their built environment (e.g., housing) as inadequ...
| Publicado en: | Journal of Community Health Vol. 50; no. 2; pp. 369 - 377 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Apr2025
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=184009071&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 184009071 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Apr2025 vid: 50 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 184009071 10.1007/s10900-024-01422-w ppf: 369 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P size: 880KB tig: atl: The Built Environment, PTSD Symptoms, and Tobacco Use among Permanent Supportive Housing Residents. aug: au: Hawes, Mark R. Chakravarty, Deepalika Xia, Fan Max, Wendy Kushel, Margot Vijayaraghavan, Maya affil: https://ror.org/043mz5j54 Center for Tobacco Control Research and Education, University of California, San Francisco, CA, USA https://ror.org/05t99sp05 UCSF Benioff Homelessness and Housing Initiative, University of California, San Francisco, San Francisco, CA, USA 530 Parnassus Ave, 94143, San Francisco, CA, USA https://ror.org/043mz5j54 Center for AIDS Prevention Studies, Division of Prevention Science, University of California, San Francisco, San Francisco, CA, USA https://ror.org/043mz5j54 Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA https://ror.org/043mz5j54 Department of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, USA https://ror.org/043mz5j54 Institute for Health & Aging, University of California, San Francisco, San Francisco, CA, USA https://ror.org/043mz5j54 Division of General Internal Medicine, San Francisco General Hospital, University of California, San Francisco, San Francisco, CA, USA https://ror.org/05t99sp05 Division of Health Equity and Society, University of California, San Francisco, San Francisco, CA, USA https://ror.org/05t99sp05 UCSF Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, USA su: United States Post-traumatic stress disorder Public housing Social determinants of health Smoking Homeless persons Homelessness Social support Medical screening Built environment Psychosocial factors Safety Research funding Descriptive statistics Mathematical models Tobacco products Theory Confidence intervals Data analysis software Neighborhood characteristics Regression analysis sug: subj: Post-traumatic stress disorder Public housing Social determinants of health Smoking Homeless persons Homelessness Social support Medical screening Built environment Psychosocial factors United States All Other Miscellaneous Ambulatory Health Care Services Lessors of social housing projects Other Individual and Family Services All other miscellaneous store retailers (except beer and wine-making supplies stores) Tobacco and Tobacco Product Merchant Wholesalers Cigarette and tobacco product merchant wholesalers Tobacco product manufacturing Tobacco Manufacturing Safety Research funding Descriptive statistics Mathematical models Tobacco products Theory Confidence intervals Data analysis software Neighborhood characteristics Regression analysis keyword: Medical and Health Sciences Public Health and Health Services Medical and Health Sciences Public Health and Health Services ab: Introduction: 50% of permanent supportive housing (PSH) residents in the U.S. smoke cigarettes, and tobacco-related mortality is their number one cause of death. Over 30% of PSH residents have post-traumatic stress disorder (PTSD), and many perceive their built environment (e.g., housing) as inadequate for mental and physical health recovery. It is unknown whether built environment factors moderate the relationship between PTSD and tobacco use among PSH residents. Methods: We used baseline data from 400 participants in a smoke-free home intervention in PSH sites in the San Francisco Bay Area between 2022 and 2024. We explored whether perceived housing quality and perceived neighborhood safety moderated the relationship between PTSD symptoms and cigarettes per day (CPD) using linear mixed models. Results: 62.8% of the participants were male, 41.8% were Black, 30.5% screened positive for PTSD, 54.3% rated their housing as average/poor, and the mean neighborhood safety score was 3.4 (SD 0.9). Mean CPD was significantly higher in participants with PTSD compared to those without PTSD among participants who rated their housing as good/excellent (5.1; 95% CI: 2.7, 7.5) or their neighborhood as safer (7.8; 95% CI: 2.8, 12.8). Mean CPD was not significantly different between those with and without PTSD among participants who rated their housing as average/poor or their neighborhood as less safe. Conclusions: Perceived housing quality and neighborhood safety moderated the association between PTSD symptoms and CPD. Findings have implications for developing trauma-informed, multi-level interventions for tobacco use that combine individually directed approaches with those that consider the built environment. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|