scholarly journals Smoke-Free Home Intervention in Permanent Supportive Housing: A Multifaceted Intervention Pilot

2020 ◽  
Author(s):  
Arturo Durazo ◽  
Marlena Hartman-Filson ◽  
Kenneth Perez ◽  
Natalie M Alizaga ◽  
Anne Berit Petersen ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
San Francisco ◽  
Brief Intervention ◽  
Odds Ratio ◽  
San Francisco Bay Area ◽  
Supportive Housing ◽  
Bay Area ◽  
Permanent Supportive Housing ◽  
Voluntary Adoption

Abstract Introduction Smoke-free homes (SFHs), the voluntary adoption of home smoking restrictions, are associated with reduced secondhand smoke exposure. However, SFHs are uncommon in permanent supportive housing (PSH) for formerly homeless adults, who have fivefold higher smoking rates than the general population. We pilot-tested a brief intervention to increase voluntary adoption of SFHs among PSH residents in the San Francisco Bay Area. Aims and Methods We pilot-tested a brief intervention to increase voluntary adoption of SFHs among PSH residents in the San Francisco Bay Area. Rest of the methods, PSH residents (n = 100) and staff (n = 62) from 15 PSH sites participated in the intervention between October 2017 and February 2018. Research staff provided counseling to PSH residents on how to adopt an SFH and trained PSH staff on how to counsel residents on smoking cessation. The primary outcome was self-reported voluntary adoption of an SFH for ≥90 days, and the secondary outcome was carbon monoxide-verified PPA at 6-month follow-up. PSH staff completed the Smoking Knowledge, Attitudes, and Practices survey at baseline and 3-month follow-up. Results At 6 months, 31.3% of PSH residents had adopted an SFH (vs. 13.0% at baseline) and 16.9% reported carbon monoxide-verified PPA. A positive attitude toward an SFH policy was associated with increased odds of SFH adoption (adjusted odds ratio = 8.68, 95% confidence interval: 2.42, 31.17). Voluntary SFH adoption was associated with increased PPA (adjusted odds ratio = 26.27, 95% confidence interval: 3.43, 201.30). PSH staff reported improved attitudes toward and self-efficacy in delivering cessation care, and decreased barriers to discussing smoking cessation among PSH residents between baseline and 3-month follow-up. Conclusions In this single-arm study, a brief intervention increased SFH adoption and PPA among PSH residents. Implications To date, few interventions have addressed SFHs and their association with tobacco use among PSH residents. A “ground-up” approach that relies on buy-in from residents and that promotes voluntary SFHs is an innovative way to increase smoke-free living environments in PSH. This approach could pave a pathway for smoke-free policy implementation in these sites. PSH can play a role in reducing the burden of tobacco use by empowering its residents to adopt voluntary SFHs, which could increase smoking cessation among residents.

scholarly journals THE ENCORE FELLOWSHIPS PROGRAM: FINDINGS FROM HOST AND FELLOW FOLLOW-UP EVALUATIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S374-S374
Author(s):  
Cal J Halvorsen ◽  
Jim Emerman
Keyword(s):  
San Francisco ◽  
San Francisco Bay Area ◽  
Nonprofit Sector ◽  
Non Profit ◽  
Program Satisfaction ◽  
For Profit ◽  
Bay Area ◽  
Matching Process ◽  
High Sense

Abstract The Encore Fellowships Network (EFN) began as a pilot program in 2009 to match mid- and late-career for-profit employees in the San Francisco Bay Area to non-profit organizations seeking their skills and experience. After a successful pilot, the EFN expanded nationally, reaching 26 states and placing close to 2,000 Fellows in 10 years. This presentation will reveal analysis from more than 1,400 linked surveys of fellows and their organizational hosts both pre- and post-fellowship, totaling more than 350 observations. Results indicate a high sense of program satisfaction and enduring impact on the work of the non-profits. Further, the efficiency of the matching process was positively associated with fellows’ recommendation of the program to friends or colleagues and a higher sense of enduring impact among fellows was positively associated with the likelihood of pursuing post-fellowship non-profit work. Implications for the EFN and the broader nonprofit sector will be discussed.

INVESTIGATION AND CLEANUP OF FUEL TANK LEAKS IN THE SAN FRANCISCO BAY AREA—A REGULATORY STRATEGY

1985 ◽  
Vol 1985 (1) ◽  
pp. 285-288
Author(s):  
Don M. Eisenberg ◽  
Adam W. Olivieri ◽  
Peter W. Johnson
Keyword(s):  
San Francisco ◽  
Local Governments ◽  
San Francisco Bay ◽  
San Francisco Bay Area ◽  
Initial Response ◽  
Water Quality Control ◽  
Screening Process ◽  
Bay Area ◽  
Fuel Tanks

ABSTRACT During the past few years, contamination associated with underground chemical storage has been found to have caused extensive degradation of otherwise usable groundwater in many locations. In response, many cities within the San Francisco Bay area are presently implementing ordinances that require monitoring of underground tanks including fuel tanks. In addition, recently enacted state laws will require some form of rigorous monitoring for fuel tanks throughout California. Implementation of fuel leak monitoring programs will result in the discovery of a significant number of additional fuel leak sites. The authors project that 200 to 300 reports of subsurface fuel contamination will be generated during the next year in the San Francisco Bay area. To deal with this overwhelming increase in regulatory workload it is likely that some level of initial response to fuel leaks may be delegated to local governments. For the above reasons, the California Regional Water Quality Control Board, San Francisco Bay Region, is developing formalized response procedures to provide a consistent and adequate preliminary response to initial reports of suspected or confirmed underground fuel leaks. These procedures are intended to provide a screening process to minimize additional follow-up where it is not required and to ensure such follow-up where it is necessary. The proposed procedures will be the subject of several public workshops and at least one formal public hearing before they are considered final. They are described here in an attempt to stimulate further technical input to the public discussion process and to possibly provide a model for use by others who will be faced with similar decision-making needs as similar ordinances and regulations are adopted throughout the state and in other states.

scholarly journals Developing Tobacco Control Interventions in Permanent Supportive Housing for Formerly Homeless Adults

2019 ◽  
Vol 21 (6) ◽  
pp. 972-982 ◽  
Author(s):  
Natalie M. Alizaga ◽  
Tram Nguyen ◽  
Anne Berit Petersen ◽  
Holly Elser ◽  
Maya Vijayaraghavan
Keyword(s):  
Substance Use ◽  
Tobacco Control ◽  
San Francisco ◽  
Population Based ◽  
Supportive Housing ◽  
Successful Implementation ◽  
Effective Population ◽  
Bay Area ◽  
Permanent Supportive Housing ◽  
Formerly Homeless

Smoke-free policies are effective population-based strategies to reduce tobacco use yet are uncommon in permanent supportive housing (PSH) for formerly homeless individuals who have high rates of smoking. In this study, we partnered with six supportive housing agencies in the San Francisco Bay Area to examine the implementation of smoke-free policies and cessation services. We administered a questionnaire and conducted in-depth, semistructured interviews with agency directors (n = 6), property management staff (n = 23), and services staff (n = 24) from 23 PSH sites on the barriers to implementing tobacco control interventions. All properties restricted smoking in indoor shared areas, but only two had policies restricting smoking in living areas. While there was staff consensus that smoke-free policies were important to reduce tobacco-related harm, participants disagreed on whether smoke-free policies were aligned with PSH’s harm reduction framework. Residents’ comorbid mental illness and substance use and the lack of appropriate enforcement tools were barriers to implementation. Using these formative findings, we present a framework for a toolkit of strategies to increase implementation of smoke-free policies and cessation interventions in PSH. Successful implementation of indoor smoke-free policies in PSH will require concurrent cessation services to support smoking cessation efforts and address the mental health and substance use needs of residents.

Reduction in Clostridium difficile infection rates following a multifacility prevention initiative in Orange County, California: A controlled interrupted time series evaluation

2019 ◽  
Vol 40 (8) ◽  
pp. 872-879 ◽  
Author(s):  
Kyle R. Rizzo ◽  
Sarah H. Yi ◽  
Erin P. Garcia ◽  
Matt Zahn ◽  
Erin Epson
Keyword(s):  
Time Series ◽  
Clostridium Difficile ◽  
San Francisco ◽  
Orange County ◽  
San Francisco Bay ◽  
San Francisco Bay Area ◽  
Interrupted Time Series ◽  
Baseline Period ◽  
Bay Area

AbstractObjective:To evaluate the Orange County Clostridium difficile infection (CDI) prevention collaborative’s effect on rates of CDI in acute-care hospitals (ACHs) in Orange County, California.Design:Controlled interrupted time series.Methods:We convened a CDI prevention collaborative with healthcare facilities in Orange County to reduce CDI incidence in the region. Collaborative participants received onsite infection control and antimicrobial stewardship assessments, interactive learning and discussion sessions, and an interfacility transfer communication improvement initiative during June 2015–June 2016. We used segmented regression to evaluate changes in monthly hospital-onset (HO) and community-onset (CO) CDI rates for ACHs. The baseline period comprised 17 months (January 2014–June 2015) and the follow-up period comprised 28 months (September 2015–December 2017). All 25 Orange County ACHs were included in the CO-CDI model to account for direct and indirect effects of the collaborative. For comparison, we assessed HO-CDI and CO-CDI rates among 27 ACHs in 3 San Francisco Bay Area counties.Results:HO-CDI rates in the 15 participating Orange County ACHs decreased 4% per month (incidence rate ratio [IRR], 0.96; 95% CI, 0.95–0.97; P < .0001) during the follow-up period compared with the baseline period and 3% (IRR, 0.97; 95% CI, 0.95–0.99; P = .002) per month compared to the San Francisco Bay Area nonparticipant ACHs. Orange County CO-CDI rates declined 2% per month (IRR, 0.98; 95% CI, 0.96–1.00; P = .03) between the baseline and follow-up periods. This decline was not statistically different from the San Francisco Bay Area ACHs (IRR, 0.97; 95% CI, 0.95–1.00; P = .09).Conclusions:Our analysis of ACHs in Orange County provides evidence that coordinated, regional multifacility initiatives can reduce CDI incidence.

scholarly journals Responses to Graphic Warning Labels among Low-income Smokers

2020 ◽  
Vol 44 (5) ◽  
pp. 603-616
Author(s):  
Toshali Katyal ◽  
Arturo Durazo ◽  
Marlena Hartman-Filson ◽  
Maya Vijayaraghavan
Keyword(s):  
San Francisco ◽  
Low Income ◽  
San Francisco Bay Area ◽  
Mixed Methods Study ◽  
Warning Labels ◽  
Bay Area ◽  
Important Health ◽  
Graphic Warning ◽  
Harmful Effects

Objective: Graphic warning labels (GWLs) are effective in communicating tobacco-related harms. Methods: In this mixed-methods study, we used purposive sampling to recruit 100 low-income smokers in the San Francisco Bay Area between October 2017 and February 2018 to participate in an intervention promoting smoke-free homes. We presented the 2009 Food and Drug Administration-proposed GWLs and explored perceptions of affect, efficacy, and appeal using questionnaires at baseline, 3- and 6-months follow-up. Because of participants' interest in this topic, we subsequently conducted a qualitative sub-study among 20 participants exploring perceived efficacy of GWLs on smoking cessation. Results: In all, 87.3% and 59.2% agreed that GWLs were useful and would motivate cessation behaviors, respectively, at baseline. We found that the most common responses were shock (61.8%) and disgust (55.3%), whereas anger (29.0%) and annoyance (19.7%) were less common. Participants also reported that GWLs unequivocally illustrating smoking's harmful effects were more appealing than non-specific images, as were images that depicted positive cessation-related effects. Conclusions: GWLs appear to be an important health communication among low-income smokers. Future studies on GWLs should examine the association of negative affect and cessation among this population.

A Qualitative Study of Ecstasy Sellers in the San Francisco Bay Area

2004 ◽  
Author(s):  
Sheigla Murphy ◽  
Paloma Sales ◽  
Micheline Duterte ◽  
Camille Jacinto
Keyword(s):  
Qualitative Study ◽  
San Francisco ◽  
San Francisco Bay ◽  
San Francisco Bay Area ◽  
Bay Area

The “Japanese Turn” in Fine Dining in the United States, 1980–2020

2020 ◽  
Vol 20 (2) ◽  
pp. 45-54
Author(s):  
Samuel H. Yamashita
Keyword(s):  
United States ◽  
New York ◽  
Los Angeles ◽  
San Francisco ◽  
San Francisco Bay Area ◽  
The United States ◽  
First Century ◽  
Further Training ◽  
Bay Area ◽  
Wide Acceptance

In the 1970s, Japanese cooks began to appear in the kitchens of nouvelle cuisine chefs in France for further training, with scores more arriving in the next decades. Paul Bocuse, Alain Chapel, Joël Robuchon, and other leading French chefs started visiting Japan to teach, cook, and sample Japanese cuisine, and ten of them eventually opened restaurants there. In the 1980s and 1990s, these chefs' frequent visits to Japan and the steady flow of Japanese stagiaires to French restaurants in Europe and the United States encouraged a series of changes that I am calling the “Japanese turn,” which found chefs at fine-dining establishments in Los Angeles, New York City, and later the San Francisco Bay Area using an ever-widening array of Japanese ingredients, employing Japanese culinary techniques, and adding Japanese dishes to their menus. By the second decade of the twenty-first century, the wide acceptance of not only Japanese ingredients and techniques but also concepts like umami (savory tastiness) and shun (seasonality) suggest that Japanese cuisine is now well known to many American chefs.

Cyborg Jotería Pedagogies: Latinx Drag Queens Leveraging Communication Ecologies in the Age of the Digital and Social Displacement

2020 ◽  
Vol 14 (2) ◽  
pp. 44-66
Author(s):  
José Ramón Lizárraga ◽  
Arturo Cortez
Keyword(s):  
San Francisco ◽  
San Francisco Bay ◽  
San Francisco Bay Area ◽  
Digital Technologies ◽  
Physical World ◽  
Political Issues ◽  
Drag Queen ◽  
Bay Area ◽  
Online Presence ◽  
Drag Queens

Researchers and practitioners have much to learn from drag queens, specifically Latinx queens, as they leverage everyday queerness and brownness in ways that contribute to pedagogy locally and globally, individually and collectively. Drawing on previous work examining the digital queer gestures of drag queen educators (Lizárraga & Cortez, 2019), this essay explores how non-dominant people that exist and fluctuate in the in-between of boundaries of gender, race, sexuality, the physical, and the virtual provide pedagogical overtures for imagining and organizing for new possible futures that are equitable and just. Further animated by Donna Haraway’s (2006) influential feminist post-humanist work, we interrogate how Latinx drag queens as cyborgs use digital technologies to enhance their craft and engage in powerful pedagogical moves. This essay draws from robust analyses of the digital presence of and interviews with two Latinx drag queens in the San Francisco Bay Area, as well as the online presence of a Xicanx doggie drag queen named RuPawl. Our participants actively drew on their liminality to provoke and mobilize communities around socio-political issues. In this regard, we see them engaging in transformative public cyborg jotería pedagogies that are made visible and historicized in the digital and physical world.

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