Website

Utilizing the Community Health Worker Model to communicate strategies for asthma self-management and self-advocacy among public housing residents

Sponsoring Program Name: 
Sinai Urban Health Institute
The Helping Children Breathe and Thrive in Chicago’s Public Housing (HCBT) project was developed based upon previous asthma interventions implemented at SUHI, mainly the Healthy Home, Healthy Child (HHHC) initiative. HHHC has proven to be an effective model for addressing poorly controlled asthma in the primarily African American, underserved community of North Lawndale. HCBT built upon this model in order to translate it to Chicago Housing Authority (CHA) properties.

Non-Hispanic Black children in the US experience a higher prevalence of asthma and are more likely to have severe and poorly controlled asthma than their non-Hispanic White counterparts. These disparities are particularly pronounced among those living in public housing compared to the general population. To combat these disparities, health care researchers collaborated with public housing management to deliver a year-long community health worker (CHW) asthma and healthy homes intervention to children with asthma in six public housing developments. CHWs, hired from the targeted housing developments, educated families to better manage asthma medically and address asthma triggers in the home, and served as a bridge to medical, social, and public housing services. This is the first time such a full spectrum asthma intervention has been implemented by CHWs in public housing. Fifty-nine children completed the intervention, 95% of whom were African American. Daytime asthma symptoms in the previous two weeks were significantly reduced between baseline (4.1) and 1-year follow-up (0.8). The percent of children making two or more urgent health resource utilization visits decreased significantly between baseline (42%) and 1-year follow-up (15%). Quality of life scores for caregivers of children increased significantly (by 0.7 points). The implementation of the CHW model in a public housing setting not only meets children where they live, but effectively bridges the gap between them and the health care system, reducing the disproportionate burden of asthma in these communities and improving overall quality of life.

 

Click here to read the full manuscript.

Contact Name: 
Melissa Gutierrez
Contact Email: 
melissa.gutierrez@sinai.org
Contact Phone: 
773-257-5258
Language: 

Asthma and Allergy Foundation of America (AAFA) 2015 State Honor Roll Report

Sponsoring Program Name: 
Asthma and Allergy Foundation of America (AAFA)
The report helps identify states with the most comprehensive and preferred statewide public policies supporting people with asthma, food allergies, anaphylaxis and related allergic diseases in U.S. elementary, middle and high schools.

The Asthma and Allergy Foundation of America (AAFA) State Honor Roll of Asthma and Allergy Policies for Schools, www.StateHonorRoll.org, is an annual research project to help identify states with the most comprehensive and preferred statewide public policies supporting people with asthma, food allergies, anaphylaxis and related allergic diseases in US elementary, middle and high schools. The goal of this report is to identify state-level progress towards better school-based policies, and to provide a blueprint for advocates nationwide.

Contact Name: 
Meryl Bloomrosen
Contact Email: 
mbloomrosen@aafa.org
Resource Category: 
Resource Type: 
Language: 

Smoke-Free Housing; Legal and Easier than you thought!

Sponsoring Program Name: 
Ingham County Health Department
Michigan has become a national leader in the adoption of smoke-free multi-tenant housing policies. Landlord experience, legal documents, assistance and free promotion are all available to you by visiting, the website, the only resource you will need: http://www.mismokefreeapartment.org.

When we promote smoke-free housing, we are saying that it is legal and advisable for apartment owners to establish smoke-free policies for the buildings that they own, which includes individual apartments and common areas.  Many smoke-free apartment owners have also implemented smoke-free property policies which can include pool areas, green-space and private sidewalks.

Most landlords wish they could have smoke-free multi-tenant properties.  Landlords often ask these top three questions: is it legal, will I lose tenants, and how is it enforced?  The Project Director is James Bergman, JD of the Smoke-Free Environments Law Project in Ann Arbor.  Mr. Bergman has analyzed the legal aspects of Michigan Housing Law and found that your business can incur legal risks by allowing smoking in rental housing; and no legal risks by providing smoke-free housing.  Your tenants actually have a right to live in a healthy environment; free of passive smoke exposure.  Based on Michigan Law and the provisions of the Americans with Disabilities Act, those with breathing and health problems could hold you liable for exacerbation of illness.  Landlords own and control the property and there is a liability if the landlord has created an environment that makes tenants more ill by allowing passive smoke to circulate in the building.   ADA protection can be invoked to protect those with breathing problems, asthma, those with heart disease and even people with circulation problems.  There is no legally protected right to smoke.  Smoking is not a physical condition, it is a behavior.

The second question, Will I lose tenants? Here are the facts and you can make this determination yourself.  Using 2003 data for Eaton, Ingham and Clinton County we find that non-smokers maintain a smoke-free home 93% of the time.  Surprisingly, 55% of smokers maintain a smoke-free home.  Since smoking rates for adults is under 20%, we can calculate that the total percentage of tri-county residents that maintained a smoke-free home in 2003 was 83%.  This data comes from the Behavioral Risk Factor Survey (BRFS), a population health assessment tool providing health data nationwide by the Centers for Disease Control (CDC).  Most of your tenants do not smoke and probably maintain a smoke-free home policy.  Only 17% of our local population allows smoking in their home or apartment.  We know from research that this 17% are making the other residents sick, costing you money and damaging your property.

The final question is: How is a smoke-free policy enforced?  Smoke-free signs are most important, available and free because it is our experience that smokers will agree to smoke restrictions if they understand the policy and know where they CAN smoke.  The free smoke-free signs, tenant signed lease amendment and an ash can near a bench should make your policy clear and will encourage compliance.  Landlords often underestimate the problems that drifting smoke is currently causing for residents.  You won’t believe the number of positive comments that you will receive when you implement a smoke-free policy.

Visit the website for more information: http://www.mismokefreeapartment.org/

Local programs are available to help you phase in your smoke-free apartment policy.  We can also assist with resident surveys, one-on-one assistance, presentations to tenant group or simply discuss the additional benefits of smoke-free multi-tenant housing.

Contact Name: 
Amy Moore
Contact Email: 
amoore@ingham.org
Resource Category: 

Pages