Báezconde-Garbanati, Lourdes, Portugal, Cecilia, Barahona, Rosa, Garbanati, James A., Ledezma, Karina, and Conde de Báez, Francia M.
There exists a movement in the United States that has been gaining strength among residents who rent units in multifamily apartments that seeks to combat being involuntarily exposed to cigarette smoke and residues. Secondhand smoke (smoke from lighted cigarettes) is a carcinogen known to cause over 3,000 lung cancer deaths, and 35,000 heart disease deaths in adult nonsmokers, every year. In the United States it has been linked scientifically to respiratory diseases such as asthma, bronchitis, pneumonia, and breathing difficulties, as well as to Sudden Infant Death Syndrome and spontaneous abortions. Recent studies have also identified "third hand smoke" (dangerous residues from cigarette smoke that stay on clothing, furniture, railing, walls, curtains, etc. even after second hand smoke has disappeared) as containing substances that also may produce cancer. The movement promotes the creation of voluntary environmental norms that prevent contact with Type A carcinogens in the individual homes, multiple housing units or workplace. This paper presents a health promotion and disease prevention program entitled "Regale Salud" to avoid environmental exposure to cigarette smoke; it also measures the attitudes of renters based on Latino cultural values in creating voluntary policies that prohibit the use of tobacco in common areas, and entire floors or buildings. The ultimate goal of this program is to establish voluntary strategies to prevent environmental exposure to tobacco smoke in residential multiunit buildings were Mexican or Latin American origin families live. This program was designed and evaluated by the Keck School of Medicine, Institute for Health Promotion and Disease Prevention Research (IPR) at the University of Southern California (USC) and is part of the strategies of the National Latino Tobacco Control Network (NLTCN. The program utilizes the California Smokers Helpline (a quit line to help those ready to quit) and promotes the voluntary implementation and monitoring of environmental tobacco exposure controls especially designed for multiunit housing were children, the elderly and those immune compromised live. We discuss the implications for the Regale Salud program within a "Latino culture of health" and the health care reform environment in the United States today [ABSTRACT FROM AUTHOR]