Barriers and Facilitators to Implementing Indoor No-Smoking Policies at Home Among Chinese American Female Non-Smokers

Purpose This study aimed to evaluate knowledge, attitudes, and beliefs about the dangers of secondhand smoke (SHS) exposure among Chinese American female non-smokers and to identify barriers and facilitators to implementing indoor no-smoking policies at home. Design A cross-sectional questionnaire survey. Setting This study was conducted in a large Midwestern city in the United States. Subjects A convenient sample of 100 Chinese American female non-smokers was recruited between January and July 2024. Measures Demographics, knowledge about the harms of SHS exposure, attitudes, and beliefs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action) regarding SHS exposure, and implementation of indoor non-smoking polices were measured. Analysis Binary logistic regression analyses were conducted to identify barriers and facilitators to implementing indoor no-smoking Policies at home after controlling for demographics and other covariates. Results Chinese American female non-smokers with high levels of self-efficacy were more likely to implement indoor non-smoking policies at home (OR = 2.09; P < .01). Furthermore, older females were more likely to implement no-smoking policies at home (OR = 1.06, P < .05), whereas those without Medicaid coverage were less likely to implement such a policy (OR = 0.26; P < .05). Conclusion Culturally and linguistically appropriate smoke-free home interventions should be developed to enhance self-efficacy, with a particular focus on older Chinese women and those with Medicaid coverage, and to mitigate secondhand smoke exposure.