{"doi":"10.1093/ntr/ntaf046","title":"Evaluation of Federally Mandated Smoke-Free Housing Policy and Health Outcomes Among Adults Over the Age of 50 in Low-Income, Public Housing in New York City, 2015–2022","abstract":"INTRODUCTION: Effective July 2018, the U.S. Department of Housing and Urban Development issued a rule requiring all public housing authorities to implement smoke-free housing (SFH) policies in their developments. We examined the differential impacts of SFH policy on hospitalizations for myocardial infarction (MI) and stroke among adults aged ≥50 years old living in New York City (NYC) Housing Authority (NYCHA) versus a matched-comparison population in NYC. AIMS AND METHODS: We identified census block groups (CBGs) comprised solely of 100% NYCHA units (N = 160) and compared NYCHA CBGs to a selected subset of CBGs from all CBGs with no NYCHA units (N = 5646). We employed propensity score matching on distributions of key CBG-level sociodemographic and housing covariates. We constructed incident rates per 1000 persons by aggregating 3-month \"quarterly\" counts of New York State all-payer hospitalization data from October 2015 to December 2022 and dividing by the population aged ≥50 in selected CBGs, ascertained from 2016 American Community Survey 5-year estimates. We selected a difference-in-differences (DID) analytic approach to examine pre- and post-policy differences in incident hospitalizations between the intervention and matched-comparison groups. RESULTS: Matching results indicated a balanced match for all covariates, with standardized mean differences <0.10. In DID analyses, we observed small declines in both MI (DID = -0.26, p = .02) and stroke (DID = -0.28, p = .06) hospitalization rates for NYCHA CBGs compared to non-NYCHA CBGs from pre-to post-54 months' policy. CONCLUSIONS: SFH policies in NYC were associated with small reductions in CVD-related hospitalizations among older adults living in housing subject to the policy. IMPLICATIONS: Housing remains a key focal setting for interventions to reduce SHS exposure and associated morbidities. Ongoing monitoring is warranted to understand the long-term impacts of SFH policies in public housing developments.","journal":"Nicotine & Tobacco Research","year":2025,"id":552296,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9484,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":774122,"name":"Lorna E. Thorpe","orcid":"0000-0001-7515-0562","position":1,"is_corresponding":false},{"id":314428,"name":"Katarzyna Wyka","orcid":"0000-0002-5699-2497","position":2,"is_corresponding":false},{"id":449740,"name":"Brian Elbel","orcid":"0000-0003-1615-9430","position":3,"is_corresponding":false},{"id":252454,"name":"Donna Shelley","orcid":"0000-0003-1677-2577","position":4,"is_corresponding":false},{"id":468866,"name":"Sue A. Kaplan","orcid":"0000-0003-0050-8763","position":5,"is_corresponding":false},{"id":1448452,"name":"Jonathan Burke","orcid":"0000-0002-7776-8566","position":6,"is_corresponding":false},{"id":446746,"name":"Byoungjun Kim","orcid":"0000-0002-0945-3626","position":7,"is_corresponding":false},{"id":227160,"name":"Jonathan Newman","orcid":"0000-0001-6855-7305","position":8,"is_corresponding":false},{"id":381159,"name":"Andrea R. Titus","orcid":"0000-0001-7586-643X","position":9,"is_corresponding":false},{"id":350706,"name":"Elle Anastasiou","orcid":"0000-0003-3423-5679","position":0,"is_corresponding":true}],"reference_count":46,"raw_metadata":null,"created_at":"2026-07-19T02:54:33.203144Z","pmid":"40195027","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}